Journal List > J Korean Acad Nurs > v.43(1) > 1002886

Park, Choi, Shin, and Koo: Analysis of the Characteristics of the Older Adults with Depression Using Data Mining Decision Tree Analysis

Abstract

Purpose

The purpose of this study was to develop a prediction model for the characteristics of older adults with depression using the decision tree method.

Methods

A large dataset from the 2008 Korean Elderly Survey was used and data of 14,970 elderly people were analyzed. Target variable was depression and 53 input variables were general characteristics, family & social relationship, economic status, health status, health behavior, functional status, leisure & social activity, quality of life, and living environment. Data were analyzed by decision tree analysis, a data mining technique using SPSS Window 19.0 and Clementine 12.0 programs.

Results

The decision trees were classified into five different rules to define the characteristics of older adults with depression. Classification & Regression Tree (C&RT) showed the best prediction with an accuracy of 80.81% among data mining models. Factors in the rules were life satisfaction, nutritional status, daily activity difficulty due to pain, functional limitation for basic or instrumental daily activities, number of chronic diseases and daily activity difficulty due to disease.

Conclusion

The different rules classified by the decision tree model in this study should contribute as baseline data for discovering informative knowledge and developing interventions tailored to these individual characteristics.

Figures and Tables

Figure 1
Process of data mining.
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Figure 2
Input variables.
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Figure 3
Decision tree of C&RT model.
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Table 1
Predictive Performance according to Modeling Methods
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C&RT=Classification & regression tree; QUEST=Quick, unbiased, efficient, statistical tree; CHAID=CHi-squared automatic interaction detection.

Table 2
General Characteristics of Participants (N=14,970)
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Notes

This research was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology (2010-0024922).

