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ZENODO
Preprint . 2025
License: CC BY
Data sources: ZENODO
ZENODO
Preprint . 2025
License: CC BY
Data sources: Datacite
ZENODO
Preprint . 2025
License: CC BY
Data sources: Datacite
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Rest-Activity Rhythms During Clinical Episodes of Bipolar Disorder: Disruptions in Mean Levels, Temporal Variability, and Multivariate Structure

Authors: Konicarová, Carmen-Anna; Schneider, Jakub; Španiel, Filip; Alda, Martin; Bakštein, Eduard;

Rest-Activity Rhythms During Clinical Episodes of Bipolar Disorder: Disruptions in Mean Levels, Temporal Variability, and Multivariate Structure

Abstract

Mood episodes in bipolar disorders (BD) are typically associated with changes in sleep and activity patterns. In this study, we present a novel correlation-based approach to examine the structure of relationships between actigraphy-derived variables and clinical status in individuals with BD. Using a large-scale longitudinal study spanning over 2 years of actigraphic recordings from 115 patients with bipolar disorder (BD), we compared three aggregation approaches: mean values, temporal variability, and inter-feature correlation structure, to classify mood states in a strict validation scenario and predict future episodes. Two binary classification subsets (mania–remission and depression–remission) were constructed based on automatically classified labels using clinician-rated scales (Montgomery-Åsberg Depression Rating Scale and Young Mania Rating Scale) and weekly self-assessments. Support Vector Machine models with Radial Basis Function kernels were trained using 7-day windows and forward feature selection in a nested 5-fold cross-validation setup. The classification model achieved statistically significant balanced accuracy: 58% (p < 0.05) for mania–remission and 59% (p < 0.001) for depression–remission. For mania, the most predictive aggregates were shorter mean sleep duration and deviations in 10-hour peak activity across different weeks, while for depression, increased inter-daily variability and intra-daily activity fluctuations emerged as key indicators. The models differentiated future episodes from remission solely from actigraphy data with above-chance accuracy, revealing distinct behavioral signatures for mania and depression. While structural changes in correlation patterns between features differed across mood states, they did not outperform mean or variability-based metrics in classification performance. However, modest classification performance and high inter-individual variability suggest that personalized modeling approaches may be essential for clinically meaningful prediction. Notably, inter- and intra-weekly feature changes provided the strongest predictive signals, suggesting that straightforward alterations in rest-activity rhythms may better reflect clinical episodes than more complex structural metrics.

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Keywords

Machine Learning, rest-activity rhythms, Bipolar Disorder, long-term study, variability, correlation, mean, actigraphy

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
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