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使用潜在树模型从604例抑郁症患者数据中发现症状共现模式。

Discovering symptom co-occurrence patterns from 604 cases of depressive patient data using latent tree models.

作者信息

Zhao Yan, Zhang Nevin L, Wang Tianfang, Wang Qingguo

机构信息

1 Department of TCM Diagnostics, Preclinical School, Beijing University of Chinese Medicine , Beijing, China .

出版信息

J Altern Complement Med. 2014 Apr;20(4):265-71. doi: 10.1089/acm.2013.0178. Epub 2014 Jan 20.

Abstract

OBJECTIVES

In order to treat depressive patients using Traditional Chinese Medicine (TCM), it is necessary to classify them into subtypes from the TCM perspective. Those subtypes are called Zheng types. This article aims at providing evidence for the classification task by discovering symptom co-occurrence patterns from clinic data.

METHODS

Six hundred four (604) cases of depressive patient data were collected. The subjects were selected using the Chinese classification of mental disorder clinic guideline CCMD-3. The symptoms were selected based on the TCM literature on depression. The data were analyzed using latent tree models (LTMs).

RESULTS

An LTM with 29 latent variables was obtained. Each latent variable represents a partition of the subjects into 2 or more clusters. Some of the clusters capture probabilistic symptom co-occurrence patterns, while others capture symptom mutual-exclusion patterns. Most of the co-occurrence patterns have clear TCM Zheng connotations.

CONCLUSIONS

From clinic data about depression, probabilistic symptom co-occurrence patterns have been discovered that can be used as evidence for the task of classifying depressive patients into Zheng types.

摘要

目的

为了运用中医治疗抑郁症患者,有必要从中医角度将他们分类为不同亚型。这些亚型被称为证型。本文旨在通过从临床数据中发现症状共现模式,为分类任务提供证据。

方法

收集了604例抑郁症患者的数据。受试者依据中国精神障碍分类与诊断标准第3版(CCMD - 3)临床指南进行选取。症状基于中医关于抑郁症的文献进行选择。数据采用潜在树模型(LTMs)进行分析。

结果

获得了一个具有29个潜在变量的LTM。每个潜在变量代表将受试者划分为两个或更多聚类。一些聚类捕捉概率性症状共现模式,而其他聚类捕捉症状互斥模式。大多数共现模式具有明确的中医证内涵。

结论

从抑郁症临床数据中,发现了概率性症状共现模式,可作为将抑郁症患者分类为证型任务的证据。

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