On mistakes we made in prior Computational Psychiatry Data driven approach projects and how they jeopardize translation of those findings in clinical practice

Radenković, Milena Čukić, Pokrajac, David, Lopez, Victoria

arXiv.org Machine Learning 

In this work we aimed at comparing our findings in depression detection task with methodologies applied in present literature. Previously we showed that when electrophysiological signal (in this case electroencephalogram, EEG) is characterized by nonlinear measures, any of seven most popular classifiers yields high accuracy on the task. Following every step we done in this process we compare it with other researchers' practice and comment on other findings mainly from analysis of electrical signals or nonlinear analysis showing what would be optimal for further research. We focused on discussing various mistakes and differences that could potentially lead to unwarranted optimism and other misinterpretation of results. In Conclusion we summarize recommendation for future research in order to be applicable in clinical practice. Introduction Current clinical psychiatry is lacking objective biochemical or electrophysiological tests used for diagnosis unlike other medical disciplines. To diagnose depression, clinician will typically rely on the self-report from the patient and his experience in applying DSM manual, which is standardized list of symptoms to be checked in every case (in order to be qualified as a certain disorder). It is perfectly possible that two persons diagnosed with the same disorder have not overlapping symptoms, and that one person can have two distinct diagnosis. If someone has more than three episodes of depression, that is considered to be recurrent depression (after every episode the probability of the next one is doubling). This is particularly heard to treat and manage therapy which is ongoing through person's whole life. Apart from obsolete diagnostic, all antidepressants have serious side-effects, the waiting lists are very long (in Nederland they are between 6 and 9 months long) and the therapy can last for years or even decades. It is reported than only 11 - 30% of patients are improving in the first year of therapy (Rush et al., 2008).

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