Interrelationship between the general characteristics of Korean stroke patients and the variables of the sexual functions: random forest and boosting algorithm
[Purpose] The purpose of this study is to examine patient preferences for counseling related to sexuality post-stroke in Korea. [Subjects and Methods] A survey was conducted on 200 stroke patients. Among the 200 submitted questionnaires, 156 responded but 147 cases are available. The questionnaire i...
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          | Published in | Journal of Physical Therapy Science Vol. 29; no. 4; pp. 613 - 617 | 
|---|---|
| Main Authors | , , | 
| Format | Journal Article | 
| Language | English | 
| Published | 
        Japan
          The Society of Physical Therapy Science
    
        2017
     | 
| Subjects | |
| Online Access | Get full text | 
| ISSN | 0915-5287 2187-5626 2187-5626  | 
| DOI | 10.1589/jpts.29.613 | 
Cover
| Abstract | [Purpose] The purpose of this study is to examine patient preferences for counseling related to sexuality post-stroke in Korea. [Subjects and Methods] A survey was conducted on 200 stroke patients. Among the 200 submitted questionnaires, 156 responded but 147 cases are available. The questionnaire is composed of 27 questions such as 8 independent variables related to the general characteristics of the patients, 7 dependent variables in conjunction with sexual intercourse and changed muscle tone, 6 questions regarding to changed sexual function, and 6 questions about a changed motor and a sensory function after stroke. To analyze the factors related to a sexual function after a stroke, we used the random forest, boosting algorithm and MANOVA. [Results] The most important variable in variable group 1 is VAR1, and then VAR22, VAR23, VAR26, VAR27, VAR25, VAR21 and VAR 24 respectively. The most important variable in variable group 2 is VAR22, and then VAR26, VAR23, VAR25, VAR1, VAR27, VAR21 and VAR 24. Finally, for variable group 3, VAR1 has the most important percentage, and we have the order as VAR26, VAR23, VAR27, VAR22, VAR25, VAR21 and VAR 24 among the rest of variables. The result of variable importance in boosting algorithm is somehow the same as that of random forest. [Conclusion] As a result of our analysis, we figured out that duration of illness, age, and education level are important factors of sexual functions for Korean Stroke patients. | 
    
