A combination of P300 and eye movement data improves the accuracy of auxiliary diagnoses of depression.


Journal

Journal of affective disorders
ISSN: 1573-2517
Titre abrégé: J Affect Disord
Pays: Netherlands
ID NLM: 7906073

Informations de publication

Date de publication:
15 01 2022
Historique:
received: 21 07 2021
revised: 09 10 2021
accepted: 20 10 2021
pubmed: 29 10 2021
medline: 27 1 2022
entrez: 28 10 2021
Statut: ppublish

Résumé

Exploratory eye movements (EEMs) and P300 are often used to facilitate the clinical diagnosis of depression. However, There were few studies using the combination of EEMs and P300 to build a model for detecting depression and predicting a curative effect. Sixty patients were recruited for 2 groups: high frequency repetitive transcranial magnetic stimulation(rTMS) combined with paroxetine group and simple paroxetine group. Clinical efficacy was evaluated by the Hamilton Depression scale-24(HAMD-24), EEMs and P300. The classification model of the auxiliary diagnosis of depression and the prediction model of the two treatments were developed based on a machine learning algorithm. The classification model with the greatest accuracy for patients with depression and healthy controls was 95.24% (AUC = 0.75, recall = 1.00, precision = 0.95, F1-score = 0.97). The root mean square error (RMSE) of the model for predicting the efficacy of high frequency rTMS combined with paroxetine was 3.54 (MAE [mean absolute error] = 2.56, R Based on the machine learning algorithm, P300 and EEMs data was suitable for modeling to distinguish depression patients and healthy individuals. However, it was not suitable for predicting the efficacy of high frequency rTMS combined with paroxetine or to predict the efficacy of paroxetine.

Sections du résumé

BACKGROUND
Exploratory eye movements (EEMs) and P300 are often used to facilitate the clinical diagnosis of depression. However, There were few studies using the combination of EEMs and P300 to build a model for detecting depression and predicting a curative effect.
METHODS
Sixty patients were recruited for 2 groups: high frequency repetitive transcranial magnetic stimulation(rTMS) combined with paroxetine group and simple paroxetine group. Clinical efficacy was evaluated by the Hamilton Depression scale-24(HAMD-24), EEMs and P300. The classification model of the auxiliary diagnosis of depression and the prediction model of the two treatments were developed based on a machine learning algorithm.
RESULTS
The classification model with the greatest accuracy for patients with depression and healthy controls was 95.24% (AUC = 0.75, recall = 1.00, precision = 0.95, F1-score = 0.97). The root mean square error (RMSE) of the model for predicting the efficacy of high frequency rTMS combined with paroxetine was 3.54 (MAE [mean absolute error] = 2.56, R
CONCLUSION
Based on the machine learning algorithm, P300 and EEMs data was suitable for modeling to distinguish depression patients and healthy individuals. However, it was not suitable for predicting the efficacy of high frequency rTMS combined with paroxetine or to predict the efficacy of paroxetine.

Identifiants

pubmed: 34710500
pii: S0165-0327(21)01103-4
doi: 10.1016/j.jad.2021.10.028
pii:
doi:

Substances chimiques

Paroxetine 41VRH5220H

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

386-395

Informations de copyright

Copyright © 2021 Elsevier B.V. All rights reserved.

Auteurs

Yunheng Diao (Y)

Department of Psychiatry, The Second Affiliated Hospital of Xinxiang Medical University, Henan Mental Hospital, Xinxiang, Henan, 453002, PR China; The Second Clinical College, Xinxiang Medical University, Xinxiang, Henan, 453003, PR China; Henan Key Lab of Biological Psychiatry, Xinxiang Medical University, Xinxiang, Henan, 453002, PR China.

Mengjun Geng (M)

Department of Psychiatry, The Second Affiliated Hospital of Xinxiang Medical University, Henan Mental Hospital, Xinxiang, Henan, 453002, PR China; The Second Clinical College, Xinxiang Medical University, Xinxiang, Henan, 453003, PR China; Henan Key Lab of Biological Psychiatry, Xinxiang Medical University, Xinxiang, Henan, 453002, PR China.

Yifang Fu (Y)

Department of Psychiatry, The Second Affiliated Hospital of Xinxiang Medical University, Henan Mental Hospital, Xinxiang, Henan, 453002, PR China; The Second Clinical College, Xinxiang Medical University, Xinxiang, Henan, 453003, PR China.

Huiying Wang (H)

Department of Psychiatry, The Second Affiliated Hospital of Xinxiang Medical University, Henan Mental Hospital, Xinxiang, Henan, 453002, PR China; Henan Key Lab of Biological Psychiatry, Xinxiang Medical University, Xinxiang, Henan, 453002, PR China.

Cong Liu (C)

Department of Psychiatry, The Second Affiliated Hospital of Xinxiang Medical University, Henan Mental Hospital, Xinxiang, Henan, 453002, PR China.

Jingyang Gu (J)

Department of Psychiatry, The Second Affiliated Hospital of Xinxiang Medical University, Henan Mental Hospital, Xinxiang, Henan, 453002, PR China.

Jiao Dong (J)

Department of Psychiatry, The Second Affiliated Hospital of Xinxiang Medical University, Henan Mental Hospital, Xinxiang, Henan, 453002, PR China.

Junlin Mu (J)

Department of Psychiatry, The Second Affiliated Hospital of Xinxiang Medical University, Henan Mental Hospital, Xinxiang, Henan, 453002, PR China.

Xianhua Liu (X)

Department of Psychiatry, The Second Affiliated Hospital of Xinxiang Medical University, Henan Mental Hospital, Xinxiang, Henan, 453002, PR China.

Changhong Wang (C)

Department of Psychiatry, The Second Affiliated Hospital of Xinxiang Medical University, Henan Mental Hospital, Xinxiang, Henan, 453002, PR China; The Second Clinical College, Xinxiang Medical University, Xinxiang, Henan, 453003, PR China; Henan Key Lab of Biological Psychiatry, Xinxiang Medical University, Xinxiang, Henan, 453002, PR China. Electronic address: wangchdr@163.com.

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