Evidence map›Paper›PMID 40406207›Full record

ArticleNPP - digital psychiatry and neuroscience2025

Smartphone language features may help identify adverse post-traumatic neuropsychiatric sequelae and their trajectories.

Lisa Vizer, Jennifer Pierce, Yinyao Ji, Meredith A Bucher, Mochuan Liu, Lyle Ungar, Salvatore Giorgi, Zhaopeng Xing, Stacey L House, Francesca L Beaudoin and 34 more

Abstract read
In one paragraph

Article in NPP - digital psychiatry and neuroscience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

44 authors.

Lisa VizerDepartment of Medicine, Division of General Medicine and Clinical Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27559 USA.
Jennifer PierceDepartment of Anesthesiology, University of Michigan, Ann Arbor, MI 48109 USA.
Yinyao JiInstitute for Trauma Recovery, Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC 27559 USA.ORCID 0000-0002-5548-2508
Meredith A BucherInstitute for Trauma Recovery, Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC 27559 USA.
Mochuan LiuDepartment of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, NC 27559 USA.
Lyle UngarComputer and Information Science, University of Pennsylvania, Philadelphia, PA 19104 USA.ORCID 0000-0003-2047-1443
Salvatore GiorgiComputer and Information Science, University of Pennsylvania, Philadelphia, PA 19104 USA.ORCID 0000-0001-7381-6295
Zhaopeng XingCVS Health, New York, NY 10029 USA.
Stacey L HouseDepartment of Emergency Medicine, Washington University School of Medicine, St. Louis, MO 63110 USA.
Francesca L BeaudoinDepartment of Epidemiology, Brown University, Providence, RI 02930 USA.
Jennifer S StevensDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA 30329 USA.ORCID 0000-0003-4674-0314
Thomas C NeylanDepartments of Psychiatry and Neurology, University of California San Francisco, San Francisco, CA 94143 USA.
Gari D CliffordDepartment of Biomedical Informatics, Emory University School of Medicine, Atlanta, GA 30332 USA.
Tanja JovanovicDepartment of Psychiatry and Behavioral Neurosciences, Wayne State University, Detroit, MI 48202 USA.ORCID 0000-0002-6456-0053
Sarah D LinnstaedtInstitute for Trauma Recovery, Department of Anesthesiology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27559 USA.ORCID 0000-0001-5295-7072
Donglin ZengDepartment of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, NC 27559 USA.
Laura T GermineInstitute for Technology in Psychiatry, McLean Hospital, Belmont, MA 02478 USA.
Kenneth A BollenDepartment of Psychology and Neuroscience & Department of Sociology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27559 USA.
Scott L RauchInstitute for Technology in Psychiatry, McLean Hospital, Belmont, MA 02478 USA.
John P HaranDepartment of Emergency Medicine, University of Massachusetts Chan Medical School, Worcester, MA 01655 USA.
Alan B StorrowDepartment of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN 37232 USA.ORCID 0000-0002-2893-808X
Christopher LewandowskiDepartment of Emergency Medicine, Henry Ford Health System, Detroit, MI 48202 USA.ORCID 0000-0001-8297-0024
Paul I MuseyDepartment of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN 46202 USA.
Phyllis L HendryDepartment of Emergency Medicine, University of Florida College of Medicine -Jacksonville, Jacksonville, FL 32209 USA.
Sophia SheikhDepartment of Emergency Medicine, University of Florida College of Medicine -Jacksonville, Jacksonville, FL 32209 USA.ORCID 0000-0003-1939-3126
Christopher W JonesDepartment of Emergency Medicine, Cooper Medical School of Rowan University, Camden, NJ 08103 USA.
Brittany E PunchesDepartment of Emergency Medicine, Ohio State University College of Medicine, Columbus, OH 43210 USA.
Lauren A HudakDepartment of Emergency Medicine, Emory University School of Medicine, Atlanta, GA 30329 USA.
Jose L PascualDepartment of Surgery, Department of Neurosurgery, University of Pennsylvania, Philadelphia, PA 19104 USA.
Mark J SeamonPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104 USA.
Erica HarrisDepartment of Emergency Medicine, Einstein Medical Center, Philadelphia, PA 19107 USA.
Claire PearsonDepartment of Emergency Medicine, Wayne State University, Ascension St. John Hospital, Detroit, MI 48236 USA.
David A PeakDepartment of Emergency Medicine, Massachusetts General Hospital, Boston, MA 02114 USA.
Roland C MerchantDepartment of Emergency Medicine, Brigham and Women's Hospital, Boston, MA 02115 USA.
Robert M DomeierDepartment of Emergency Medicine, Trinity Health-Ann Arbor, Ypsilanti, MI 48197 USA.
Brian J O'NeilDepartment of Emergency Medicine, Wayne State University, Detroit Receiving Hospital, Detroit, MI 48202 USA.
Paulina SergotDepartment of Emergency Medicine, McGovern Medical School at UTHealth, Houston, TX 77030 USA.
Leon D SanchezDepartment of Emergency Medicine, Harvard Medical School, Boston, MA 02115 USA.
Steven E BruceDepartment of Psychological Sciences, University of Missouri - St. Louis, St. Louis, MO 63121 USA.
Steven E HarteDepartment of Anesthesiology, University of Michigan Medical School, Ann Arbor, MI 48109 USA.
Ronald C KesslerDepartment of Health Care Policy, Harvard Medical School, Boston, MA 02115 USA.
Karestan C KoenenDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA 02115 USA.
Samuel A McLeanInstitute for Trauma Recovery, Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC 27559 USA.
Xinming AnInstitute for Trauma Recovery, Department of Anesthesiology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27559 USA.ORCID 0000-0002-8332-0362

