title: Wearable sensor platform and mobile application for use in cognitive behavioral therapy for drug addiction and PTSD.
abstract: We present a wearable sensor platform designed for monitoring and studying autonomic nervous system (ANS) activity for the purpose of mental health treatment and interventions. The mobile sensor system consists of a sensor band worn on the ankle that continuously monitors electrodermal activity (EDA), 3-axis acceleration, and temperature. A custom-designed ECG heart monitor worn on the chest is also used as an optional part of the system. The EDA signal from the ankle bands provides a measure sympathetic nervous system activity and used to detect arousal events. The optional ECG data can be used to improve the sensor classification algorithm and provide a measure of emotional "valence." Both types of sensor bands contain a Bluetooth radio that enables communication with the patient's mobile phone. When a specific arousal event is detected, the phone automatically presents therapeutic and empathetic messages to the patient in the tradition of Cognitive Behavioral Therapy (CBT). As an example of clinical use, we describe how the system is currently being used in an ongoing study for patients with drug-addiction and post-traumatic stress disorder (PTSD).
authors.affiliation: Media Laboratory, Massachusetts Institute of Technology, 75 Amherst St, Cambridge, MA 02139, USA. fletcher@media.mit.edu
authors.forename: Richard Ribón
authors.initials: RR
authors.lastname: Fletcher
authors.forename: Sharon
authors.initials: S
authors.lastname: Tam
authors.forename: Olufemi
authors.initials: O
authors.lastname: Omojola
authors.forename: Richard
authors.initials: R
authors.lastname: Redemske
authors.forename: Joyce
authors.initials: J
authors.lastname: Kwan
mesh_terms: D001676:Biofeedback, Psychology / Q000295:instrumentation; D040421:Cell Phone; D015928:Cognitive Behavioral Therapy / Q000295:instrumentation*; D003936:Diagnosis, Computer-Assisted / Q000295:instrumentation*; D004834:Epilepsy, Post-Traumatic / Q000175:diagnosis* / Q000628:therapy*; D004867:Equipment Design; D019544:Equipment Failure Analysis; D006801:Humans; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000628:therapy*; D013813:Therapy, Computer-Assisted / Q000295:instrumentation*; D016896:Treatment Outcome