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

Table 3.

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

Classification of symptoms Criterion variable Major or minor criteria (domains) Intermediate variables Symptoms Symptom variables Equations to generate diagnosis or domain variables Approximation Mechanisms related to introducing biases
Dysthymia (variable=dys) dys=dys_ma x dys_mi dys=intercept + coef1 x dys_ma+coef2 x dys_mi+coef3 x dys_bias Multiplication to create the situations where both the major and minor criteria met (union of two binomial variables, mde_ma x mde_mi) and the bias variable (dys_bias) equivalent to the residual of the diagnosis not explained by the input symptoms and the bias variables due to censoring and categorisation
Major criteria, essential for diagnosis
Depressed mood most of the day for more days than not, for at least 2 years dys_ma
Minor criteria (at least two items) dys_mi dys_mi=dys_mi1+dys_mi2+
dys_mi3+dys_mi4+dys_mi5+
dys_mi6+dys_mi_bias
Categorising of the sum of multiple input variables
Poor appetite or overeating dys_mi1 dys_mi1=dys_mi1_1+
dys_mi1_2+dys_mi1_bias
Censoring of the sum of multiple input variables
Poor appetite dys_mi1_1
Overeating dys_mi1_2
Information of the domain not explained by the input variables dys_mi1_bias
Insomnia or sleeping too much* dys_mi2/mde_mi4 dys_mi2=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
Low energy or fatigue* dys_mi3/mde_mi6 dys_mi3=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 (low energy) mde_mi6_2
Information of the domain not explained by the input variables mde_mi6_bias
Low self-esteem dys_mi4
Poor concentration or difficulty making decisions* dys_mi5/mde_mi8 dys_mi5=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 (Poor concentration) mde_mi8_1
difficulty making decisions (indecisiveness) mde_mi8_2
Information of the domain not explained by the input variables mde_mi8_bias
Feelings of hopelessness dys_mi6
Information of minor criteria not explained by input variables dys_mi_bias Bias introduced by categorising the number of input symptoms confirmed in the minor criteria
Information of diagnosis not explained by major or minor criteria dys_bias Information of the diagnosis not explained by the input symptoms and the bias variables generated due to data categorisation (dys_mi_bias)

*The input symptoms used for the diagnosis of both major depressive episodes and dysthymic disorder.