Evidence map›Paper›PMID 39626241›Full record

Observational studyJournal of medical Internet research2024

Predicting and Monitoring Symptoms in Patients Diagnosed With Depression Using Smartphone Data: Observational Study.

Arsi Ikäheimonen, Nguyen Luong, Ilya Baryshnikov, Richard Darst, Roope Heikkilä, Joel Holmen, Annasofia Martikkala, Kirsi Riihimäki, Outi Saleva, Erkki Isometsä and 1 more

Abstract readObservational Study
In one paragraph

Observational study in Journal of medical Internet research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  14. Early diagnosis of bipolar disorder.World journal of psychiatry · 2025
    Review
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  17. Observational
  18. Digital phenotyping using smartphones could help steer mental health treatment.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  19. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Arsi IkäheimonenDepartment of Computer Science, Aalto University, Espoo, Finland.ORCID 0000-0002-1617-6911
Nguyen LuongDepartment of Computer Science, Aalto University, Espoo, Finland.ORCID 0000-0003-0122-0286
Ilya BaryshnikovDepartment of Psychiatry, University of Helsinki, Helsinki, Finland.ORCID 0000-0001-6229-6116
Richard DarstSchool of Science, Aalto University, Espoo, Finland.ORCID 0000-0002-0402-7994
Roope HeikkiläCity of Helsinki Mental Health Servcies, Helsinki, Finland.ORCID 0000-0002-2125-577X
Joel HolmenUniversity of Turku, Turku, Finland.ORCID 0000-0002-6598-1810
Annasofia MartikkalaDepartment of Psychiatry, University of Helsinki, Helsinki, Finland.ORCID 0009-0003-9523-2700
Kirsi RiihimäkiHelsinki and Uusimaa Hospital District, Helsinki, Finland.ORCID 0000-0003-3913-5968
Outi SalevaHelsinki and Uusimaa Hospital District, Helsinki, Finland.ORCID 0009-0005-3454-9282
Erkki IsometsäDepartment of Psychiatry, University of Helsinki, Helsinki, Finland.ORCID 0000-0001-5956-2399
Talayeh AledavoodDepartment of Computer Science, Aalto University, Espoo, Finland.ORCID 0000-0002-0110-5694

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinical diagnostic assessments and the outcome monitoring of patients with depression rely predominantly on interviews by professionals and the use of self-report questionnaires. The ubiquity of smartphones and other personal consumer devices has prompted research into the potential of data collected via these devices to serve as digital behavioral markers for indicating the presence and monitoring of the outcome of depression.

objectiveThis paper explores the potential of using behavioral data collected with smartphones to detect and monitor depression symptoms in patients diagnosed with depression. Specifically, it investigates whether this data can accurately classify the presence of depression, as well as monitor the changes in depressive states over time.

methodsIn a prospective cohort study, we collected smartphone behavioral data for up to 1 year. The study consists of observations from 164 participants, including healthy controls (n=31) and patients diagnosed with various depressive disorders: major depressive disorder (MDD; n=85), MDD with comorbid borderline personality disorder (n=27), and major depressive episodes with bipolar disorder (n=21). Data were labeled based on depression severity using 9-item Patient Health Questionnaire (PHQ-9) scores. We performed statistical analysis and used supervised machine learning on the data to classify the severity of depression and observe changes in the depression state over time.

resultsOur correlation analysis revealed 32 behavioral markers associated with the changes in depressive state. Our analysis classified patients who are depressed with an accuracy of 82% (95% CI 80%-84%) and change in the presence of depression with an accuracy of 75% (95% CI 72%-76%). Notably, the most important smartphone features for classifying depression states were screen-off events, battery charge levels, communication patterns, app usage, and location data. Similarly, for predicting changes in depression state, the most important features were related to location, battery level, screen, and accelerometer data patterns.

conclusionsThe use of smartphone digital behavioral markers to supplement clinical evaluations may aid in detecting the presence and changes in severity of symptoms of depression, particularly if combined with intermittent use of self-report of symptoms.

Indexed as

DepressionSmartphoneAdultFemaleHumansMajor Depressive DisorderMaleMiddle AgedProspective StudiesSurveys and Questionnairesdata analysisdepression monitoringdepression symptomsdigital behavioral datadigital phenotypingmHealthmobile healthmobile phonesmartphone

Identifiers

PMID39626241
PMCPMC11653032

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.