TY - JOUR PY - 2019// TI - Capturing behavioral indicators of persecutory ideation using mobile technology JO - Journal of psychiatric research A1 - Buck, Benjamin A1 - Hallgren, Kevin A. A1 - Scherer, Emily A1 - Brian, Rachel A1 - Wang, Rui A1 - Wang, Weichen A1 - Campbell, Andrew A1 - Choudhury, Tanzeem A1 - Hauser, Marta A1 - Kane, John M. A1 - Ben-Zeev, Dror SP - 112 EP - 117 VL - 116 IS - N2 - Most existing measures of persecutory ideation (PI) rely on infrequent in-person visits, and this limits their ability to assess rapid changes or real-world functioning. Mobile health (mHealth) technology may address these limitations. Little is known about passively sensed behavioral indicators associated with PI. In the current study, sixty-two participants with schizophrenia spectrum disorders completed momentary assessments of PI on a smartphone that also passively collected behavioral data for one year.

RESULTS suggested that PI was prevalent (n = 50, 82% of sample) but had infrequent incidence (25.2% of EMA responses). PI was also associated with changes in several passively sensed variables, including decreases in distance traveled (Mkilometers = -1.20, SD = 18.88), time spent in a vehicle (Mminutes = -4.15, SD = 49.59), length of outgoing phone calls (Mminutes = -0.79, SD = 13.13), time spent proximal to human speech (Mminutes = -6.26, SD = 153.03), and an increase in time sitting still (Mminutes = 4.04, SD = 94.69). The present study suggests changes associated with PI may be detectable by passive sensors, including reductions in moving or traveling, and time spent around others or in self-initiated phone conversations. These constructs might constitute risk for PI.

Published by Elsevier Ltd.

Language: en

LA - en SN - 0022-3956 UR - http://dx.doi.org/10.1016/j.jpsychires.2019.06.002 ID - ref1 ER -