Automatic Bipolar Disorder Assessment Using Machine Learning With Smartphone-Based Digital Phenotyping

Bipolar disorder (BD) is one of the most common mental illnesses worldwide. In this study, a smartphone application was developed to collect digital phenotyping data of users, and an ensemble method combining the results from a model pool was established through heterogeneous digital phenotyping. Th...

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Main Authors: Chung-Hsien Wu, Jia-Hao Hsu, Cheng-Ray Liou, Hung-Yi Su, Esther Ching-Lan Lin, Po-See Chen
Format: Article
Language:English
Published: IEEE 2023-01-01
Series:IEEE Access
Subjects:
Online Access:https://ieeexplore.ieee.org/document/10299670/
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author Chung-Hsien Wu
Jia-Hao Hsu
Cheng-Ray Liou
Hung-Yi Su
Esther Ching-Lan Lin
Po-See Chen
author_facet Chung-Hsien Wu
Jia-Hao Hsu
Cheng-Ray Liou
Hung-Yi Su
Esther Ching-Lan Lin
Po-See Chen
author_sort Chung-Hsien Wu
collection DOAJ
description Bipolar disorder (BD) is one of the most common mental illnesses worldwide. In this study, a smartphone application was developed to collect digital phenotyping data of users, and an ensemble method combining the results from a model pool was established through heterogeneous digital phenotyping. The aim was to predict the severity of bipolar symptoms by using two clinician-administered scales, the Hamilton Depression Rating Scale (HAM-D) and the Young Mania Rating Scale (YMRS). The collected digital phenotype data included the user’s location information (GPS), self-report scales, daily mood, sleep patterns, and multimedia records (text, speech, and video). Each category of digital phenotype data was used for training models and predicting the rating scale scores (HAM-D and YMRS). Seven models were tested and compared, and different combinations of feature types were used to evaluate the performance of heterogeneous data. To address missing data, an ensemble approach was employed to increase flexibility in rating scale score prediction. This study collected heterogeneous digital phenotype data from 84 individuals with BD and 11 healthy controls. Five-fold cross-validation was employed for evaluation. The experimental results revealed that the Lasso and ElasticNet regression models were the most effective in predicting rating scale scores, and heterogeneous data performed better than homogeneous data, with a mean absolute error of 1.36 and 0.55 for HAM-D and YMRS, respectively; this margin of error meets medical requirements.
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spelling doaj.art-c5b29b96f3f14f5389b9902d643fba592023-11-09T00:00:44ZengIEEEIEEE Access2169-35362023-01-011112184512185810.1109/ACCESS.2023.332834210299670Automatic Bipolar Disorder Assessment Using Machine Learning With Smartphone-Based Digital PhenotypingChung-Hsien Wu0https://orcid.org/0000-0002-3947-2123Jia-Hao Hsu1https://orcid.org/0009-0008-5548-2509Cheng-Ray Liou2Hung-Yi Su3Esther Ching-Lan Lin4Po-See Chen5https://orcid.org/0000-0003-4963-578XDepartment of Computer Science and Information Engineering, National Cheng Kung University, Tainan, TaiwanDepartment of Computer Science and Information Engineering, National Cheng Kung University, Tainan, TaiwanDepartment of Computer Science and Information Engineering, National Cheng Kung University, Tainan, TaiwanDepartment of Computer Science and Information Engineering, National Cheng Kung University, Tainan, TaiwanDepartment of Nursing, National Cheng Kung University, Tainan, TaiwanInstitute of Behavioral Medicine, College of Medicine, National Cheng Kung University, Tainan, TaiwanBipolar disorder (BD) is one of the most common mental illnesses worldwide. In this study, a smartphone application was developed to collect digital phenotyping data of users, and an ensemble method combining the results from a model pool was established through heterogeneous digital phenotyping. The aim was to predict the severity of bipolar symptoms by using two clinician-administered scales, the Hamilton Depression Rating Scale (HAM-D) and the Young Mania Rating Scale (YMRS). The collected digital phenotype data included the user’s location information (GPS), self-report scales, daily mood, sleep patterns, and multimedia records (text, speech, and video). Each category of digital phenotype data was used for training models and predicting the rating scale scores (HAM-D and YMRS). Seven models were tested and compared, and different combinations of feature types were used to evaluate the performance of heterogeneous data. To address missing data, an ensemble approach was employed to increase flexibility in rating scale score prediction. This study collected heterogeneous digital phenotype data from 84 individuals with BD and 11 healthy controls. Five-fold cross-validation was employed for evaluation. The experimental results revealed that the Lasso and ElasticNet regression models were the most effective in predicting rating scale scores, and heterogeneous data performed better than homogeneous data, with a mean absolute error of 1.36 and 0.55 for HAM-D and YMRS, respectively; this margin of error meets medical requirements.https://ieeexplore.ieee.org/document/10299670/Bipolar disorderdigital phenotypingHAM-Dheterogeneous datamissing dataYMRS
spellingShingle Chung-Hsien Wu
Jia-Hao Hsu
Cheng-Ray Liou
Hung-Yi Su
Esther Ching-Lan Lin
Po-See Chen
Automatic Bipolar Disorder Assessment Using Machine Learning With Smartphone-Based Digital Phenotyping
IEEE Access
Bipolar disorder
digital phenotyping
HAM-D
heterogeneous data
missing data
YMRS
title Automatic Bipolar Disorder Assessment Using Machine Learning With Smartphone-Based Digital Phenotyping
title_full Automatic Bipolar Disorder Assessment Using Machine Learning With Smartphone-Based Digital Phenotyping
title_fullStr Automatic Bipolar Disorder Assessment Using Machine Learning With Smartphone-Based Digital Phenotyping
title_full_unstemmed Automatic Bipolar Disorder Assessment Using Machine Learning With Smartphone-Based Digital Phenotyping
title_short Automatic Bipolar Disorder Assessment Using Machine Learning With Smartphone-Based Digital Phenotyping
title_sort automatic bipolar disorder assessment using machine learning with smartphone based digital phenotyping
topic Bipolar disorder
digital phenotyping
HAM-D
heterogeneous data
missing data
YMRS
url https://ieeexplore.ieee.org/document/10299670/
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