Multimodal phenotypic classification of generalized anxiety and panic using structural MRI data and psychosocial factors: machine learning results from the German National Cohort (NAKO) study.
The 3 matches
- [1] § Methods › Machine-learning classification ↔ neuro.R, lines 294–371 · score 0.59 · tuning length, glmnet, resampling, maximize, width, caret
- [2] § Results ↔ correlations_and_descriptives.R, lines 437–509 · score 0.51 · lifetime cigarettes, depressive symptoms, PHQ Stress, female sex, childhood trauma, CT
- [3] § Methods › Dataset and study population ↔ correlations_and_descriptives.R, lines 437–509 · score 0.51 · lifetime cigarettes, PHQ Stress, emotional, childhood trauma, CT, panic attacks
Paper
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The authors' code
R · 688 lines · 23 KB · no license · 2 matches
- library(car)
- source("https://raw.githubusercontent.com/Julsten/myFunctions/main/R%20scripts/myFunctions.R")
- library(tidyverse)
- library(broom)
- library(skimr)
- library(e1071)
- library(rminer)
- library(caret)
- library(here)
- library(ggplot2)
- library(doParallel)
- library(tictoc)
- library(fastDummies)
- library(data.table)
- library(officer)
- library(psych)
- chere::i_am("scripts/correlations_and_descriptives.R")
- source(here("scripts/helper_functions.R"))
- # codebook for meaningful names
- code_book <- readxl::read_xls("data/dd_Nako_689.xls")
- measure <- "ROC"
- seed <- 123
- # rad in df_test
- df_raw <- read_csv2(here("data/export_baseline.csv"))
- atlas_vars <- c(
- # juelich
- # "ma_n_l_cm", "ma_n_l_if",
- # "ma_n_l_lb", "ma_n_l_mf",
- # "ma_n_l_sf", "ma_n_l_vtm",
- # "ma_n_l_op5", "ma_n_l_op6",
- # "ma_n_l_op7", "ma_n_l_op8",
- # "ma_n_l_op9", "ma_n_l_fp1",
- # "ma_n_l_fp2", "ma_n_l_fg1",
- # "ma_n_l_fg2", "ma_n_l_fg3",
- # "ma_n_l_fg4", "ma_n_l_ca1",
- # "ma_n_l_ca2", "ma_n_l_ca3",
- # "ma_n_l_dg", "ma_n_l_hata",
- # "ma_n_l_hc_parasub", "ma_n_l_hc_presub",
- # "ma_n_l_hc_prosub", "ma_n_l_hc_sub",
- # "ma_n_l_hc_transsub", "ma_n_l_ia",
- # "ma_n_l_id1", "ma_n_l_id2",
- # "ma_n_l_id3", "ma_n_l_id4",
- # "ma_n_l_id5", "ma_n_l_id6",
- # "ma_n_l_id7", "ma_n_l_ig1",
- # "ma_n_l_ig2", "ma_n_l_ig3",
- # "ma_n_l_hip1", "ma_n_l_hip2",
- # "ma_n_l_hip3", "ma_n_l_hip4",
- # "ma_n_l_hip5", "ma_n_l_hip6",
- # "ma_n_l_hip7", "ma_n_l_hip8",
- # "ma_n_l_fo1", "ma_n_l_fo2",
- # "ma_n_l_fo3", "ma_n_l_fo4",
- # "ma_n_l_fo5", "ma_n_l_fo6",
- # "ma_n_l_fo7", "ma_n_l_op1",
- # "ma_n_l_op2", "ma_n_l_op3",
- # "ma_n_l_op4", "ma_n_l_s24",
- # "ma_n_l_p24ab", "ma_n_l_p24c",
- # "ma_n_l_25", "ma_n_l_s32",
- # "ma_n_l_p32", "ma_n_l_33",
- # "ma_n_r_cm", "ma_n_r_if",
- # "ma_n_r_lb", "ma_n_r_mf",
- # "ma_n_r_sf", "ma_n_r_vtm",
- # "ma_n_r_op5", "ma_n_r_op6",
- # "ma_n_r_op7", "ma_n_r_op8",
- # "ma_n_r_op9", "ma_n_r_fp1",
- # "ma_n_r_fp2", "ma_n_r_fg1",
- # "ma_n_r_fg2", "ma_n_r_fg3",
- # "ma_n_r_fg4", "ma_n_r_ca1",
- # "ma_n_r_ca2", "ma_n_r_ca3",
- # "ma_n_r_dg", "ma_n_r_hata",
- # "ma_n_r_hc_parasub", "ma_n_r_hc_presub",
- # "ma_n_r_hc_prosub", "ma_n_r_hc_sub",
- # "ma_n_r_hc_transsub", "ma_n_r_ia",
- # "ma_n_r_id1", "ma_n_r_id2",
- # "ma_n_r_id3", "ma_n_r_id4",
- # "ma_n_r_id5", "ma_n_r_id6",
- # "ma_n_r_id7", "ma_n_r_ig1",
- # "ma_n_r_ig2", "ma_n_r_ig3",
- # "ma_n_r_hip1", "ma_n_r_hip2",
- # "ma_n_r_hip3", "ma_n_r_hip4",
- # "ma_n_r_hip5", "ma_n_r_hip6",
- # "ma_n_r_hip7", "ma_n_r_hip8",
- # "ma_n_r_s24", "ma_n_r_p24ab",
- # "ma_n_r_p24c", "ma_n_r_25",
- # "ma_n_r_s32", "ma_n_r_p32",
- # "ma_n_r_33",
- #
- "ma_n_l_caudacc_ct",
- "ma_n_l_isthcing_ct", "ma_n_l_postcing_ct",
- "ma_n_l_rostcing_ct", "ma_n_l_caumfron_ct",
- "ma_n_l_insula_ct", "ma_n_l_parahipp_ct",
- "ma_n_r_caudacc_ct", "ma_n_r_isthcing_ct",
- "ma_n_r_postcing_ct", "ma_n_r_rostcing_ct",
- "ma_n_r_morbfron_ct", "ma_n_r_insula_ct",
- "ma_n_r_parahipp_ct", "ma_n_r_mean_ct",
- "ma_n_l_caudacc_vo", "ma_n_l_isthcing_vo",
- "ma_n_l_postcing_vo", "ma_n_l_rostcing_vo",
- "ma_n_l_morbfron_vo", "ma_n_l_insula_vo",
- "ma_n_l_parahipp_vo", "ma_n_r_caudacc_vo",
- "ma_n_r_isthcing_vo", "ma_n_r_postcing_vo",
- "ma_n_r_rostcing_vo", "ma_n_r_insula_vo",
