Skip to main content
Top
Published in: BMC Psychiatry 1/2019

Open Access 01-12-2019 | Affective Disorder | Research article

Predicting recurrence of depression using lifelog data: an explanatory feasibility study with a panel VAR approach

Authors: Narimasa Kumagai, Aran Tajika, Akio Hasegawa, Nao Kawanishi, Masaru Horikoshi, Shinji Shimodera, Ken’ichi Kurata, Bun Chino, Toshi A. Furukawa

Published in: BMC Psychiatry | Issue 1/2019

Login to get access

Abstract

Background

Although depression has a high rate of recurrence, no prior studies have established a method that could identify the warning signs of its recurrence.

Methods

We collected digital data consisting of individual activity records such as location or mobility information (lifelog data) from 89 patients who were on maintenance therapy for depression for a year, using a smartphone application and a wearable device. We assessed depression and its recurrence using both the Kessler Psychological Distress Scale (K6) and the Patient Health Questionnaire-9.

Results

A panel vector autoregressive analysis indicated that long sleep time was a important risk factor for the recurrence of depression. Long sleep predicted the recurrence of depression after 3 weeks.

Conclusions

The panel vector autoregressive approach can identify the warning signs of depression recurrence; however, the convenient sampling of the present cohort may limit the scope towards drawing a generalised conclusion.
Appendix
Available only for authorised users
Literature
1.
go back to reference Kessler RC, Bromet EJ. The epidemiology of depression across cultures. Annu Rev Public Health. 2013;34:119–38.CrossRef Kessler RC, Bromet EJ. The epidemiology of depression across cultures. Annu Rev Public Health. 2013;34:119–38.CrossRef
2.
go back to reference Alexopoulos GS, Meyers BS, Young RC, Kalayam B, et al. Executive dysfunction and long-term outcomes of geriatric depression. Arch Gen Psychiatry. 2000;57(3):285–90.CrossRef Alexopoulos GS, Meyers BS, Young RC, Kalayam B, et al. Executive dysfunction and long-term outcomes of geriatric depression. Arch Gen Psychiatry. 2000;57(3):285–90.CrossRef
3.
go back to reference Alexopoulos GS, Young RC, Abrams RC, Meyers B, Shamoian CA. Chronicity and relapse in geriatric depression. Biol Psychiatry. 1989;26:551–64.CrossRef Alexopoulos GS, Young RC, Abrams RC, Meyers B, Shamoian CA. Chronicity and relapse in geriatric depression. Biol Psychiatry. 1989;26:551–64.CrossRef
4.
go back to reference Deng Y, McQuoid DR, Potter GG, Steffens DC, et al. Predictors of recurrence in remitted late-life depression. Depress Anxiety. 2018;35(7):658-67.CrossRef Deng Y, McQuoid DR, Potter GG, Steffens DC, et al. Predictors of recurrence in remitted late-life depression. Depress Anxiety. 2018;35(7):658-67.CrossRef
5.
go back to reference Gueorguieva R, Chekroud AM, Krystal JH. Trajectories of relapse in randomised, placebo-controlled trials of treatment discontinuation in major depressive disorder: an individual patient-level data meta-analysis. Lancet Psychiatry. 2017;4:230–7.CrossRef Gueorguieva R, Chekroud AM, Krystal JH. Trajectories of relapse in randomised, placebo-controlled trials of treatment discontinuation in major depressive disorder: an individual patient-level data meta-analysis. Lancet Psychiatry. 2017;4:230–7.CrossRef
6.
go back to reference Solomon DA, Leon AC, Endicott J, Mueller TI, et al. Psychosocial impairment and recurrence of major depression. Compr Psychiatry. 2004;45:423–30.CrossRef Solomon DA, Leon AC, Endicott J, Mueller TI, et al. Psychosocial impairment and recurrence of major depression. Compr Psychiatry. 2004;45:423–30.CrossRef
7.
