Presence of an affective disorder (e.g., depressive or bipolar episode) according to the treating clinic
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Minimum age = 18 years - Presence of an affective disorder (e.g., depressive or bipolar episode) as diagnosed by the treating clinic - Outpatient connection to the PIA (at least presentation every 3 months) - Capacity to consent - Written informed consent - Technical requirement: possession of a compatible iPhone or suitable device for pairing with the Apple Watch - Willingness to use the wearable regularly and to participate in monthly clinical visits as well as weekly self-assessments
Exclusion criteria
Exclusion criteria: - Withdrawal of consent or termination of participation - Acute risk of harm to self or others (e.g., acute suicidality) - Inpatient psychiatric treatment during the study period - Severe cognitive impairment (e.g., dementia, severe intellectual disability) with relevant limitation of study participation - Insufficient German language skills for informed consent and completion of self-assessments - Severe psychotic symptoms or other clinical conditions that, in the judgment of the treating clinicians, preclude study participation - Lack of technical suitability (e.g., incompatible device) preventing study conduct
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| H1 (Feasibility): Digital biomarkers can be recorded on at least 80 days within a 3-month period, with a minimum of 18h/day (87.5%) of coverage each day, in the routine context of outpatient psychiatric care. | — |
Secondary
| Measure | Time frame |
|---|---|
| H2 (Clinical Validity, exploratory): There are associations between passively collected digital biomarkers (activity, sleep, heart rate, HRV) and the severity of depressive, manic, and psychotic symptoms over time. | — |
Countries
Germany
Contacts
Klinik für Psychiatrie und Psychotherapie