- "ma_n_r_parahipp_vo", "ma_n_l_caudacc_sa",
- "ma_n_l_isthcing_sa", "ma_n_l_postcing_sa",
- "ma_n_l_rostcing_sa", "ma_n_l_caumfron_sa",
- "ma_n_l_insula_sa", "ma_n_l_parahipp_sa",
- "ma_n_l_whitesurf_sa", "ma_n_r_caudacc_sa",
- "ma_n_r_isthcing_sa", "ma_n_r_postcing_sa",
- "ma_n_r_rostcing_sa", "ma_n_r_insula_sa",
- "ma_n_r_whitesurf_sa", "lma_n_lh_cortexvol",
- "ma_n_cortexvol", "ma_n_rh_cortexvol",
- "ma_n_cerebralwm", "ma_n_lh_cerebralwm",
- "ma_n_subcortgray", "ma_n_totalgrayvol",
- "ma_n_brainstem", "ma_n_lh_accumbens",
- "ma_n_lh_amygdala", "ma_n_lh_hippocamp",
- "ma_n_lh_thalamus", "ma_n_lh_ventraldc",
- "ma_n_rh_accumbens", "ma_n_rh_amygdala",
- "ma_n_rh_hippocamp", "ma_n_rh_thalamus",
- "ma_n_rh_ventraldc", "ma_n_lh_nonwmhypo",
- "ma_n_lh_wmhypo", "ma_n_wmlesion_vol",
- "ma_n_ldmn_a_cupcc1", "ma_n_ldmn_a_pfcd1",
- "ma_n_ldmn_a_pfcm1", "ma_n_ldmn_b_ipl1",
- "ma_n_ldmn_b_pfcd1", "ma_n_ldmn_b_pfcl1",
- "ma_n_ldmn_b_pfcv1", "ma_n_ldmn_b_pfcv2",
- "ma_n_ldmn_c_phc1", "ma_n_llimn_b_ofc1",
- "ma_n_lsvan_a_frm1", "ma_n_lsvan_a_ins1",
- "ma_n_lsvan_a_ins2", "ma_n_lsvan_a_parm1",
- "ma_n_lsvan_a_paro1", "ma_n_lsvan_b_pfcl1",
- "ma_n_lsvan_b_pfcm1", "ma_n_rdmn_a_cupcc1",
- "ma_n_rdmn_a_ipl1", "ma_n_rdmn_a_pfcd1",
- "ma_n_rdmn_a_pfcm1", "ma_n_rdmn_b_pfcd1",
- "ma_n_rdmn_b_pfcv1", "ma_n_rdmn_b_pfcv2",
- "ma_n_rdmn_c_phc1", "ma_n_rdmn_c_rsp1",
- "ma_n_rlimn_a_temp1", "ma_n_rlimn_b_ofc1",
- "ma_n_rsvan_a_frm1", "ma_n_rsvan_a_ins1",
- "ma_n_rsvan_a_parm1", "ma_n_rsvan_a_paro1",
- "ma_n_rsvan_b_ipl1", "ma_n_rsvan_b_pfcl1",
- "ma_n_rsvan_b_pfcm1"
- )
- atlas_vars <- intersect(atlas_vars, colnames(df_raw))
- df <- df_raw %>% select(ID, sex = basis_sex, age = basis_age,
- gad = a_emo_gad7_sum,
- gad_cat = a_emo_gad7_cut10,
- tiv = ma_n_cortexvol, site = basis_uort, trauma = a_emo_cts_sum,
- all_of(atlas_vars),
- #all_of(juelich),
- phq = a_emo_phq9_sum,
- phq_cat =a_emo_phq9_cut10,
- phq_stress = a_emo_phq_stress,
- #panic_cat = a_emo_phq_panik, # phqp_full
- d_phqp1_1,
- d_phqp1_2,
- rauch_life = a_smok_past_cig_d,
- d_an_neu_6
- ) %>%
- mutate(female_sex =sex - 1) %>% select(-sex) %>%
- mutate(across(everything(), as.numeric)) %>%
- mutate(across(everything(),function(x) na_if(x, 7777))) %>%
- mutate(rauch_life = case_when(rauch_life == 7775 ~ 0,
- T ~ rauch_life)) %>%
- mutate(panic_cat = case_when(
- is.na(d_phqp1_2) | d_phqp1_1 == 2 ~ 0,
- d_phqp1_2 == 1 ~ 1)) %>%
- mutate(site = factor(site)) %>%
- mutate(gad_cat = factor(gad_cat, labels = c("healthy", "anxious")),
- phq_cat = factor(phq_cat, labels = c("healthy", "depressed")),
- panic_cat = factor(panic_cat, labels = c("healthy", "panic")),
- # panic_cat = factor(
- # case_when(
- # d_an_neu_6 == 1 ~ "panic",
- # d_an_neu_6 == 2 ~ "healthy",
- # TRUE ~ NA_character_
- # ))
- ) %>%
- select(-d_an_neu_6) %>%
- select(-d_phqp1_1, -d_phqp1_2) %>%
- mutate(gad_panic_cat = factor(as.numeric(gad_cat == "anxious" & panic_cat =="panic"),
- labels = c("healthy", "comorbid")))
- df <- df %>% mutate(across(everything(), as.numeric)) %>%
- mutate(ID =row_number())
- df1 <- df
- df2 <- df
- #atlas <- "juelich"
- #atlas_vars <- get_atlas(atlas)
- # clean_data(df1, df2, "panic_cat", atlas_vars,
- # remove_vars = NULL, confounds = "age")
- #### correlate ####
- ##### correlate outcomes ####
- cor.test(df$gad_cat, df$panic_cat)
- # Function to apply cor.test and tidy the result
- perform_correlation <- function(df, compare_with) {
- df %>%
- summarise(across(
- setdiff(names(df), compare_with),
- ~ tidy(cor.test(.x, get(compare_with), method = "pearson")),
- .names = "{.col}_{compare_with}_result"
- )) %>%
- pivot_longer(
- cols = everything(),
- names_to = c("variable", ".value"),
- names_pattern = "(.*)_(.*)_result"
- )
- }
- #### MASS CORRELATE! ####
- for(selected_sex in list(0, 1, c(0, 1))){# 0 = male, 1 = female
- ##### correct for age ####
- gad_confounds <-c("age", "phq")#c("age", "phq", "panic_cat", "trauma")
- panic_confounds <-c("age", "phq")#c("age", "phq", "gad_cat", "trauma")
- if(is.null(gad_confounds)){
- df_cleaned_gad <- df %>% filter(female_sex %in% selected_sex)