go back to reference Velten J, Bieda A, Scholten S, Wannemüller A, et al. Lifestyle choices and mental health: a longitudinal survey with German and Chinese students. BMC Public Health. 2018;18:632.CrossRef Velten J, Bieda A, Scholten S, Wannemüller A, et al. Lifestyle choices and mental health: a longitudinal survey with German and Chinese students. BMC Public Health. 2018;18:632.CrossRef
8.
go back to reference Andreescu C, Lenze EJ, Dew MA, Begley AE. Effect of comorbid anxiety on treatment response and relapse risk in late-life depression: controlled study. Br J Psychiatry. 2007;190:344–9.CrossRef Andreescu C, Lenze EJ, Dew MA, Begley AE. Effect of comorbid anxiety on treatment response and relapse risk in late-life depression: controlled study. Br J Psychiatry. 2007;190:344–9.CrossRef
9.
go back to reference Klein NS, Holtman GA, Bockting CLH, Heymans MW, et al. Development and validation of a clinical prediction tool to estimate the individual risk of depressive relapse or recurrence in individuals with recurrent depression. J Psychiatr Res. 2018;104:1–7.CrossRef Klein NS, Holtman GA, Bockting CLH, Heymans MW, et al. Development and validation of a clinical prediction tool to estimate the individual risk of depressive relapse or recurrence in individuals with recurrent depression. J Psychiatr Res. 2018;104:1–7.CrossRef
10.
go back to reference ten Have M, de Graaf R, van Dorsselaer S, Tuitho M, et al. Recurrence and chronicity of major depressive disorder and their risk indicators in a population cohort. Acta Psychiatr Scand. 2018;137(6)503-15.CrossRef ten Have M, de Graaf R, van Dorsselaer S, Tuitho M, et al. Recurrence and chronicity of major depressive disorder and their risk indicators in a population cohort. Acta Psychiatr Scand. 2018;137(6)503-15.CrossRef
11.
go back to reference Reynolds CFIII, Dew MA, Pollock BG, Mulsant BH, et al. Maintenance treatment of major depression in old age. N Engl J Med. 2006;354:1130–8.CrossRef Reynolds CFIII, Dew MA, Pollock BG, Mulsant BH, et al. Maintenance treatment of major depression in old age. N Engl J Med. 2006;354:1130–8.CrossRef
12.
go back to reference Sarris J, O’Neil A, Coulson CE, Schweitzer I, et al. Lifestyle medicine for depression. BMC Psychiatry. 2014;14:107.CrossRef Sarris J, O’Neil A, Coulson CE, Schweitzer I, et al. Lifestyle medicine for depression. BMC Psychiatry. 2014;14:107.CrossRef
13.
go back to reference Kawanishi N, Tajika A, Tamai M, Ogawa Y, et al. LifeLog-based Estimation of Activity Diary for Cognitive Behavioral Therapy. Adjunct Proceedings of the 2015 ACM International Joint Conference on Pervasive and Ubiquitous Computing and Proceedings of the 2015 ACM International Symposium on Wearable Computers. 2015. https://dl.acm.org/citation.cfm?id=2807939. Kawanishi N, Tajika A, Tamai M, Ogawa Y, et al. LifeLog-based Estimation of Activity Diary for Cognitive Behavioral Therapy. Adjunct Proceedings of the 2015 ACM International Joint Conference on Pervasive and Ubiquitous Computing and Proceedings of the 2015 ACM International Symposium on Wearable Computers. 2015. https://​dl.​acm.​org/​citation.​cfm?​id=​2807939.
14.
go back to reference Hiroe T, Kojima M, Yamamoto I, et al. Gradations of clinical severity and sensitivity to change assessed with the Beck depression inventory-II in Japanese patients with depression. Psychiatry Res. 2005;135:229–35.CrossRef Hiroe T, Kojima M, Yamamoto I, et al. Gradations of clinical severity and sensitivity to change assessed with the Beck depression inventory-II in Japanese patients with depression. Psychiatry Res. 2005;135:229–35.CrossRef
15.
go back to reference Kessler RC, Andrews G, Colpe LJ, et al. Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med. 2002;32(6):959–76.CrossRef Kessler RC, Andrews G, Colpe LJ, et al. Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med. 2002;32(6):959–76.CrossRef
16.
