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Concurrent and prospective associations between fitbit wearable-derived RDoC arousal and regulatory constructs and adolescent internalizing symptoms / B. W. NELSON in Journal of Child Psychology and Psychiatry, 63-3 (March 2022)
[article]
Titre : Concurrent and prospective associations between fitbit wearable-derived RDoC arousal and regulatory constructs and adolescent internalizing symptoms Type de document : Texte imprimé et/ou numérique Auteurs : B. W. NELSON, Auteur ; J. E. FLANNERY, Auteur ; J. FLOURNOY, Auteur ; N. DUELL, Auteur ; M. J. PRINSTEIN, Auteur ; E. TELZER, Auteur Article en page(s) : p.282-295 Langues : Anglais (eng) Mots-clés : Adolescence fitbit heart rate internalizing symptoms sleep steps wearables Index. décimale : PER Périodiques Résumé : BACKGROUND: Adolescence is characterized by alterations in biobehavioral functioning, during which individuals are at heightened risk for onset of psychopathology, particularly internalizing disorders. Researchers have proposed using digital technologies to index daily biobehavioral functioning, yet there is a dearth of research examining how wearable metrics are associated with mental health. METHODS: We preregistered analyses using the Adolescent Brain Cognitive Development Study dataset using wearable data collection in 5,686 adolescents (123,862 person-days or 2,972,688 person-hours) to determine whether wearable indices of resting heart rate (RHR), step count, and sleep duration and variability in these measures were cross-sectionally associated with internalizing symptomatology. All models were also run controlling for age, sex, body mass index, socioeconomic status, and race. We then performed prospective analyses on a subset of this sample (n?=?143) across 25?months that had Fitbit data available at baseline and follow-up in order to explore directionality of effects. RESULTS: Cross-sectional analyses revealed a small, yet significant, effect size (R(2) ?=?.053) that higher RHR, lower step count and step count variability, and greater variability in sleep duration were associated with greater internalizing symptoms. Cross-lagged panel model analysis revealed that there were no prospective associations between wearable variables and internalizing symptoms (partial R(2) ?=?.026), but greater internalizing symptoms and higher RHR predicted lower step count 25?months later (partial R(2) ?=?.010), while higher RHR also predicted lower step count variability 25?months later (partial R(2) ?=?.008). CONCLUSIONS: Findings indicate that wearable indices concurrently associate with internalizing symptoms during early adolescence, while a larger sample size is likely required to accurately assess prospective or directional effects between wearable indices and mental health. Future research should capitalize on the temporal resolution provided by wearable devices to determine the intensive longitudinal relations between biobehavioral risk factors and acute changes in mental health. En ligne : http://dx.doi.org/10.1111/jcpp.13471 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=457
in Journal of Child Psychology and Psychiatry > 63-3 (March 2022) . - p.282-295[article] Concurrent and prospective associations between fitbit wearable-derived RDoC arousal and regulatory constructs and adolescent internalizing symptoms [Texte imprimé et/ou numérique] / B. W. NELSON, Auteur ; J. E. FLANNERY, Auteur ; J. FLOURNOY, Auteur ; N. DUELL, Auteur ; M. J. PRINSTEIN, Auteur ; E. TELZER, Auteur . - p.282-295.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 63-3 (March 2022) . - p.282-295
Mots-clés : Adolescence fitbit heart rate internalizing symptoms sleep steps wearables Index. décimale : PER Périodiques Résumé : BACKGROUND: Adolescence is characterized by alterations in biobehavioral functioning, during which individuals are at heightened risk for onset of psychopathology, particularly internalizing disorders. Researchers have proposed using digital technologies to index daily biobehavioral functioning, yet there is a dearth of research examining how wearable metrics are associated with mental health. METHODS: We preregistered analyses using the Adolescent Brain Cognitive Development Study dataset using wearable data collection in 5,686 adolescents (123,862 person-days or 2,972,688 person-hours) to determine whether wearable indices of resting heart rate (RHR), step count, and sleep duration and variability in these measures were cross-sectionally associated with internalizing symptomatology. All models were also run controlling for age, sex, body mass index, socioeconomic status, and race. We then performed prospective analyses on a subset of this sample (n?=?143) across 25?months that had Fitbit data available at baseline and follow-up in order to explore directionality of effects. RESULTS: Cross-sectional analyses revealed a small, yet significant, effect size (R(2) ?=?.053) that higher RHR, lower step count and step count variability, and greater variability in sleep duration were associated with greater internalizing symptoms. Cross-lagged panel model analysis revealed that there were no prospective associations between wearable variables and internalizing symptoms (partial R(2) ?=?.026), but greater internalizing symptoms and higher RHR predicted lower step count 25?months later (partial R(2) ?