Predicting Mood Disturbance Severity with Mobile Phone Keystroke Metadata: A BiAffect Digital Phenotyping Study
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Abstract
BACKGROUND: Mood disorders are common and associated with significant morbidity and mortality. Better tools are needed for their diagnosis and treatment. Deeper phenotypic understanding of these disorders is integral to the development of such tools. This study is the first effort to use passively collected mobile phone keyboard activity to build deep digital phenotypes of depression and mania. OBJECTIVE: The objective of our study was to investigate the relationship between mobile phone keyboard activity and mood disturbance in subjects with bipolar disorders and to demonstrate the feasibility of using passively collected mobile phone keyboard metadata features to predict manic and depressive signs and symptoms as measured via clinician-administered rating scales. METHODS: Using a within-subject design of 8 weeks, subjects were provided a mobile phone loaded with a customized keyboard that passively collected keystroke metadata. Subjects were administered the Hamilton Depression Rating Scale (HDRS) and Young Mania Rating Scale (YMRS) weekly. Linear mixed-effects models were created to predict HDRS and YMRS scores. The total number of keystrokes was 626,641, with a weekly average of 9791 (7861), and that of accelerometer readings was 6,660,890, with a weekly average 104,076 (68,912). RESULTS: =.34, P=.001. Multiple significant variables were demonstrated for each measure. CONCLUSIONS: Mood states in bipolar disorder appear to correlate with specific changes in mobile phone usage. The creation of these models provides evidence for the feasibility of using passively collected keyboard metadata to detect and monitor mood disturbances.
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Passively collected keystroke metadata may be used to predict state changes found in bipolar disorder.
“Furthermore, passively collected keystroke metadata may also be used to predict state changes found in BD176.”
From Circadian rhythm disruption and mental health (2020) · cites this paper as [176]
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- Authors
- Zulueta, J., Piscitello, A., Rasic, M., Easter, R., Babu, P., Langenecker, S. A., McInnis, M., Ajilore, O., Nelson, P. C., Ryan, K., & Leow, A.
- Affiliations
- University of Illinois Chicago (US)
- University of Michigan (US)
- Corresponding author
- Leow, Alex
- ORCID
- Venue
- Journal of Medical Internet Research
- Publisher
- JMIR Publications Inc.
- Published
- 2018-07-20
- Volume
- 20
- Issue
- 7
- Pages
- e241
- ISSN
- 1438-8871 (ISSN-L)
- PMC
- PMC6076371
- OpenAlex
- W2805638371
- Cited by
- 233
- References
- 28
- Citations by year
- 2026: 20 · 2025: 17 · 2024: 11 · 2023: 30 · 2022: 35 · 2021: 74 · 2020: 29 · 2019: 16 · 2018: 1
- FWCI
- 39.29
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Journal of Medical Internet Research (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Robert Wood Johnson Foundation
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- digital phenotyping, mood disorders, bipolar disorder, depression, mania, passive data collection, Hamilton Depression Rating Scale, Young Mania Rating Scale, accelerometer data, smartphone usage patterns
- MeSH terms
- Female, Humans, Male, Middle Aged, Phenotype, Cohort Studies, Mood Disorders, Cell Phone
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