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2. Detecting prolonged stress in real life using wearable biosensors and ecological momentary assessments: Naturalistic experimental study

Author

Toutounji, R.T., Kogias, N.O., Kapteijns, B.A., Krentz, M., Krause, F., Vassena, E., Hermans, E.J., Toutounji, R.T., Kogias, N.O., Kapteijns, B.A., Krentz, M., Krause, F., Vassena, E., and Hermans, E.J.

Abstract

Item does not contain fulltext, BACKGROUND: Increasing efforts toward the prevention of stress-related mental disorders have created a need for unobtrusive real-life monitoring of stress-related symptoms. Wearable devices have emerged as a possible solution to aid in this process, but their use in real-life stress detection has not been systematically investigated. OBJECTIVE: We aimed to determine the utility of ecological momentary assessments (EMA) and physiological arousal measured through wearable devices in detecting ecologically relevant stress states. METHODS: Using EMA combined with wearable biosensors for ecological physiological assessments (EPA), we investigated the impact of an ecological stressor (ie, a high-stakes examination week) on physiological arousal and affect compared to a control week without examinations in first-year medical and biomedical science students (51/83, 61.4% female). We first used generalized linear mixed-effects models with maximal fitting approaches to investigate the impact of examination periods on subjective stress exposure, mood, and physiological arousal. We then used machine learning models to investigate whether we could use EMA, wearable biosensors, or the combination of both to classify momentary data (ie, beeps) as belonging to examination or control weeks. We tested both individualized models using a leave-one-beep-out approach and group-based models using a leave-one-subject-out approach. RESULTS: During stressful high-stakes examination (versus control) weeks, participants reported increased negative affect and decreased positive affect. Intriguingly, physiological arousal decreased on average during the examination week. Time-resolved analyses revealed peaks in physiological arousal associated with both momentary self-reported stress exposure and self-reported positive affect. Mediation models revealed that the decreased physiological arousal in the examination week was mediated by lower positive affect during the same period. We then used machi

Published
2023

3. Correction: Protocol of the Healthy Brain Study: An accessible resource for understanding the human brain and how it dynamically and individually operates in its bio-social context

Author

Fernandez, G., Aarts, E., Akkerman, A., Altgassen, A.M., Bartels, R.H.M.A., Beckers, D.G.J., Bevelander, K.E., Bijleveld, E., Blaney Davidson, E.N., Boleij, A., Bralten, J.B., Cillessen, A.H.N., Claassen, J.A., Cools, R., Cornelissen, I.M.M., Dresler, M., Eijsvogels, T.M.H., Faber, M., Figner, B., Fritsche, M., Füllbrunn, S.C., Gayet, S., Gelder, M.M.H.J. van, Gerven, M.A.J. van, Geurts, S.A.E., Greven, C.U., Groefsema, M.M., Haak, K.V., Hagoort, P., Hartman, Y.A.W., Heijden, B.I.J.M. van der, Hermans, E., Heuvelmans, V.R., Hintz, F., Hollander, J.W. den, Hulsman, A.M., Idesis, S.A., Jaeger, Martin, Janse, E., Janzing, J.G., Kessels, R.P.C., Kleijn, W.P.E. de, Klein, M., Klumpers, F., Kohn, N., Korzilius, H.P.L.M., Krahmer, B., Lange, F.P. de, Leeuwen, J.M.C. van, Liu, H., Luijten, M., Manders, P., Manevska, K., Marques, J.P., Matthews, J., McQueen, J.M., Medendorp, W.P., Melis, R.J., Meyer, A.S., Oosterman, J.M., Overbeek, L.I.H., Peelen, M.V., Popma, J.A.M., Postma, G.J., Roelofs, K., Rossenberg, Y.G.T. van, Schaap, G.J., Scheepers, P.T., Selen, L.P.J., Starren, M.B.P., Swinkels, D.W., Tendolkar, I., Thijssen, D.H.J., Timmerman, H., Toutounji, R.T., Tuladhar, A.M., Veling, H.P., Verhagen, M., Verkroost, J., Vriezekolk, V., Vrijsen, J.N., Vyrastekova, J., Wal, S.E.I. van der, Willems, R.M., Willemsen, A.E.C.A.B., Fernandez, G., Aarts, E., Akkerman, A., Altgassen, A.M., Bartels, R.H.M.A., Beckers, D.G.J., Bevelander, K.E., Bijleveld, E., Blaney Davidson, E.N., Boleij, A., Bralten, J.B., Cillessen, A.H.N., Claassen, J.A., Cools, R., Cornelissen, I.M.M., Dresler, M., Eijsvogels, T.M.H., Faber, M., Figner, B., Fritsche, M., Füllbrunn, S.C., Gayet, S., Gelder, M.M.H.J. van, Gerven, M.A.J. van, Geurts, S.A.E., Greven, C.U., Groefsema, M.M., Haak, K.V., Hagoort, P., Hartman, Y.A.W., Heijden, B.I.J.M. van der, Hermans, E., Heuvelmans, V.R., Hintz, F., Hollander, J.W. den, Hulsman, A.M., Idesis, S.A., Jaeger, Martin, Janse, E., Janzing, J.G., Kessels, R.P.C., Kleijn, W.P.E. de, Klein, M., Klumpers, F., Kohn, N., Korzilius, H.P.L.M., Krahmer, B., Lange, F.P. de, Leeuwen, J.M.C. van, Liu, H., Luijten, M., Manders, P., Manevska, K., Marques, J.P., Matthews, J., McQueen, J.M., Medendorp, W.P., Melis, R.J., Meyer, A.S., Oosterman, J.M., Overbeek, L.I.H., Peelen, M.V., Popma, J.A.M., Postma, G.J., Roelofs, K., Rossenberg, Y.G.T. van, Schaap, G.J., Scheepers, P.T., Selen, L.P.J., Starren, M.B.P., Swinkels, D.W., Tendolkar, I., Thijssen, D.H.J., Timmerman, H., Toutounji, R.T., Tuladhar, A.M., Veling, H.P., Verhagen, M., Verkroost, J., Vriezekolk, V., Vrijsen, J.N., Vyrastekova, J., Wal, S.E.I. van der, Willems, R.M., and Willemsen, A.E.C.A.B.

