Digital measures of activity and motivation impact depression and anxiety in the real world

IF 12.4 1区医学 Q1 HEALTH CARE SCIENCES & SERVICES

NPJ Digital Medicine Pub Date : 2025-05-10 DOI:10.1038/s41746-025-01669-0

Jacqueline M. Beltrán, Yael Jacob, Marishka M. Mehta, Tasnim Hossain, Abigail Adams, Samantha Fontaine, John Torous, Catherine McDonough, Matthew Johnson, Andrew D. Delgado, James W. Murrough, Laurel S. Morris

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Abstract

Mood and anxiety disorders are highly comorbid, with symptom severity varying over time. Individuals with and without these disorders completed 30-days of ecological momentary assessment (EMAs) of depression, anxiety and distress, developed based on the established Mood and Anxiety Symptom Questionnaire (MASQ). These electronic MASQ (eMASQ) EMAs were collected alongside novel intrinsic and extrinsic motivation EMAs, and physical/digital activity measures (steps/screentime) across N = 70–101 participants. Each eMASQ-EMA significantly related to its corresponding MASQ measure. Extrinsic and intrinsic motivation negatively related to each eMASQ-EMA and had the greatest influence on patients’ overall symptom profile. Physical, but not digital activity, was negatively associated with concurrent and 1-week lagged anxiety and depression, highlighting the temporally delayed benefits of physical activity on depression and anxiety symptoms in psychiatric groups. Collectively, this study suggests cognitive constructs related to drive and physical activity, may be useful in predicting continuous and transient psychiatric symptoms in the real-world.

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活动和动机的数字测量会影响现实世界中的抑郁和焦虑

情绪和焦虑障碍是高度共病的，症状严重程度随时间而变化。有或没有这些障碍的个体根据既定的情绪和焦虑症状问卷（MASQ）完成了30天的抑郁、焦虑和痛苦的生态瞬时评估（ema）。这些电子MASQ (eMASQ) EMAs与新颖的内在动机和外在动机EMAs以及N = 70-101参与者的物理/数字活动测量（步数/屏幕时间）一起收集。每个eMASQ-EMA与其相应的MASQ测量值显著相关。外在动机和内在动机与各项eMASQ-EMA负相关，对患者整体症状的影响最大。体力活动，而非数字活动，与并发和一周滞后的焦虑和抑郁负相关，突出了精神科群体中体力活动对抑郁和焦虑症状的暂时延迟益处。总的来说，这项研究表明，与驾驶和身体活动相关的认知结构可能有助于预测现实世界中持续和短暂的精神症状。

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来源期刊

NPJ Digital Medicine Multiple-

CiteScore

25.10

自引率

3.30%

发文量

170

审稿时长

15 weeks

期刊介绍： npj Digital Medicine is an online open-access journal that focuses on publishing peer-reviewed research in the field of digital medicine. The journal covers various aspects of digital medicine, including the application and implementation of digital and mobile technologies in clinical settings, virtual healthcare, and the use of artificial intelligence and informatics. The primary goal of the journal is to support innovation and the advancement of healthcare through the integration of new digital and mobile technologies. When determining if a manuscript is suitable for publication, the journal considers four important criteria: novelty, clinical relevance, scientific rigor, and digital innovation.