Decision Tree Algorithm−Based Prediction of Vulnerability to Depressive and Anxiety Symptoms in Caregivers of Children With Glaucoma
Development and validation of a decision tree model (DTM) for prediction of mental health status in Korean caregivers of children with glaucoma. Cross-sectional study. Caregivers of children younger than 18 years with diagnosed primary childhood glaucoma (n = 42), secondary childhood glaucoma (n = 5...
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| Vydáno v: | American journal of ophthalmology Ročník 239; s. 90 - 97 |
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01.07.2022
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| ISSN: | 0002-9394, 1879-1891, 1879-1891 |
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| Abstract | Development and validation of a decision tree model (DTM) for prediction of mental health status in Korean caregivers of children with glaucoma.
Cross-sectional study.
Caregivers of children younger than 18 years with diagnosed primary childhood glaucoma (n = 42), secondary childhood glaucoma (n = 51), and glaucoma suspect (GS; n = 36) were prospectively enrolled at Seoul National University Children's Hospital, Seoul, Korea. The participants completed 2 questionnaires, the 9-item Patient Health Questionnaire (PHQ-9) and the 7-item Generalized Anxiety Disorder (GAD-7) Assessment. A DTM analysis for discrimination of those with moderate-to-severe depressive (PHQ-9 score ≥10) and anxiety (GAD-7 score ≥11) symptoms was performed with recursive partitioning algorithms based on the obtained clinical, demographic, and socioeconomic data.
The mean PHQ-9 and GAD-7 scores did not significantly differ among the 3 groups (P = .823 for PHQ-9 score; P = .730 for GAD-7 score). The DTM's balanced accuracies were 0.875 (95% CI = 0.778-0.972) for the PHQ-9 score and 0.880 (95% CI = 0.800–0.960) for theGAD-7 score. The DTM of the PHQ-9 revealed that in caregivers of children with glaucoma, depressive symptoms should be strongly suspected when (1) the child has undergone more than 2 glaucoma surgeries; or (2) the visual acuity (VA, converted to logarithm of minimum angle of resolution [logMAR]) in the better eye is worse than 0.4 if the child has had only 1 or no surgery.
Evaluation of the number of glaucoma surgeries and VA in the better eye can be a useful decision support tool in predicting mental illness in caregivers of children with glaucoma. |
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| AbstractList | Development and validation of a decision tree model (DTM) for prediction of mental health status in Korean caregivers of children with glaucoma.
Cross-sectional study.
Caregivers of children younger than 18 years with diagnosed primary childhood glaucoma (n = 42), secondary childhood glaucoma (n = 51), and glaucoma suspect (GS; n = 36) were prospectively enrolled at Seoul National University Children's Hospital, Seoul, Korea. The participants completed 2 questionnaires, the 9-item Patient Health Questionnaire (PHQ-9) and the 7-item Generalized Anxiety Disorder (GAD-7) Assessment. A DTM analysis for discrimination of those with moderate-to-severe depressive (PHQ-9 score ≥10) and anxiety (GAD-7 score ≥11) symptoms was performed with recursive partitioning algorithms based on the obtained clinical, demographic, and socioeconomic data.
The mean PHQ-9 and GAD-7 scores did not significantly differ among the 3 groups (P = .823 for PHQ-9 score; P = .730 for GAD-7 score). The DTM's balanced accuracies were 0.875 (95% CI = 0.778-0.972) for the PHQ-9 score and 0.880 (95% CI = 0.800–0.960) for theGAD-7 score. The DTM of the PHQ-9 revealed that in caregivers of children with glaucoma, depressive symptoms should be strongly suspected when (1) the child has undergone more than 2 glaucoma surgeries; or (2) the visual acuity (VA, converted to logarithm of minimum angle of resolution [logMAR]) in the better eye is worse than 0.4 if the child has had only 1 or no surgery.
