开发一个模型来预测退伍军人抑郁症的抗抑郁药治疗反应
Victor Puac-Polanco1, Hannah N Ziobrowski1, Eric L Ross2,3,4
1Department of Health Care Policy, Harvard Medical School, Boston, MA, USA.
Psychological medicine
|August 31, 2023
概括
一个机器学习模型可以预测主要抑郁症 (MDD) 患者的抗抑郁药治疗反应. 基线因素,如症状严重程度和治疗史,是治疗成功的关键预测因素.
科学领域:
- 精神病学是一个精神病学.
- 计算精神病学是一种计算精神病学.
- 医疗信息学 医疗信息学
背景情况:
- 大型抑郁症 (MDD) 的治疗反应有很大的差异.
- 有限患者对初始抗抑郁药物药物 (ADM) 有反应.
- 预测治疗反应对于个性化医学至关重要.
研究的目的:
- 评估基线模型的可行性,以预测MDD患者的ADM治疗反应.
- 在大型退伍军人队伍中确定治疗结果的关键预测因素.
主要方法:
- 利用了美国退伍军人卫生管理局 (VHA) 的660名患有MDD的患者的国家样本.
- 采用集体机器学习方法,使用基线自我报告,行政和地理空间数据.
- 开发并测试了一个预测模型,用于3个月的治疗反应.
主要成果:
- 35.7%的患者实现了治疗反应.
- 预测模型在测试样本中实现了0.66 (0.04) 的AUC.
- 基线症状严重程度,并发症和治疗预期是显著的预测因素.
结论:
- 开发的模型在预测ADM治疗反应方面表现有希望.
- 对于预测对替代治疗反应的模型,需要进一步的研究.
- 这种方法可能有助于对MDD进行个性化治疗选择.
更多相关视频
04:29Vagus Nerve Stimulation As an Adjunctive Neurostimulation Tool in Treatment-resistant Depression
Published on: January 7, 2019
28.7K
06:55Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
14.5K
相关概念视频
Antidepressant Drugs: MAOIs and Other Agents
270
Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
270
Antidepressant Drugs: Overview
557
Antidepressant drugs are a class of medications primarily used for treating various mood disorders, including major depression, anxiety disorders, and other related conditions. These medicines work by modulating the neurotransmitter balance within the brain, alleviating depressive symptoms. Antidepressants can be broadly categorized into several groups according to their mechanism of action and chemical structure: Selective Serotonin Reuptake Inhibitors (SSRIs), Serotonin-Norepinephrine...
557
Long-term Depression
31.0K
Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
31.0K
Depression: Overview
274
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
274
Depressive Disorders: MDD and Dysthymia
175
Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
175
Depressive Disorders: Etiology
137
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
137