- } else {
- vars_to_clean <- intersect(colnames(df), atlas_vars)
- confound_coefs_train_gad <- get_confound_coefs(data = df, vars_to_clean = vars_to_clean, confounds = gad_confounds)
- na_cols <- apply(confound_coefs_train_gad, 2, function(x) any(is.na(x)))
- confound_coefs_train_gad[na_cols] <- 0
- df_cleaned_gad <- remove_confounds(df %>% filter(female_sex %in% selected_sex), confound_coefs_train_gad, gad_confounds, vars_to_clean)
- }
- if(is.null(panic_confounds)){
- df_cleaned_panic <- df %>% filter(female_sex %in% selected_sex)
- } else {
- vars_to_clean <- intersect(colnames(df), atlas_vars)
- confound_coefs_train_panic <- get_confound_coefs(data = df, vars_to_clean = vars_to_clean, confounds = panic_confounds)
- na_cols <- apply(confound_coefs_train_panic, 2, function(x) any(is.na(x)))
- confound_coefs_train_panic[na_cols] <- 0
- df_cleaned_panic <- remove_confounds(df %>% filter(female_sex %in% selected_sex), confound_coefs_train_panic, panic_confounds, vars_to_clean)
- }
- ##### Calculating correlations for 'panic' and 'gad' ####
- df_num_gad <- df_cleaned_gad %>% mutate(across(everything(), as.numeric)) %>%
- select(-phq,
- -phq_cat,
- -phq_stress,
- -trauma,
- -female_sex,
- -rauch_life,
- -age,
- -site,
- -ID,
- -tiv) %>%
- mutate(gad_cat = gad_cat - 1) %>%
- identity()
- df_num_panic <- df_cleaned_panic %>% mutate(across(everything(), as.numeric)) %>%
- #filter(female_sex == 1) %>%
- select(-phq,
- -phq_cat,
- -phq_stress,
- -trauma,
- -female_sex,
- -rauch_life,
- -age,
- -site,
- -ID,
- -tiv) %>%
- mutate(panic_cat = panic_cat - 1) %>%
- identity()
- results_panic <- df_num_panic %>% select(-gad, -gad_panic_cat, -gad_cat) %>%
- perform_correlation(., "panic_cat") %>% unnest %>%
- mutate(variable = gsub("_panic", "", variable))
- results_gad <- df_num_gad %>%
- select(-panic_cat, -gad_panic_cat, -gad) %>%
- perform_correlation(., "gad_cat") %>% unnest %>%
- mutate(variable = gsub("_gad", "", variable))
- ##### Combining results ####
- final_results <- results_panic %>%
- rename(panic_r = estimate,
- panic_p = p.value) %>%
- full_join(results_gad %>%
- select(variable, gad_r = estimate, gad_p = p.value),
- ) %>%
- select(
- variable,
- panic_r,
- panic_p,
- gad_r,
- gad_p
- )
- # rename final results variables
- cor_df <- final_results %>%
- left_join(code_book %>% select(Name, Label), by = c("variable" = "Name")) %>%
- select(variable, Label, panic_r, panic_p, gad_r, gad_p) %>%
- mutate(gad_p_adj = gad_p*sum(!is.na(gad_p)),
- panic_p_adj = panic_p*sum(!is.na(panic_p))) %>%
- rowwise %>%
- mutate(gad_p_adj = min(1, gad_p_adj),
- panic_p_adj = min(1, panic_p_adj)) %>%
- ungroup %>%
- rstatix::add_significance(p.col = "gad_p_adj", output.col = "gad_sig") %>%
- rstatix::add_significance(p.col = "panic_p_adj", output.col = "panic_sig")
- cor_df_panic <- cor_df %>% select(-starts_with("gad")) %>%
- arrange(-abs(panic_r))
- cor_df_gad <- cor_df %>% select(-starts_with("panic")) %>%
- arrange(-abs(gad_r))
- sex_name <- ifelse(all(selected_sex == 1), "_female", ifelse(all(selected_sex == 0), "_male", ""))
- openxlsx::write.xlsx(cor_df_panic, paste0("data/output/panic_correlations", sex_name, ".xlsx"))
- openxlsx::write.xlsx(cor_df_gad, paste0("data/output/gad_correlations", sex_name, ".xlsx"))
- }
- #### combine genders ####
- file_extension_gad <- ifelse(is.null(gad_confounds), "uncorrected", paste0(c(gad_confounds, "corrected"), sep="", collapse = "_"))
- file_extension_panic <- ifelse(is.null(panic_confounds), "uncorrected", paste0(c(panic_confounds, "corrected"), sep="", collapse = "_"))
- panic_cor <- openxlsx::read.xlsx("data/output/panic_correlations.xlsx")
- panic_cor_female <- openxlsx::read.xlsx("data/output/panic_correlations_female.xlsx")
- panic_cor_male <- openxlsx::read.xlsx("data/output/panic_correlations_male.xlsx")
- panic_cor_all <- panic_cor %>% left_join(panic_cor_female, by = c("variable", "Label"),
- suffix=c("_all", "_female")) %>%
- left_join(panic_cor_male, by = c("variable", "Label")) %>%
- rename(panic_r_male = panic_r,
- panic_p_male = panic_p,
