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Machine learning methods for anticipating the psychological distress in patients with alzheimer’s disease

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Abstract

Recent studies proved that psychological distress is an accelerator of Alzheimer disease (AD). However, the factors that affect the psychological distress of AD patients are still unknown. The aim of this study was to predict the incidence and identify the risk factors of psychological distress in AD patients. Artificial neural networks and Machine learning models were used to predict the incidence of psychological distress in AD patients. Linear regression and decision tree models were used to identify the factors of psychological distress in AD patients. Among all models for predicting the incidence of psychological distress in AD patients, the artificial neural networks with 8 hidden neurons achieved the highest predictive accuracy of 81.92%. In the five machine learning models, the ADTree algorithm made the highest Predictive Accuracy of 77.94%. As for risk factor analysis, the Linear Regression and Decision Tree models reported similar sets of variables that affect the psychological distress of AD patients. Three variables were reported by Linear Regression to be in negative correlation with psychological distress: the use of professional care service, caregiver consuming cigarette, and caregiver consuming alcohol. The incidence of psychological distress in AD patients can be predicted by artificial neural networks with an accuracy of 81.92%. There are four main risk factors for psychological distress of AD patients: “Caregiver experiencing psychological distress”, “Caregiver suffering from chronic disease or cancer”, “Care recipient’s health status being serious or getting worse”, and “Lack of professional care service”. These findings are otentially helpful for the prediction, prevention and intervention of psychological distress in AD patients.

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References

  1. Wilson, R. S., Barnes, L. L., Bennett, D. A., Li, Y., Bienias, J.L., Mendes de Leon, C. F. and Evans, D.A.Proneness to psychological distress and risk of Alzheimer disease in a biracial community. Neurology, 64(2):380–2, 2005.

    CAS  PubMed  Google Scholar 

  2. Wilson. R. S., Evans, D. A., Bienias, J. L., Mendes de Leon, C. F., Schneider, J. A. and Bennett, D. A.Proneness to psychological distress is associated with risk of Alzheimer’s disease. Neurology, 61(11):1479–85, 2003.

    CAS  PubMed  Google Scholar 

  3. Wilson, R. S., Fleischman, D. A., Myers, R. A., Bennett, D.A., Bienias, J. L., Gilley, D. W. and Evans, D. A.Premorbid proneness to distress and episodic memory impairment in Alzheimer’s disease. J Neurol Neurosurg Psychiatry., 75(2):191–5, 2004.

    CAS  PubMed  Google Scholar 

  4. Rinaldi, P., Spazzafumo, L., Mastriforti, R., Mattioli, P., Marvardi, M., Polidori, M. C., Cherubini, A., Abate, G., Bartorelli, L., Bonaiuto, S., Capurso, A., Cucinotta, D., Gallucci, M., Giordano, M., Martorelli, M., Masaraki, G., Nieddu, A., Pettenati, C., Putzu, P., Tammaro, V. A., Tomassini, P. F., Vergani, C., Senin, U. and Mecocci, P.Predictors of high level of burden and distress in caregivers of demented patients: results of an Italian multicenter study. Int J Geriatr Psychiatry, 20(2):168–74, 2005.

    Article  CAS  PubMed  Google Scholar 

  5. Aguglia, E., Onor, M. L., Trevisiol, M., Negro, C., Saina, M. and Maso, E.Stress in the caregivers of Alzheimer’s patients: an experimental investigation in Italy. Am J Alzheimers Dis Other Demen., 19(4):248–52, 2004.

    Article  CAS  PubMed  Google Scholar 

  6. Covinsky, K. E., Newcomer, R., Fox, P., Wood, J., Sands, L., Dane, K. and Yaffe, K.Patient and caregiver characteristics associated with depression in caregivers of patients with dementia. J Gen Intern Med., 18(12):1006–14, 2003.

    Article  PubMed  Google Scholar 

  7. Craig, D., Hart, D. J., McIlroy, S. P. and Passmore, A. P.Association analysis of apolipoprotein E genotype and risk of depressive symptoms in Alzheimer’s disease. Dement Geriatr Cogn Disord., 19(2–3):154–7, 2005.

    Article  CAS  PubMed  Google Scholar 

  8. Schulz, R., Burgio, L., Burns, R., Eisdorfer, C., Gallagher-Thompson, D., Gitlin, L. N. and Mahoney, D. F.Resources for Enhancing Alzheimer’s Caregiver Health (REACH): overview, site-specific outcomes, and future directions. Gerontologist, 43(4):514–20, 2003.

