Digital phenotyping from wearables using AI characterizes psychiatric disorders and identifies genetic associations

Cell. 2025 Jan 23;188(2):515-529.e15. doi: 10.1016/j.cell.2024.11.012. Epub 2024 Dec 19.

Abstract

Psychiatric disorders are influenced by genetic and environmental factors. However, their study is hindered by limitations on precisely characterizing human behavior. New technologies such as wearable sensors show promise in surmounting these limitations in that they measure heterogeneous behavior in a quantitative and unbiased fashion. Here, we analyze wearable and genetic data from the Adolescent Brain Cognitive Development (ABCD) study. Leveraging >250 wearable-derived features as digital phenotypes, we show that an interpretable AI framework can objectively classify adolescents with psychiatric disorders more accurately than previously possible. To relate digital phenotypes to the underlying genetics, we show how they can be employed in univariate and multivariate genome-wide association studies (GWASs). Doing so, we identify 16 significant genetic loci and 37 psychiatric-associated genes, including ELFN1 and ADORA3, demonstrating that continuous, wearable-derived features give greater detection power than traditional case-control GWASs. Overall, we show how wearable technology can help uncover new linkages between behavior and genetics.

Keywords: AI; GWAS; brain; deep learning; digital phenotyping; genetics; genomics; personal health; psychiatry; wearable biosensors.

MeSH terms

  • Adolescent
  • Artificial Intelligence*
  • Female
  • Genome-Wide Association Study*
  • Humans
  • Male
  • Mental Disorders* / genetics
  • Phenotype*
  • Polymorphism, Single Nucleotide / genetics
  • Wearable Electronic Devices*