Predicting anxiety state using smartphone-based passive sensing
Open accessAbstract
This study predicts the change of stress levels using real-world and online behavioral features extracted from smartphone log information. Previous studies of stress detection using smartphone data focused on a single feature and did not consider all features simultaneously. We propose a method to extract a co-occurring combination of a user's real-world and online behavioral features by converting raw sensor data into categorical features. We conducted an experiment in which the State Trait Anxiety Inventory (STAI) was used to assess the anxiety-related stress levels of 20 healthy participants. The participants installed a log-collecting application on their smartphones and answered the STAI questions once a day for one month. The proposed method showed an F-score of 74.2%, which is 4.0% higher than the F-score of previous studies (70.2%) that used single non-combined features. The results demonstrate that anxiety-related stress levels can be predicted using combined features extracted from smartphone log data.
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Passive data collected through smartphones can detect daily ratings of depression and anxiety as well as aspects of well-being.
“Although to our knowledge, no work to date has investigated these data streams using machine learning in the context of an MBI, passive data collected through smartphones can detect daily ratings of depression137 and anxiety138 as well as aspects of well-being139.”
From A common factors perspective on mindfulness-based interventions (2022) · cites this paper as [137]
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Dreier, M. J., Boyd, S. I., Jorgensen, S. L., Merai, R., Fedor, J., Durica, K. C., Low, C. A., & Hamilton, J. L. (2024) · Current Research in Ecological and Social Psychology · doi:10.1016/j.cresp.2024.100196 · Cited by 8 · see citing works
Lim, S., Kim, C., Cho, B. H., Choi, S., Lee, H., & Jang, D. P. (2023) · Biomedical Engineering Letters · doi:10.1007/s13534-023-00337-0 · Cited by 7 · see citing works
“Fukazawa et al., on the other hand, harnessed multimodal mobile passive data, encompassing factors like ambient illuminance levels, acceleration, geo-location, app and browser usage, and email activity [ 10].”
BackgroundSmartphone-Based Digital Phenotyping Across Health Conditions: Scoping Review
Dumas, A., Hokayem, J., Goodman, G. R., Venkatasubramanian, K., & Chai, P. R. (2026) · Journal of Medical Internet Research · doi:10.2196/84146 · Cited by 6 · see citing works
“However, we found that a substantial number, about 30.5% (18/59) of the studies, did not engage with ML models beyond the perfunctory [38,45,53,56,66,69,77,80,81, 86,100,101,103,107,108,110,112,118].”
InfluentialFloor plan optimization for indoor environment based on multimodal data
Kang, S.-J., & Kim, S. K. (2021) · The Journal of Supercomputing · doi:10.1007/s11227-021-03952-9 · Cited by 6 · see citing works
“Fukazawa et al. [25] proposed an experiment using the state-trait anxiety inventory (STAI) to evaluate the anxiety-related stress levels of 20 participants.”
MethodVega, J., Bell, B. T., Taylor, C. S., Xie, J., Ng, H., Honary, M., & McNaney, R. (2022) · JMIR Mental Health · doi:10.2196/32146 · Cited by 6 · see citing works
Daniel, K. E., Mendu, S., Baglione, A. N., Cai, L., Teachman, B. A., Barnes, L. E., & Boukhechba, M. (2021) · Anxiety Stress & Coping · doi:10.1080/10615806.2021.1959916 · Cited by 5 · see citing works
Estimating Sense of Agency from Behavioral Logs: Toward a Just-in-Time Adaptive Intervention System
Togawa, R., Legaspi, R., Nishimura, Y., Miyamoto, A., Yang, B., Sugisaki, E., Ikeda, K., Kobayashi, N., & Naruse, Y. (2024) · Lecture notes in computer science · doi:10.1007/978-3-031-58226-4_21 · Cited by 5 · see citing works
Transforming fatigue assessment: Smartphone-based system with digitized motor skill tests
Valla, E., Toose, A.-J., Nõmm, S., & Toomela, A. (2023) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2023.105152 · Cited by 6 · see citing works
Technological Advances in Clinical Assessment
Heinz, M. V., Thomas, N., Nguyen, N. D., Griffin, T. Z., & Jacobson, N. C. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-818697-8.00171-0 · Cited by 5 · see citing works
SeSaMe: A Framework to Simulate Self-Reported Ground Truth for Mental Health Sensing Studies
Choube, A., Swain, V. D., & Mishra, V. (2024) · International Conference on Affective Computing and Intelligent Interaction and workshops · doi:10.1109/acii63134.2024.00031 · Cited by 5 · see citing works
Theory of Mind in Artificial Intelligence Applications
Garcia-Lopez, A. (2023) · Logic, argumentation & reasoning · doi:10.1007/978-3-031-46742-4_23 · Cited by 5 · see citing works
Passive Way of Measuring QOL/Well-Being Levels Using Smartphone Log
Yao, W., Kaminishi, K., Yamamoto, N., Hamatani, T., Yamada, Y., Kawada, T., Hiyama, S., Okimura, T., Terasawa, Y., Maeda, T., et al. (2022) · Frontiers in Digital Health · doi:10.3389/fdgth.2022.780566 · Cited by 3 · see citing works
“Fukazawa et al. (19) estimated the change in users’ anxiety based on STAI with 0.742 F-score using smartphone logs of experimental participants.”
