Proof-of-concept of bayesian latent class modelling usefulness for assessing diagnostic tests in absence of diagnostic standards in mental health
摘要
This study aimed at demonstrating the feasibility, utility and relevance of the Bayesian Latent Class Modelling (BLCM), not assuming a gold standard, when assessing the diagnostic accuracy of the first hetero-assessment test for early detection of occupational burnout (EDTB) by healthcare professionals and the OLdenburg Burnout Inventory (OLBI). We used available data from OLBI and EDTB completed for 100 Belgian and 42 Swiss patients before and after medical consultations. We applied the Hui-Walter framework for two tests and two populations and ran models with minimally informative priors, with and without conditional dependency between diagnostic sensitivities and specificities. We further performed sensitivity analysis by replacing one of the minimally informative priors with the distribution beta