|---|---|
| AbstractList | [Abstract.] [Purpose] The purpose of this study is to examine patient preferences for counseling related to sexuality post-stroke in Korea. [Subjects and Methods] A survey was conducted on 200 stroke patients. Among the 200 submitted questionnaires, 156 responded but 147 cases are available. The questionnaire is composed of 27 questions such as 8 independent variables related to the general characteristics of the patients, 7 dependent variables in conjunction with sexual intercourse and changed muscle tone, 6 questions regarding to changed sexual function, and 6 questions about a changed motor and a sensory function after stroke. To analyze the factors related to a sexual function after a stroke, we used the random forest, boosting algorithm and MANOVA. [Results] The most important variable in variable group 1 is VAR1, and then VAR22, VAR23, VAR26, VAR27, VAR25, VAR21 and VAR 24 respectively. The most important variable in variable group 2 is VAR22, and then VAR26, VAR23, VAR25, VAR1, VAR27, VAR21 and VAR 24. Finally, for variable group 3, VAR1 has the most important percentage, and we have the order as VAR26, VAR23, VAR27, VAR22, VAR25, VAR21 and VAR 24 among the rest of variables. The result of variable importance in boosting algorithm is somehow the same as that of random forest. [Conclusion] As a result of our analysis, we figured out that duration of illness, age, and education level are important factors of sexual functions for Korean Stroke patients. [Purpose] The purpose of this study is to examine patient preferences for counseling related to sexuality post-stroke in Korea. [Subjects and Methods] A survey was conducted on 200 stroke patients. Among the 200 submitted questionnaires, 156 responded but 147 cases are available. The questionnaire is composed of 27 questions such as 8 independent variables related to the general characteristics of the patients, 7 dependent variables in conjunction with sexual intercourse and changed muscle tone, 6 questions regarding to changed sexual function, and 6 questions about a changed motor and a sensory function after stroke. To analyze the factors related to a sexual function after a stroke, we used the random forest, boosting algorithm and MANOVA. [Results] The most important variable in variable group 1 is VAR1, and then VAR22, VAR23, VAR26, VAR27, VAR25, VAR21 and VAR 24 respectively. The most important variable in variable group 2 is VAR22, and then VAR26, VAR23, VAR25, VAR1, VAR27, VAR21 and VAR 24. Finally, for variable group 3, VAR1 has the most important percentage, and we have the order as VAR26, VAR23, VAR27, VAR22, VAR25, VAR21 and VAR 24 among the rest of variables. The result of variable importance in boosting algorithm is somehow the same as that of random forest. [Conclusion] As a result of our analysis, we figured out that duration of illness, age, and education level are important factors of sexual functions for Korean Stroke patients. [Purpose] The purpose of this study is to examine patient preferences for counseling related to sexuality post-stroke in Korea. [Subjects and Methods] A survey was conducted on 200 stroke patients. Among the 200 submitted questionnaires, 156 responded but 147 cases are available. The questionnaire is composed of 27 questions such as 8 independent variables related to the general characteristics of the patients, 7 dependent variables in conjunction with sexual intercourse and changed muscle tone, 6 questions regarding to changed sexual function, and 6 questions about a changed motor and a sensory function after stroke. To analyze the factors related to a sexual function after a stroke, we used the random forest, boosting algorithm and MANOVA. [Results] The most important variable in variable group 1 is VAR1, and then VAR22, VAR23, VAR26, VAR27, VAR25, VAR21 and VAR 24 respectively. The most important variable in variable group 2 is VAR22, and then VAR26, VAR23, VAR25, VAR1, VAR27, VAR21 and VAR 24. Finally, for variable group 3, VAR1 has the most important percentage, and we have the order as VAR26, VAR23, VAR27, VAR22, VAR25, VAR21 and VAR 24 among the rest of variables. The result of variable importance in boosting algorithm is somehow the same as that of random forest. [Conclusion] As a result of our analysis, we figured out that duration of illness, age, and education level are important factors of sexual functions for Korean Stroke patients.[Purpose] The purpose of this study is to examine patient preferences for counseling related to sexuality post-stroke in Korea. [Subjects and Methods] A survey was conducted on 200 stroke patients. Among the 200 submitted questionnaires, 156 responded but 147 cases are available. The questionnaire is composed of 27 questions such as 8 independent variables related to the general characteristics of the patients, 7 dependent variables in conjunction with sexual intercourse and changed muscle tone, 6 questions regarding to changed sexual function, and 6 questions about a changed motor and a sensory function after stroke. To analyze the factors related to a sexual function after a stroke, we used the random forest, boosting algorithm and MANOVA. [Results] The most important variable in variable group 1 is VAR1, and then VAR22, VAR23, VAR26, VAR27, VAR25, VAR21 and VAR 24 respectively. The most important variable in variable group 2 is VAR22, and then VAR26, VAR23, VAR25, VAR1, VAR27, VAR21 and VAR 24. Finally, for variable group 3, VAR1 has the most important percentage, and we have the order as VAR26, VAR23, VAR27, VAR22, VAR25, VAR21 and VAR 24 among the rest of variables. The result of variable importance in boosting algorithm is somehow the same as that of random forest. [Conclusion] As a result of our analysis, we figured out that duration of illness, age, and education level are important factors of sexual functions for Korean Stroke patients. [Purpose] The purpose of this study is to examine patient preferences for counseling related to sexuality post-stroke in Korea. [Subjects and Methods] A survey was conducted on 200 stroke patients. Among the 200 submitted questionnaires, 156 responded but 147 cases are available. The questionnaire is composed of 27 questions such as 8 independent variables related to the general characteristics of the patients, 7 dependent variables in conjunction with sexual intercourse and changed muscle tone, 6 questions regarding to changed sexual function, and 6 questions about a changed motor and a sensory function after stroke. To analyze the factors related to a sexual function after a stroke, we used the random forest, boosting algorithm and MANOVA. [Results] The most important variable in variable group 1 is VAR1, and then VAR22, VAR23, VAR26, VAR27, VAR25, VAR21 and VAR 24 respectively. The most important variable in variable group 2 is VAR22, and then VAR26, VAR23, VAR25, VAR1, VAR27, VAR21 and VAR 24. Finally, for variable group 3, VAR1 has the most important percentage, and we have the order as VAR26, VAR23, VAR27, VAR22, VAR25, VAR21 and VAR 24 among the rest of variables. The result of variable importance in boosting algorithm is somehow the same as that of random forest. [Conclusion] As a result of our analysis, we figured out that duration of illness, age, and education level are important factors of sexual functions for Korean Stroke patients.  | 
    