BackgroundMethodInfluentialSelf-citationLarrazabal, M. A., Wang, Z., Rucker, M., Toner, E. R., Boukhechba, M., Teachman, B. A., & Barnes, L. E. (2025) · IEEE International Conference on Smart Computing · doi:10.1109/smartcomp65954.2025.00074 · Cited by 3 · see citing works
“…the present work offers insight into how biobehavioral features predict fluctuations in anxiety over brief time scales (a few minutes ), offering a much more granular view than much existing work (which detects anxiety as it occurs on a daily or weekly level [23, 32, 42]); though see also [31].”
InfluentialOutlier Behavior Detection for Indoor Environment Based on t-SNE Clustering
Kang, S.-J., & Kim, S. K. (2021) · Computers, materials & continua/Computers, materials & continua (Print) · doi:10.32604/cmc.2021.016828 · Cited by 3 · see citing works
“[20] presented a technique that can detect a co-occurring combination of a user’s real-world and online behavioral features that convert raw sensor data into categorical features.”
BackgroundPsikoterapide Yapay Zeka ve Chatbot: Etik Kurallar ve Sınırlılıklar
Erdoğdu, M., Yıldızeli, S., & Mazman, I. (2024) · Türkiye Sağlık Enstitüleri Başkanlığı Dergisi · doi:10.5578/tusebdergisi.20240121 · Cited by 2 · see citing works
A review of multimodal depression detection methods using smartphone usage and audio-visual clues
Prasad, T. R., & Kumar, P. (2026) · Iran Journal of Computer Science · doi:10.1007/s42044-025-00359-0 · Cited by 2 · see citing works
“Fukazawa et al. in [133] studied application usage logs and smartphone sensor features on a daily basis and found them important in predicting anxiety disorders.”
Behavior analysis method for indoor environment based on app usage mining
Kang, S.-J., & Kim, S. K. (2021) · The Journal of Supercomputing · doi:10.1007/s11227-020-03532-3 · Cited by 2 · see citing works
Automated inference of cognitive performance by fusing multimodal information acquired by smartphone
Hamatani, T., Ochiai, K., Inagaki, A., Yamamoto, N., Fukazawa, Y., Kimoto, M., Kiriu, K., Kaminishi, K., Ota, J., Terasawa, Y., et al. (2019) · ACM International Joint Conference on Pervasive and Ubiquitous Computing (UbiComp) · doi:10.1145/3341162.3346275 · Cited by 2 · see citing works
“…have been bountiful studies aiming at automated estimation of human internal context related to health (e.g. stress [13], depression [3], anxiety [7], etc.) by using smartphone, the estimation of human cognitive performance is still under explored, and to date, only a few studies have been…”
BackgroundSelf-citationDecision Level Fusion Using Hybrid Classifier for Mental Disease Classification
Ahmad, M., Wahid, N., Hamid, R. A., Sadiq, S., Mehmood, A., & Choi, G. S. (2022) · Computers, materials & continua/Computers, materials & continua (Print) · doi:10.32604/cmc.2022.026077 · Cited by 5 · see citing works
Girousse, E., & Vuillerme, N. (2022) · JMIR Research Protocols · doi:10.2196/38785 · Cited by 2 · see citing works
“Three articles studied depression only [42,66,67], 1 studied anxiety only [65], and 4 included both depression and anxiety [61-64].”
BackgroundMethodInfluentialDeep Learning Approaches for Detecting Psychological Instability: An Evaluation of Performance
Majety, T. T., Sravan, K., Avinash, B. M., Tokala, S., Enduri, M. K., & Anamalamudi, S. (2023) · International Conference on Computing, Communication and Networking Technologies (ICCCNT) · doi:10.1109/icccnt56998.2023.10307238 · Cited by 2 · see citing works
“The World Health Organization (WHO) reported that greater than 90% of suicides are due to mental disorders [13] and it also considers mental illness to be a global challenge and going to be an economic problem that can be severe in the future.”
