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BackgroundAccording to current classification systems, patients with major depressive disorder (MDD) may have very different combinations of symptoms. This symptomatic diversity hinders the progress of research into the causal mechanisms and treatment allocation. Theoretically founded subtypes of depression such as atypical, psychotic, and melancholic depression have limited clinical applicability. Data-driven analyses of symptom dimensions or subtypes of depression are scarce. In this systematic review, we examine the evidence for the existence of data-driven symptomatic subtypes of depression.MethodsWe undertook a systematic literature search of MEDLINE, PsycINFO and Embase in May 2012. We included studies analyzing the depression criteria of the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) of adults with MDD in latent variable analyses.ResultsIn total, 1176 articles were retrieved, of which 20 satisfied the inclusion criteria. These reports described a total of 34 latent variable analyses: 6 confirmatory factor analyses, 6 exploratory factor analyses, 12 principal component analyses, and 10 latent class analyses. The latent class techniques distinguished 2 to 5 classes, which mainly reflected subgroups with different overall severity: 62 of 71 significant differences on symptom level were congruent with a latent class solution reflecting severity. The latent class techniques did not consistently identify specific symptom clusters. Latent factor techniques mostly found a factor explaining the variance in the symptoms depressed mood and interest loss (11 of 13 analyses), often complemented by psychomotor retardation or fatigue (8 of 11 analyses). However, differences in found factors and classes were substantial.ConclusionsThe studies performed to date do not provide conclusive evidence for the existence of depressive symptom dimensions or symptomatic subtypes. The wide diversity of identified factors and classes might result either from the absence of patterns to be found, or from the theoretical and modeling choices preceding analysis.

In this article, we introduce the concept of model uncertainty. We review the frequentist and Bayesian ideas underlying model selection, which serve as an introduction to the rest of this special issue on ‘All models are wrong...’, a workshop under the same name was held in March 2011 in Groningen to critically examined the field of statistical model selection methods over the past 40 years. We briefly introduce the philosophical debate that is concerned with model selection. We present the results of a questionnaire that was distributed under the participants of the workshop, showing that the field has not yet reached a comforting consensus and is still in full swing.

One of Ian Hacking's earliest publications, this book showcases his early ideas on the central concepts and questions surrounding statistical reasoning. He explores the basic principles of statistical reasoning and tests them, both at a philosophical level and in terms of their practical consequences for statisticians. Presented in a fresh twenty-first-century series livery, and including a specially commissioned preface written by Jan-Willem Romeijn, illuminating its enduring importance and relevance to philosophical enquiry, Hacking's influential and original work has been revived for a new generation of readers.

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