Abstract

Contains fulltext : 248974.pdf (Publisher’s version ) (Open Access)

Published
2022

4. Correction: Protocol of the Healthy Brain Study: An accessible resource for understanding the human brain and how it dynamically and individually operates in its bio-social context

Author

Healthy Brain Study consortium, ., Aarts, E., Akkerman, A., Altgassen, A.M., Bartels, R.H.M.A., Beckers, D.G.J., Bevelander, K.E., Bijleveld, E., Blaney Davidson, E.N., Boleij, A., Bralten, J.B., Cillessen, A.H.N., Claassen, J.A., Cools, R., Cornelissen, I.M.M., Dresler, M., Eijsvogels, T.M.H., Faber, M., Figner, B., Fernandez, G., Fritsche, M., Füllbrunn, S.C., Gayet, S., Gelder, M.M.H.J. van, Gerven, M.A.J. van, Geurts, S.A.E., Greven, C.U., Groefsema, M.M., Haak, K.V., Hagoort, P., Hartman, Y.A.W., Heijden, B.I.J.M. van der, Hermans, E.J., Heuvelmans, V.R., Hintz, F., Hollander, J.W. den, Hulsman, A.M., Idesis, S.A., Jaeger, Martin, Janse, E., Janzing, J.G., Kessels, R.P.C., Karremans, J.C.T.M., Kleijn, W.P.E. de, Klein, M., Klumpers, F., Kohn, N., Korzilius, H.P.L.M., Krahmer, B., Lange, F.P. de, Leeuwen, J.M.C. van, Liu, H., Luijten, M., Manders, P., Manevska, K., Marques, J.P., Matthews, J., McQueen, J.M., Medendorp, W.P., Melis, R.J.F., Meyer, A.S., Oosterman, J.M., Overbeek, L.I.H., Peelen, M.V., Popma, J.A.M., Postma, G.J., Roelofs, K., Rossenberg, Y.G.T. van, Schaap, G.J., Scheepers, P.T., Selen, L.P.J., Starren, M.B.P., Swinkels, D.W., Tendolkar, I., Thijssen, D.H.J., Timmerman, H., Toutounji, R.T., Tuladhar, A.M., Veling, H.P., Verhagen, M., Verkroost, J., Vriezekolk, V., Vrijsen, J.N., Vyrastekova, J., Wal, S.E.I. van der, Willems, R.M., Willemsen, A.E.C.A.B., Healthy Brain Study consortium, ., Aarts, E., Akkerman, A., Altgassen, A.M., Bartels, R.H.M.A., Beckers, D.G.J., Bevelander, K.E., Bijleveld, E., Blaney Davidson, E.N., Boleij, A., Bralten, J.B., Cillessen, A.H.N., Claassen, J.A., Cools, R., Cornelissen, I.M.M., Dresler, M., Eijsvogels, T.M.H., Faber, M., Figner, B., Fernandez, G., Fritsche, M., Füllbrunn, S.C., Gayet, S., Gelder, M.M.H.J. van, Gerven, M.A.J. van, Geurts, S.A.E., Greven, C.U., Groefsema, M.M., Haak, K.V., Hagoort, P., Hartman, Y.A.W., Heijden, B.I.J.M. van der, Hermans, E.J., Heuvelmans, V.R., Hintz, F., Hollander, J.W. den, Hulsman, A.M., Idesis, S.A., Jaeger, Martin, Janse, E., Janzing, J.G., Kessels, R.P.C., Karremans, J.C.T.M., Kleijn, W.P.E. de, Klein, M., Klumpers, F., Kohn, N., Korzilius, H.P.L.M., Krahmer, B., Lange, F.P. de, Leeuwen, J.M.C. van, Liu, H., Luijten, M., Manders, P., Manevska, K., Marques, J.P., Matthews, J., McQueen, J.M., Medendorp, W.P., Melis, R.J.F., Meyer, A.S., Oosterman, J.M., Overbeek, L.I.H., Peelen, M.V., Popma, J.A.M., Postma, G.J., Roelofs, K., Rossenberg, Y.G.T. van, Schaap, G.J., Scheepers, P.T., Selen, L.P.J., Starren, M.B.P., Swinkels, D.W., Tendolkar, I., Thijssen, D.H.J., Timmerman, H., Toutounji, R.T., Tuladhar, A.M., Veling, H.P., Verhagen, M., Verkroost, J., Vriezekolk, V., Vrijsen, J.N., Vyrastekova, J., Wal, S.E.I. van der, Willems, R.M., and Willemsen, A.E.C.A.B.