- panic_p_adj_male = panic_p_adj,
- panic_sig_male = panic_sig) %>%
- distinct() %>%
- arrange(Label)
- openxlsx::write.xlsx(panic_cor_all, here(paste0("data/output/panic_correlations_all_", file_extension_panic, ".xlsx")))
- gad_cor <- openxlsx::read.xlsx("data/output/gad_correlations.xlsx")
- gad_cor_female <- openxlsx::read.xlsx("data/output/gad_correlations_female.xlsx")
- gad_cor_male <- openxlsx::read.xlsx("data/output/gad_correlations_male.xlsx")
- gad_cor_all <- gad_cor %>% left_join(gad_cor_female, by = c("variable", "Label"),
- suffix=c("_all", "_female")) %>%
- left_join(gad_cor_male, by = c("variable", "Label")) %>%
- rename(gad_r_male = gad_r,
- gad_p_male = gad_p,
- gad_p_adj_male = gad_p_adj,
- gad_sig_male = gad_sig) %>%
- distinct() %>%
- arrange(Label)
- ##### save all #####
- openxlsx::write.xlsx(gad_cor_all, here(paste0("data/output/gad_correlations_all_", file_extension_gad, ".xlsx")))
- #### descriptives ####
- df_clean <- na.omit(df)
- table(df_clean$female_sex) %>% prop.table()
- df_clean %>% select(female_sex, age, gad, panic_cat) %>% psych::describe()
- prop.table(table(df_clean$gad>10 ))
- prop.table(table(df_clean$panic_cat ))
- # Load necessary packages
- library(crosstable)
- df_ct <- df_raw %>% select(ID, sex = basis_sex, age = basis_age,
- gad = a_emo_gad7_sum,
- gad_cat = a_emo_gad7_cut10,
- tiv = ma_n_cortexvol, site = basis_uort,
- trauma = a_emo_cts_sum,
- a_emo_cts_1_kat,
- a_emo_cts_2_kat,
- a_emo_cts_3_kat,
- a_emo_cts_4_kat,
- a_emo_cts_5_kat,
- all_of(atlas_vars),
- #all_of(juelich),
- phq = a_emo_phq9_sum,
- phq_cat =a_emo_phq9_cut10,
- phq_stress = a_emo_phq_stress,
- #panic_cat = a_emo_phq_panik, # phqp_full
- d_phqp1_1,
- d_phqp1_2,
- rauch_life = a_smok_past_cig_d,
- d_an_neu_6
- ) %>%
- mutate(female_sex =sex - 1) %>% select(-sex) %>%
- mutate(across(everything(), as.numeric)) %>%
- mutate(across(everything(),function(x) na_if(x, 7777))) %>%
- mutate(rauch_life = case_when(rauch_life == 7775 ~ 0,
- T ~ rauch_life)) %>%
- mutate(panic_cat = case_when(
- is.na(d_phqp1_2) | d_phqp1_1 == 2 ~ 0,
- d_phqp1_2 == 1 ~ 1)) %>%
- mutate(site = factor(site)) %>%
- mutate(gad_cat = factor(gad_cat, labels = c("healthy", "anxious")),
- phq_cat = factor(phq_cat, labels = c("healthy", "depressed")),
- panic_cat = factor(panic_cat, labels = c("healthy", "panic")),
- # panic_cat = factor(
- # case_when(
- # d_an_neu_6 == 1 ~ "panic",
- # d_an_neu_6 == 2 ~ "healthy",
- # TRUE ~ NA_character_
- # ))
- ) %>%
- select(-d_an_neu_6) %>%
- select(-d_phqp1_1, -d_phqp1_2) %>%
- mutate(gad_panic_cat = factor(as.numeric(gad_cat == "anxious" & panic_cat =="panic"),
- labels = c("healthy", "comorbid"))) %>%
- mutate(sex = factor(female_sex, levels = c(0, 1), labels = c("Men", "Women"))) %>%
- mutate(panic_cat = factor(panic_cat, labels = c("no", "yes")))
- df_ct <-na.omit(df_ct)
- # Assume your data frame is named df and has the columns: female_sex, age, gad, and panic
- # Create age groups
- df_clean<- df_clean %>%
- mutate(age_group = factor(case_when(
- age >= 19 & age <= 40 ~ "<40 years",
- age >= 41 & age <= 60 ~ "40-60 years",
- age >= 61 ~ ">60 years"
- ), levels = c("<40 years", "40-60 years", ">60 years")))
- # Create a new column for sex as a factor
- df_clean <- df_clean %>%
- mutate(sex = factor(female_sex, levels = c(0, 1), labels = c("Men", "Women"))) %>%
- mutate(panic_cat = factor(panic_cat, labels = c("no", "yes")))
- df_ct <- df_ct %>% mutate(across(starts_with("a_emo_cts"), ~ factor(.x, labels = c("no", "yes")))) %>%
- mutate(age_group =
- cut(age,
- breaks =c(18,29, 39, 49, 59,
- max(df$age)),
- labels = c("18-29", "30-39", "40-49", "50-59", "60-74")),
- n = factor("n"))
- # sex differences
- doc <- read_docx()
- (demo_table <- df_ct %>%
- arrange(sex) %>%
- crosstable(
- cols = c(
- "Number of Participants" = n,
- "Age" = age,
- " " = age_group,
- "GAD-7" = gad,
- "GAD-7 ≥ 10" = gad_cat,
- "Lifetime Panic Attacks" = panic_cat,
- "Lifetime Cigarettes" = rauch_life,
- "Depressive Symptoms (PHQ-9)" = phq,
- "Stress" = phq_stress,
- "Childhood Trauma Sum Score (CT-S)" = trauma,