Evaluation of the number of glaucoma surgeries and VA in the better eye can be a useful decision support tool in predicting mental illness in caregivers of children with glaucoma. Development and validation of a decision tree model (DTM) for prediction of mental health status in Korean caregivers of children with glaucoma.PURPOSEDevelopment and validation of a decision tree model (DTM) for prediction of mental health status in Korean caregivers of children with glaucoma.Cross-sectional study.DESIGNCross-sectional study.Caregivers of children younger than 18 years with diagnosed primary childhood glaucoma (n = 42), secondary childhood glaucoma (n = 51), and glaucoma suspect (GS; n = 36) were prospectively enrolled at Seoul National University Children's Hospital, Seoul, Korea. The participants completed 2 questionnaires, the 9-item Patient Health Questionnaire (PHQ-9) and the 7-item Generalized Anxiety Disorder (GAD-7) Assessment. A DTM analysis for discrimination of those with moderate-to-severe depressive (PHQ-9 score ≥10) and anxiety (GAD-7 score ≥11) symptoms was performed with recursive partitioning algorithms based on the obtained clinical, demographic, and socioeconomic data.METHODSCaregivers of children younger than 18 years with diagnosed primary childhood glaucoma (n = 42), secondary childhood glaucoma (n = 51), and glaucoma suspect (GS; n = 36) were prospectively enrolled at Seoul National University Children's Hospital, Seoul, Korea. The participants completed 2 questionnaires, the 9-item Patient Health Questionnaire (PHQ-9) and the 7-item Generalized Anxiety Disorder (GAD-7) Assessment. A DTM analysis for discrimination of those with moderate-to-severe depressive (PHQ-9 score ≥10) and anxiety (GAD-7 score ≥11) symptoms was performed with recursive partitioning algorithms based on the obtained clinical, demographic, and socioeconomic data.The mean PHQ-9 and GAD-7 scores did not significantly differ among the 3 groups (P = .823 for PHQ-9 score; P = .730 for GAD-7 score). The DTM's balanced accuracies were 0.875 (95% CI = 0.778-0.972) for the PHQ-9 score and 0.880 (95% CI = 0.800-0.960) for theGAD-7 score. The DTM of the PHQ-9 revealed that in caregivers of children with glaucoma, depressive symptoms should be strongly suspected when (1) the child has undergone more than 2 glaucoma surgeries; or (2) the visual acuity (VA, converted to logarithm of minimum angle of resolution [logMAR]) in the better eye is worse than 0.4 if the child has had only 1 or no surgery.RESULTSThe mean PHQ-9 and GAD-7 scores did not significantly differ among the 3 groups (P = .823 for PHQ-9 score; P = .730 for GAD-7 score). The DTM's balanced accuracies were 0.875 (95% CI = 0.778-0.972) for the PHQ-9 score and 0.880 (95% CI = 0.800-0.960) for theGAD-7 score. The DTM of the PHQ-9 revealed that in caregivers of children with glaucoma, depressive symptoms should be strongly suspected when (1) the child has undergone more than 2 glaucoma surgeries; or (2) the visual acuity (VA, converted to logarithm of minimum angle of resolution [logMAR]) in the better eye is worse than 0.4 if the child has had only 1 or no surgery.Evaluation of the number of glaucoma surgeries and VA in the better eye can be a useful decision support tool in predicting mental illness in caregivers of children with glaucoma.CONCLUSIONSEvaluation of the number of glaucoma surgeries and VA in the better eye can be a useful decision support tool in predicting mental illness in caregivers of children with glaucoma. PURPOSEDevelopment and validation of a decision tree model (DTM) for prediction of mental health status in Korean caregivers of children with glaucoma.DESIGNCross-sectional study.METHODSCaregivers of children younger than 18 years with diagnosed primary childhood glaucoma (n = 42), secondary childhood glaucoma (n = 51), and glaucoma suspect (GS; n = 36) were prospectively