Funding

Longitudinal Assessment of Post-traumatic SyndromesU01MH110925 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KESSLER, RONALD C, KOENEN, KARESTAN C · 2016 to 2020
$25.8M
Clinical Features and Neuropathological Basis of Sleep Wake Behavior in Alzheimer's and PSPR01AG060477 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Lea Tenenholz Grinberg, Thomas C Neylan · 2019 to 2026
$8.2M
Investigating Fear System Myelination in PTSD Using In Vivo and Post Mortem DataR01MH132617 · NIMH · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI HUBER, BERTRAND R, NEYLAN, THOMAS C · 2023 to 2025
$2.1M
NIA NIH HHS R01 AG060477NIMH NIH HHS R01 MH132617NIMH NIH HHS U01 MH110925
6 · The paper itself

Abstract

Language features may reflect underlying cognitive and emotional processes following a traumatic event that portend clinical outcomes. The authors sought to determine whether language features from usual smartphone use were markers associated with concurrent posttraumatic symptoms and worsening or improving posttraumatic symptoms over time following a traumatic exposure. This investigation was a secondary analysis of the Advancing Understanding of RecOvery afteR traumA study, a longitudinal study of traumatic outcomes among survivors recruited from 33 emergency departments across the United States. Adverse posttraumatic sequelae were assessed over the six months following the initial traumatic exposure. Language features were extracted from usual smartphone use in a specialized app. Bivariate linear mixed models were used to identify and validate language features that are markers associated with posttraumatic symptoms. Participants were 1744 trauma survivors, with a mean age of 39 [SD = 13] years old, and 56% were female. Fourteen language features were associated with severity level of posttraumatic symptoms at specific timepoints (cross-sectional markers) and five features were associated with change in severity level of posttraumatic symptoms (longitudinal markers). References to the body and health or illness were predictive of worsening pain, somatic, and thinking/concentration/fatigue symptom severity over time. An increase in references to others was associated with improvement in somatic symptom severity over time and increases in expressions of causation or cognitive processes were associated with improvement in pain symptom severity over time. Language features derived from usual smartphone use can convey important information about health, functioning, and recovery following a traumatic event. Clinicians might utilize such information to determine who may experience a high symptom burden or risk of worsening posttraumatic symptoms.

Indexed as

Diagnostic markersNeurological manifestations

Identifiers

PMID40406207
PMCPMC12092297

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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.