Validity of Diagnostic Support Model for Attention Deficit Hyperactivity Disorder: A Machine Learning Approach

J Pers Med. 2023 Oct 24;13(11):1525. doi: 10.3390/jpm13111525.

Abstract

An accurate and early diagnosis of attention deficit hyperactivity disorder can improve health outcomes and prevent unnecessary medical expenses. This study developed a diagnostic support model using a machine learning approach to effectively screen individuals for attention deficit hyperactivity disorder. Three models were developed: a logistic regression model, a classification and regression tree (CART), and a neural network. The models were assessed by using a receiver operating characteristic analysis. In total, 74 participants were enrolled into the disorder group, while 21 participants were enrolled in the control group. The sensitivity and specificity of each model, indicating the rate of true positive and true negative results, respectively, were assessed. The CART model demonstrated a superior performance compared to the other two models, with region values of receiver operating characteristic analyses in the following order: CART (0.848) > logistic regression model (0.826) > neural network (0.67). The sensitivity and specificity of the CART model were 78.8% and 50%, respectively. This model can be applied to other neuroscience research fields, including the diagnoses of autism spectrum disorder, Tourette syndrome, and dementia. This will enhance the effect and practical value of our research.

Keywords: attention deficit hyperactivity disorder; clinical diagnosis support; machine learning; receiver operating characteristic curve.

Grants and funding

This study was funded in part by a grant from both the National Taipei University of Nursing and Health Sciences, Taipei, Taiwan (104ntunhs-TR-01) and the National Science Council of Taiwan (NSC 101-2410-H-227-008).