=?.010), while higher RHR also predicted lower step count variability 25?months later (partial R(2) ?=?.008). CONCLUSIONS: Findings indicate that wearable indices concurrently associate with internalizing symptoms during early adolescence, while a larger sample size is likely required to accurately assess prospective or directional effects between wearable indices and mental health. Future research should capitalize on the temporal resolution provided by wearable devices to determine the intensive longitudinal relations between biobehavioral risk factors and acute changes in mental health. En ligne : http://dx.doi.org/10.1111/jcpp.13471 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=457 Examining the effect of a wearable, anxiety detection technology on improving the awareness of anxiety signs in autism spectrum disorder: a pilot randomized controlled trial / J. NGUYEN in Molecular Autism, 12 (2021)
[article]
Titre : Examining the effect of a wearable, anxiety detection technology on improving the awareness of anxiety signs in autism spectrum disorder: a pilot randomized controlled trial Type de document : Texte imprimé et/ou numérique Auteurs : J. NGUYEN, Auteur ; Robyn E. CARDY, Auteur ; Evdokia ANAGNOSTOU, Auteur ; Jessica BRIAN, Auteur ; A. KUSHKI, Auteur Article en page(s) : 72 p. Langues : Anglais (eng) Mots-clés : Asd Anxiety Autism Intervention Wearables commercialization, and will benefit financially from its sales. Index. décimale : PER Périodiques Résumé : BACKGROUND: Anxiety is prevalent in autism spectrum disorder (ASD) and can negatively impact physical and mental health. Self-awareness of anxiety signs is a key barrier to success of anxiety interventions for many children. METHODS: To address this, we conducted a randomized controlled trial to assess whether the Anxiety Meter, a wearable, real-time anxiety detection technology, can improve awareness of anxiety symptoms and the initiation of relaxation techniques in children with ASD. Twenty-eight children with ASD were trained on the use of the Anxiety Meter and taught a diaphragmatic breathing relaxation technique over three visits. On the fourth visit, participants were randomized to either receive feedback of their anxiety level or no feedback from the Anxiety Meter while completing a stress-eliciting task (public speaking) and asked to engage in deep breathing if anxious. RESULTS: Feedback from the Anxiety Meter was associated with increased likelihood of initiating deep breathing in response to anxiety. LIMITATIONS: Limitations include the small sample size, imbalanced group matching for IQ and sex, and the controlled-laboratory settings which limit the statistical power and generalizability of the results to real-world settings. CONCLUSIONS: Although these results are limited by the relatively small sample size, they support the feasibility of using a wearable device and real-time feedback to improve anxiety symptom awareness. Trial Registration ClinicalTrials.gov Identifier: NCT02160691, registration date: 06/05/2014. En ligne : http://dx.doi.org/10.1186/s13229-021-00477-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=459
in Molecular Autism > 12 (2021) . - 72 p.[article] Examining the effect of a wearable, anxiety detection technology on improving the awareness of anxiety signs in autism spectrum disorder: a pilot randomized controlled trial [Texte imprimé et/ou numérique] / J. NGUYEN, Auteur ; Robyn E. CARDY, Auteur ; Evdokia ANAGNOSTOU, Auteur ; Jessica BRIAN, Auteur ; A. KUSHKI, Auteur . - 72 p.
Langues : Anglais (eng)
in Molecular Autism > 12 (2021) . - 72 p.
Mots-clés : Asd Anxiety Autism Intervention Wearables commercialization, and will benefit financially from its sales. Index. décimale : PER Périodiques Résumé : BACKGROUND: Anxiety is prevalent in autism spectrum disorder (ASD) and can negatively impact physical and mental health. Self-awareness of anxiety signs is a key barrier to success of anxiety interventions for many children. METHODS: To address this, we conducted a randomized controlled trial to assess whether the Anxiety Meter, a wearable, real-time anxiety detection technology, can improve awareness of anxiety symptoms and the initiation of relaxation techniques in children with ASD. Twenty-eight children with ASD were trained on the use of the Anxiety Meter and taught a diaphragmatic breathing relaxation technique over three visits. On the fourth visit, participants were randomized to either receive feedback of their anxiety level or no feedback from the Anxiety Meter while completing a stress-eliciting task (public speaking) and asked to engage in deep breathing if anxious. RESULTS: Feedback from the Anxiety Meter was associated with increased likelihood of initiating deep breathing in response to anxiety. LIMITATIONS: Limitations include the small sample size, imbalanced group matching for IQ and sex, and the controlled-laboratory settings which limit the statistical power and generalizability of the results to real-world settings. CONCLUSIONS: Although these results are limited by the relatively small sample size, they support the feasibility of using a wearable device and real-time feedback to improve anxiety symptom awareness. Trial Registration ClinicalTrials.gov Identifier: NCT02160691, registration date: 06/05/2014. En ligne : http://dx.doi.org/10.1186/s13229-021-00477-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=459