Digital phenotyping using smartphones could help steer mental health treatment
Proceedings of the National Academy of Sciences,
Год журнала:
2025,
Номер
122(14)
Опубликована: Апрель 2, 2025
Язык: Английский
Development and validation of a predictive model for depression in patients with advanced stage of cardiovascular-kidney-metabolic syndrome
Journal of Affective Disorders,
Год журнала:
2025,
Номер
unknown
Опубликована: Апрель 1, 2025
Язык: Английский
Multi-Modal Sleep Measurement and Alignment Analysis in Outpatients with Major Depressive Episode
medRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2025,
Номер
unknown
Опубликована: Апрель 30, 2025
Abstract
Study
Objectives
Sleep
plays
a
crucial
role
for
mental
health.
This
study
examines
sleep
tracking
in
naturalistic
settings
patients
with
major
depressive
episodes
(MDE)
using
actigraphy,
smartphone
data,
bed
sensors,
and
the
ecological
momentary
assessment
(EMA)
assesses
discrepancies
between
these
modalities.
Methods
We
measured
onset,
offset,
total
time
(TST)
over
two
weeks
172
participants,
including
healthy
controls
three
MDE
subgroups
(borderline
personality
disorder,
bipolar
disorder).
Agreement
measurement
modalities
was
assessed
Bland-Altman
plots
Pearson
correlation.
Predictors
of
alignment
were
analyzed
mixed-effects
models,
accounting
demographics,
daylight
length,
participant
subgroup.
Results
Patients
showed
greater
variability
than
controls.
Actigraphy
overestimated
TST
compared
to
sensors
(0.48
min)
smartphones
(0.99
min),
while
underestimated
other
Older
age
improved
actigraphy
as
well
sensor
offset.
(smartphone
vs.
sensor)
worse
females
bipolar/borderline
patients.
Longer
duration
offset
across
Conclusions
Our
highlights
biases,
seasonal
effects,
demographic
factors
associated
objective
measures.
While
show
potential
offer
several
advantages
assessing
longer
periods,
misalignment
should
be
considered
future
studies
or
clinical
settings.
Statement
Significance
Tracking
psychiatric
is
challenging
due
frequent
disturbances,
making
accurate
diagnosis
care.
Traditional
methods
are
limited
lab
settings,
restricting
long-term
monitoring.
evaluates
self-reports
both
individuals
disorders.
findings
demonstrate
feasibility
non-invasive
monitor
episodes.
uncover
systematic
biases
estimates
modalities,
reveal
environmental
that
influence
agreement,
populations
exhibit
more
patterns.
work
addresses
critical
gap
validating
consumer-grade
technologies
contexts.
Язык: Английский
Mobile Monitoring of Mood (MoMo-Mood): a Multimodal Digital Phenotyping Study with Major Depressive Patients and Healthy Controls (Preprint)
JMIR Mental Health,
Год журнала:
2024,
Номер
12, С. e63622 - e63622
Опубликована: Дек. 4, 2024
Mood
disorders
are
among
the
most
common
mental
health
conditions
worldwide.
Wearables
and
consumer-grade
personal
digital
devices
create
traces
that
can
be
collected,
processed,
analyzed,
offering
a
unique
opportunity
to
quantify
monitor
individuals
with
in
their
natural
living
environments.
This
study
comprised
(1)
3
subcohorts
of
patients
major
depressive
episode,
either
disorder,
bipolar
or
concurrent
borderline
personality
(2)
healthy
control
group.
We
investigated
whether
differences
behavioral
patterns
could
observed
at
group
level,
is,
versus
controls.
studied
volume
temporal
smartphone
screen
app
use,
communication,
sleep,
mobility,
physical
activity.
controls
exhibited
more
homogenous
activity
when
compared
other
same
examined
which
variables
were
associated
severity
depression.
In
total,
188
participants
recruited
complete
2-phase
study.
first
2
weeks,
data
from
bed
sensors,
actigraphy,
smartphones,
5
sets
daily
questions
collected.
second
phase,
lasted
up
1
year,
only
passive
biweekly
9-item
Patient
Health
Questionnaire
Survival
analysis,
statistical
tests,
linear
mixed
models
performed.
analysis
showed
no
statistically
significant
difference
adherence.
Most
did
not
stay
for
year.
Weekday
location
variance
lower
values
(control:
mean
-10.04,
SD
2.73;
patient:
-11.91,
2.50;
Mann-Whitney
U
[MWU]
test
P=.004).
Normalized
entropy
was
2.10,
1.38;
1.57,
1.10;
MWU
P=.05).
The
communication
diverse
those
(MWU
P<.001).
contrast,
varied
use
found
duration
incoming
calls
(β=-0.08,
95%
CI
-0.12
-0.04;
P<.001)
magnitude
(β=-2.05,
-4.18
-0.20;
P=.02)
over
14
days
before
records
negatively
depression
severity.
Conversely,
outgoing
positive
association
(β=0.05,
0.00-0.09;
P=.02).
Our
work
shows
important
features
future
analyses
markers
mood
disorders.
However,
outpatients
mild
moderate
disorders,
group-level
any
single
modality
remain
relatively
modest.
Therefore,
studies
need
combine
multiple
modalities
detect
subtle
identify
individualized
signatures.
high
dropout
rates
longer
periods
challenge
limit
generalizability.
Язык: Английский