Symposia
Assessment
Christian A. Webb, Ph.D. (he/him/his)
Associate Professor
Harvard Medical School and McLean Hospital
Belmont, Massachusetts, United States
Christian A. Webb, Ph.D. (he/him/his)
Associate Professor
Harvard Medical School and McLean Hospital
Belmont, Massachusetts, United States
Boyu Ren, PhD (he/him/his)
Instructor
McLean Hospital & Harvard Medical School
Belmont, Massachusetts, United States
Habiballah Rahimi Eichi, PhD
Instructor
McLean Hospital & Harvard Medical School
Belmont, Massachusetts, United States
Yoonho Chung, PhD
Postdoctoral Fellow
McLean Hospital & Harvard Medical School
Belmont, Massachusetts, United States
Bryce Gillis, PhD
research Assistant
McLean Hospital & Harvard Medical School
Belmont, Massachusetts, United States
Justin Baker, MD, PhD (he/him/his)
Associate Professor
McLean Hospital & Harvard Medical School
Belmont, Massachusetts, United States
Objective: Disturbance in negative affect (e.g., heightened sadness, anxiety, or anger) is a core feature of affective disorders. Over 90% of American adults own a smartphone, equipped with an array of sensors which can continuously and unobtrusively measure behaviors (e.g., activity levels, location, and phone usage patterns) which may predict increases in negative affect in real-time in individuals' daily lives.
Method: 42 adults (74% with a primary affective disorder) completed daily emotion surveys over 200 days, on average. At the same time, semi-continuous collection of smartphone accelerometer, GPS location, and screen usage data, along with movement tracking from an actigraphy watch, was conducted for the duration of the study. A range of statistical approaches, including a novel personalized ensemble machine learning algorithm, were compared in their ability to predict states of heightened negative affect.
Results: A personalized ensemble machine learning algorithm outperformed other statistical approaches, achieving an area under the curve (AUC) of 0.72-0.79 in predicting different negative emotions. Smartphone location (GPS) variables were the most predictive features overall. Critically, there was substantial heterogeneity between individuals in the association between different smartphone features and negative emotional states, which highlights the need for a personalized modeling approach.
Conclusions: Findings support the use of smartphones coupled with machine learning to detect states of heightened negative emotions. The ability to predict these states in real-time could inform the development and timely delivery of emotionally beneficial smartphone-delivered interventions which could be automatically triggered by a predictive algorithm.