Table 3.
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.