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BRIEF RESEARCH REPORT article

Front. Psychiatry

Sec. Personality Disorders

A case study on using quantile regression in psychiatry research

Provisionally accepted
  • Biostatistics, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, India

The final, formatted version of the article will be published soon.

Commonly used linear regression focuses only on the effect on the mean value of the dependent variable and may not be useful in situations where relationships across the distribution are of interest. This study aims to appraise the utility of Quantile Regression (QR), a technique that can model any quantile value of the dependent variable. The primary aim of this study is to provide an overview of QR method and its practical applications in psychiatry research. We demonstrated it with an exploratory analysis of the data on the neuropsychological test performances among 119 subjects with obsessive-compulsive disorder (OCD). Varying effects of age, education, gender, use of antipsychotics and symptom severity between extreme quantiles were highlighted using simple and multiple QR models. While linear regression is easy to employ and interpret, QR is not only on par in performance but also more flexible in identifying a set of factors that may be different depending on the quantile of interest. QR analysis is a potent tool in applications where the effect of independent variable vary depending on the values of the outcome variable. The results of this exploratory study that the QR approach could potentially help explore the inconsistent findings, generate future hypotheses and/or possible interpretive frameworks for inconsistencies observed in neuropsychological research in OCD. As QR offers complete distributional analysis, it is valuable in providing new insights, especially in situations where the usual regression assumptions are violated or when interested in extreme values of outcome of interest.

Keywords: quantile regression, linear regression, Neuropsychological Tests, Obsessive-Compulsive Disorder, Non-normal distribution

Received: 18 Jun 2025; Accepted: 24 Nov 2025.

Copyright: © 2025 Girikematha Shankar, Thennarasu, Kashyap and Reddy. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Ravi Girikematha Shankar

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