Tracking and Predicting Depressive Symptoms of Adolescents Using Smartphone-Based Self-Reports, Parental Evaluations, and Passive Phone Sensor Data: Development and Usability Study
Tracking and Predicting Depressive Symptoms of Adolescents Using Smartphone-Based Self-Reports, Parental Evaluations, and Passive Phone Sensor Data: Development and Usability Study
复制标题
DOI：
10.2196/14045
复制
发表时间：
2020-01-24
影响因子：
5.2
通讯作者：
Moukaddam, Nidal
中科院分区：
文献类型：
--
作者：
Cao, Jian;Anh Lan Truong;Moukaddam, Nidal
背景：抑郁症给现代社会带来了巨大的经济、医疗和情感负担。各种概念验证研究强调了应用程序如何将动态心理健康状态变化与重度抑郁症（MDD）成年患者的智能手机使用波动联系起来。然而，使用这些应用程序来监测青少年仍然是一个挑战。目的：本研究旨在调查智能手机应用程序是否有助于评估和监测临床抑郁症青少年人群的抑郁症状，与以下金标准临床心理测量工具相比：患者健康问卷（PHQ-9）、汉密尔顿抑郁评定量表（HAM-D）和汉密尔顿焦虑评定量表（HAM-A）。我们招募了13个家庭的青少年患者诊断为抑郁症伴或不伴混合性焦虑障碍。在为期8周的时间里，通过使用智能手机和在线抑郁症评估（SOLVD）应用程序收集了每日自我报告的情绪和智能手机传感器数据。还收集了青少年父母的评估。两周一次使用PHQ-9、HAM-D和HAM-A测量基线抑郁和焦虑症状。结果：我们观察到两周内平均的自我评估情绪与两周一次的PHQ-9、HAM-D和HAM-A的心理测量分数之间存在显著相关性（0.45垂直条r垂直条
Background: Depression carries significant financial, medical, and emotional burden on modern society. Various proof-of-concept studies have highlighted how apps can link dynamic mental health status changes to fluctuations in smartphone usage in adult patients with major depressive disorder (MDD). However, the use of such apps to monitor adolescents remains a challenge.Objective: This study aimed to investigate whether smartphone apps are useful in evaluating and monitoring depression symptoms in a clinically depressed adolescent population compared with the following gold-standard clinical psychometric instruments: Patient Health Questionnaire (PHQ-9), Hamilton Rating Scale for Depression (HAM-D), and Hamilton Anxiety Rating Scale (HAM- A).Methods: We recruited 13 families with adolescent patients diagnosed with MDD with or without commbid anxiety disorder. Over an 8-week period, daily self-reported moods and smartphone sensor data were collected by using the Smartphone- and OnLine usage-based evaluation for Depression (SOLVD) app. The evaluations from teens' parents were also collected. Baseline depression and anxiety symptoms were measured biweekly using PHQ-9, HAM-D, and HAM-A.Results: We observed a significant correlation between the self-evaluated mood averaged over a 2-week period and the biweekly psychometric scores from PHQ-9, HAM-D, and HAM-A (0.45 vertical bar r vertical bar