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Activity Number: 30
Type: Contributed
Date/Time: Sunday, August 6, 2006 : 2:00 PM to 3:50 PM
Sponsor: Section on Bayesian Statistical Science
Abstract - #306065
Title: A Bayesian Multivariate PK/PD Model for Analyzing Cortisol Circadian Rhythm in a Depression Study
Author(s): Niko Kaciroti*+ and Trivellore E. Raghunathan and Delia Vazquez
Companies: University of Michigan and University of Michigan and University of Michigan
Address: 300N Ingalls Building, Ann Arbor, MI, 48109,
Keywords: Markov chain Monte Carlo ; nonlinear hierarchical models
Abstract:

This paper presents results from a study of depression among new mothers and their infants using their cortisol circadian rhythm (CCR). We construct a multivariate Pharmacokinetic-Pharmacodynamic (PK/PD) model to jointly estimate the CCR for mother and infant as well as the strength of the interdependence between their individual CCR. A non-linear random effects model is used where each individual trajectory has its own parameters. We assume that the subject-specific parameters are normally distributed around the parameters of the overall population-average trajectory. The model is fitted using the Bayesian approach implemented through MCMC. The proposed model is implemented to asses the relationship between alteration of the mother's CCR and depression. Furthermore to assess whether infants whose CCR is strongly related to their mother's CCR are likely to show better neurodevelopment.


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