Comparison of logistic regression model and classification tree: An application to postpartum depression data

In this study, it is aimed that comparing logistic regression model with classification tree method in determining social-demographic risk factors which have effected depression status of 1447 women in separate postpartum periods. In determination of risk factors, data obtained from prevalence study of postpartum depression were used. Cut-off value of postpartum depression scores that calculated was taken as 13. Social and demographic risk factors were brought up by helping of the classification tree and logistic regression model. According to optimal classification tree total of six risk factors were determined, but in logistic regression model 3 of their effect, were found significantly. In addition, during the relations among risk factors in tree structure were being evaluated, in logistic regression model corrected main effects belong to risk factors were calculated. In spite of, classification success of maximal tree was found better than both optimal tree and logistic regression model, it is seen that using this tree structure in practice is very difficult. But we say that the logistic regression model and optimal tree had the lower sensitivity, possibly due to the fact that numbers of the individuals in both two groups were not equal and clinical risk factors were not considered in this study. Classification tree method gives more information with detail on diagnosis by evaluating a lot of risk factors together than logistic regression model. But making correct selection through constructed tree structures is very important to increase the success of results and to reach information which can provide appropriate explanations. (C) 2006 Elsevier Ltd. All rights reserved.