An Artificial Neural Networks Approach for Psychometric Assessment of Stress, Anxiety, and Depression in Women
DOI:
https://doi.org/10.58575/3784k278Keywords:
Anxiety, Artificial Neural Network, Depression, Illness, StressAbstract
This study was carried out to classify, and predict the presence and absence of illness among women of Wazirabad city based on stress, anxiety, and depression. A questionnaire of Depression, Anxiety and Stress Scale (DASS-21) was used to collect data. Two-stage cluster sampling was used, and size of sample was 334. In this study, 57 respondents were those who were suffering some illness whereas 277 respondents were those who reported the absence of illness. Results showed that 87.7%, 56%, and 49% cases of illness were with moderate and above levels of anxiety, stress, and depression respectively. The findings of the research supported the significant relationship of demographic variables and psychological factors with illness. Artificial Neural Network technique was used to assess the classification and prediction, and our model showed good classification in both categories of illness. Overall, correctly classified illness in women was 89.4%. Anxiety level was more contributory factor to perceive the illness in women among all the independent variables. Our model predicted that there is 94% chance of presence of illness within a woman, having extremely severe level of anxiety, and moderate levels of stress and depression.
Downloads
References
Alagizy, H. A., Soltan, M. R., Soliman, S. S., Hegazy, N. N., & Gohar, S. F. (2020). Anxiety, depression and perceived stress among breast cancer patients: Single institute experience. Middle East Current Psychiatry, 27, 1–10. https://doi.org/10.1186/s43045-020-00036-x
Arkin, F. S., Aras, G., & Dogu, E. (2020). Comparison of artificial neural networks and logistic regression for 30-days survival prediction of cancer patients. Acta Informatica Medica, 28(2), 108–113. https://doi.org/10.5455/aim.2020.28.108-113
Aslam, N., & Kamal, A. (2017). Translation, validation and effectiveness of depression, anxiety and stress scale (DASS-21) in assessing the psychological distress among flood affected individuals. Journal of Pakistan Psychiatric Society, 14(4), 16–20.
Bayram, N., & Bilgel, N. (2008). The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students. Social Psychiatry and Psychiatric Epidemiology, 43(8), 667–672. https://doi.org/10.1007/s00127-008-0345-x
Becker, D. (2013). One nation under stress: The trouble with stress as an idea. Oxford University Press. https://psycnet.apa.org/record/2013-04410-000
Chaudhry, A. G., Ahmed, A., Farooq, H., Bhatti, A. G., & Zeeshan, M. (2014). Health, marital status and mode of living: An anthropological study of ageing community in Rawalpindi city. Medical Forum, 25(5), 46–50.
Clark, D. A., & Beck, A. T. (2023). Anxiety and worry workbook. Guilford Publications. Dixon, S. K., & Kurpius, S. E. R. (2008). Depression and college stress among university undergraduate. Journal of College Student Development, 49(5), 412–424. https://doi.org/10.1353/csd.0.0024
Dreiseitl, S., & Ohno-Machado, L. (2002). Logistic regression and artificial neural network classification models: A methodology review. Journal of Biomedical Informatics, 35(5–6), 352–359. https://doi.org/10.1016/S1532-0464(03)00034-0
Eby, G. A., & Eby, K. L. (2006). Rapid recovery from major depression using magnesium treatment. Medical Hypotheses, 67(2), 362–370. https://doi.org/10.1016/j.mehy.2006.01.047
Gao, W., Ping, S., & Liu, X. (2020). Gender differences in depression, anxiety, and stress among college students: A longitudinal study from China. Journal of Affective Disorders, 263, 292–300. https://www.sciencedirect.com/science/article/pii/S0165032719320385
Ghaderi, A. R., Kumar, G. V., & Kumar, S. (2009). Depression, anxiety & stress. Journal of Indian Academy of Applied Psychology, 35(1), 33–37. https://jiaap.in/wp-content/uploads/2009/02/4.pdf
Gupta, R., Joshi, P., Mohan, V., Reddy, K. S., & Yusuf, S. (2008). Epidemiology and causation of coronary heart disease and stroke in India. Heart, 94(1), 16–26. https://doi.org/10.1136/hrt.2007.132951
Hennessy, S., Bilker, W. B., Berlin, J. A., & Strom, B. L. (1999). Factors influencing the optimal control-to-case ratio in matched case-control studies. American Journal of Epidemiology, 149(2), 195–197. https://doi.org/10.1093/oxfordjournals.aje.a009786
Henry, J. D., & Crawford, J. R. (2005). The short-form version of the depression anxiety stress scales (DASS-21): Construct validity and normative data in a large non–clinical sample. British Journal of Clinical Psychology, 44(2), 227–239. https://doi.org/10.1348/014466505X29657
Hildrum, B., Mykletun, A., Holmen, J., & Dahl, A. A. (2008). Effect of anxiety and depression on blood pressure: 11-year longitudinal population study. The British Journal of Psychiatry, 193(2), 108–113. https://doi.org/10.1192/bjp.bp.107.045013
Hough, E. S., Brumitt, G. A., & Templin, T. N. (1999). Social support, demands of illness, and depression in chronically ill urban women. Health Care for Women International, 20(4), 349–362. https://doi.org/10.1080/073993399245656
Issitt, R. W., Cortina-Borja, M., Bryant, W., Bowyer, S., Taylor, A. M., & Sebire, N. (2022). Classification performance of neural networks versus logistic regression models: Evidence from healthcare practice. Cureus, 14(2). https://doi.org/10.7759/cureus.22443
Iyer, K., & Khan, Z. A. (2012). Depression–A review. Research Journal of Recent Sciences, 1(4), 79–87.