- # "Emotional neglect" = a_emo_cts_1_kat,
- # "Physical abuse" = a_emo_cts_2_kat,
- # "Emotional abuse" = a_emo_cts_3_kat,
- # "Sexual abuse" = a_emo_cts_4_kat,
- # "Physical neglect" = a_emo_cts_5_kat,
- ),
- by = c(sex),
- showNA = "ifany",
- funs = list("mean (SD)" = meansd),
- test = F,
- test_args = crosstable_test_args(show_method = F, plim = 3),
- percent_pattern = "{n} \n ({p_col})",
- percent_digits = 1,
- total = "row")%>%
- mutate(variable = ifelse(variable == "NA", "Missing", variable)) %>%
- as_flextable(remove_header_keys = T)
- )
- doc <- body_add_flextable(doc, value = demo_table)
- print(doc, target = here("results/demo_table.docx"))
- gad_pa_doc <- read_docx()
- # gad & PA comparison
- (gad_ct <- df_ct %>%
- arrange(gad_cat) %>%
- crosstable(
- cols = c(
- "Number of Participants" = n,
- "Sex" = sex,
- "Age" = age,
- " " = age_group,
- "GAD-7" = gad,
- "GAD-7 ≥ 10" = gad_cat,
- "Lifetime Panic Attacks" = panic_cat,
- "Lifetime Cigarettes" = rauch_life,
- "Depressive Symptoms (PHQ-9)" = phq,
- "Stress" = phq_stress,
- "Childhood Trauma Sum Score (CT-S)" = trauma,
- # "Emotional neglect" = a_emo_cts_1_kat,
- # "Physical abuse" = a_emo_cts_2_kat,
- # "Emotional abuse" = a_emo_cts_3_kat,
- # "Sexual abuse" = a_emo_cts_4_kat,
- # "Physical neglect" = a_emo_cts_5_kat,
- ),
- by = c(gad_cat),
- showNA = "ifany",
- funs = list("mean (SD)" = meansd),
- test = F,
- test_args = crosstable_test_args(show_method = F, plim = 3),
- percent_pattern = "{n} \n ({p_col})",
- percent_digits = 1,
- total = "row")%>%
- mutate(variable = ifelse(variable == "NA", "Missing", variable)) %>%
- as_flextable(remove_header_keys = T)
- )
- gad_pa_doc <- body_add_flextable(gad_pa_doc, value = gad_ct)
- print(gad_pa_doc, target = here("results/gad_pa_table.docx"))
- # panic comparison
- (pa_ct <- df_ct %>%
- arrange(panic_cat) %>%
- crosstable(
- cols = c(
- "Number of Participants" = n,
- "Sex" = sex,
- "Age" = age,
- " " = age_group,
- "GAD-7" = gad,
- "GAD-7 ≥ 10" = gad_cat,
- "Lifetime Panic Attacks" = panic_cat,
- "Lifetime Cigarettes" = rauch_life,
- "Depressive Symptoms (PHQ-9)" = phq,
- "Stress" = phq_stress,
- "Childhood Trauma Sum Score (CT-S)" = trauma,
- # "Emotional neglect" = a_emo_cts_1_kat,
- # "Physical abuse" = a_emo_cts_2_kat,
- # "Emotional abuse" = a_emo_cts_3_kat,
- # "Sexual abuse" = a_emo_cts_4_kat,
- # "Physical neglect" = a_emo_cts_5_kat,
- ),
- by = c(panic_cat),
- showNA = "ifany",
- funs = list("mean (SD)" = meansd),
- test = F,
- test_args = crosstable_test_args(show_method = F, plim = 3),
- percent_pattern = "{n} \n ({p_col})",
- percent_digits = 1,
- total = "row")%>%
- mutate(variable = ifelse(variable == "NA", "Missing", variable)) %>%
- as_flextable(remove_header_keys = T)
- )
- gad_pa_doc <- body_add_flextable(gad_pa_doc, value = pa_ct)
- print(gad_pa_doc, target = here("results/gad_pa_table.docx"))
- # Calculate summary statistics
- summary_table <- df_clean %>%
- group_by(sex, age_group) %>%
- summarise(
- Age = mean(age, na.rm = TRUE),
- GAD_Mean = mean(gad, na.rm = TRUE),
- Panic_Attacks_Percent = mean(panic_cat, na.rm = TRUE) * 100,
- .groups = 'drop'
- ) %>%
- ungroup() %>%
- mutate(age_group = factor(age_group, levels = c("<40 years", "40-60 years", ">60 years"))) %>%
- pivot_wider(names_from = age_group, values_from = c(Age, GAD_Mean, Panic_Attacks_Percent)) %>%
- adorn_totals("row") %>%
- adorn_totals("col", name = "Complete Sample")
- # Print the summary table
- print(summary_table)
- #### simpsons paradox? ####
- #ma_n_l_morbfron_vo
- df_plot <- df_cleaned_gad %>% mutate(across(everything(), as.numeric)) %>%
- select(-phq,
- -phq_cat,
- -phq_stress,
- -trauma,
- -rauch_life,
- -age,
- -site,
- -ID,
- -tiv) %>%
- mutate(gad_cat = gad_cat - 1) %>%
- identity()
- p <- ggplot(df_plot %>% mutate(female_sex = as.factor(female_sex)), aes(x = ma_n_l_morbfron_vo, y = gad_cat,
- fill = female_sex, color = female_sex)) +
- geom_jitter(height = 0.1, alpha=.3, size = .3) +
- geom_smooth(method = "lm") +
- geom_smooth(method = "lm", aes(group = 1, color = "all", fill = "all")) +
