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Accepted for/Published in: Journal of Medical Internet Research

Date Submitted: Nov 20, 2024
Open Peer Review Period: Nov 21, 2024 - Jan 16, 2025
Date Accepted: Jul 31, 2025
(closed for review but you can still tweet)

The final, peer-reviewed published version of this preprint can be found here:

Panic Attack Prediction for Patients With Panic Disorder via Machine Learning and Wearable Electrocardiography Monitoring: Model Development and Validation Study

Oh H, Maeng C, Park J, Do H, Yoon T, KIM J

Panic Attack Prediction for Patients With Panic Disorder via Machine Learning and Wearable Electrocardiography Monitoring: Model Development and Validation Study

J Med Internet Res 2025;27:e69045

DOI: 10.2196/69045

PMID: 41092077

PMCID: 12526660

Panic Attack Prediction in Patients with Panic Disorder: A Machine Learning Study Using Wearable ECG Monitoring

  • Hayoung Oh; 
  • Chaehyun Maeng; 
  • Jinsuk Park; 
  • Hunmin Do; 
  • Taejun Yoon; 
  • JiHwan KIM

ABSTRACT

Background:

Wearable devices are increasingly important in mental health, monitoring physiological signals like ECG and HRV that reflect autonomic nervous system activity. While extensively researched for heart disease prediction, studies on predicting panic attacks are in early stages. Challenges include data collection difficulties, quantifying psychological factors, and analyzing different panic attack patterns.

Objective:

To propose strategies for improving panic attack prediction using wearable devices, review methods that precedent studies accomplished in heart disease prediction, and addressing challenges in data collection, model development, and ethical considerations.

Methods:

We propose a robust data collection and preprocessing protocol using wearable devices for long-term ECG and HRV monitoring. Also, we propose a comprehensive prediction model integrating both physiological signals and psychological factors (stress, anxiety, sleep patterns). Finally, we propose strict data privacy measures and ethical guidelines for handling sensitive personal information.

Results:

In this paper, we propose an integration of psychological factors with physiological data for a more holistic prediction model. Implementation of ethical data collection practices, including explicit user consent and anonymized data management.

Conclusions:

This approach offers a practical and scalable strategy for predicting panic attacks using wearable devices. It has the potential to improve the quality of life for individuals with panic disorders and introduce a new paradigm for preventive mental health management. The proposed service is expected to contribute significantly to the field of mental health care.


 Citation

Please cite as:

Oh H, Maeng C, Park J, Do H, Yoon T, KIM J

Panic Attack Prediction for Patients With Panic Disorder via Machine Learning and Wearable Electrocardiography Monitoring: Model Development and Validation Study

J Med Internet Res 2025;27:e69045

DOI: 10.2196/69045

PMID: 41092077

PMCID: 12526660

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