| Author | Zarayeneh, Neda Yoon, Jung-Gyu Suh, Sang C.  | 
    
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| References | 13) Kim JH: [Relationship among sexual knowledge, frequency, satisfaction, marital intimacy and levels of depression in stroke survivors and their spouses]. Taehan Kanho Hakhoe Chi, 2008, 38: 483–491. 15) Segal M, Xiao Y: Multivariate random forests. Wiley Interdiscip Rev Data Min Knowl Discov, 2011, 1: 80–87. 6) Jung JH, Kam SC, Choi SM, et al.: Sexual dysfunction in male stroke patients: correlation between brain lesions and sexual function. Urology, 2008, 71: 99–103. 12) Forsberg-Wärleby G, Möller A, Blomstrand C: Life satisfaction in spouses of patients with stroke during the first year after stroke. J Rehabil Med, 2004, 36: 4–11. 19) Ganesh S: Multivariate linear regression, 3rd ed. Palmerston North: International Encyclopedia of Education, 2010, pp 324–331. 8) Robinson-Smith G, Johnston MV, Allen J: Self-care self-efficacy, quality of life, and depression after stroke. Arch Phys Med Rehabil, 2000, 81: 460–464. 16) Ryff CD, Keyes CL: The structure of psychological well-being revisited. J Pers Soc Psychol, 1995, 69: 719–727. 18) Jo HH, Jung IC, Kim HY, et al.: Evaluation of sexual function and problem in Korean women using BISF‐W questionnaire. Korean J Obstet Gynecol, 2002, 45: 2158–2166. 4) Bugnicourt JM, Hamy O, Canaple S, et al.: Impaired sexual activity in young ischaemic stroke patients: an observational study. Eur J Neurol, 2014, 21: 140–146. 1) Calabrò RS, Bramanti P: Post-stroke sexual dysfunction: an overlooked and under-addressed problem. Disabil Rehabil, 2014, 36: 263–264. 21) Bener A, Al-Hamaq AO, Kamran S, et al.: Prevalence of erectile dysfunction in male stroke patients, and associated co-morbidities and risk factors. Int Urol Nephrol, 2008, 40: 701–708. 3) Calabrò RS, Gervasi G, Bramanti P: Male sexual disorders following stroke: an overview. Int J Neurosci, 2011, 121: 598–604. 7) Pistoia F, Govoni S, Boselli C: Sex after stroke: a CNS only dysfunction? Pharmacol Res, 2006, 54: 11–18. 11) Wade DT, Legh-Smith J, Hewer RL: Effects of living with and looking after survivors of a stroke. Br Med J (Clin Res Ed), 1986, 293: 418–420. 14) Giaquinto S, Buzzelli S, Di Francesco L, et al.: Evaluation of sexual changes after stroke. J Clin Psychiatry, 2003, 64: 302–307. 5) Korpelainen JT, Nieminen P, Myllylä VV: Sexual functioning among stroke patients and their spouses. Stroke, 1999, 30: 715–719. 17) Mazer NA, Leiblum SR, Rosen RC: The brief index of sexual functioning for women (BISF-W): a new scoring algorithm and comparison of normative and surgically menopausal populations. Menopause, 2000, 7: 350–363. 9) Choi-Kwon S, Kim JS: Poststroke emotional incontinence and decreased sexual activity. Cerebrovasc Dis, 2002, 13: 31–37. 20) Seymour LM, Wolf TJ: Participation changes in sexual functioning after mild stroke. OTJR (Thorofare, NJ), 2014, 34: 72–80. 2) Stein J, Hillinger M, Clancy C, et al.: Sexuality after stroke: patient counseling preferences. Disabil Rehabil, 2013, 35: 1842–1847. 10) Owolabi MO, Ogunniyi A: Profile of health-related quality of life in Nigerian stroke survivors. Eur J Neurol, 2009, 16: 54–62. 11 12 13 14 15 16 18 19 (17) 2000; 7 1 2 3 4 5 6 7 8 9 20 10 18246439 - Int Urol Nephrol. 2008;40(3):701-8 7473027 - J Pers Soc Psychol. 1995 Oct;69(4):719-27 21790509 - Int J Neurosci. 2011 Nov;121(11):598-604 24652075 - OTJR (Thorofare N J). 2014 Spring;34(2):72-80 10993034 - Menopause. 2000 Sep-Oct;7(5):350-63 12716272 - J Clin Psychiatry. 2003 Mar;64(3):302-7 18604158 - Taehan Kanho Hakhoe Chi. 2008 Jun;38(3):483-91 23336118 - Disabil Rehabil. 2013 Oct;35(21):1842-7 19087151 - Eur J Neurol. 2009 Jan;16(1):54-62 11810008 - Cerebrovasc Dis. 2002;13(1):31-7 10187867 - Stroke. 1999 Apr;30(4):715-9 18242374 - Urology. 2008 Jan;71(1):99-103 23639044 - Disabil Rehabil. 2014;36(3):263-4 10768536 - Arch Phys Med Rehabil. 2000 Apr;81(4):460-4 3091140 - Br Med J (Clin Res Ed). 1986 Aug 16;293(6544):418-20 15074432 - J Rehabil Med. 2004 Jan;36(1):4-11 16513364 - Pharmacol Res. 2006 Jul;54(1):11-8 24118277 - Eur J Neurol. 2014;21(1):140-6  | 
    