- theme_bw() +
- scale_fill_discrete(name = "Sex", labels = c("male", "female", "all")) +
- scale_color_discrete(name = "Sex", labels = c("male", "female", "all")) +
- labs(x = "Gray matter volume of the left medial orbitofrontal cortex", y = "GAD-7 (cat, jittered)")+
- NULL
- p
- ggsave(here("plots/simpsons_paradoxon.png"), p)
- gad_fem <- df_plot$gad_cat[df$female_sex == 1]
- vol_fem <- df_plot$ma_n_ldmn_a_pfcd1[df$female_sex == 1]
- cor(gad_fem, vol_fem, use = "complete.obs")
- gad_mal <- df_plot$gad_cat[df$female_sex == 0]
- vol_mal <- df_plot$ma_n_ldmn_a_pfcd1[df$female_sex == 0]
- cor(gad_mal, vol_mal, use = "complete.obs")
- cor(df_plot$gad_cat, df_plot$ma_n_ldmn_a_pfcd1, use = "complete.obs")
- #ma_n_r_insula_vo
- gad_cor_female %>% filter(variable == "ma_n_ldmn_a_pfcd1")
- cor_mat = matrix(c(1, -0.3, -0.3, 1), nrow = 2)
- outcome <- as.data.frame(MASS::mvrnorm(100, mu = c("a" = 0, "b" =1),
- Sigma = cor_mat))
- outcome$gender <- "female"
- outcome_2 <- as.data.frame(MASS::mvrnorm(100, mu = c("a" = 2, "b" =3),
- Sigma = cor_mat))
- outcome_2$gender <- "male"
- df <- rbind(outcome, outcome_2)
- library(tidyverse)
- df %>% ggplot(aes(x = a, y = b, color = gender)) + geom_point()+geom_smooth(method = "lm") +
- geom_smooth(method = "lm", aes(group = 1, color = "Total"))
correlations_and_descriptives.R, no license · at the source
Overview
and 13 other authors
Thoralf Niendorf33, Michael F Leitzmann34, Patricia Bohmann34,35, Kerstin Wirkner36, Lilian Krist21, Yanding Wang16,37, Klaus Berger38, Sebastian Walther1, Hans J Grabe4,39, Jürgen Deckert1,22, Svenja Caspers9,10, Grit Hein1, Angelika Erhardt-Lehmann1,4040 affiliations
- Department of Psychiatry, Psychosomatic and Psychotherapy, Center of Mental Health, University Hospital Würzburg, Würzburg, Germany
- Department of Psychology III, University of Würzburg, Würzburg, Germany
- Department of Psychology I, University of Würzburg, Würzburg, Germany
- Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald, Germany
- Department of Genetic Epidemiology in Psychiatry, Central Institute of Mental Health, University of Heidelberg, Medical Faculty Mannheim, Mannheim, Germany
- Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany
- Hector Institute for Artificial Intelligence in Psychiatry, Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany
- German Center for Mental Health (DZPG), Partner Site Mannheim, Heidelberg - Ulm, Germany
- Institute for Anatomy I, Medical Faculty & Hospital Düsseldorf, Heinrich-Heine-University, Düsseldorf, Germany
- Institute of Neuroscience and Medicine (INM-1), Research Centre Jülich, Jülich, Germany
- Leibniz Institute for Prevention Research and Epidemiology—BIPS, Bremen, Germany
- Faculty of Mathematics and Computer Science, University of Bremen, Bremen, Germany
- Department of Public Health, University of Copenhagen, Copenhagen, Denmark
- University Hospital Essen, Institute for Medical Informatics, Biometry and Epidemiology (IMIBE), Essen, Germany
- University of Applied Sciences and Arts Dortmund (FH Dortmund), Department of Computer Science, Dortmund, Germany
- Institute of Epidemiology, Helmholtz Zentrum München, German Research Center for Environmental Health (GmbH), Neuherberg, Germany
- Department of Psychiatry and Psychotherapy, LMU University Hospital, LMU Munich, Munich, Germany
- Institute of Medical Epidemiology, Biometrics and Informatics, Medical Faculty of the Martin-Luther University Halle-Wittenberg, Halle, Wittenberg, Germany
- German Center for Mental Health (DZPG), Site Halle-Jena-Magdeburg, Halle (Saale), Germany
- Center for Intervention and Research on adaptive and maladaptive brain - Circuits underlying mental health (C-I-R-C), Halle-Jena-Magdeburg, Halle (Saale), Germany
- Institute of Social Medicine, Epidemiology and Health Economics, Charité-Universitätsmedizin Berlin, Berlin, Germany
- Institute of Clinical Epidemiology and Biometry, University of Würzburg, Würzburg, Germany
- State Institute of Health I, Bavarian Health and Food Safety Authority, Erlangen, Germany
