Prediction of Long-term Prognosis of Children with Attention-deficit/Hyperactivity Disorder in Conjunction with Deep Neural Network Regression

Ç. Uyulan, E. Gokten
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Abstract

Background: Although attention-deficit/hyperactivity disorder (ADHD) symptoms decrease with the factors such as age, many individuals keep suffering from the disorder in adolescence and adulthood. Objective: In this paper, a deep learning algorithm was built to forecast the prognosis of ADHD, using the patient's clinical features, the measurement of their response to treatment, and the degree of improvement seen after six years of follow-up. Participants and Settings: The clinical findings such as socio-demographic data of 433 patients followed by the child and adolescent psychiatry department for an average of 6 years with diagnoses of ADHD, and ADHD sub-type, accompanying oppositional/conduct disorders, other psychiatric and organic disorders, the effectiveness of psychotherapy and medication on attention, academic status, and behavioral problems were used to help predict prognosis. Methods: A deep neural network (DNN) learning-based regressor was used to make a prediction model. Results: The results obtained from the DNN regression model achieved accurate predictions for all outputs. The mean error for all outputs was evaluated as mean-squared error (mse) and 0.0068 mean-absolute error (mae), respectively. The R-value was evaluated as 0.91316. It was proven that the model prediction power was adequate as tested with these metrics. Conclusions: This methodology improves the prediction of ADHD prognosis and provides a robust predictive model. Studies with larger samples may support the results.
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结合深度神经网络回归预测儿童注意缺陷/多动障碍的长期预后
背景:虽然注意力缺陷/多动障碍(ADHD)的症状随着年龄等因素而减轻,但许多人在青春期和成年期仍然患有这种疾病。目的:本文利用患者的临床特征、治疗反应的测量以及6年随访后的改善程度,构建深度学习算法来预测ADHD的预后。研究对象和环境:对433名儿童青少年精神科平均随访6年的ADHD及其亚型、伴发对立/行为障碍、其他精神和器质性障碍、心理治疗和药物治疗对注意力、学业状况和行为问题的有效性等临床资料进行分析,以帮助预测预后。方法:采用深度神经网络(DNN)学习回归器建立预测模型。结果:DNN回归模型得到的结果对所有输出都实现了准确的预测。所有输出的平均误差分别被评估为均方误差(mse)和0.0068平均绝对误差(mae)。r值为0.91316。通过对这些指标的检验,证明了模型的预测能力是足够的。结论:该方法提高了对ADHD预后的预测,并提供了一个稳健的预测模型。更大样本的研究可能支持这一结果。
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