    PubMed  Google Scholar 

  9. Wisniewski, S. R., Belle, S. H., Coon, D. W., Marcus, S. M., Ory, M. G., Burgio, L. D., Burns, R. and Schulz, R.The Resources for Enhancing Alzheimer’s Caregiver Health (REACH): project design and baseline characteristics. Psychol Aging, 18(3):375–84, 2003.

    Article  PubMed  Google Scholar 

  10. Schulz, R., Belle, S. H., Czaja, S. J., Gitlin, L. N., Wisniewski, S. R. and Ory, M. G.Introduction to the special section on Resources for Enhancing Alzheimer’s Caregiver Health (REACH), Psychol Aging, 18(3):357–60, 2003.

    Article  PubMed  Google Scholar 

  11. Frank, E., Hall, M., Trigg, L., Holmes, G. and Witten, I. H.Data mining in bioinformatics using Weka. Bioinformatics, 20(15):2479–81, 2004.

    Article  CAS  PubMed  Google Scholar 

  12. Rumelhart, D. E., Hinton, G. E. and Williams, R. J.Learning internal representations by error propagation, In Parallel Distributed Processing: Explorations in the Microstructure of Cognition, MIT Press; 45–76, 1986.

  13. Helman, P., Veroff, R., Atlas, S. R. and Willman, C.A. Bayesian network classification methodology for gene expression data. J Comput Biol., 11(4):581–615, 2004.

    Article  CAS  PubMed  Google Scholar 

  14. Cessie, S. and Houwelingen, J. C.Ridge Estimators in Logistic Regression. Applied Statistics, 41(1):191–201, 1992.

    Article  Google Scholar 

  15. Freund, Y. and Mason, L.The alternating decision tree learning algorithm. Proceeding of the Sixteenth International Conference on Machine Learning, Bled, Slovenia, 124–133, 1999.

  16. Goethals, P., Gasparyan, K. and De Pauw, N.River restoration simulations by ecosystem models predicting aquatic macroinvertebrate communities based on J48 classification trees. Meded Rijksuniv Gent Fak Landbouwkd Toegep Biol Wet., 66(4):213–7, 2001.

    CAS  PubMed  Google Scholar 

  17. Mani, S. and Pazzani, M. J.Guideline generation from data by induction of decision tables using a Bayesian network framework. Proc AMIA Symp.; 518–22, 1998.

  18. Di Luca, M., Grossi, E., Borroni, B., Zimmermann, M., Marcello, E., Colciaghi, F., Gardoni, F., Intraligi, M., Padovani, A. and Buscema, M.Artificial neural networks allow the use of simultaneous measurements of Alzheimer disease markers for early detection of the disease. J Transl Med., 27;3:30., 2005.

    Article  Google Scholar 

  19. La Rosa, E., Consoli, S. M., Le Clesiau, H., Soufi, K. and Lagrue, G.Psychosocial distress and stressful life antecedents associated with smoking. A survey of subjects consulting a preventive health center Presse Med., 33(14 Pt 1):919–26, 2004.

    PubMed  Google Scholar 

  20. Honda, K.Psychosocial correlates of smoking cessation among elderly ever-smokers in the United States. Addict Behav, 30(2):375–81, 2005.

    Article  PubMed  Google Scholar 

  21. Hill, T. D. and Angel, R. J.Neighborhood disorder, psychological distress, and heavy drinking. Soc Sci Med. 61(5):965–75. Epub 2005.

    Article  PubMed  Google Scholar 

  22. Mahoney, R., Regan, C., Katona, C. and Livingston, G.Anxiety and depression in family caregivers of people with Alzheimer disease: the LASER-AD study. Am J Geriatr Psychiatry, 13(9):795–801, 2005.

    PubMed  Google Scholar 

  23. Farran, C. J., Loukissa, D. A., Lindeman, D. A., McCann, J. J., and Bienias, J. L.Caring for self while caring for others: the two-track life of coping with Alzheimer’s disease. J Gerontol Nurs., 30(5):38–46, 2004.

    PubMed  Google Scholar 

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Correspondence to Xiaolin Zhou.

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Zhou, X., Xu, J. & Zhao, Y. Machine learning methods for anticipating the psychological distress in patients with alzheimer’s disease. Australas. Phys. Eng. Sci. Med. 29, 303–309 (2006). https://doi.org/10.1007/BF03178395

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  • DOI: https://doi.org/10.1007/BF03178395

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