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      Quantifying Quality of Life : Incorporating Daily Life into Medicine 

      Your Smartphone Knows you Better than you May Think: Emotional Assessment ‘on the Go’ Via TapSense

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          Abstract

          Quality of life (QoL) is a subjective term often determined by various aspects of living, such as personal well-being, health, family, and safety. QoL is challenging to capture objectively but can be anticipated through a person’s emotional state; especially positive emotions indicate an increased QoL and may be a potential indicator for other QoL aspects (such as health, safety). Affective computing is the study of technologies that can quantitatively assess human emotions from external clues. It can leverage different modalities including facial expression, physiological responses, or smartphone usage patterns and correlate them with the person’s life quality assessments. Smartphones are emerging as a main modality, mostly because of their ubiquitous availability and use throughout daily life activities. They include a plethora of onboard sensors (e.g., accelerometer, gyroscope, GPS) and can sense different user activities passively (e.g., mobility, app usage history). This chapter presents a research study (here referred to as the TapSense study) that focuses on assessing the individual’s emotional state from the smartphone usage patterns. In this TapSense study, the keyboard interaction of n = 22 participants was unobtrusively monitored for 3 weeks to determine the users’ emotional state (i.e., happy, sad, stressed, relaxed) using a personalized machine learning model. TapSense can assess emotions with an average AUCROC of 78%(±7% std). We summarize the findings and reflect upon these in the context of the potential developments within affective computing at large, in the long term, indicating a person’s quality of life.

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          Diagnostic and Statistical Manual of Mental Disorders

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            A brief measure for assessing generalized anxiety disorder: the GAD-7.

            Generalized anxiety disorder (GAD) is one of the most common mental disorders; however, there is no brief clinical measure for assessing GAD. The objective of this study was to develop a brief self-report scale to identify probable cases of GAD and evaluate its reliability and validity. A criterion-standard study was performed in 15 primary care clinics in the United States from November 2004 through June 2005. Of a total of 2740 adult patients completing a study questionnaire, 965 patients had a telephone interview with a mental health professional within 1 week. For criterion and construct validity, GAD self-report scale diagnoses were compared with independent diagnoses made by mental health professionals; functional status measures; disability days; and health care use. A 7-item anxiety scale (GAD-7) had good reliability, as well as criterion, construct, factorial, and procedural validity. A cut point was identified that optimized sensitivity (89%) and specificity (82%). Increasing scores on the scale were strongly associated with multiple domains of functional impairment (all 6 Medical Outcomes Study Short-Form General Health Survey scales and disability days). Although GAD and depression symptoms frequently co-occurred, factor analysis confirmed them as distinct dimensions. Moreover, GAD and depression symptoms had differing but independent effects on functional impairment and disability. There was good agreement between self-report and interviewer-administered versions of the scale. The GAD-7 is a valid and efficient tool for screening for GAD and assessing its severity in clinical practice and research.
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              A Global Measure of Perceived Stress

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                Author and book information

                Book Chapter
                2022
                April 14 2022
                : 209-267
                10.1007/978-3-030-94212-0_10
                b4dd3ae9-1fb8-4405-88c3-7eb95cbc4723
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