Kaplan, M. S., & Nunes, A. (2003). The psychosocial determinants of hypertension. Nutrition, Metabolism and Cardiovascular Diseases, 13(1), 52–59. https://doi.org/10.1016/S0939-4753(03)80168-0
Karanika-Murray, M., & Cox, T. (2010). The use of artificial neural networks and multiple linear regression in modelling work–health relationships: Translating theory into analytical practice. European Journal of Work and Organizational Psychology, 19(4), 461–486. https://oi.org/10.1080/
Katki, H. A., Berndt, S. I., Machiela, M. J., Stewart, D. R., Garcia-Closas, M., Kim, J., & Rothman, N. (2023). Increase in power by obtaining 10 or more controls per case when type-1 error is small in large-scale association studies. BMC Medical Research Methodology, 23(1), 153. https://doi.org/10.1186/s12874023-01973-x
Kessler, R. C., McGonagle, K. A., Zhao, S., Nelson, C. B., Hughes, M., Eshleman, S., & Kendler, K. S. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: Results from the National Comorbidity Survey. Archives of General Psychiatry, 51(1), 8–19.
Khemphila, A., & Boonjing, V. (2010). Comparing performances of logistic regression, decision trees, and neural networks for classifying heart disease patients. 2010 International Conference on Computer Information Systems and Industrial Management Applications (CISIM), 193–198. https://doi.org/10.1109/CISIM.2010.5643666
Kim, A., Lee, J. A., & Park, H. S. (2018). Health behaviors and illness according to marital status in middle-aged koreans. Journal of Public Health, 40(2), e99–e106. https://doi.org/10.1093/pubmed/fdx071
Kiri¸ sci, M. (2019). Comparison of artificial neural network and logistic regression model for factors affecting birth weight. SN Applied Sciences, 1(4), 378. https://doi.org/10.1007/s42452-019-0391-x
Landi, A., Piaggi, P., Laurino, M., & Menicucci, D. (2010). Artificial neural networks for nonlinear regression and classification. 2010 10th International Conference on Intelligent Systems Design and Applications, 115–120. https://doi.org/10.1109/ISDA.2010.5687280
Leeman, J., Crandell, J. L., Lee, A., Bai, J., Sandelowski, M., & Knafl, K. (2016). Family functioning and the well-being of children with chronic conditions: A meta-analysis. Research in Nursing & Health, 39(4), 229–243. https://doi.org/10.1002/nur.21725
Markovitz, J. H., Matthews, K. A., Kannel, W. B., Cobb, J. L., & D’Agostino, R. B. (1993). Psychological predictors of hypertension in the Framingham study: Is there tension in hypertension? JAMA, 270(20), 2439–2443. https://doi.org/10.1001/jama.1993.03510200045030
Mushtaq, M., & Najam, N. (2014). Depression, anxiety, stress and demographic determinants of hypertension disease. Pakistan Journal of Medical Sciences, 30(6), 1293–1298. https://doi.org/10.12669/pjms.306.5433
Mylona, E., Kletter, M., Jones, H. M., Murphy, M., Lampard, R., & Oyebode, O. (2023). The association between family structure and adolescent physical activity levels: A systematic review of literature published since 2010. medRxiv. https://doi.org/10.1101/2023.07.04.23292220
Nakanishi, N., Yoshida, H., Nagano, K., Kawashimo, H., Nakamura, K., & Tatara, K. (2001). Long working hours and risk for hypertension in Japanese male white collar workers. Journal of Epidemiology & Community Health, 55(5), 316–322. https://doi.org/10.1136/jech.55.5.316
Nakie, G., Segon, T., Melkam, M., Desalegn, G. T., & Zeleke, T. A. (2022). Prevalence and associated factors of depression, anxiety, and stress among high school students in, Northwest Ethiopia, 2021. BMC Psychiatry, 22(1), 739. https://doi.org/10.1186/s12888-022-04393-1
Ogazi, F. C., Edward, G. G., Meseko, J. T., & Umoru, U. (2022). Stress and stress management: A factor for healthy living. International Journal of Science and Applied Research, 5(1), 76–95.
Patrick, C., Padgett, D. K., Schlesinger, H. J., Cohen, J., & Burns, B. J. (1992). Serious physical illness as a stressor: Effects on family use of medical services. General Hospital Psychiatry, 14(4), 219–227. https://doi.org/10.1016/01638343(92)90091-N
Purahong, B., Teerapanpong, S., Satayarak, N., & Benjangkaprasert, C. (2023). Comparison of logistic regression and artificial neural network model for apron allocation assignment. Journal of Physics: Conference Series, 2497(1), 012013. https://doi.org/10.1088/1742-6596/2497/1/012013
Qadir, F., Khalid, A., Haqqani, S., & Medhin, G. (2013). The association of marital relationship and perceived social support with mental health of women in Pakistan. BMC Public Health, 13, 1150. https://doi.org/10.1186/1471-245813-1150
Rawson, H. E., Bloomer, K., & Kendall, A. (1994). Stress, anxiety, depression, and physical illness in college students. The Journal of Genetic Psychology, 155(3), 321–330. https://doi.org/10.1080/00221325.1994.9914782
Riaz, A., Kamal, S., & Butt, N. S. (2013). Psychometric analysis of depression, anxiety and stress among women of Wazirabad city. Caspian Journal of Applied Science Research, 2(10), 61–68.








