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Development and validation of predictive models for depression using patient health questionnaire-9 data
Joint Event on World Summit on Psychiatry, Mental Health Nursing and Healthcare & International Conference on Applied Psychology, Psychiatry and Mental Health
Depression, the leading cause of suicide worldwide, is a serious, widespread and growing mental health disorder that has now been
labeled a global health epidemic. The patient health questionnaire-9 (PHQ-9), a depression-screener questionnaire, has emerged
as an effective diagnostic tool globally. Using US PHQ-9 patient response data and corresponding demographic data from 2013-
2014 and 2015-2016, this study conducts a comprehensive big data analysis of the response data to develop and validate predictive
models for depression probability. Age at screening, gender, race/ethnicity, education level and body weight were proposed as factors
correlated with depression. Two models were constructed using RStudio to explore these correlations: a logistic regression model
and an artificial neural network. The logistic regression predictive model performed better than the artificial neural network in an
unfamiliar dataset, whereas the opposite was true in a familiar dataset. Both models supported that the proposed factors are indeed
significantly correlated with depression. The logistic regression model indicated that females and those with weight problems are
more likely to have depression and that the likelihood of depression increases with age, decreases with higher education levels and
varies by race. The artificial neural network indicated that age, the Asian race, some college education and weight problems are the
most significant factors affecting depression probability, in that order. Based on these results, populations most at-risk for depression
are identified and appropriate measures should be taken to combat depression.