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. 2020 Nov 10;10(11):e037022. doi: 10.1136/bmjopen-2020-037022

Table 2.

The input symptoms, intermediate variables and bias variables for the diagnosis of major depressive episodes based on the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision

Classification of symptoms Criterion variable Domains in the major or minor criteria Domain variables Symptoms Symptom variables Equations to derive diagnosis or domain variables Approximation by linear regression Mechanisms related to introducing biases
Major depressive episode (variable=
mde)
mde=mde_ma1 x
mde_ma2 x (mde_mi3+
mde_mi4+
mde_mi5+mde_mi6+
mde_mi7+mde_mi8+
mde_mi9+mde_bias1)
+ (1- mde_ma1 x
mde_ma2) x
(me_ma1 x
mde_ma2) x (mde_mi3+mde_mi4+
mde_mi5+mde_mi6+
mde_mi7+mde_mi8+
mde_mi9+mde_bias2)
mde=intercept + coef1 x mde_ma1+coef2 x mde_ma2+coef3 x mde_mi3+coef4 x mde_mi4+coef5 x mde_mi5+coef6 x mde_mi6+coef7 x mde_mi7+coef8 x mde_mi8+coef9 x mde_mi9+coef10 x mde_bias
  1. Multiplication to create the situations when one or two symptoms in the major criteria confirmed and the bias (mde_bias) calculated by extracting the information of the diagnosis not explained by the input symptoms and two bias variables generated by censoring (mde_bias1 and mde_bias2)

  2. Categorising of the sum of the input symptoms in the minor criteria at the threshold of three or four (mde_bias1 and mde_bias2)

Major criteria, essential for diagnosis
Depressed mood or a loss of interest or pleasure in daily activities for more than 2 weeks.
Depressed mood for more than 2 weeks. mde_ma1
Loss of interest or pleasure in daily activities for more than 2 weeks. mde_ma2
Minor criteria (at least 5 of the symptoms including the two in major criteria) mde_mi
Significant unintentional weight loss or gain mde_mi3 mde_mi3=mde_mi3_1+
mde_mi3_2+
mde_mi3_bias
Censoring of the sum of multiple input variables
Significant unintentional weight gain mde_mi3_1
Significant unintentional weight loss mde_mi3_2
Information of the domain not explained by the input variables mde_mi3_bias
Insomnia or sleeping too much mde_mi4 mde_mi4=mde_mi4_1+
mde_mi4_2+
mde_mi4_bias
Censoring of the sum of multiple input variables
Insomnia mde_mi4_1
Sleeping too much mde_mi4_2
Information of the domain not explained by the input variables mde_mi4_bias
Agitation or psychomotor retardation noticed by others mde_mi5 mde_mi5=mde_mi5_1+
mde_mi5_2+
mde_mi5_bias
Censoring of the sum of multiple input variables
Agitation mde_mi5_1
Psychomotor retardation noticed by others mde_mi5_2
Information of the domain not explained by the input variables mde_mi5_bias
Fatigue or loss of energy mde_mi6 mde_mi6=mde_mi6_1+
mde_mi6_2+
mde_mi6_bias
Censoring of the sum of multiple input variables
Fatigue mde_mi6_1
Loss of energy mde_mi6_2
Information of the domain not explained by the input variables mde_mi6_bias
Feelings of worthlessness or excessive guilt mde_mi7 mde_mi7=mde_mi7_1+
mde_mi7_2+
mde_mi7_bias
Censoring of the sum of multiple input variables
Feelings of worthlessness mde_mi7_1
Feelings of excessive guilt mde_mi7_2
Information of the domain not explained by the input variables mde_mi7_bias
Diminished ability to think or concentrate, or indecisiveness mde_mi8 mde_mi8=mde_mi8_1+
mde_mi8_2+
mde_mi8_bias
Censoring of the sum of multiple input variables
Diminished ability to think or concentrate mde_mi8_1
Indecisiveness mde_mi8_2
Information of the domain not explained by the input variables mde_mi8_bias
Recurrent thoughts of death mde_mi9
Information due to categorisation (choosing three domains in minor criteria) mde_bias1 Bias introduced to categorise the sum of the number of confirmed symptoms in the minor criteria
Information due to categorisation (choosing four domains in minor criteria) mde_bias2 Bias introduced to categorise the sum of the number of confirmed symptoms in the minor criteria
Information of diagnosis not explained by the domains mde_bias Information of the diagnosis not explained by the input variables and two bias variables generated due to data categorisation