Evidence map›Paper›PMID 26728563›Full record

ArticleMolecular psychiatry2016

Testing a machine-learning algorithm to predict the persistence and severity of major depressive disorder from baseline self-reports.

R C Kessler, H M van Loo, K J Wardenaar, R M Bossarte, L A Brenner, T Cai, D D Ebert, I Hwang, J Li, P de Jonge and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in Molecular psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 92 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed, 4 pooled it
24.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

92 citing papers in PubMed, 4 syntheses or guidelines pooled it, 263 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Artificial Intelligence and Suicide Prevention: A Systematic Review of Machine Learning Investigations.International journal of environmental research and public health · 2020
    Pooled it
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  20. Development of New Diagnostic Techniques: Machine Learning.Advances in experimental medicine and biology · 2025
    Review

32 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 6 institutions in 3 countries.

R C KesslerDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.
H M van LooInterdisciplinary Center Psychopathology and Emotion Regulation, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
K J WardenaarInterdisciplinary Center Psychopathology and Emotion Regulation, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
R M BossarteOffice of Public Health, Department of Veterans Affairs, Washington, DC, USA.
L A BrennerDepartments of Physical Medicine and Rehabilitation, Psychiatry, and Neurology, University of Colorado, Anschutz Medical Campus, Aurora, Colorado; Rocky Mountain Mental Illness Research Education and Clinical Center, Denver, CO, USA.
T CaiDepartment of Biostatistics, Harvard School of Public Health, Boston, MA, USA.
D D EbertDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.
I HwangDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.
J LiDepartment of Biostatistics, Harvard School of Public Health, Boston, MA, USA.
P de JongeInterdisciplinary Center Psychopathology and Emotion Regulation, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
A A NierenbergDepartment of Psychiatry and Depression Clinical and Research Program, Harvard Medical School and Massachusetts General Hospital, Boston, MA, USA.
M V PetukhovaDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.
A J RoselliniDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.
N A SampsonDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.
R A SchoeversInterdisciplinary Center Psychopathology and Emotion Regulation, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
M A WilcoxEpidemiology, Janssen Research & Development, LLC, Titusville, NJ, USA.
A M ZaslavskyDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.
Harvard University · USUniversity of Groningen · NLJanssen (United States) · USMental Illness Research, Education and Clinical Centers · USOffice of the Assistant Secretary for Health · USUniversity Medical Center Groningen · NL

Funding

EPIDEMIOLOGY-- NATIONAL COMORBIDITY SURVEY REPLICATIONU01MH060220 · NIMH · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI KESSLER, RONALD C · 1999 to 2010
$18.7M
MENTAL DISORDERS AS RISK FACTORS FOR SUBSTANCE DISORDERSR01DA012058 · NIDA · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI KESSLER, RONALD C · 1999 to 2003
$6.3M
Risk Factors for Psychopathology in the WHO WMH SurveysR01MH070884 · NIMH · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI KESSLER, RONALD C · 2005 to 2009
$6.0M
Social Role Disability and Mental-Physical Co-MorbidityR01MH069864 · NIMH · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI VON KORFF, MICHAEL R · 2004 to 2007
$2.2M
CROSS-NATIONAL STUDIES OF DRUG INVOLVEMENT: WMH2000R01DA016558 · NIDA · MICHIGAN STATE UNIVERSITY · PI ANTHONY, JAMES CHRISTOPHER · 2003 to 2008
$1.7M
Drug Dependence Epidemiology and EnviromicsK05DA015799 · NIDA · MICHIGAN STATE UNIVERSITY · PI ANTHONY, JAMES CHRISTOPHER · 2003 to 2015
$1.4M
EPIDEMIOLOGY--ALCOHOL, DRUG ABUSE, AND MENTAL DISORDERSR01MH046376 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KESSLER, RONALD C · 1989 to 2000
$744k
World Mental Health Consortium Annual Meeting 2003-07R13MH066849 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HEERINGA, STEVEN G · 2003 to 2007
$735k
Lebanon-Epidemiology: The NCS Replication StudyR03TW006481 · FIC · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI KESSLER, RONALD C · 2004 to 2006
$142k
FIC NIH HHS R03 TW006481NIDA NIH HHS K05 DA015799NIDA NIH HHS R01 DA012058NIDA NIH HHS R01 DA016558NIMH NIH HHS R01 MH046376NIMH NIH HHS R01 MH069864NIMH NIH HHS R01 MH070884NIMH NIH HHS R13 MH066849NIMH NIH HHS U01 MH060220
6 · The paper itself

Abstract

Heterogeneity of major depressive disorder (MDD) illness course complicates clinical decision-making. Although efforts to use symptom profiles or biomarkers to develop clinically useful prognostic subtypes have had limited success, a recent report showed that machine-learning (ML) models developed from self-reports about incident episode characteristics and comorbidities among respondents with lifetime MDD in the World Health Organization World Mental Health (WMH) Surveys predicted MDD persistence, chronicity and severity with good accuracy. We report results of model validation in an independent prospective national household sample of 1056 respondents with lifetime MDD at baseline. The WMH ML models were applied to these baseline data to generate predicted outcome scores that were compared with observed scores assessed 10-12 years after baseline. ML model prediction accuracy was also compared with that of conventional logistic regression models. Area under the receiver operating characteristic curve based on ML (0.63 for high chronicity and 0.71-0.76 for the other prospective outcomes) was consistently higher than for the logistic models (0.62-0.70) despite the latter models including more predictors. A total of 34.6-38.1% of respondents with subsequent high persistence chronicity and 40.8-55.8% with the severity indicators were in the top 20% of the baseline ML-predicted risk distribution, while only 0.9% of respondents with subsequent hospitalizations and 1.5% with suicide attempts were in the lowest 20% of the ML-predicted risk distribution. These results confirm that clinically useful MDD risk-stratification models can be generated from baseline patient self-reports and that ML methods improve on conventional methods in developing such models.

Indexed as

PrognosisAdolescentAdultAlgorithmsComorbidityDiagnostic and Statistical Manual of Mental DisordersDisease ProgressionFemaleForecastingHumansLogistic ModelsLongitudinal StudiesMachine LearningMajor Depressive DisorderMaleMiddle Aged

Identifiers

PMID26728563
PMCPMC4935654
OpenAlexW2226243673

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.