Table 2.
Overview of clinically relevant parameters and hypothesized associations among signals and clinical endpoints.
Prediction target | Definition | Physiological signals | Paralinguistic signals | Linguistic signals | Visual/behavioral signals | Biochemical signals | Ground truth/validation |
OCDa distress (youth) | Stress, fear, worry, disgust, embarrassment, shame, anger, sadness caused by obsessions/compulsions | Change in HRb depending on emotion; increased EDAc and temperature | High activation; negative valence | Negative emotion statements | Negative emotion facial expression; increased movement | Low oxytocin | Biosensor tags; (SUDsd); child negative emotions (CIBe); avoidance (ERPf); child stress (FASg); consequences (CY-BOCSh) |
OCD severity | Time spent on, interference, and distress caused by obsessions/compulsions; resistance of and control over obsessions/compulsions | Change in HR depending on emotion; increased EDA and temperature | High activation; negative valence | Negative emotion statements | Negative emotion facial expressions | Low oxytocin | Symptom hierarchy; child negative emotions (CIB); avoidance (ERP); mood and emotion (KIDSCREEN-52) |
OCD distress (parent) | Stress, embarrassment, worry, shame, anger, sadness caused by youth’s OCD | Change in HR depending on emotion; increased EDA and temperature | High activation; negative valence | Distress statements | Negative emotion facial expressions | Low oxytocin | Biosensor tags; parent negative emotions (CIB); parent stress (FAS); parental stress (DASSi) |
Overdemanding parenting [51] | Expecting youth not to feel distressed despite lived experience [51] | HR, HRVj, EDA; lower resting HRV; asynchrony | High activation; negative valence; asynchrony; interruptions | Example: “You must…” | Negative emotion facial expressions | Low oxytocin; low concordance between parent and child | Intrusiveness, criticism, low validation (CIB); conflict (FESk); low demand (FAS, item 5) |
Overprotective parenting [51] | Cognitions/behaviors aimed at protecting child from distress or harm [51] | HR, HRV, EDA; lower resting HRV; asynchrony | Positive valence; asynchrony | Protective statements | Proximity; affective touch | Low oxytocin; low concordance between parent and child | Accommodation (ERP); participation and modification (FAS); autonomy (KIDSCREEN-52) |
Supportive parenting [51] | Nonjudgmental, emotional and cognitive, empathy and conviction that child can cope [51] | Higher resting HRV; HR, HRV, EDA; synchrony | Positive valence; entrainment [18] | Accepting and confidence statements [51] | Movement synchrony | High oxytocin; high concordance between parent and child | Youth engagement, parent sensitivity (CIB), synchrony (ERP); discourage avoidance (FAS low score); cohesion (FES); parent relation (KIDSCREEN-52) |
aOCD: obsessive compulsive disorder.
bHR: heart rate.
cEDA: electrodermal activity.
dSUD: subjective unit of distress.
eCIB: coding interactive behavior [48].
fERP: exposure and response prevention.
hCY-BOCS: Children’s Yale-Brown Obsessive Compulsive Scale.
iDASS: depression anxiety and stress scale [41].
jHRV: heart rate variability.
kFES: family environment scale [42].