1. Relationships between motor and cognitive functions and subsequent post-stroke mood disorders revealed by machine learning analysis
- Author
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Shinya Nishino, Seiji Hama, Koji Shimonaga, Toshio Tsuji, Akiko Yanagawa, Shigeto Yamawaki, Harutoyo Hirano, Kazumasa Yoshimura, Akira Furui, and Zu Soh
- Subjects
Male ,Movement ,lcsh:Medicine ,Article ,Machine Learning ,03 medical and health sciences ,0302 clinical medicine ,Cognition ,medicine ,Psychology ,Humans ,Apathy ,lcsh:Science ,Data mining ,Depression (differential diagnoses) ,Aged ,Multidisciplinary ,030214 geriatrics ,Artificial neural network ,Receiver operating characteristic ,Mood Disorders ,lcsh:R ,Stroke Rehabilitation ,Middle Aged ,medicine.disease ,Cognitive test ,Stroke ,Mood disorders ,ROC Curve ,Anxiety ,Female ,lcsh:Q ,Neural Networks, Computer ,medicine.symptom ,030217 neurology & neurosurgery ,Neurological disorders ,Clinical psychology - Abstract
Mood disorders (e.g. depression, apathy, and anxiety) are often observed in stroke patients, exhibiting a negative impact on functional recovery associated with various physical disorders and cognitive dysfunction. Consequently, post-stroke symptoms are complex and difficult to understand. In this study, we aimed to clarify the cross-sectional relationship between mood disorders and motor/cognitive functions in stroke patients. An artificial neural network architecture was devised to predict three types of mood disorders from 36 evaluation indices obtained from functional, physical, and cognitive tests on 274 patients. The relationship between mood disorders and motor/cognitive functions were comprehensively analysed by performing input dimensionality reduction for the neural network. The receiver operating characteristic curve from the prediction exhibited a moderate to high area under the curve above 0.85. Moreover, the input dimensionality reduction retrieved the evaluation indices that are more strongly related to mood disorders. The analysis results suggest a stress threshold hypothesis, in which stroke-induced lesions promote stress vulnerability and may trigger mood disorders.
- Published
- 2020