go back to reference Prochaska JJ, Sung HY, Max W, Shi Y, et al. Validity study of the K6 scale as a measure of moderate mental distress based on mental health treatment need and utilization. Int J Methods Psychiatr Res. 2012;21(2):88–97.CrossRef Prochaska JJ, Sung HY, Max W, Shi Y, et al. Validity study of the K6 scale as a measure of moderate mental distress based on mental health treatment need and utilization. Int J Methods Psychiatr Res. 2012;21(2):88–97.CrossRef
17.
go back to reference Arnaud B, Malet L, Teissedre F, Izaute M, et al. Validity study of Kessler’s psychological distress scales conducted among patients admitted to French emergency Department for Alcohol Consumption? Related disorders. Alcohol Clin Exp Res. 2010;34(7):1235–45.PubMed Arnaud B, Malet L, Teissedre F, Izaute M, et al. Validity study of Kessler’s psychological distress scales conducted among patients admitted to French emergency Department for Alcohol Consumption? Related disorders. Alcohol Clin Exp Res. 2010;34(7):1235–45.PubMed
18.
go back to reference Tomitaka S, Kawasaki Y, Ide K, Akutagawa M, et al. Distributional patterns of item responses and total scores on the PHQ-9 in the general population: data from the National Health and nutrition examination survey. BMC Psychiatry. 2018;18:108.CrossRef Tomitaka S, Kawasaki Y, Ide K, Akutagawa M, et al. Distributional patterns of item responses and total scores on the PHQ-9 in the general population: data from the National Health and nutrition examination survey. BMC Psychiatry. 2018;18:108.CrossRef
19.
go back to reference Cheng L, Evanston IL. Little’s test of missing completely at random. Stata J. 2013;13(4):795–809.CrossRef Cheng L, Evanston IL. Little’s test of missing completely at random. Stata J. 2013;13(4):795–809.CrossRef
20.
go back to reference National Statistics Center. A Study on the Imputation of Missing Data in Official Statistics: Multiple Imputation and Single Imputation. 2015. National Statistics Center. A Study on the Imputation of Missing Data in Official Statistics: Multiple Imputation and Single Imputation. 2015.
21.
go back to reference King G, Honaker J, Joseph A, Scheve K. Analyzing incomplete political science data: an alternative algorithm for multiple imputation. Am Polit Sci Rev. 2001;95(1):49–69.CrossRef King G, Honaker J, Joseph A, Scheve K. Analyzing incomplete political science data: an alternative algorithm for multiple imputation. Am Polit Sci Rev. 2001;95(1):49–69.CrossRef
22.
go back to reference Nickell S. Biases in dynamic models with fixed effects. Econometrica. 1981;49(6):1417–26.CrossRef Nickell S. Biases in dynamic models with fixed effects. Econometrica. 1981;49(6):1417–26.CrossRef
23.
go back to reference Michael-Abrigo RM, Love I. Estimation of panel vector autoregression in Stata. Stata J. 2016;16(3):778–804.CrossRef Michael-Abrigo RM, Love I. Estimation of panel vector autoregression in Stata. Stata J. 2016;16(3):778–804.CrossRef
24.
go back to reference Nutt D, Wilson S, Paterson L. Sleep disorders as core symptoms of depression. Dialogues Clin Neurosci. 2008;10(3):329–36.PubMedPubMedCentral Nutt D, Wilson S, Paterson L. Sleep disorders as core symptoms of depression. Dialogues Clin Neurosci. 2008;10(3):329–36.PubMedPubMedCentral
25.
go back to reference Carney CE, Segal ZV, Edinger JD, Krystal AD. A comparison of rates of residual insomnia symptoms following pharmacotherapy or cognitive-behavioral therapy for major depressive disorder. J Clin Psychiatry. 2007;68:254–60.CrossRef Carney CE, Segal ZV, Edinger JD, Krystal AD. A comparison of rates of residual insomnia symptoms following pharmacotherapy or cognitive-behavioral therapy for major depressive disorder. J Clin Psychiatry. 2007;68:254–60.CrossRef
26.
