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A systematic exploration of digital biomarkers for the detection of depressive episodes in bipolar disorder
Campbell Family Research Institute, Centre for Addiction and Mental Health (CAMH), Toronto, ON, Canada, CA..
Campbell Family Research Institute, Centre for Addiction and Mental Health (CAMH), Toronto, ON, Canada, CA.; Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada, CA..
Campbell Family Research Institute, Centre for Addiction and Mental Health (CAMH), Toronto, ON, Canada, CA..
Campbell Family Research Institute, Centre for Addiction and Mental Health (CAMH), Toronto, ON, Canada, CA.; Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada, CA.; Temerty Centre for Therapeutic Brain Intervention, CAMH, Toronto, ON, Canada, CA..
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2026 (English)In: Npj mental health research, ISSN 2731-4251, Vol. 5, no 1, article id 13Article in journal (Refereed) Published
Abstract [en]

Digital phenotyping promises to transform psychiatry by using multimodal, densely sampled data. However, its potential is hindered by the lack of focus on identifying and validating digital biomarkers that accurately reflect mental states before evaluating their impact on outcomes. This longitudinal study used explainable machine learning to analyze multivariate, densely sampled data from 133 bipolar disorder (BD) participants over a median of 251 days, identifying robust digital biomarkers defining depressive episodes. The analysis included features from email-based daily self-reported mood, energy, and anxiety, as well as passively collected activity and sleep data using an Oura ring. The most robust descriptors of depressive episodes were lower daily mood variability, lower daily activity variability, and higher daily sleep onset latency variability. Self-reported daily mood features achieved the highest performance (AU-ROC: 0.82 ± 0.03). Our results establish the value of multimodal data and represent a critical first step toward automated detection and prediction of illness episodes in BD.

Place, publisher, year, edition, pages
2026. Vol. 5, no 1, article id 13
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Psychiatry
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URN: urn:nbn:se:du-53083DOI: 10.1038/s44184-026-00195-5ISI: 001696228000001PubMedID: 41724810Scopus ID: 2-s2.0-105030608668OAI: oai:DiVA.org:du-53083DiVA, id: diva2:2041406
Available from: 2026-02-24 Created: 2026-02-24 Last updated: 2026-03-11Bibliographically approved

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Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
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  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
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  • en-US
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  • nn-NB
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  • Other locale
More languages
Output format
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