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Lin, H.-C., Ometov, A., Arponen, O., Nikunen, K., & Nurmi, J. (2026) · Social Sciences & Humanities Open · doi:10.1016/j.ssaho.2026.102948 · Cited by 1 · see citing works
Estimating Mental Health Using Human-generated Big Data and Machine Learning
Fukazawa, Y. (2022) · The Brain & Neural Networks · doi:10.3902/jnns.29.78 · Cited by 1 · see citing works
Self-citationBehavior-based Outlier Detection for Indoor Environment
Kang, S.-J., & Kim, S. K. (2020) · International Conference on Computational Science and Computational Intelligence (CSCI) · doi:10.1109/csci51800.2020.00135
“Fukazawa et al. [7] proposed a method to extract a co-occurring combination of a user’s real-world and online behavioral features by converting raw sensor data into categorical features.”
MethodmHealth: O uso de smartphones para aplicações biomédicas
Wurzel, P. M., & Evald, P. J. D. D. O. (2021) · Disciplinarum Scientia | Naturais e Tecnológicas · doi:10.37779/nt.v22i1.3686
GameDepot: A Visual Analytics System for Mobile Game Performance Testing
Jang, D., & Jo, J. (2023) · IEEE Access · doi:10.1109/access.2023.3301775
“used in healthcare [7], [8], [9], [10].”
Apps e Jovens Adultos: Contributos para um Mapeamento de Práticas Mediadas
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Synthetic Mobility Feature Generation for Mental Health Prediction using Diffusion Models
Suzuki, M., Kodaka, M., & Fukazawa, Y. (2024) · IEEE/WIC/ACM International Conference on Web Intelligence and Intelligent Agent Technology (WI-IAT) · doi:10.1109/wi-iat62293.2024.00022
Self-citationMultimodality Fusion for Depression Detection Using Audio, Video and Text CuesPreprint
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Rethinking epistemic injustice in psychiatric digital phenotyping from the perspective of ignorance
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Valla, E., Väli, L., Nõmm, S., & Toomela, A. (2025) · Cognition Technology & Work · doi:10.1007/s10111-025-00829-2
“…of smartphone sensors in monitoring physical and cognitive abilities, offering new avenues in health and well-being monitoring in free-living environments (Guidoux et al. 2014; Kay et al. 2011 ; Antosik-Wójcińska et al. 2020; Kheirkhahan et al. 2019; Fukazawa et al. 2019; Cornet and Holden 2018).”
Estimation of Human Internal States and Application of Diffusion Models
Kohjima, M., & Nambu, Y. (2026) · Denshi Jouhou Tsuushin Gakkai Tsuushin Sosaieti magajin/B-plus/Denshi Jouhou Tsuushin Gakkai Tsuushin Sosaeti magajin · doi:10.1587/bplus.19.305
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“Withthe widespreadadoptionofsmartphonesandwearabledevices,therehasbeensignificant progressinpredictingmentalhealthstatesusingdatacollectedfromthesedevices [8,9].”
Self-citationGorbaniuk, O., Szwed, M., Mazur, M., Boreczek, W., & Buglińska, J. (2026) · Roczniki Psychologiczne · doi:10.18290/rpsych2025.0016
“…revision should take into account modern multilevel approaches in psy-chometrics, especially when the aim is to distinguish within-person variability from between-person differences (Nezlek, 2020), as well as technological possibilities that make diary studies more feasible (Fukazawa et al., 2019).”
- Authors
- Fukazawa, Y., Ito, T., Okimura, T., Yamashita, Y., Maeda, T., & Ota, J.
- Affiliations
- Research into Artifacts, Center for Engineering, The University of Tokyo (JP)
- Keio University (JP)
- National Center of Neurology and Psychiatry (JP)
- Corresponding author
- Fukazawa, Yusuke
- Venue
- Journal of Biomedical Informatics
- Publisher
- Elsevier BV
- Published
- 2019-05
- Volume
- 93
- Pages
- 103151
- ISSN
- 1532-0464 (ISSN-L)
- OpenAlex
- W2921304398
- Cited by
- 81
- References
- 48
- Citations by year
- 2026: 6 · 2025: 12 · 2024: 14 · 2023: 10 · 2022: 16 · 2021: 11 · 2020: 9 · 2019: 3
- FWCI
- 11.49
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Biomedical Informatics (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Japan Society for the Promotion of Science (JP26120001, JP26120006)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Emotion and Mood Recognition
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Social Psychology › Mental Health via Writing
- Keywords
- stress detection, behavioral characteristics, State-Trait Anxiety Inventory, feature combination
- MeSH terms
- Smartphone, Anxiety, Humans
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