WatchAnxiety: A Transfer Learning Approach for State Anxiety Prediction from Smartwatch Data
This addresses the problem of real-time anxiety monitoring for socially anxious individuals, enabling personalized interventions, though it is incremental as it builds on transfer learning methods.
The paper tackled predicting momentary state anxiety from smartwatch data in socially anxious college students, achieving 60.4% balanced accuracy in their dataset and 59.1% in an external dataset, outperforming prior work by at least 7%.
Social anxiety is a common mental health condition linked to significant challenges in academic, social, and occupational functioning. A core feature is elevated momentary (state) anxiety in social situations, yet little prior work has measured or predicted fluctuations in this anxiety throughout the day. Capturing these intra-day dynamics is critical for designing real-time, personalized interventions such as Just-In-Time Adaptive Interventions (JITAIs). To address this gap, we conducted a study with socially anxious college students (N=91; 72 after exclusions) using our custom smartwatch-based system over an average of 9.03 days (SD = 2.95). Participants received seven ecological momentary assessments (EMAs) per day to report state anxiety. We developed a base model on over 10,000 days of external heart rate data, transferred its representations to our dataset, and fine-tuned it to generate probabilistic predictions. These were combined with trait-level measures in a meta-learner. Our pipeline achieved 60.4% balanced accuracy in state anxiety detection in our dataset. To evaluate generalizability, we applied the training approach to a separate hold-out set from the TILES-18 dataset-the same dataset used for pretraining. On 10,095 once-daily EMAs, our method achieved 59.1% balanced accuracy, outperforming prior work by at least 7%.