Behavior vs. introspection: refining prediction of clinical depression via smartphone sensing data
Abstract
Depression is a serious health disorder. In this study, we investigate the feasibility of depression screening using sensor data collected from smartphones. We extract various behavioral features from smartphone sensing data and investigate the efficacy of various machine learning tools to predict clinical diagnoses and PHQ-9 scores (a quantitative tool for aiding depression screening in practice). A notable feature of our study is that we leverage a dataset that includes clinical ground truth. We find that behavioral data from smartphones can predict clinical depression with good accuracy. In addition, combining behavioral data and PHQ-9 scores can provide prediction accuracy significantly exceeding each in isolation, indicating that behavioral data captures relevant features that are not reflected by PHQ-9 scores. Finally, we develop multi-feature regression models for PHQ-9 scores that achieve significantly improved accuracy compared to direct regression models based on single features.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Saeb et al [29] and Farhan et al [30] used 50% as each day's completeness threshold for passive data.
“Saeb et al [29] and Farhan et al [30] used 50% as each day’s completeness threshold for passive data.”
From Predicting depressive symptom severity through individuals’ nearby Bluetooth device count data collected by mobile phones: preliminary longitudinal study (2021) · cites this paper as [30]
No significant relationship was found between the other smartphone features (total distance, location entropy, normalized location entropy and time spent at home) and mental health measures.
“However, contrary to previous findings (19, 67–69), we did not find a significant relationship between the other smartphone features (total distance, location entropy, normalized location entropy and time spent at home) and mental health measures.”
From Predicting Symptoms of Depression and Anxiety Using Smartphone and Wearable Data (2021) · cites this paper as [67]
Participants who move about more through geographic space are less depressed.
“supports previous research demonstrating that participants who move about more through geographic space are less depressed (19, 67).”
From Predicting Symptoms of Depression and Anxiety Using Smartphone and Wearable Data (2021) · cites this paper as [67]
Greater diversity in visited locations predicted lower depression severity.
“The finding that greater diversity in visited locations predicted lower depression severity supports previous research demonstrating that participants who move about more through geographic space are less depressed (19, 67).”
From Predicting Symptoms of Depression and Anxiety Using Smartphone and Wearable Data (2021) · cites this paper as [67]
Cites
The PHQ-9: Validity of a brief depression severity measure
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2001.016009606.x · Cited by 44,910 · see citing works
LIBSVM: A library for support vector machines
Chang, C.-C., & Lin, C.-J. (2011) · ACM Transactions on Intelligent Systems and Technology · doi:10.1145/1961189.1961199 · Cited by 40,918 · see citing works
(1996) · Cited by 20,179 · see citing works
LIBLINEAR: A Library for Large Linear Classification
Fan, R.-E., Chang, K., Hsieh, C., Xiang-rui, W., & Lin, C. (2008) · doi:10.5555/1390681.1442794 · Cited by 6,680 · see citing works
Cacioppo, J. T., Hawkley, L. C., & Thisted, R. A. (2010) · Psychology and Aging · doi:10.1037/a0017216 · Cited by 1,757 · see citing works
Wang, R., Chen, F., Chen, Z., Li, T., Harari, G., Tignor, S., Zhou, X., Ben-Zeev, D., & Campbell, A. T. (2014) · Proceedings of the 2014 ACM International Joint Conference on Pervasive and Ubiquitous Computing · doi:10.1145/2632048.2632054 · Cited by 1,116 · see citing works
Saeb, S., Zhang, M., Karr, C. J., Schueller, S. M., Corden, M. E., Kording, K. P., & Mohr, D. C. (2015) · Journal of Medical Internet Research · doi:10.2196/jmir.4273 · Cited by 782 · see citing works
Excess mortality in depression: a meta-analysis of community studies
Cuijpers, P. J., & Smit, F. (2002) · Journal of Affective Disorders · doi:10.1016/s0165-0327(01)00413-x · Cited by 774 · see citing works
Turner, R., & Avison, W. (2003) · Journal of Health and Social Behavior · doi:10.2307/1519795 · Cited by 698 · see citing works
Impact of major depression on chronic medical illness
Katon, W., & Ciechanowski, P. (2002) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(02)00313-6 · Cited by 485 · see citing works
Canzian, L., & Musolesi, M. (2015) · Proceedings of the 2015 ACM International Joint Conference on Pervasive and Ubiquitous Computing · doi:10.1145/2750858.2805845 · Cited by 477 · see citing works
Social and economic burden of mood disorders
Simon, G. E. (2003) · Biological Psychiatry · doi:10.1016/s0006-3223(03)00420-7 · Cited by 430 · see citing works
The relationship of Internet use to depression and social isolation among adolescents.