go back to reference Judd LL, Akiskal HS, Maser JD, Zeller PJ, Endicott J, Coryell W, Paulus MP, Kunovac JL, Leon AC, Mueller TI, Rice JA, Keller MB. Major depressive disorder: a prospective study of residual subthreshold depressive symptoms as predictor of rapid relapse. J Affect Disord. 1998;50:97–108.CrossRef Judd LL, Akiskal HS, Maser JD, Zeller PJ, Endicott J, Coryell W, Paulus MP, Kunovac JL, Leon AC, Mueller TI, Rice JA, Keller MB. Major depressive disorder: a prospective study of residual subthreshold depressive symptoms as predictor of rapid relapse. J Affect Disord. 1998;50:97–108.CrossRef
27.
go back to reference Perlis ML, Giles DE, Buysse DJ, Tu X, Kupfer DJ. Self-reported sleep disturbance as a prodromal symptom in recurrent depression. J Affect Disord. 1997;42:209–12.CrossRef Perlis ML, Giles DE, Buysse DJ, Tu X, Kupfer DJ. Self-reported sleep disturbance as a prodromal symptom in recurrent depression. J Affect Disord. 1997;42:209–12.CrossRef
28.
go back to reference Nierenberg AA, Husain MM, Trivedi MH, Fava M, Warden D, Wisniewski SR, Miyahara S, Rush AJ. Residual symptoms after remission of major depressive disorder with citalopram and risk of relapse: a STAR*D report. Psychol Med. 2010;40:41–50.CrossRef Nierenberg AA, Husain MM, Trivedi MH, Fava M, Warden D, Wisniewski SR, Miyahara S, Rush AJ. Residual symptoms after remission of major depressive disorder with citalopram and risk of relapse: a STAR*D report. Psychol Med. 2010;40:41–50.CrossRef
29.
go back to reference Sakurai H, Suzuki T, Yoshimura K, Mimura M, Uchida H. Predicting relapse with individual residual symptoms in major depressive disorder: a reanalysis of the STAR*D data. Psychopharmacology. 2017;234:2453–61.CrossRef Sakurai H, Suzuki T, Yoshimura K, Mimura M, Uchida H. Predicting relapse with individual residual symptoms in major depressive disorder: a reanalysis of the STAR*D data. Psychopharmacology. 2017;234:2453–61.CrossRef
30.
go back to reference Buysse DJ, Ancoli-Israel S, Edinger JD, Lichstein KL, et al. Recommendations for a standard research assessment of insomnia. Sleep. 2006;29(9):1155–73.CrossRef Buysse DJ, Ancoli-Israel S, Edinger JD, Lichstein KL, et al. Recommendations for a standard research assessment of insomnia. Sleep. 2006;29(9):1155–73.CrossRef
31.
go back to reference Koenders MA, Nolen WA, Giltay EJ, Hoencamp E, et al. The use of the prospective NIMH Life Chart Method as a bipolar mood assessment method in research: A systematic review of different methods, outcome measures and interpretations. J Affect Disord. 2015;175:260–8.CrossRef Koenders MA, Nolen WA, Giltay EJ, Hoencamp E, et al. The use of the prospective NIMH Life Chart Method as a bipolar mood assessment method in research: A systematic review of different methods, outcome measures and interpretations. J Affect Disord. 2015;175:260–8.CrossRef
32.
go back to reference Narushima K, Robinson RG. The effect of early versus late antidepressant treatment on physical impairment associated with Poststroke depression. Is there a time-related therapeutic window? J Nerv Ment Dis. 2003;191(10):645–52.CrossRef Narushima K, Robinson RG. The effect of early versus late antidepressant treatment on physical impairment associated with Poststroke depression. Is there a time-related therapeutic window? J Nerv Ment Dis. 2003;191(10):645–52.CrossRef
Metadata
Title
Predicting recurrence of depression using lifelog data: an explanatory feasibility study with a panel VAR approach
Authors
Narimasa Kumagai
Aran Tajika
Akio Hasegawa
Nao Kawanishi
Masaru Horikoshi
Shinji Shimodera
Ken’ichi Kurata
Bun Chino
Toshi A. Furukawa
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2019
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-019-2382-2

Other articles of this Issue 1/2019

BMC Psychiatry 1/2019 Go to the issue