enrolled at Seoul National University Children's Hospital, Seoul, Korea. The participants completed 2 questionnaires, the 9-item Patient Health Questionnaire (PHQ-9) and the 7-item Generalized Anxiety Disorder (GAD-7) Assessment. A DTM analysis for discrimination of those with moderate-to-severe depressive (PHQ-9 score ≥10) and anxiety (GAD-7 score ≥11) symptoms was performed with recursive partitioning algorithms based on the obtained clinical, demographic, and socioeconomic data.RESULTSThe mean PHQ-9 and GAD-7 scores did not significantly differ among the 3 groups (P = .823 for PHQ-9 score; P = .730 for GAD-7 score). The DTM's balanced accuracies were 0.875 (95% CI = 0.778-0.972) for the PHQ-9 score and 0.880 (95% CI = 0.800–0.960) for theGAD-7 score. The DTM of the PHQ-9 revealed that in caregivers of children with glaucoma, depressive symptoms should be strongly suspected when (1) the child has undergone more than 2 glaucoma surgeries; or (2) the visual acuity (VA, converted to logarithm of minimum angle of resolution [logMAR]) in the better eye is worse than 0.4 if the child has had only 1 or no surgery.CONCLUSIONSEvaluation of the number of glaucoma surgeries and VA in the better eye can be a useful decision support tool in predicting mental illness in caregivers of children with glaucoma. |
| Author | Wy, Seoyoung Ha, Ahnul Lee, Yun Jeong Bak, Eunoo Jang, Mirinae Lee, Seung Chan Kim, Young Kook Jeoung, Jin Wook Choe, Sooyeon Park, Ki Ho |
| Author_xml | – sequence: 1 givenname: Seoyoung surname: Wy fullname: Wy, Seoyoung organization: Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea – sequence: 2 givenname: Sooyeon orcidid: 0000-0001-8431-4768 surname: Choe fullname: Choe, Sooyeon organization: Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea – sequence: 3 givenname: Yun Jeong surname: Lee fullname: Lee, Yun Jeong organization: Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea – sequence: 4 givenname: Eunoo surname: Bak fullname: Bak, Eunoo organization: Department of Ophthalmology, Uijeongbu Eulji Medical Center, Uijeongbu, Korea – sequence: 5 givenname: Mirinae surname: Jang fullname: Jang, Mirinae organization: Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea – sequence: 6 givenname: Seung Chan surname: Lee fullname: Lee, Seung Chan organization: Department of Ophthalmology, Doctor Lee's Eye Clinic, Suwon-si, Korea – sequence: 7 givenname: Ahnul orcidid: 0000-0003-4211-7971 surname: Ha fullname: Ha, Ahnul organization: Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea – sequence: 8 givenname: Jin Wook orcidid: 0000-0002-1690-1239 surname: Jeoung fullname: Jeoung, Jin Wook organization: Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea – sequence: 9 givenname: Ki Ho surname: Park fullname: Park, Ki Ho organization: Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea – sequence: 10 givenname: Young Kook orcidid: 0000-0002-6037-8449 surname: Kim fullname: Kim, Young Kook email: md092@naver.com organization: Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea |
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| CitedBy_id | crossref_primary_10_1038_s41433_023_02492_1 crossref_primary_10_55529_jaimlnn_51_28_39 crossref_primary_10_1136_bmjopen_2023_082159 crossref_primary_10_3390_diagnostics15162096 |
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| SubjectTerms | Activities of daily living Age Anxiety Caregivers Cataracts Childhood glaucoma Children & youth Congenital diseases Decision making Decision trees Eye surgery Generalized anxiety disorder Glaucoma Medical records Mental depression Mental disorders Mental Health Patients Pediatrics Quality of life Sociodemographics Software |
| Title | Decision Tree Algorithm−Based Prediction of Vulnerability to Depressive and Anxiety Symptoms in Caregivers of Children With Glaucoma |
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