- Department for Epidemiology, Helmholtz Centre for Infection Research (HZI), Brunswick, Germany
- Department of Diagnostic and Interventional Radiology, Medical Center–University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
- Heidelberg Institute of Global Health (HIGH), Medical Faculty and University Hospital, Heidelberg University, Heidelberg, Germany
- Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Harvard University, Boston, USA
- Africa Health Research Institute (AHRI), Somkhele and Durban, Durban, South Africa
- Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany
- Max-Delbrück-Center for Molecular Medicine in the Helmholtz Association (MDC), Molecular Epidemiology Research Group, Berlin, Germany
- Max-Delbrück-Center for Molecular Medicine in the Helmholtz Association (MDC) Biobank Technology Platform, Berlin, Germany
- Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
- Berlin Ultrahigh Field Facility (B.U.F.F.), Max Delbrück Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany
- Institute for Epidemiology and Preventive Medicine, University of Regensburg, Regensburg, Germany
- Department of Neurology, medbo District Hospital and University Hospital of Regensburg, Regensburg, Germany
- Leipzig Research Centre for Civilization Diseases, Leipzig University, Leipzig, Germany
- Institute for Medical Information Processing, Biometry, and Epidemiology (IBE), Faculty of Medicine, LMU Munich, Pettenkofer School of Public Health, Munich, Germany
- Institute of Epidemiology and Social Medicine, University of Münster, Münster, Germany
- German Centre for Neurodegenerative Diseases (DZNE), Site Rostock/Greifswald, Greifswald, Germany
- Max Planck Institute of Psychiatry, Munich, Germany
Abstract
Anxiety disorders are common and impairing mental health conditions. Using data from 26,378 adults in the German National Cohort Study (NAKO), we investigated psychosocial and neuroimaging predictors of generalized anxiety disorder (GAD) symptoms and panic attacks. We conducted machine-learning analyses of 246 regions of interest from whole-brain imaging data in combination with psychosocial variables. Neuroimaging data alone showed suboptimal classification performance, whereas psychosocial variables alone - particularly depressive symptoms, stress, and childhood trauma - achieved the strongest discrimination for GAD symptoms and panic attacks. Adding neuroimaging features to psychosocial models modestly improved unbalanced accuracy and specificity by reducing false-positive classifications, indicating a conditional and complementary contribution of neuroanatomical information. Within the multivariate models, features from anxiety-related circuits, including the amygdala and superior parietal lobule, were consistently selected. Overall, these findings suggest that psychosocial factors dominate classification of anxiety outcomes, while structural MRI measures may provide complementary information within multimodal frameworks aimed at refining classification and supporting the development of individualized risk profiles to guide tailored therapeutic and preventive strategies.
Reproduced under the paper's license (CC BY), from the paper cited above.
Repository
Its files are read in the Code ↔ Paper reader above, with 3 matches between paragraphs and lines of code.
OSF wt9yf
Availability: 1 check, the latest on 28 September 2026: the link answers (HTTP 200)
- 28 September 2026: the link answers (HTTP 200)
7 files
- check_models.R, R, 476 lines
- correlations_and_descrip
tives.R , R, 688 lines, 2 matches - helper_functions.R, R, 787 lines
- neuro.R, R, 451 lines, 1 match
- neuro_psycho.R, R, 397 lines
- psycho.R, R, 320 lines
- readme.md, Text, 32 lines
Code availability
Analysis code is available at https://
Reproduced under the paper's license (CC BY), from the paper cited above.
Tracing map
Proposed by the machine: these links were found in the paper and verified at the source, without human review. The map will receive a Zenodo DOI once one of the paper's authors has validated it with their ORCID.
