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.