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Mingyan Yu

Publications and source records attributed to Mingyan Yu.

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Bayesian Joint Modeling of Longitudinal Symptomatology Scale Responses and Fall Outcomes via Heterogeneous Latent Transition Analysis

The Study of Women's Health Across the Nation (SWAN) has followed women for over 30 years, from midlife premenopause until later life. The study has 16 surveys at approximately 2 years intervals that cover a wide range of physical and psychological symptoms. These multivariate categorical survey responses potentially contain rich health-related information. Temporal trajectories of the survey responses can be characterized by both the responses profiles and the evolving dynamics of the responses over time. To capture those two features and investigate how they inform subsequent health outcomes, we propose a joint multi-layer latent transition model. We combine a latent transition model that classifies individuals based on their response profiles over time with an additional layer of clustering of these latent class transition sequences, with the goal of connecting these cluster profiles with health outcomes: in this application, self-reported falls. In addition, we evaluate the operating characteristics of the method through simulation studies.

stat.AP

Joint Modeling of Multiple Longitudinal Biomarkers and Survival Outcomes via Threshold Regression: Variability as a Predictor

Longitudinal biomarker data and health outcomes are routinely collected in many studies to assess how biomarker trajectories predict health outcomes. Existing methods primarily focus on mean biomarker profiles, treating variability as a nuisance. However, excess variability may indicate system dysregulations that may be associated with poor outcomes. In this paper, we address the long-standing problem of using variability information of multiple longitudinal biomarkers in time-to-event analyses by formulating and studying a Bayesian joint model. We first model multiple longitudinal biomarkers, some of which are subject to limit-of-detection censoring. We then model the survival times by incorporating random effects and variances from the longitudinal component as predictors through threshold regression that admits non-proportional hazards. We demonstrate the operating characteristics of the proposed joint model through simulations and apply it to data from the Study of Women's Health Across the Nation (SWAN) to investigate the impact of the mean and variability of follicle-stimulating hormone (FSH) and anti-Mullerian hormone (AMH) on age at the final menstrual period (FMP).

stat.AP

A Bayesian Approach to Modeling Variance of Intensive Longitudinal Biomarker Data as a Predictor of Health Outcomes

Intensive longitudinal biomarker data are increasingly common in scientific studies that seek temporally granular understanding of the role of behavioral and physiological factors in relation to outcomes of interest. Intensive longitudinal biomarker data, such as those obtained from wearable devices, are often obtained at a high frequency typically resulting in several hundred to thousand observations per individual measured over minutes, hours, or days. Often in longitudinal studies, the primary focus is on relating the means of biomarker trajectories to an outcome, and the variances are treated as nuisance parameters, although they may also be informative for the outcomes. In this paper, we propose a Bayesian hierarchical model to jointly model a cross-sectional outcome and the intensive longitudinal biomarkers. To model the variability of biomarkers and deal with the high intensity of data, we develop subject-level cubic B-splines and allow the sharing of information across individuals for both the residual variability and the random effects variability. Then different levels of variability are extracted and incorporated into an outcome submodel for inferential and predictive purposes. We demonstrate the utility of the proposed model via an application involving bio-monitoring of hertz-level heart rate information from a study on social stress.

stat.ME