Abstract

Contains fulltext : 248974.pdf (Publisher’s version ) (Open Access)

Published
2022

5. Protocol of the Healthy Brain Study: An accessible resource for understanding the human brain and how it dynamically and individually operates in its bio-social context

Author

Fernandez, G., Aarts, E., Akkerman, A., Altgassen, A.M., Bartels, R.H.M.A., Beckers, D.G.J., Bevelander, K.E., Bijleveld, E., Blaney Davidson, E.N., Boleij, A., Bralten, J.B., Cillessen, A.H.N., Claassen, J.A., Cools, R., Cornelissen, I.M.M., Dresler, M., Eijsvogels, T.M.H., Faber, M., Figner, B., Fritsche, M., Füllbrunn, S.C., Gayet, S., Gelder, M.M.H.J. van, Gerven, M.A.J. van, Geurts, S.A.E., Greven, C.U., Groefsema, M.M., Haak, K.V., Hagoort, P., Hartman, Y.A.W., Heijden, B.I.J.M. van der, Hermans, E., Heuvelmans, V.R., Hintz, F., Hollander, J.W. den, Hulsman, A.M., Idesis, S.A., Jaeger, Martin, Janse, E., Janzing, J.G., Kessels, R.P.C., Kleijn, W.P.E. de, Klein, M., Klumpers, F., Kohn, N., Korzilius, H.P.L.M., Krahmer, B., Lange, F.P. de, Leeuwen, J.M.C. van, Liu, H., Luijten, M., Manders, P., Manevska, K., Marques, J.P., Matthews, J., McQueen, J.M., Medendorp, W.P., Melis, R.J., Meyer, A.S., Oosterman, J.M., Overbeek, L.I.H., Peelen, M.V., Popma, J.A.M., Postma, G.J., Roelofs, K., Rossenberg, Y.G.T. van, Schaap, G.J., Scheepers, P.T., Selen, L.P.J., Starren, M.B.P., Swinkels, D.W., Tendolkar, I., Thijssen, D.H.J., Timmerman, H., Toutounji, R.T., Tuladhar, A.M., Veling, H.P., Verhagen, M., Verkroost, J., Vriezekolk, V., Vrijsen, J.N., Vyrastekova, J., Wal, S.E.I. van der, Willems, R.M., Willemsen, A.E.C.A.B., Fernandez, G., Aarts, E., Akkerman, A., Altgassen, A.M., Bartels, R.H.M.A., Beckers, D.G.J., Bevelander, K.E., Bijleveld, E., Blaney Davidson, E.N., Boleij, A., Bralten, J.B., Cillessen, A.H.N., Claassen, J.A., Cools, R., Cornelissen, I.M.M., Dresler, M., Eijsvogels, T.M.H., Faber, M., Figner, B., Fritsche, M., Füllbrunn, S.C., Gayet, S., Gelder, M.M.H.J. van, Gerven, M.A.J. van, Geurts, S.A.E., Greven, C.U., Groefsema, M.M., Haak, K.V., Hagoort, P., Hartman, Y.A.W., Heijden, B.I.J.M. van der, Hermans, E., Heuvelmans, V.R., Hintz, F., Hollander, J.W. den, Hulsman, A.M., Idesis, S.A., Jaeger, Martin, Janse, E., Janzing, J.G., Kessels, R.P.C., Kleijn, W.P.E. de, Klein, M., Klumpers, F., Kohn, N., Korzilius, H.P.L.M., Krahmer, B., Lange, F.P. de, Leeuwen, J.M.C. van, Liu, H., Luijten, M., Manders, P., Manevska, K., Marques, J.P., Matthews, J., McQueen, J.M., Medendorp, W.P., Melis, R.J., Meyer, A.S., Oosterman, J.M., Overbeek, L.I.H., Peelen, M.V., Popma, J.A.M., Postma, G.J., Roelofs, K., Rossenberg, Y.G.T. van, Schaap, G.J., Scheepers, P.T., Selen, L.P.J., Starren, M.B.P., Swinkels, D.W., Tendolkar, I., Thijssen, D.H.J., Timmerman, H., Toutounji, R.T., Tuladhar, A.M., Veling, H.P., Verhagen, M., Verkroost, J., Vriezekolk, V., Vrijsen, J.N., Vyrastekova, J., Wal, S.E.I. van der, Willems, R.M., and Willemsen, A.E.C.A.B.

