8.1HCApr 24
Within-person prediction of depressive symptom change using year-long Screenome data and CES-D assessmentsMerve Cerit, Andrea Mock, Vryan Almanon Feliciano et al.
Predicting whether an individual's depressive symptoms will worsen, remain stable, or improve over the coming weeks can enable earlier and more targeted care, yet prospective within-person trajectory prediction remains largely unaddressed in digital phenotyping. We combine fortnightly CES-D assessments with over 100 million screenshots captured every five seconds via the Stanford Screenomics platform from 96 adults followed for approximately one year (M = 20.9, SD = 3.9 assessments per participant, 2,002 total observations). We frame prediction as a within-person classification task: whether symptoms will worsen, remain stable, or improve over the subsequent fortnight, operationalized in three ways to capture clinically meaningful change. Under temporal holdout, XGBoost achieves an AUC of 0.906 for crossings of established CES-D severity bands and 0.755 for change relative to each participant's own within-person variability, generalizing to unseen individuals (AUC = 0.821). Each person's typical symptom level was the only statistically significant predictor above the most recent CES-D score; without it, the most consequential worsening transitions go undetected. Screenome-derived behavioral features revealed prodromal patterns of worsening, including escalating social media use, fragmented device engagement, and changes in overnight activity, with substantial individual heterogeneity. These findings establish a proof-of-concept foundation for monitoring systems that could identify individuals approaching clinical deterioration before symptoms reach a crisis point.
9.2HCMar 13
Daily Affect Fluctuations in Phone Screen Content Predict Anxiety and Depressive SymptomsChristopher A. Kelly, Yikun Chi, Nicholas Haber et al.
The relationship between digital media use and mental health remains poorly understood, in part because real-world digital behavior is rarely captured at scale. This intensive longitudinal study tracked participants' complete natural smartphone interactions over one year. We collected screenshots every 5 seconds from 145 adults (yielding 111 million screenshots), alongside biweekly assessments of anxiety and depression (mean = 24 surveys). The valence and arousal of each screenshot were assessed using a deep learning affect model. Individuals showed highly idiosyncratic media patterns, with substantially more variance in anxiety and depression accounted for within-person than between-person. Day-to-day fluctuations in the valence and arousal of a person's screen content predicted subsequent changes in depression and anxiety, whereas between-person differences did not. Specifically, greater exposure to low-arousal negative content was associated with higher depression and anxiety. These findings underscore the dynamic, idiosyncratic nature of digital consumption and the need for targeted measurement and intervention.
2.3LGMar 30, 2020
On Biased Random Walks, Corrupted Intervals, and Learning Under Adversarial DesignDaniel Berend, Aryeh Kontorovich, Lev Reyzin et al.
We tackle some fundamental problems in probability theory on corrupted random processes on the integer line. We analyze when a biased random walk is expected to reach its bottommost point and when intervals of integer points can be detected under a natural model of noise. We apply these results to problems in learning thresholds and intervals under a new model for learning under adversarial design.
0.9CVJan 9, 2019
Guess What's on my Screen? Clustering Smartphone Screenshots with Active LearningAgnese Chiatti, Dolzodmaa Davaasuren, Nilam Ram et al.
A significant proportion of individuals' daily activities is experienced through digital devices. Smartphones in particular have become one of the preferred interfaces for content consumption and social interaction. Identifying the content embedded in frequently-captured smartphone screenshots is thus a crucial prerequisite to studies of media behavior and health intervention planning that analyze activity interplay and content switching over time. Screenshot images can depict heterogeneous contents and applications, making the a priori definition of adequate taxonomies a cumbersome task, even for humans. Privacy protection of the sensitive data captured on screens means the costs associated with manual annotation are large, as the effort cannot be crowd-sourced. Thus, there is need to examine utility of unsupervised and semi-supervised methods for digital screenshot classification. This work introduces the implications of applying clustering on large screenshot sets when only a limited amount of labels is available. In this paper we develop a framework for combining K-Means clustering with Active Learning for efficient leveraging of labeled and unlabeled samples, with the goal of discovering latent classes and describing a large collection of screenshot data. We tested whether SVM-embedded or XGBoost-embedded solutions for class probability propagation provide for more well-formed cluster configurations. Visual and textual vector representations of the screenshot images are derived and combined to assess the relative contribution of multi-modal features to the overall performance.