兰州大学循证社会科学交叉创新实验室 Innovation Laboratory of Evidence-based Social Sciences,Lanzhou University

Portable technologies for digital phenotyping of bipolar disorder: A systematic review

2022-12-01

BACKGROUND: Bias-prone psychiatric interviews remain the mainstay of bipolar disorder (BD) assessment. The development of digital phenotyping promises to improve BD management. We present a systematic review of the evidence about the use of portable digital devices for the identification of BD, BD types and BD mood states and for symptom assessment. METHODS: We searched Web of Knowledge, Scopus, IEEE Xplore, and ACM Digital Library databases (until 5/1/2021) for articles evaluating the use of portable/wearable digital devices, such as smartphone apps, wearable sensors, audio and/or visual recordings, and multimodal tools. The protocol is registered in PROSPERO (CRD42020200086). RESULTS: We included 62 studies (2325 BD; 724 healthy controls, HC): 27 using smartphone apps, either for recording self-assessments (n = 10) or for passively gathering metadata (n = 7) or both (n = 10); 15 using wearable sensors for physiological parameters; 17 analysing audio and/or video recordings; 3 using multiple technologies. Two thirds of the included studies applied artificial intelligence (AI)-based approaches. They achieved fair to excellent classification performances. LIMITATIONS: The included studies had small sample sizes and marked heterogeneity. Evidence of overfitting emerged, limiting generalizability. The absence of clear guidelines about reporting classification performances, with no shared standard metrics, makes results hardly interpretable and comparable. CONCLUSIONS: New technologies offer a noteworthy opportunity to BD digital phenotyping with objectivity and high granularity. AI-based models could deliver important support in clinical decision-making. Further research and cooperation between different stakeholders are needed for addressing methodological, ethical and socio-economic considerations.

研究类型
系统评价
人群
混合人群
主题
["技术资源","心理/精神卫生"]
作者
Saccaro LF; Amatori G; Cappelli A; Mazziotti R; Dell'Osso L; Rutigliano G.
国家
Switzerland
关键词
Audiovisual recordings; Bipolar disorder; Machine learning; Smartphone apps; Wearable sensors.
来源期刊
J Affect Disord .
发布日期
2022-12-01
相关网址
https://www.healthsystemsevidence.org/articles/62fe6fbcef088708d8e05809-portable-technologies-for-digital-phenotyping-of-bipolar-disorder-a-systematic-review?source=saved_email
DOI
10.1016/j.jad.2021.08.052
学科领域
DiseasesOtherMental health and addictionsTechnologiesDevices