Sanders, C., Field, T. M., Diego, M., & Kaplan, M. (2000) · PubMed · Cited by 354 · see citing works
The Relationship between Internet Activities and Depressive Symptoms in a Sample of College Freshmen
Morgan, C. V., & Cotten, S. R. (2003) · CyberPsychology & Behavior · doi:10.1089/109493103321640329 · Cited by 310 · see citing works
Unobtrusive Sleep Monitoring using Smartphones
Chen, Z., Lin, M., Chen, F., Lane, N., Cardone, G., Wang, R., Li, T., Chen, Y., Choudhury, T., & Cambell, A. (2013) · Proceedings of the ICTs for improving Patients Rehabilitation Research Techniques · doi:10.4108/icst.pervasivehealth.2013.252148 · Cited by 300 · see citing works
Severity of Depression and Magnitude of Productivity Loss
Beck, A., Crain, A. L., Solberg, L. I., Unutzer, J., Glasgow, R. E., Maciosek, M. V., & Whitebird, R. (2011) · The Annals of Family Medicine · doi:10.1370/afm.1260 · Cited by 290 · see citing works
Automatically characterizing places with opportunistic crowdsensing using smartphones
Chon, Y., Lane, N. D., Li, F., Cha, H., & Zhao, F. (2012) · ACM International Joint Conference on Pervasive and Ubiquitous Computing (UbiComp) · doi:10.1145/2370216.2370288 · Cited by 272 · see citing works
Activity Recognition Using Hierarchical Hidden Markov Models on a Smartphone with 3D Accelerometer
Lee, Y.-S., & Cho, S. (2011) · Lecture notes in computer science · doi:10.1007/978-3-642-21219-2_58 · Cited by 228 · see citing works
Social sensing for epidemiological behavior change
Madan, A., Cebrian, M., Lazer, D., & Pentland, A. (2010) · Proceedings of the 12th ACM international conference on Ubiquitous computing · doi:10.1145/1864349.1864394 · Cited by 219 · see citing works
Daily Stress Recognition from Mobile Phone Data, Weather Conditions and Individual Traits
Bogomolov, A., Lepri, B., Ferron, M., Pianesi, F., & Pentland, A. (. (2014) · Proceedings of the 22nd ACM international conference on Multimedia · doi:10.1145/2647868.2654933 · Cited by 217 · see citing works
Benefits of Exercise for the Treatment of Depression
Martinsen, E. W. (1990) · Sports Medicine · doi:10.2165/00007256-199009060-00006 · Cited by 210 · see citing works
BeWell: Sensing Sleep, Physical Activities and Social Interactions to Promote Wellbeing
Lane, N. D., Lin, M., Mohammod, M., Yang, X., Lu, H., Cardone, G., Ali, S. M., Doryab, A., Berke, E. M., Campbell, A. T., et al. (2014) · Mobile Networks and Applications · doi:10.1007/s11036-013-0484-5 · Cited by 170 · see citing works
Human Behavior Cognition Using Smartphone Sensors
Pei, L., Guinness, R. E., Chen, R., Liu, J., Kuusniemi, H., Chen, Y., Chen, L., & Kaistinen, J. (2013) · Sensors · doi:10.3390/s130201402 · Cited by 142 · see citing works
Mobility prediction-based smartphone energy optimization for everyday location monitoring
Chon, Y., Talipov, E., Shin, H. J., & Cha, H. (2011) · ACM Conference on Embedded Networked Sensor Systems (SenSys) · doi:10.1145/2070942.2070952 · Cited by 139 · see citing works
Madan, A., Moturu, S. T., Lazer, D. M. J., & Pentland, A. (2010) · Wireless Health · doi:10.1145/1921081.1921094 · Cited by 99 · see citing works
GroupUs: Smartphone Proximity Data and Human Interaction Type Mining
Tri, T. M., & Gática-Pérez, D. (2011) · International Symposium on Wearable Computers · doi:10.1109/iswc.2011.28 · Cited by 66 · see citing works
Astronomical computing: 1. Computing under the open sky. 2. Virtues of the haversine.
