Decoding anxiety: A scoping review of observable cues

Background While anxiety disorders are one of the most prevalent mental diseases, they are often overlooked due to shortcomings of the existing diagnostic procedures, which predominantly rely on self-reporting. Due to recent technological advances, this source of information could be complemented by...

Full description

Saved in:
Bibliographic Details
Main Authors: Urška Smrke, Izidor Mlakar, Ana Rehberger, Leon Žužek, Nejc Plohl
Format: Article
Language:English
Published: SAGE Publishing 2024-11-01
Series:Digital Health
Online Access:https://doi.org/10.1177/20552076241297006
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850268607396708352
author Urška Smrke
Izidor Mlakar
Ana Rehberger
Leon Žužek
Nejc Plohl
author_facet Urška Smrke
Izidor Mlakar
Ana Rehberger
Leon Žužek
Nejc Plohl
author_sort Urška Smrke
collection DOAJ
description Background While anxiety disorders are one of the most prevalent mental diseases, they are often overlooked due to shortcomings of the existing diagnostic procedures, which predominantly rely on self-reporting. Due to recent technological advances, this source of information could be complemented by the so-called observable cues – indicators that are displayed spontaneously through individuals’ physiological responses or behaviour and can be detected by modern devices. However, while there are several individual studies on such cues, this research area lacks a synthesis. In line with this, our scoping review aimed to identify observable cues that offer meaningful insight into individuals’ anxiety and to determine how these cues can be measured. Methods We followed the PRISMA guidelines for scoping reviews. The search string containing terms related to anxiety and observable cues was entered into four databases (Web of Science, MEDLINE, ERIC, IEEE). While the search – limited to English peer-reviewed records published from 2012 onwards – initially yielded 2311 records, only 33 articles fit our selection criteria and were included in the final synthesis. Results The scoping review unravelled various categories of observable cues of anxiety, specifically those related to facial expressions, speech and language, breathing, skin, heart, cognitive control, sleep, activity and motion, location data and smartphone use. Moreover, we identified various approaches for measuring these cues, including wearable devices, and analysing smartphone usage and social media activity. Conclusions Our scoping review points to several physiological and behavioural cues associated with anxiety and highlights how these can be measured. These novel insights may be helpful for healthcare practitioners and fuel future research and technology development. However, as many cues were investigated only in a single study, more evidence is needed to generalise these findings and implement them into practice with greater confidence.
format Article
id doaj-art-0dca014fb3b24c338b0f6e873545e89c
institution OA Journals
issn 2055-2076
language English
publishDate 2024-11-01
publisher SAGE Publishing
record_format Article
series Digital Health
spelling doaj-art-0dca014fb3b24c338b0f6e873545e89c2025-08-20T01:53:25ZengSAGE PublishingDigital Health2055-20762024-11-011010.1177/20552076241297006Decoding anxiety: A scoping review of observable cuesUrška Smrke0Izidor Mlakar1Ana Rehberger2Leon Žužek3Nejc Plohl4 Faculty of Electrical Engineering and Computer Science, University of Maribor, Maribor, Slovenia Faculty of Electrical Engineering and Computer Science, University of Maribor, Maribor, Slovenia Faculty of Electrical Engineering and Computer Science, University of Maribor, Maribor, Slovenia Center for Cognitive Science, Faculty of Education, University of Ljubljana, Ljubljana, Slovenia Department of Psychology, Faculty of Arts, University of Maribor, Maribor, SloveniaBackground While anxiety disorders are one of the most prevalent mental diseases, they are often overlooked due to shortcomings of the existing diagnostic procedures, which predominantly rely on self-reporting. Due to recent technological advances, this source of information could be complemented by the so-called observable cues – indicators that are displayed spontaneously through individuals’ physiological responses or behaviour and can be detected by modern devices. However, while there are several individual studies on such cues, this research area lacks a synthesis. In line with this, our scoping review aimed to identify observable cues that offer meaningful insight into individuals’ anxiety and to determine how these cues can be measured. Methods We followed the PRISMA guidelines for scoping reviews. The search string containing terms related to anxiety and observable cues was entered into four databases (Web of Science, MEDLINE, ERIC, IEEE). While the search – limited to English peer-reviewed records published from 2012 onwards – initially yielded 2311 records, only 33 articles fit our selection criteria and were included in the final synthesis. Results The scoping review unravelled various categories of observable cues of anxiety, specifically those related to facial expressions, speech and language, breathing, skin, heart, cognitive control, sleep, activity and motion, location data and smartphone use. Moreover, we identified various approaches for measuring these cues, including wearable devices, and analysing smartphone usage and social media activity. Conclusions Our scoping review points to several physiological and behavioural cues associated with anxiety and highlights how these can be measured. These novel insights may be helpful for healthcare practitioners and fuel future research and technology development. However, as many cues were investigated only in a single study, more evidence is needed to generalise these findings and implement them into practice with greater confidence.https://doi.org/10.1177/20552076241297006
spellingShingle Urška Smrke
Izidor Mlakar
Ana Rehberger
Leon Žužek
Nejc Plohl
Decoding anxiety: A scoping review of observable cues
Digital Health
title Decoding anxiety: A scoping review of observable cues
title_full Decoding anxiety: A scoping review of observable cues
title_fullStr Decoding anxiety: A scoping review of observable cues
title_full_unstemmed Decoding anxiety: A scoping review of observable cues
title_short Decoding anxiety: A scoping review of observable cues
title_sort decoding anxiety a scoping review of observable cues
url https://doi.org/10.1177/20552076241297006
work_keys_str_mv AT urskasmrke decodinganxietyascopingreviewofobservablecues
AT izidormlakar decodinganxietyascopingreviewofobservablecues
AT anarehberger decodinganxietyascopingreviewofobservablecues
AT leonzuzek decodinganxietyascopingreviewofobservablecues
AT nejcplohl decodinganxietyascopingreviewofobservablecues