Citation

Horigome T, Sumali B, Kitazawa M, Yoshimura M, Liang KC, Tazawa Y, Fujita T, Mimura M, Kishimoto T. Compr. Psychiatry 2020; 98: 152169.

Affiliation

Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan. Electronic address: tkishimoto@keio.jp.

Copyright

(Copyright © 2020, Elsevier Publishing)

DOI

10.1016/j.comppsych.2020.152169

PMID

32145559

Abstract

BACKGROUND: Mood disorders have long been known to affect motor function. While methods to objectively assess such symptoms have been used in experiments, those same methods have not yet been applied in clinical practice because the methods are time-consuming, labor-intensive, or invasive.

METHODS: We videotaped the upper body of each subject using a Red-Green-Blue-Depth (RGB-D) sensor during a clinical interview setting. We then examined the relationship between depressive symptoms and body motion by comparing the head motion of patients with major depressive disorders (MDD) and bipolar disorders (BD) to the motion of healthy controls (HC). Furthermore, we attempted to predict the severity of depressive symptoms by using machine learning.

RESULTS: A total of 47 participants (HC, n = 16; MDD, n = 17; BD, n = 14) participated in the study, contributing to 144 data sets. It was found that patients with depression move significantly slower compared to HC in the 5th percentile and 50th percentile of motion speed. In addition, Hamilton Depression Rating Scale (HAMD)-17 scores correlated with 5th percentile, 50th percentile, and mean speed of motion. Moreover, using machine learning, the presence and/or severity of depressive symptoms based on HAMD-17 scores were distinguished by a kappa coefficient of 0.37 to 0.43. LIMITATIONS: Limitations include the small number of subjects, especially the number of severe cases and young people.

CONCLUSIONS: The RGB-D sensor captured some differences in upper body motion between depressed patients and controls. If much larger samples are accumulated, machine learning may be useful in identifying objective measures for depression in the future.

Copyright © 2020 The Authors. Published by Elsevier Inc. All rights reserved.

Language: en

Keywords

Depression; Machine learning; Psychomotor agitation; Psychomotor retardation; RGB-Depth sensor; Upper body motion