Shumaker, B. P., & Sinnott, R. W. (1984) · S&T · Cited by 43 · see citing works
Open source smartphone libraries for computational social science
Lathia, N., Rachuri, K. K., Cecilia Mascolo, C., & Roussos, G. (2013) · ACM International Joint Conference on Pervasive and Ubiquitous Computing (UbiComp) · doi:10.1145/2494091.2497345 · Cited by 40 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Toward clinical digital phenotyping: a timely opportunity to consider purpose, quality, and safety
Huckvale, K., Venkatesh, S., & Christensen, H. (2019) · npj Digital Medicine · doi:10.1038/s41746-019-0166-1 · Cited by 433 · see citing works
Tracking Depression Dynamics in College Students Using Mobile Phone and Wearable Sensing
Wang, R., Wang, W., daSilva, A., Huckins, J. F., Kelley, W. M., Heatherton, T. F., & Campbell, A. T. (2018) · Proceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies · doi:10.1145/3191775 · Cited by 340 · see citing works
Algorithms that remember: model inversion attacks and data protection law
Veale, M., Binns, R., & Edwards, L. (2018) · Philosophical Transactions of the Royal Society A: Mathematical, Physical and Engineering Sciences · doi:10.1098/rsta.2018.0083 · Cited by 278 · see citing works
Predicting Symptoms of Depression and Anxiety Using Smartphone and Wearable Data
Moshe, I., Terhorst, Y., Opoku Asare, K., Sander, L. B., Ferreira, D., Baumeister, H., Mohr, D. C., & Pulkki-Råback, L. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.625247 · Cited by 261 · see citing works
Rohani, D. A., Faurholt-Jepsen, M., Kessing, L. V., & Bardram, J. E. (2017) · doi:10.2196/preprints.9691 · Cited by 195 · see citing works
DeepMood: Forecasting Depressed Mood Based on Self-Reported Histories via Recurrent Neural Networks
Suhara, Y., Xu, Y., & Pentland, A. '. (2017) · Proceedings of the 26th International Conference on World Wide Web · doi:10.1145/3038912.3052676 · Cited by 163 · see citing works
GLOBEM: Cross-Dataset Generalization of Longitudinal Human Behavior Modeling
Xu, X., Liu, X., Zhang, H., Wang, W., Nepal, S., Sefidgar, Y., Seo, W., Kuehn, K. S., Huckins, J. F., Morris, M. E., et al. (2022) · Proceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies · doi:10.1145/3569485 · Cited by 96 · see citing works
Rooksby, J., Morrison, A., & Murray-Rust, D. (2019) · Proceedings of the 2019 CHI Conference on Human Factors in Computing Systems · doi:10.1145/3290605.3300655 · Cited by 87 · see citing works
Joint modeling of heterogeneous sensing data for depression assessment via multi-task learning
Lu, J., Shang, C., Yue, C., Morillo, R., Ware, S., Kamath, J., Bamis, A., Russell, A., Wang, B., & Bi, J. (2018) · Proceedings of the ACM on Interactive Mobile Wearable and Ubiquitous Technologies · doi:10.1145/3191753 · Cited by 85 · see citing works
Self-citationMeyerhoff, J., Liu, T., Kording, K. P., Ungar, L. H., Kaiser, S. M., Karr, C. J., & Mohr, D. C. (2021) · Journal of Medical Internet Research · doi:10.2196/22844 · Cited by 82 · see citing works
Zhang, Y., Folarin, A. A., Sun, S., Cummins, N., Ranjan, Y., Rashid, Z., Conde, P., Stewart, C., Laiou, P., Matcham, F., et al. (2021) · JMIR mHealth and uHealth · doi:10.2196/29840 · Cited by 68 · see citing works
Busk, J., Faurholt-Jepsen, M., Frost, M., Bardram, J. E., Vedel Kessing, L., & Winther, O. (2020) · JMIR mhealth and uhealth · doi:10.2196/15028 · Cited by 58 · see citing works
Müller, S. R., Chen, X., Peters, H., Chaintreau, A., & Matz, S. C. (2021) · Scientific Reports · doi:10.1038/s41598-021-93087-x · Cited by 51 · see citing works
Using behavioral rhythms and multi-task learning to predict fine-grained symptoms of schizophrenia
Tseng, V. W.-S., Sano, A., Ben-Zeev, D., Brian, R., Campbell, A. T., Hauser, M., Kane, J. M., Scherer, E. A., Wang, R., Wang, W., et al. (2020) · Scientific Reports · doi:10.1038/s41598-020-71689-1 · Cited by 44 · see citing works
Deep learning of smartphone sensor data for personal health assistance
Li, H., & Trocan, M. (2019) · Microelectronics Journal · doi:10.1016/j.mejo.2018.01.015 · Cited by 30 · see citing works
Towards early detection of depression through smartphone sensing
Opoku Asare, K., Visuri, A., & Ferreira, D. S. T. (2019) · Adjunct Proceedings of the 2019 ACM International Joint Conference on Pervasive and Ubiquitous Computing and Proceedings of the 2019 ACM International Symposium on Wearable Computers · doi:10.1145/3341162.3347075 · Cited by 24 · see citing works
Remote Assessment of Depression Using Digital Biomarkers From Cognitive Tasks
Mandryk, R. L., Birk, M. V., Vedress, S., Wiley, K., Reid, E., Berger, P., & Frommel, J. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.767507 · Cited by 23 · see citing works
- Authors
- Farhan, A. A., Yue, C., Morillo, R., Ware, S., Lu, J., Bi, J., Kamath, J., Russell, A., Bamis, A., & Wang, B.
- Affiliations
- University of Connecticut (US)
- UConn Health (US)
- ORCID
- Venue
- 2016 IEEE Wireless Health (WH)
- Publisher
- IEEE
- Published
- 2016-10
- Pages
- 1-8
- OpenAlex
- W2560951263
- Cited by
- 115
- References
- 28
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 20 · 2023: 8 · 2022: 21 · 2021: 21 · 2020: 12 · 2019: 11 · 2018: 7 · 2017: 5
- FWCI
- 18.01
- Type
- conference paper
- Language
- en
- Open access
- closed
- Locations
- Wireless Health (publishedVersion)
- Funders
- National Science Foundation
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Emotion and Mood Recognition
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- major depressive disorder, depression screening, behavioral characteristics, PHQ-9
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review