References

1. Alexopoulos GS. Depression in the elderly. Lancet. 2005. 365(9475):1961–1970. http://dx.doi.org/10.1016/s0140-6736(05)66665-2.
2. An JY, Tak YR. Depressive symptoms and related risk factors in old and oldest-old elderly people with arthritis. J Korean Acad Nurs. 2009. 39(1):72–83. http://dx.doi.org/10.4040/jkan.2009.39.1.72.
3. Bae JN, Cho MJ. Development of the Korean version of the Geriatric Depression Scale and its short form among elderly psychiatric patients. J Psychosom Res. 2004. 57(3):297–305. http://dx.doi.org/10.1016/j.jpsychores.2004.01.004.
4. Bae WS, Cho DH, Seok KH, Kim BS, Choi KL, Lee JE, et al. Data mining using SAS enterprise miner. 2004. Seoul: Kyowoosa.
5. Choi JH, Kang HC, Kim ES, Lee SK, Han ST, Kim MK. Prediction and excess of data mining using decision tree analysis. 2002. Seoul: SPSS Academy.
6. Chou KL, Chi I. Prevalence and correlates of depression in Chinese oldest-old. Int J Geriatr Psychiatry. 2005. 20(1):41–50. http://dx.doi.org/10.1002/gps.1246.
7. Fayyad UM, Piatetsky-Shapiro G, Smyth P, Uthurusamy R. Advances in knowledge discovery and data mining. 1996. Cambridge, MA: MIT Press.
8. Furman EF. Undernutrition in older adults across the continuum of care: Nutritional assessment, barriers, and interventions. J Gerontol Nurs. 2006. 32(1):22–27.
9. Health Insurance Policy Research Institute National Health Insurance Coporation. The press release. 2011. Retrieved May 2, 2012. from http://www.nhic.or.kr/portal/site/main/menuitem.31f14893bf4f6c8b31148b4062310a0/.
10. Huh J, Jeong KS, Huh SH, Choi HK. Clementine 7 manual. 2003. Seoul: Data Solution.
11. Huh MH, Lee YG. Data mining modeling and case. 2008. 2nd ed. Seoul: Hannarae.
12. Jeon YJ. A study on variable selection methods in the efficacy test of drugs - comparison of statistical and data mining methods. 2003. Seoul: Yonsei University;Unpublished master's thesis.
13. Jeong HK. Development of model for preventing informally discharged cancer patients using medical records in an university hospital. 2004. Daejeon: Chungnam National University;Unpublished master's thesis.
14. Kang JS, Chung YS. The influences of physical health, cognitive symptom and nutritional status on the depression of the elderly dwelling in a big city. J Korean Acad Community Health Nurs. 2008. 19(3):378–387.
15. Kim DB, Sohn ES. A meta-analysis of the variables related to depression in elderly. J Korean Gerontol Soc. 2005. 25(4):167–187.
16. Koivumaa-Honkanen H, Kaprio J, Honkanen R, Viinamäki H, Koskenvuo M. Life satisfaction and depression in a 15-year follow-up of healthy adults. Soc Psychiatry Psychiatr Epidemiol. 2004. 39(12):994–999. http://dx.doi.org/10.1007/s00127-004-0833-6.
17. Lee SH, Oh KO. Disability, depression and social support in older adults with osteoarthritis. Chungnam J Nurs Acad. 2008. 11:13–21.
18. Maas ML, Delaney C. Nursing process outcome linkage research: Issues, current status, and health policy implications. Med Care. 2004. 42:2 Suppl. II40–II48. http://dx.doi.org/10.1097/01.mlr.0000109291.44014.cb.
19. Mecocci P, Cherubini A, Mariani E, Ruggiero C, Senin U. Depression in the elderly: New concepts and therapeutic approaches. Aging Clin Exp Res. 2004. 16(3):176–189.
20. Mills TL. Comorbid depressive symptomatology: Isolating the effects of chronic medical conditions on self-reported depressive symptoms among community-dwelling older adults. Soc Sci Med. 2001. 53(5):569–578. http://dx.doi.org/10.1016/S0277-9536(00)00361-0.
21. Ministry of Health & Welfare. 2008 National survey on the elderly. 2009. Retrieved May 1, 2012. from http://stat.mw.go.kr/front/statData/publicationView.jsp?menuId=41&bbsSeq=7&nttSeq=12031&searchKey=&searchWord=&nPage=3.
22. Moon MJ. Factors influencing depression in elderly people living at home. J Korean Acad Nurs. 2010. 40(4):542–550. http://dx.doi.org/10.4040/jkan.2010.40.4.542.
23. Park YH, Suh EE. The risk of malnutrition, depression, and the perceived health status of older adults. J Korean Acad Nurs. 2007. 37(6):941–948.
24. Rajkumar AP, Thangadurai P, Senthilkumar P, Gayathri K, Prince M, Jacob KS. Nature, prevalence and factors associated with depression among the elderly in a rural south Indian community. Int Psychogeriatr. 2009. 21(2):372–378. http://dx.doi.org/10.1017/s1041610209008527.
25. Sok SR, Kim KB. Effects of muscle electric stimulation on chronic knee pain, activities of daily living, and living satisfaction for korean elderly women. J Korean Acad Nurs. 2007. 37(3):305–312.
26. Song MS, Kim SK, Kim NC. Factors influencing depression among rural elders. J Korean Gerontol Nurs. 2010. 12(1):21–28.
27. Statistics Korea. Population projection for Korea: 2010-2060. 2012. Daejeon: Statistics Korea.
28. Suhn MO, Chae YM, Lee HJ, Lee SH, Kang SH, Ho SH. An application of datamining approach to CQI using the discharge summary. Proceedings of the Korea Inteligent Information System Society Conference. 2000. 2:289–299.
29. Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, et al. Development and validation of a geriatric depression screening scale: A preliminary report. J Psychiatr Res. 1982. 17(1):37–49. http://dx.doi.org/10.1016/0022-3956(82)90033-4.
30. Yim ES, Lee KJ. Effect of physical ability, depression and social support on quality of life in low income elders living at home. J Korean Gerontol Nurs. 2003. 5(1):38–49.
31. Yoon SJ, Lee YH, Son TY, Oh HJ, Han GS, Kim KH. Factors associated with dementia and depressive symptoms in older persons living in the community. J Korea Gerontol Soc. 2002. 21(3):59–73.
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