A bagging ensemble machine learning method for imbalanced data to predict anxiety disorders and analyze risk factors in older people: An observational study

Jinling Wang , Michaela Black , Debbie Rankin , Jonathan Wallace , Catherine F. Hughes , Leane Hoey , Adrian Moore , Joshua Tobin , Mimi Zhang , James Ng , Geraldine Horigan , Paul Carlin , Kevin McCarroll , Conal Cunningham , Helene McNulty , Anne M. Molloy

Artificial Intelligence in Health ›› 2026, Vol. 3 ›› Issue (1) : 116 -137.

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Artificial Intelligence in Health ›› 2026, Vol. 3 ›› Issue (1) :116 -137. DOI: 10.36922/AIH025070009
ORIGINAL RESEARCH ARTICLE
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A bagging ensemble machine learning method for imbalanced data to predict anxiety disorders and analyze risk factors in older people: An observational study

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Abstract

Anxiety disorders (ADs) rank among the most prevalent mental health problems, especially in older people. The high risk and prevalence of ADs underscore the need for effective mental health care. Artificial intelligence has gained popularity in the diagnosis and prediction of medical conditions and diseases, including mental health problems. In this study, we developed an adapted bagging ensemble machine learning system that can be used for the diagnosis and prediction of ADs and can address the challenges posed by extremely imbalanced data from the Trinity-Ulster-Department of Agriculture study. Statistical techniques were used to identify the risk factors for ADs. Feature selection and feature engineering were conducted based on the analysis of biomarker risk factors. Five machine learning methods have been used in the developed system to build weak learner submodels, yielding promising prediction results. Some risk factors were identified. These findings will benefit the early prediction of ADs in our future studies.

Keywords

Anxiety disorder / Bagging ensemble machine learning / Risk factor analysis / Diagnosis / Imbalanced data / Aging

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Jinling Wang, Michaela Black, Debbie Rankin, Jonathan Wallace, Catherine F. Hughes, Leane Hoey, Adrian Moore, Joshua Tobin, Mimi Zhang, James Ng, Geraldine Horigan, Paul Carlin, Kevin McCarroll, Conal Cunningham, Helene McNulty, Anne M. Molloy. A bagging ensemble machine learning method for imbalanced data to predict anxiety disorders and analyze risk factors in older people: An observational study. Artificial Intelligence in Health, 2026, 3(1): 116-137 DOI:10.36922/AIH025070009

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Funding

The TUDA study was supported by government funding from the Irish Department of Agriculture, Food and the Marine, and Health Research Board (under the Food Institutional Research Measure), as well as from the Northern Ireland Department for Employment and Learning (under its Strengthening the All-Island Research Base Initiative). The AIM4HEALTH project gratefully acknowledges the support of the higher education authority, Department of Further and Higher Education, Research, Innovation and Science, and the Shared Island Fund, and the SFI grant 21/RC/10295_P2.

Conflict of interest

The authors declare they have no competing interests.

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