| References_xml | – reference: 1) Calabrò RS, Bramanti P: Post-stroke sexual dysfunction: an overlooked and under-addressed problem. Disabil Rehabil, 2014, 36: 263–264. – reference: 17) Mazer NA, Leiblum SR, Rosen RC: The brief index of sexual functioning for women (BISF-W): a new scoring algorithm and comparison of normative and surgically menopausal populations. Menopause, 2000, 7: 350–363. – reference: 14) Giaquinto S, Buzzelli S, Di Francesco L, et al.: Evaluation of sexual changes after stroke. J Clin Psychiatry, 2003, 64: 302–307. – reference: 7) Pistoia F, Govoni S, Boselli C: Sex after stroke: a CNS only dysfunction? Pharmacol Res, 2006, 54: 11–18. – reference: 3) Calabrò RS, Gervasi G, Bramanti P: Male sexual disorders following stroke: an overview. Int J Neurosci, 2011, 121: 598–604. – reference: 8) Robinson-Smith G, Johnston MV, Allen J: Self-care self-efficacy, quality of life, and depression after stroke. Arch Phys Med Rehabil, 2000, 81: 460–464. – reference: 4) Bugnicourt JM, Hamy O, Canaple S, et al.: Impaired sexual activity in young ischaemic stroke patients: an observational study. Eur J Neurol, 2014, 21: 140–146. – reference: 10) Owolabi MO, Ogunniyi A: Profile of health-related quality of life in Nigerian stroke survivors. Eur J Neurol, 2009, 16: 54–62. – reference: 13) Kim JH: [Relationship among sexual knowledge, frequency, satisfaction, marital intimacy and levels of depression in stroke survivors and their spouses]. Taehan Kanho Hakhoe Chi, 2008, 38: 483–491. – reference: 9) Choi-Kwon S, Kim JS: Poststroke emotional incontinence and decreased sexual activity. Cerebrovasc Dis, 2002, 13: 31–37. – reference: 16) Ryff CD, Keyes CL: The structure of psychological well-being revisited. J Pers Soc Psychol, 1995, 69: 719–727. – reference: 20) Seymour LM, Wolf TJ: Participation changes in sexual functioning after mild stroke. OTJR (Thorofare, NJ), 2014, 34: 72–80. – reference: 6) Jung JH, Kam SC, Choi SM, et al.: Sexual dysfunction in male stroke patients: correlation between brain lesions and sexual function. Urology, 2008, 71: 99–103. – reference: 12) Forsberg-Wärleby G, Möller A, Blomstrand C: Life satisfaction in spouses of patients with stroke during the first year after stroke. J Rehabil Med, 2004, 36: 4–11. – reference: 11) Wade DT, Legh-Smith J, Hewer RL: Effects of living with and looking after survivors of a stroke. Br Med J (Clin Res Ed), 1986, 293: 418–420. – reference: 19) Ganesh S: Multivariate linear regression, 3rd ed. Palmerston North: International Encyclopedia of Education, 2010, pp 324–331. – reference: 21) Bener A, Al-Hamaq AO, Kamran S, et al.: Prevalence of erectile dysfunction in male stroke patients, and associated co-morbidities and risk factors. Int Urol Nephrol, 2008, 40: 701–708. – reference: 2) Stein J, Hillinger M, Clancy C, et al.: Sexuality after stroke: patient counseling preferences. Disabil Rehabil, 2013, 35: 1842–1847. – reference: 15) Segal M, Xiao Y: Multivariate random forests. Wiley