What the map holds:
- 1 repository of the authors' code, each at its verified commit, with its license and how the link was found in the paper;
- 6 scripts, each with its path and the digest of its content;
- 3 matches between paragraphs of the paper and lines of the code (method lexical-v1);
- neither the text of the paper nor the code itself.
Its JSON (tracing-map.json) is deposited on Zenodo with its DOI once the map is validated.
Data
No dataset and no data link were found in the paper.
Data availability
The data that support the findings of this study are part of the German National Cohort (NAKO Gesundheitsstudie). NAKO data are subject to the EU / EEA General Data Protection Regulation and to the NAKO Terms of Use. They can therefore not be deposited in a public repository. Qualified researchers affiliated to EU or EEA institutions may apply for access through the NAKO TransferHub (https://
Reproduced under the paper's license (CC BY), from the paper cited above.
Versions
The history of this record: each version stored by the harvester or made by a correction of its authors or of the maintainers of its code, and what changed in its facts. The texts of the paper (its abstract, its availability statements) are not part of it; versions that changed only those are not listed.
Version 2, 28 September 2026
- Funding: added Bundesministerium für Bildung und Forschung: 01ER1511D, 01ER2301A, 01ER2301 A/B/C, 01ER1301A / B / C, 01ER1801A/B/C/D, 01ER1301A, 01ER1801A, 01EE2303E; Siemens Healthineers; Servier; Neuraxpharm; Hector Stiftung; Hector Stiftung II; Leibniz-Gemeinschaft; Cilag
Version 1, 28 September 2026: the first record
Recorded: type, language, journal, volume, issue, pages, dates, 33 authors, 3 keywords, 16 MeSH terms, 86 references.
Cite
This paper
Gutzeit, J., Weiß, M., Kuhn, T., Klinger-König, J., Streit, F., Jockwitz, C., Brandes, B., Wright, M. N., Friedrich, C. M., Woeckel, M., Mikolajczyk, R., Keil, T., Castell, S., Betker, P., Schlett, C. L., Bärnighausen, T. W., Bamberg, F., Günther, M., Hirsch, J. G., . . . Erhardt-Lehmann, A. (2026). Multimodal phenotypic classification of generalized anxiety and panic using structural MRI data and psychosocial factors: machine learning results from the German National Cohort (NAKO) study. Translational psychiatry, 16(1), 287. https://
BibTeX
@article{gutzeit2026mult
author = {Gutzeit, Julian and Weiß, Martin and Kuhn, Tierney and Klinger-König, Johanna and Streit, Fabian and Jockwitz, Christiane and Brandes, Berit and Wright, Marvin N and Friedrich, Christoph M and Woeckel, Margarethe and Mikolajczyk, Rafael and Keil, Thomas and Castell, Stefanie and Betker, Philine and Schlett, Christopher L and Bärnighausen, Till W and Bamberg, Fabian and Günther, Matthias and Hirsch, Jochen G and Pischon, Tobias and Niendorf, Thoralf and Leitzmann, Michael F and Bohmann, Patricia and Wirkner, Kerstin and Krist, Lilian and Wang, Yanding and Berger, Klaus and Walther, Sebastian and Grabe, Hans J and Deckert, Jürgen and Caspers, Svenja and Hein, Grit and Erhardt-Lehmann, Angelika},
title = {{Multimodal phenotypic classification of generalized anxiety and panic using structural MRI data and psychosocial factors: machine learning results from the German National Cohort (NAKO) study}},
journal = {Translational psychiatry},
year = {2026},
month = may,
volume = {16},
number = {1},
pages = {287},
publisher = {Nature Publishing Group},
issn = {2158-3188},
doi = {10.1038/
url = {https://
pmid = {42209472},
pmcid = {PMC13219414}
}
RIS
TY - JOUR
AU - Gutzeit, Julian
AU - Weiß, Martin
AU - Kuhn, Tierney
AU - Klinger-König, Johanna
AU - Streit, Fabian
AU - Jockwitz, Christiane
AU - Brandes, Berit
AU - Wright, Marvin N
AU - Friedrich, Christoph M
AU - Woeckel, Margarethe
AU - Mikolajczyk, Rafael
AU - Keil, Thomas
AU - Castell, Stefanie
AU - Betker, Philine
AU - Schlett, Christopher L
AU - Bärnighausen, Till W
AU - Bamberg, Fabian
AU - Günther, Matthias
AU - Hirsch, Jochen G
AU - Pischon, Tobias
AU - Niendorf, Thoralf
AU - Leitzmann, Michael F
AU - Bohmann, Patricia
AU - Wirkner, Kerstin
AU - Krist, Lilian
AU - Wang, Yanding
AU - Berger, Klaus
AU - Walther, Sebastian
AU - Grabe, Hans J
AU - Deckert, Jürgen
AU - Caspers, Svenja
AU - Hein, Grit
AU - Erhardt-Lehmann, Angelika
TI - Multimodal phenotypic classification of generalized anxiety and panic using structural MRI data and psychosocial factors: machine learning results from the German National Cohort (NAKO) study
T2 - Translational psychiatry
J2 - Transl Psychiatry
PY - 2026
DA - 2026/
VL - 16
IS - 1
SP - 287
SN - 2158-3188
PB - Nature Publishing Group
DO - 10.1038/
UR - https://
LA - en
ER -
CSL-JSON
{
"id": "10.1038/
"type": "article-journal",
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"container-title": "Translational psychiatry",
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}
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