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 symptomsCriterion variableMajor or minor criteria (domains)Intermediate variablesSymptomsSymptom variablesEquations to generate diagnosis or domain variablesApproximationMechanisms related to introducing biases
Dysthymia (variable=dys)dys=dys_ma x dys_midys=intercept + coef1 x dys_ma+coef2 x dys_mi+coef3 x dys_biasMultiplication 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 yearsdys_ma
Minor criteria (at least two items)dys_midys_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 overeatingdys_mi1dys_mi1=dys_mi1_1+
dys_mi1_2+dys_mi1_bias
Censoring of the sum of multiple input variables
Poor appetitedys_mi1_1
Overeatingdys_mi1_2
Information of the domain not explained by the input variablesdys_mi1_bias
Insomnia or sleeping too much*dys_mi2/mde_mi4dys_mi2=mde_mi4=
mde_mi4_1+
mde_mi4_2+mde_mi4_bias
Censoring of the sum of multiple input variables
Insomniamde_mi4_1
Sleeping too muchmde_mi4_2
Information of the domain not explained by the input variablesmde_mi4_bias
Low energy or fatigue*dys_mi3/mde_mi6dys_mi3=mde_mi6=
mde_mi6_1+mde_mi6_2+
mde_mi6_bias
Censoring of the sum of multiple input variables
Fatiguemde_mi6_1
Loss of energy (low energy)mde_mi6_2
Information of the domain not explained by the input variablesmde_mi6_bias
Low self-esteemdys_mi4
Poor concentration or difficulty making decisions*dys_mi5/mde_mi8dys_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 variablesmde_mi8_bias
Feelings of hopelessnessdys_mi6
Information of minor criteria not explained by input variablesdys_mi_biasBias introduced by categorising the number of input symptoms confirmed in the minor criteria
Information of diagnosis not explained by major or minor criteriadys_biasInformation 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.