Deconstructing depression by machine learning: the POKAL-PSY study.

Biological psychiatry MDD Machine learning Phenotyping

Journal

European archives of psychiatry and clinical neuroscience
ISSN: 1433-8491
Titre abrégé: Eur Arch Psychiatry Clin Neurosci
Pays: Germany
ID NLM: 9103030

Informations de publication

Date de publication:
13 Dec 2023
Historique:
received: 26 04 2023
accepted: 04 11 2023
medline: 13 12 2023
pubmed: 13 12 2023
entrez: 13 12 2023
Statut: aheadofprint

Résumé

Unipolar depression is a prevalent and disabling condition, often left untreated. In the outpatient setting, general practitioners fail to recognize depression in about 50% of cases mainly due to somatic comorbidities. Given the significant economic, social, and interpersonal impact of depression and its increasing prevalence, there is a need to improve its diagnosis and treatment in outpatient care. Various efforts have been made to isolate individual biological markers for depression to streamline diagnostic and therapeutic approaches. However, the intricate and dynamic interplay between neuroinflammation, metabolic abnormalities, and relevant neurobiological correlates of depression is not yet fully understood. To address this issue, we propose a naturalistic prospective study involving outpatients with unipolar depression, individuals without depression or comorbidities, and healthy controls. In addition to clinical assessments, cardiovascular parameters, metabolic factors, and inflammatory parameters are collected. For analysis we will use conventional statistics as well as machine learning algorithms. We aim to detect relevant participant subgroups by data-driven cluster algorithms and their impact on the subjects' long-term prognosis. The POKAL-PSY study is a subproject of the research network POKAL (Predictors and Clinical Outcomes in Depressive Disorders; GRK 2621).

Identifiants

pubmed: 38091084
doi: 10.1007/s00406-023-01720-9
pii: 10.1007/s00406-023-01720-9
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Deutsche Forschungsgemeinschaft
ID : GRK 2621
Organisme : Deutsche Forschungsgemeinschaft
ID : GRK 2621
Organisme : Deutsche Forschungsgemeinschaft
ID : GRK 2621

Investigateurs

Tobias Dreischulte (T)
Peter Henningsen (P)
Markus Bühner (M)
Katharina Biersack (K)
Constantin Brand (C)
Vita Brisnik (V)
Christopher Ebert (C)
Feyza Gökce (F)
Carolin Haas (C)
Lukas Kaupe (L)
Jonas Raub (J)
Philipp Reindl-Spanner (P)
Hannah Schillock (H)
Petra Schönweger (P)
Victoria von Schrottenberg (V)
Jochen Vukas (J)
Puya Younesi (P)
Caroline Jung-Sievers (C)
Helmut Krcmar (H)
Karoline Lukaschek (K)
Kirsten Lochbühler (K)
Gabriele Pitschel-Walz (G)

Informations de copyright

© 2023. The Author(s).

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Auteurs

Julia Eder (J)

Department of Psychiatry and Psychotherapy, LMU University Hospital, LMU Munich, Nussbaumstrasse 7, 80336, Munich, Germany. j.eder@med.uni-muenchen.de.
Graduate Program "POKAL - Predictors and Outcomes in Primary Care" (DFG-GrK 2621, Munich, Germany. j.eder@med.uni-muenchen.de.

Lisa Pfeiffer (L)

Graduate Program "POKAL - Predictors and Outcomes in Primary Care" (DFG-GrK 2621, Munich, Germany.

Sven P Wichert (SP)

Department of Psychiatry and Psychotherapy, LMU University Hospital, LMU Munich, Nussbaumstrasse 7, 80336, Munich, Germany.

Benjamin Keeser (B)

Department of Psychiatry and Psychotherapy, LMU University Hospital, LMU Munich, Nussbaumstrasse 7, 80336, Munich, Germany.

Maria S Simon (MS)

Department of Psychiatry and Psychotherapy, LMU University Hospital, LMU Munich, Nussbaumstrasse 7, 80336, Munich, Germany.

David Popovic (D)

International Max Planck Research School for Translational Psychiatry (IMPRS-TP), Munich, Germany.
Max-Planck Institute of Psychiatry, Munich, Germany.

Catherine Glocker (C)

Department of Psychiatry and Psychotherapy, LMU University Hospital, LMU Munich, Nussbaumstrasse 7, 80336, Munich, Germany.

Andre R Brunoni (AR)

Department of Psychiatry, Faculty of Medicine, University of São Paulo (FMUSP), São Paulo, SP, Brasil.

Antonius Schneider (A)

Graduate Program "POKAL - Predictors and Outcomes in Primary Care" (DFG-GrK 2621, Munich, Germany.
Institute of General Practice and Health Services Research, School of Medicine, Technical University Munich, Munich, Germany.

Jochen Gensichen (J)

Graduate Program "POKAL - Predictors and Outcomes in Primary Care" (DFG-GrK 2621, Munich, Germany.
Institute of General Practice and Family Medicine, Ludwig-Maximilians-University Munich, Munich, Germany.

Andrea Schmitt (A)

Department of Psychiatry and Psychotherapy, LMU University Hospital, LMU Munich, Nussbaumstrasse 7, 80336, Munich, Germany.
Laboratory of Neuroscience (LIM27), Institute of Psychiatry, University of São Paulo, São Paulo, Brazil.

Richard Musil (R)

Department of Psychiatry and Psychotherapy, LMU University Hospital, LMU Munich, Nussbaumstrasse 7, 80336, Munich, Germany.
Oberberg Specialist Clinic Bad Tölz, Bad Tölz, Germany.

Peter Falkai (P)

Department of Psychiatry and Psychotherapy, LMU University Hospital, LMU Munich, Nussbaumstrasse 7, 80336, Munich, Germany.
Graduate Program "POKAL - Predictors and Outcomes in Primary Care" (DFG-GrK 2621, Munich, Germany.
International Max Planck Research School for Translational Psychiatry (IMPRS-TP), Munich, Germany.
Max-Planck Institute of Psychiatry, Munich, Germany.

Classifications MeSH