An Observational Pilot Study using a Digital Phenotyping Approach in Patients with Major Depressive Disorder Treated with Trazodone

This 8-week study was designed to explore any correlation between a passive data collection approach using a wearable device (i.e., digital phenotyping), active data collection (patient’s questionnaires), and a traditional clinical evaluation [Montgomery-Åsberg Depression Rating Scale (MADRS)] in pa...

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Main Authors: Jan Čermák, Slavomír Pietrucha, Alexander Nawka, Paola Lipone, Alessandro Ruggieri, Annalisa Bonelli, Alessandro Comandini, Agnese Cattaneo
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1127511/full
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author Jan Čermák
Slavomír Pietrucha
Alexander Nawka
Paola Lipone
Alessandro Ruggieri
Annalisa Bonelli
Alessandro Comandini
Agnese Cattaneo
author_facet Jan Čermák
Slavomír Pietrucha
Alexander Nawka
Paola Lipone
Alessandro Ruggieri
Annalisa Bonelli
Alessandro Comandini
Agnese Cattaneo
author_sort Jan Čermák
collection DOAJ
description This 8-week study was designed to explore any correlation between a passive data collection approach using a wearable device (i.e., digital phenotyping), active data collection (patient’s questionnaires), and a traditional clinical evaluation [Montgomery-Åsberg Depression Rating Scale (MADRS)] in patients with major depressive disorder (MDD) treated with trazodone once a day (OAD). Overall, 11 out of 30 planned patients were enrolled. Passive parameters measured by the wearable device included number of steps, distance walked, calories burned, and sleep quality. A relationship between the sleep score (derived from passively measured data) and MADRS score was observed, as was a relationship between data collected actively (assessing depression, sleep, anxiety, and warning signs) and MADRS score. Despite the limited sample size, the efficacy and safety results were consistent with those previously reported for trazodone. The small population in this study limits the conclusions that can be drawn about the correlation between the digital phenotyping approach and traditional clinical evaluation; however, the positive trends observed suggest the need to increase synergies among clinicians, patients, and researchers to overcome the cultural barriers toward implementation of digital tools in the clinical setting. This study is a step toward the use of digital data in monitoring symptoms of depression, and the preliminary data obtained encourage further investigations of a larger population of patients monitored over a longer period of time.
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spelling doaj.art-052e2975bcd14c8f9557fb09387bc7e32023-03-24T05:51:22ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-03-011410.3389/fpsyt.2023.11275111127511An Observational Pilot Study using a Digital Phenotyping Approach in Patients with Major Depressive Disorder Treated with TrazodoneJan Čermák0Slavomír Pietrucha1Alexander Nawka2Paola Lipone3Alessandro Ruggieri4Annalisa Bonelli5Alessandro Comandini6Agnese Cattaneo7Psychiatrie Říčany s.r.o., Říčany, CzechiaCentrum Duševního Zdraví—Psychiatrie s.r.o., Kutná Hora, CzechiaInstitut Neuropsychiatrické Péče (INEP) (Psychiatric Outpatient Clinic), Praha, CzechiaAngelini Pharma S.p.A., Rome, ItalyAngelini Pharma S.p.A., Rome, ItalyAngelini Pharma S.p.A., Rome, ItalyAngelini Pharma S.p.A., Rome, ItalyAngelini Pharma S.p.A., Rome, ItalyThis 8-week study was designed to explore any correlation between a passive data collection approach using a wearable device (i.e., digital phenotyping), active data collection (patient’s questionnaires), and a traditional clinical evaluation [Montgomery-Åsberg Depression Rating Scale (MADRS)] in patients with major depressive disorder (MDD) treated with trazodone once a day (OAD). Overall, 11 out of 30 planned patients were enrolled. Passive parameters measured by the wearable device included number of steps, distance walked, calories burned, and sleep quality. A relationship between the sleep score (derived from passively measured data) and MADRS score was observed, as was a relationship between data collected actively (assessing depression, sleep, anxiety, and warning signs) and MADRS score. Despite the limited sample size, the efficacy and safety results were consistent with those previously reported for trazodone. The small population in this study limits the conclusions that can be drawn about the correlation between the digital phenotyping approach and traditional clinical evaluation; however, the positive trends observed suggest the need to increase synergies among clinicians, patients, and researchers to overcome the cultural barriers toward implementation of digital tools in the clinical setting. This study is a step toward the use of digital data in monitoring symptoms of depression, and the preliminary data obtained encourage further investigations of a larger population of patients monitored over a longer period of time.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1127511/fulldigital phenotypingmental healthmajor depressive disordertrazodoneactive data collectionpassive data collection
spellingShingle Jan Čermák
Slavomír Pietrucha
Alexander Nawka
Paola Lipone
Alessandro Ruggieri
Annalisa Bonelli
Alessandro Comandini
Agnese Cattaneo
An Observational Pilot Study using a Digital Phenotyping Approach in Patients with Major Depressive Disorder Treated with Trazodone
Frontiers in Psychiatry
digital phenotyping
mental health
major depressive disorder
trazodone
active data collection
passive data collection
title An Observational Pilot Study using a Digital Phenotyping Approach in Patients with Major Depressive Disorder Treated with Trazodone
title_full An Observational Pilot Study using a Digital Phenotyping Approach in Patients with Major Depressive Disorder Treated with Trazodone
title_fullStr An Observational Pilot Study using a Digital Phenotyping Approach in Patients with Major Depressive Disorder Treated with Trazodone
title_full_unstemmed An Observational Pilot Study using a Digital Phenotyping Approach in Patients with Major Depressive Disorder Treated with Trazodone
title_short An Observational Pilot Study using a Digital Phenotyping Approach in Patients with Major Depressive Disorder Treated with Trazodone
title_sort observational pilot study using a digital phenotyping approach in patients with major depressive disorder treated with trazodone
topic digital phenotyping
mental health
major depressive disorder
trazodone
active data collection
passive data collection
url https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1127511/full
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