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. 2023 Jul 24;12:e45123. doi: 10.2196/45123

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.

gFAS: family accommodation scale [43,44].

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].