Identifying the risk of depression in a large sample of adolescents: An artificial neural network based on random forest.

Background: This study aims to develop an artificial neural network (ANN) prediction model incorporating random forest (RF) screening ability for predicting the risk of depression in adolescents and identifies key risk factors to provide a new approach for primary care screening of depression among...

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Publicado en:Journal of Adolescence Vol. 96; no. 7; pp. 1485 - 1498
Autores principales: Zhou, Yue, Zhang, Xuelian, Gong, Jian, Wang, Tingwei, Gong, Linlin, Li, Kaida, Wang, Yanni
Formato: Artículo
Publicado: Wiley-Blackwell Oct2024
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2024
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      pub: Wiley-Blackwell
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        180109722
        10.1002/jad.12357
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        atl: Identifying the risk of depression in a large sample of adolescents: An artificial neural network based on random forest.
      aug:
        au:
          Zhou, Yue
          Zhang, Xuelian
          Gong, Jian
          Wang, Tingwei
          Gong, Linlin
          Li, Kaida
          Wang, Yanni
        affil:
          Department of Maternal, Child and Adolescent Health, School of Public Health, Lanzhou University, Lanzhou Gansu,, China
          Department of Nosocomial Infection Control, Division of Medical Administration, The Third People's Hospital of Gansu Province, Lanzhou Gansu,, China
          School of Computer Science and Technology, East China Normal University, Shanghai, China
      su:
        Depression in adolescence
        Self-esteem in adolescence
        Rumination (Cognition)
        Artificial neural networks
        Random forest algorithms
      sug:
        subj:
          Depression in adolescence
          Self-esteem in adolescence
          Rumination (Cognition)
          Artificial neural networks
          Random forest algorithms
      keyword:
        adolescents
        artificial neural network
        depression
        prediction model
        primary screening
        random forest
        adolescents
        artificial neural network
        depression
        prediction model
        primary screening
        random forest
      ab: Background: This study aims to develop an artificial neural network (ANN) prediction model incorporating random forest (RF) screening ability for predicting the risk of depression in adolescents and identifies key risk factors to provide a new approach for primary care screening of depression among adolescents. Methods: The data were from a large cross‐sectional study conducted in China from July to September 2021, enrolling 8635 adolescents aged 10–17 with their parents. We used the Patient health questionnaire (PHQ‐9) to rate adolescent depression symptoms, using scales and single‐item questions to collect demographic information and other variables. Initial model variables screening used the RF importance assessment, followed by building prediction model using the screened variables through the ANN. Results: The rate of depression symptoms in adolescents was 24.6%, and the depression risk prediction model was built based on 70% of the training set and 30% of the test set. Ten variables were included in the final prediction model with a model accuracy of 85.03%, AUC of 0.892, specificity of 89.79%, and sensitivity of 70.81%. The top 10 significant factors of depression risk were adolescent rumination, adolescent self‐esteem, adolescent mobile phone addiction, peer victimization, care in parenting styles, overprotection in parenting styles, academic pressure, conflict in parent–child relationship, parental rumination, and relationship between parents. Conclusions: The ANN model based on the RF effectively identifies depression risk in adolescents and provides a methodological reference for large‐scale primary screening. Cross‐sectional studies and single‐item scales limit further improvements in model accuracy.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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