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A Machine Learning Approach for Differentiating Bipolar Disorder Type Ii and Borderline Personality Disorder Using Electroencephalography and Cognitive Abnormalities Publisher Pubmed



Nazari MJ1 ; Shalbafan M2, 3 ; Eissazade N4 ; Khalilian E5 ; Vahabi Z6 ; Masjedi N5 ; Ghidary SS1 ; Saadat M7 ; Sadeghzadeh SA8
Authors
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Authors Affiliations
  1. 1. Computer Science and Mathematics Department, Amirkabir University of Technology, Tehran, Iran
  2. 2. Department of Psychiatry, Psychosocial Health Research Institute (PHRI), Mental Health Research Center, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
  3. 3. Institute for Cognitive Sciences Studies, Brain and Cognition Clinic, Tehran, Iran
  4. 4. Student Research Committee, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Psychiatry, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Neuropsychiatry Department, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Department of Mechanical Engineering, School of Engineering, University of Birmingham, Birmingham, United Kingdom
  8. 8. Department of Computing, Staffordshire University, Stoke-on-Trent, United Kingdom

Source: PLoS ONE Published:2024


Abstract

This study addresses the challenge of differentiating between bipolar disorder II (BD II) and borderline personality disorder (BPD), which is complicated by overlapping symptoms. To overcome this, a multimodal machine learning approach was employed, incorporating both electroencephalography (EEG) patterns and cognitive abnormalities for enhanced classification. Data were collected from 45 participants, including 20 with BD II and 25 with BPD. Analysis involved utilizing EEG signals and cognitive tests, specifically the Wisconsin Card Sorting Test and Integrated Cognitive Assessment. The k-nearest neighbors (KNN) algorithm achieved a balanced accuracy of 93%, with EEG features proving to be crucial, while cognitive features had a lesser impact. Despite the strengths, such as diverse model usage, it's important to note limitations, including a small sample size and reliance on DSM diagnoses. The study suggests that future research should explore multimodal data integration and employ advanced techniques to improve classification accuracy and gain a better understanding of the neurobiological distinctions between BD II and BPD. Copyright: © 2024 Nazari et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.