Fluvoxamine treatment response prediction in obsessive-compulsive disorder: association rule mining approach

Hesam Hasanpour,1 Ramak Ghavamizadeh Meibodi,1 Keivan Navi,1 Jamal Shams,2 Sareh Asadi,3 Abolhassan Ahmadiani4 1Faculty of Computer Science and Engineering, Shahid Beheshti University, Tehran, Iran; 2Behavioral Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran; 3Neurobio...

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Autores principales: Hasanpour H, Ghavamizadeh Meibodi R, Navi K, Shams J, Asadi S, Ahmadiani A
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Publicado: Dove Medical Press 2019
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spelling oai:doaj.org-article:53994df2e5fe4d2ab2321ff7e2e88c0d2021-12-02T03:22:02ZFluvoxamine treatment response prediction in obsessive-compulsive disorder: association rule mining approach1178-2021https://doaj.org/article/53994df2e5fe4d2ab2321ff7e2e88c0d2019-04-01T00:00:00Zhttps://www.dovepress.com/fluvoxamine-treatment-response-prediction-in-obsessive-compulsive-diso-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Hesam Hasanpour,1 Ramak Ghavamizadeh Meibodi,1 Keivan Navi,1 Jamal Shams,2 Sareh Asadi,3 Abolhassan Ahmadiani4 1Faculty of Computer Science and Engineering, Shahid Beheshti University, Tehran, Iran; 2Behavioral Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran; 3Neurobiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran; 4Neuroscience Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran Background: Obsessive-compulsive disorder (OCD) is a debilitating psychiatric disorder characterized by intrusive thoughts or repetitive behaviors. Clinicians use serotonin reuptake inhibitors (SRIs) for OCD treatment, but 40%–60% of the patients do not respond to them adequately. Here, we described an association rule mining approach for treatment response prediction using an Iranian OCD data set.Patients and methods: Three hundred and thirty OCD patients fulfilling DSM-5 criteria were initially included, but 151 subjects completed their pharmacotherapy which was defined as 12-week treatment with fluvoxamine (150–300 mg). Treatment response was considered as >35% reduction in the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) score. Apriori algorithm was applied to the OCD data set for extraction of the association rules predicting response to fluvoxamine pharmacotherapy in OCD patients. We considered the association of each attribute with treatment response using interestingness measures and found important attributes that associated with treatment response.Results: Results showed that low obsession and compulsion severities, family history of mental illness, illness duration less than 5 years, being married, and female were the most associated variables with responsiveness to fluvoxamine pharmacotherapy. Meanwhile, if an OCD patient reported a family history of mental illness and his/her illness duration was less than 5 years, he/she responded to 12-week fluvoxamine pharmacotherapy with the probability of 91%. We also found useful and applicable rules for resistant and refractory patients.Conclusion: This is the first study where association rule mining approach was used to extract predicting rules for treatment response in OCD. Application of this method in personalized medicine may help clinicians in taking the right therapeutic decision. Keywords: data mining, apriori algorithm, family history, refractory patientsHasanpour HGhavamizadeh Meibodi RNavi KShams JAsadi SAhmadiani ADove Medical PressarticleAssociation rule miningApriori algorithmObsessive-Compulsive DisorderTreatment responseNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 15, Pp 895-904 (2019)
institution DOAJ
collection DOAJ
language EN
topic Association rule mining
Apriori algorithm
Obsessive-Compulsive Disorder
Treatment response
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Association rule mining
Apriori algorithm
Obsessive-Compulsive Disorder
Treatment response
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Hasanpour H
Ghavamizadeh Meibodi R
Navi K
Shams J
Asadi S
Ahmadiani A
Fluvoxamine treatment response prediction in obsessive-compulsive disorder: association rule mining approach
description Hesam Hasanpour,1 Ramak Ghavamizadeh Meibodi,1 Keivan Navi,1 Jamal Shams,2 Sareh Asadi,3 Abolhassan Ahmadiani4 1Faculty of Computer Science and Engineering, Shahid Beheshti University, Tehran, Iran; 2Behavioral Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran; 3Neurobiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran; 4Neuroscience Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran Background: Obsessive-compulsive disorder (OCD) is a debilitating psychiatric disorder characterized by intrusive thoughts or repetitive behaviors. Clinicians use serotonin reuptake inhibitors (SRIs) for OCD treatment, but 40%–60% of the patients do not respond to them adequately. Here, we described an association rule mining approach for treatment response prediction using an Iranian OCD data set.Patients and methods: Three hundred and thirty OCD patients fulfilling DSM-5 criteria were initially included, but 151 subjects completed their pharmacotherapy which was defined as 12-week treatment with fluvoxamine (150–300 mg). Treatment response was considered as >35% reduction in the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) score. Apriori algorithm was applied to the OCD data set for extraction of the association rules predicting response to fluvoxamine pharmacotherapy in OCD patients. We considered the association of each attribute with treatment response using interestingness measures and found important attributes that associated with treatment response.Results: Results showed that low obsession and compulsion severities, family history of mental illness, illness duration less than 5 years, being married, and female were the most associated variables with responsiveness to fluvoxamine pharmacotherapy. Meanwhile, if an OCD patient reported a family history of mental illness and his/her illness duration was less than 5 years, he/she responded to 12-week fluvoxamine pharmacotherapy with the probability of 91%. We also found useful and applicable rules for resistant and refractory patients.Conclusion: This is the first study where association rule mining approach was used to extract predicting rules for treatment response in OCD. Application of this method in personalized medicine may help clinicians in taking the right therapeutic decision. Keywords: data mining, apriori algorithm, family history, refractory patients
format article
author Hasanpour H
Ghavamizadeh Meibodi R
Navi K
Shams J
Asadi S
Ahmadiani A
author_facet Hasanpour H
Ghavamizadeh Meibodi R
Navi K
Shams J
Asadi S
Ahmadiani A
author_sort Hasanpour H
title Fluvoxamine treatment response prediction in obsessive-compulsive disorder: association rule mining approach
title_short Fluvoxamine treatment response prediction in obsessive-compulsive disorder: association rule mining approach
title_full Fluvoxamine treatment response prediction in obsessive-compulsive disorder: association rule mining approach
title_fullStr Fluvoxamine treatment response prediction in obsessive-compulsive disorder: association rule mining approach
title_full_unstemmed Fluvoxamine treatment response prediction in obsessive-compulsive disorder: association rule mining approach
title_sort fluvoxamine treatment response prediction in obsessive-compulsive disorder: association rule mining approach
publisher Dove Medical Press
publishDate 2019
url https://doaj.org/article/53994df2e5fe4d2ab2321ff7e2e88c0d
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