Why We Enjoy Personalized Depression Treatment (And You Should, Too!)
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Traditional therapies and medications do not work for many patients suffering from depression. The individual approach to treatment could be the answer.

Predictors of Mood
Depression is a leading cause of mental illness in the world.1 Yet only half of those with the condition receive treatment. To improve outcomes, healthcare professionals must be able to recognize and treat patients who are the most likely to respond to certain treatments.
The ability to tailor depression treatments is one method to achieve this. Using sensors on mobile phones and an artificial intelligence voice assistant, and other digital tools researchers at the University of Illinois Chicago (UIC) are working on new ways to determine which patients will benefit from the treatments they receive. Two grants totaling more than $10 million will be used to determine the biological and behavioral indicators of response.
The majority of research conducted to the present has been focused on clinical and sociodemographic characteristics. These include demographics like gender, age, and education, as well as clinical aspects like symptom severity and comorbidities as well as biological markers.
While many of these variables can be predicted from the information available in medical records, only a few studies have used longitudinal data to determine the factors that influence mood in people. Many studies do not take into consideration the fact that mood varies significantly between individuals. Therefore, it is essential to develop methods that allow for the determination of individual differences in mood predictors and treatment effects.
The team's new approach uses daily, in-person evaluations of mood and lifestyle variables using a smartphone app called AWARE, a cognitive evaluation with the BiAffect app and electroencephalography -- an imaging technique that monitors brain activity. The team can then develop algorithms to recognize patterns of behavior and emotions that are unique to each individual.
In addition to these methods, the team created a machine learning algorithm to model the changing predictors of each person's depressed mood. The algorithm blends these individual variations into a distinct "digital phenotype" for each participant.
This digital phenotype was correlated with CAT DI scores which is a psychometrically validated symptom severity scale. The correlation was not strong, however (Pearson r = 0,08, P-value adjusted for BH = 3.55 x 10 03) and varied widely among individuals.
Predictors of symptoms
Depression is the most common cause of disability around the world1, but it is often not properly diagnosed and treated. Depressive disorders are often not treated due to the stigma attached to them and the lack of effective treatments.
To facilitate personalized treatment, identifying patterns that can predict symptoms is essential. However, the current methods for predicting symptoms depend on the clinical interview which has poor reliability and only detects a small number of symptoms associated with depression.2
Machine learning can enhance the accuracy of diagnosis and treatment for depression by combining continuous, digital behavioral phenotypes gathered from smartphones along with a verified mental health tracker online (the Computerized Adaptive Testing bipolar depression treatment Inventory CAT-DI). Digital phenotypes permit continuous, high-resolution measurements and capture a wide range of unique behaviors and activity patterns that are difficult to capture using interviews.
The study enrolled University of California Los Angeles (UCLA) students experiencing mild to severe depressive symptoms participating in the Screening and Treatment for Anxiety and Depression (STAND) program29 developed under the UCLA Depression Grand Challenge. Participants were sent online for assistance or medical care depending on the degree of their depression treatment near me. Those with a score on the CAT DI of 35 65 were assigned online support via a coach and those with a score 75 were sent to in-person clinics for psychotherapy.
At baseline, participants provided a series of questions about their personal characteristics and psychosocial traits. The questions included age, sex, and education and marital status, financial status and whether they were divorced or not, their current suicidal ideas, intent or attempts, and the frequency with which they consumed alcohol. The CAT-DI was used for assessing the severity of depression symptoms on a scale from zero to 100. The CAT-DI assessment was performed every two weeks for those who received online support and weekly for those who received in-person support.
Predictors of Treatment Reaction
The development of a personalized depression treatment is currently a top research topic and a lot of studies are aimed at identifying predictors that help clinicians determine the most effective medication for each individual. Pharmacogenetics, in particular, uncovers genetic variations that affect how the body's metabolism reacts to drugs. This allows doctors to select the medications that are most likely to work best for each patient, minimizing the time and effort in trial-and-error procedures and avoiding side effects that might otherwise hinder advancement.
Another promising approach is to build prediction models combining the clinical data with neural imaging data. These models can be used to identify which variables are the most predictive of a particular outcome, such as whether a medication can improve mood or symptoms. These models can be used to determine the patient's response to a treatment, which will help doctors to maximize the effectiveness of their treatment.
A new generation employs machine learning techniques like algorithms for classification and supervised learning, regularized logistic regression and tree-based methods to combine the effects of several variables and increase the accuracy of predictions. These models have been demonstrated to be effective in predicting treatment outcomes for example, the response to antidepressants. These approaches are gaining popularity in psychiatry and it is expected that they will become the norm for the future of clinical practice.
Research into depression's underlying mechanisms continues, in addition to predictive models based on ML. Recent findings suggest that the disorder is connected with neurodegeneration in particular circuits. This theory suggests that an individualized treatment for depression will be based upon targeted therapies that restore normal functioning to these circuits.
One method to achieve this is by using internet-based programs that can provide a more individualized and tailored experience for patients. For instance, one study discovered that a web-based treatment was more effective than standard treatment in alleviating symptoms and ensuring a better quality of life for those with MDD. A randomized controlled study of a customized treatment for depression found that a significant number of patients experienced sustained improvement and fewer side consequences.
Predictors of side effects
A major obstacle in individualized depression treatment is predicting the antidepressant medications that will have very little or no side effects. Many patients are prescribed a variety of medications before finding a medication that is safe and effective. Pharmacogenetics provides a novel and exciting method of selecting antidepressant medicines that are more efficient and targeted.
A variety of predictors are available to determine which antidepressant to prescribe, including gene variations, phenotypes of patients (e.g. gender, sex or ethnicity) and co-morbidities. However finding the most reliable and reliable factors that can predict the effectiveness of a particular treatment will probably require controlled, randomized trials with much larger samples than those that are typically part of clinical trials. This is because the identifying of moderators or interaction effects could be more difficult in trials that only consider a single episode of treatment per participant instead of multiple episodes of treatment over time.
Furthermore to that, predicting a patient's reaction will likely require information on the severity of symptoms, comorbidities and the patient's own experience of tolerability and effectiveness. At present, only a handful of easily assessable sociodemographic variables and clinical variables are reliable in predicting the response to MDD. These include age, gender and race/ethnicity, BMI, SES and the presence of alexithymia.
The application of pharmacogenetics to depression treatment is still in its infancy and there are many hurdles to overcome. First, a clear understanding of the underlying genetic mechanisms is needed as well as a clear definition of what is a reliable predictor of treatment response. Additionally, ethical issues such as privacy and the responsible use of personal genetic information must be considered carefully. In the long-term the use of pharmacogenetics could offer a chance to lessen the stigma associated with mental health treatment and improve the treatment outcomes for patients with depression private treatment. But, like any other psychiatric treatment, careful consideration and planning is essential. The best method is to provide patients with various effective medications for depression and encourage them to speak with their physicians about their experiences and concerns.
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