Evidence map›Paper›PMID 36050305›Full record

ArticleTranslational psychiatry2022

Predicting remission after internet-delivered psychotherapy in patients with depression using machine learning and multi-modal data.

John Wallert, Julia Boberg, Viktor Kaldo, David Mataix-Cols, Oskar Flygare, James J Crowley, Matthew Halvorsen, Fehmi Ben Abdesslem, Magnus Boman, Evelyn Andersson and 3 more

Abstract read
In one paragraph

Article in Translational psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

29 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. [Meta analysis of the prevalence of depressive symptoms among children and adolescents in China from 2015 to 2024].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
    Pooled it
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  15. Association Between Polygenic Risk and Symptom Severity Change After Cognitive Behavioral Therapy for Obsessive-Compulsive Disorder.American journal of medical genetics. Part B, Neuropsychiatric genetics : the official publication of the International Society of Psychiatric Genetics · 2025
    Article
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  17. Research Review: A review of the past decade of family and genomic studies on adolescent mental health.Journal of child psychology and psychiatry, and allied disciplines · 2025
    Review
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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

13 authors.

John WallertCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm HealthCare Services, Region Stockholm, Huddinge, Sweden. john.wallert@ki.se.ORCID 0000-0002-1473-4916
Julia BobergCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm HealthCare Services, Region Stockholm, Huddinge, Sweden.
Viktor KaldoCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm HealthCare Services, Region Stockholm, Huddinge, Sweden.
David Mataix-ColsCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm HealthCare Services, Region Stockholm, Huddinge, Sweden.ORCID 0000-0002-4545-0924
Oskar FlygareCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm HealthCare Services, Region Stockholm, Huddinge, Sweden.ORCID 0000-0002-2017-3940
James J CrowleyCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm HealthCare Services, Region Stockholm, Huddinge, Sweden.ORCID 0000-0001-9051-1557
Matthew HalvorsenCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm HealthCare Services, Region Stockholm, Huddinge, Sweden.ORCID 0000-0002-6707-2418
Fehmi Ben AbdesslemResearch Institutes of Sweden, Kista, Sweden & Royal Institute of Technology, Stockholm, Sweden.ORCID 0000-0001-7866-143X
Magnus BomanResearch Institutes of Sweden, Kista, Sweden & Royal Institute of Technology, Stockholm, Sweden.ORCID 0000-0001-7949-1815
Evelyn AnderssonCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm HealthCare Services, Region Stockholm, Huddinge, Sweden.
Nils Hentati IsacssonCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm HealthCare Services, Region Stockholm, Huddinge, Sweden.
Ekaterina IvanovaCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm HealthCare Services, Region Stockholm, Huddinge, Sweden.
Christian RückCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm HealthCare Services, Region Stockholm, Huddinge, Sweden.ORCID 0000-0002-8742-0168

Funding

OCD: Novel Comparative Genomic Approaches to Identify Disease and Treatment MechanismsR01MH110427 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CROWLEY, JAMES JOSEPH · 2016 to 2021
$3.0M
NIMH NIH HHS R01 MH110427
6 · The paper itself

Abstract

This study applied supervised machine learning with multi-modal data to predict remission of major depressive disorder (MDD) after psychotherapy. Genotyped adult patients (n = 894, 65.5% women, age 18-75 years) diagnosed with mild-to-moderate MDD and treated with guided Internet-based Cognitive Behaviour Therapy (ICBT) at the Internet Psychiatry Clinic in Stockholm were included (2008-2016). Predictor types were demographic, clinical, process (e.g., time to complete online questionnaires), and genetic (polygenic risk scores). Outcome was remission status post ICBT (cut-off ≤10 on MADRS-S). Data were split into train (60%) and validation (40%) given ICBT start date. Predictor selection employed human expertise followed by recursive feature elimination. Model derivation was internally validated through cross-validation. The final random forest model was externally validated against a (i) null, (ii) logit, (iii) XGBoost, and (iv) blended meta-ensemble model on the hold-out validation set. Feature selection retained 45 predictors representing all four predictor types. With unseen validation data, the final random forest model proved reasonably accurate at classifying post ICBT remission (Accuracy 0.656 [0.604, 0.705], P vs null model = 0.004; AUC 0.687 [0.631, 0.743]), slightly better vs logit (bootstrap D = 1.730, P = 0.084) but not vs XGBoost (D = 0.463, P = 0.643). Transparency analysis showed model usage of all predictor types at both the group and individual patient level. A new, multi-modal classifier for predicting MDD remission status after ICBT treatment in routine psychiatric care was derived and empirically validated. The multi-modal approach to predicting remission may inform tailored treatment, and deserves further investigation to attain clinical usefulness.

Indexed as

Major Depressive DisorderAdolescentAdultAgedDepressionFemaleHumansInternetMachine LearningMaleMiddle AgedPsychotherapyTreatment OutcomeYoung Adult

Identifiers

PMID36050305
PMCPMC9437007

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.