Interdiscip Rev Data Min Knowl Discov, 2011, 1: 80–87. – reference: 18) Jo HH, Jung IC, Kim HY, et al.: Evaluation of sexual function and problem in Korean women using BISF‐W questionnaire. Korean J Obstet Gynecol, 2002, 45: 2158–2166. – reference: 5) Korpelainen JT, Nieminen P, Myllylä VV: Sexual functioning among stroke patients and their spouses. Stroke, 1999, 30: 715–719. – ident: 16 doi: 10.1037/0022-3514.69.4.719 – ident: 5 doi: 10.1161/01.STR.30.4.715 – ident: 6 doi: 10.1016/j.urology.2007.08.045 – ident: 9 doi: 10.1159/000047743 – ident: 12 doi: 10.1080/16501970310015191 – ident: 19 doi: 10.3928/15394492-20131217-01 – ident: 20 doi: 10.1007/s11255-008-9334-y – ident: 3 doi: 10.3109/00207454.2011.600647 – ident: 8 doi: 10.1053/mr.2000.3863 – ident: 11 doi: 10.1136/bmj.293.6544.418 – ident: 4 doi: 10.1111/ene.12277 – volume: 7 start-page: 350 issn: 1072-3714 year: 2000 ident: 17 publication-title: Menopause doi: 10.1097/00042192-200007050-00009 – ident: 15 doi: 10.1002/widm.12 – ident: 14 doi: 10.4088/JCP.v64n0312 – ident: 1 doi: 10.3109/09638288.2013.785603 – ident: 10 doi: 10.1111/j.1468-1331.2008.02339.x – ident: 18 doi: 10.1016/B978-0-08-044894-7.01350-6 – ident: 13 doi: 10.4040/jkan.2008.38.3.483 – ident: 7 doi: 10.1016/j.phrs.2006.01.010 – ident: 2 doi: 10.3109/09638288.2012.754953 – reference: 10993034 - Menopause. 2000 Sep-Oct;7(5):350-63 – reference: 18242374 - Urology. 2008 Jan;71(1):99-103 – reference: 23639044 - Disabil Rehabil. 2014;36(3):263-4 – reference: 11810008 - Cerebrovasc Dis. 2002;13(1):31-7 – reference: 7473027 - J Pers Soc Psychol. 1995 Oct;69(4):719-27 – reference: 24652075 - OTJR (Thorofare N J). 2014 Spring;34(2):72-80 – reference: 21790509 - Int J Neurosci. 2011 Nov;121(11):598-604 – reference: 12716272 - J Clin Psychiatry. 2003 Mar;64(3):302-7 – reference: 24118277 - Eur J Neurol. 2014;21(1):140-6 – reference: 10768536 - Arch Phys Med Rehabil. 2000 Apr;81(4):460-4 – reference: 18604158 - Taehan Kanho Hakhoe Chi. 2008 Jun;38(3):483-91 – reference: 16513364 - Pharmacol Res. 2006 Jul;54(1):11-8 – reference: 18246439 - Int Urol Nephrol. 2008;40(3):701-8 – reference: 23336118 - Disabil Rehabil. 2013 Oct;35(21):1842-7 – reference: 15074432 - J Rehabil Med. 2004 Jan;36(1):4-11 – reference: 10187867 - Stroke. 1999 Apr;30(4):715-9 – reference: 3091140 - Br Med J (Clin Res Ed). 1986 Aug 16;293(6544):418-20 – reference: 19087151 - Eur J Neurol. 2009 Jan;16(1):54-62  | 
    
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| SubjectTerms | Korean stroke patients Original Sexual functions Survey  | 
    
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| Title | Interrelationship between the general characteristics of Korean stroke patients and the variables of the sexual functions: random forest and boosting algorithm | 
    
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| ispartofPNX | Journal of Physical Therapy Science, 2017, Vol.29(4), pp.613-617 | 
    
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