Abstract

Contains fulltext : 242453.pdf (Publisher’s version ) (Open Access), The endeavor to understand the human brain has seen more progress in the last few decades than in the previous two millennia. Still, our understanding of how the human brain relates to behavior in the real world and how this link is modulated by biological, social, and environmental factors is limited. To address this, we designed the Healthy Brain Study (HBS), an interdisciplinary, longitudinal, cohort study based on multidimensional, dynamic assessments in both the laboratory and the real world. Here, we describe the rationale and design of the currently ongoing HBS. The HBS is examining a population-based sample of 1,000 healthy participants (age 30-39) who are thoroughly studied across an entire year. Data are collected through cognitive, affective, behavioral, and physiological testing, neuroimaging, bio-sampling, questionnaires, ecological momentary assessment, and real-world assessments using wearable devices. These data will become an accessible resource for the scientific community enabling the next step in understanding the human brain and how it dynamically and individually operates in its bio-social context. An access procedure to the collected data and bio-samples is in place and published on https://www.healthybrainstudy.nl/en/data-and-methods. https://www.trialregister.nl/trial/7955

Published
2021

6. Protocol of the Healthy Brain Study: An accessible resource for understanding the human brain and how it dynamically and individually operates in its bio-social context

Author

Healthy Brain Study consortium, ., Aarts, E., Akkerman, A., Altgassen, A.M., Bartels, R.H.M.A., Beckers, D.G.J., Bevelander, K.E., Bijleveld, E., Blaney Davidson, E.N., Boleij, A., Bralten, J.B., Cillessen, A.H.N., Claassen, J.A., Cools, R., Cornelissen, I.M., Dresler, M., Eijsvogels, T.M.H., Faber, M., Fernandez, G., Figner, B., Fritsche, M., Füllbrunn, S.C., Gayet, S., Gelder, M.M.H.J. van, Gerven, M.A.J. van, Geurts, S.A.E., Greven, C.U., Groefsema, M.M., Haak, K.V., Hagoort, P., Hartman, Y.A.W., Heijden, B.I.J.M. van der, Hermans, E.J., Heuvelmans, V.R., Hintz, F., Hollander, J.W. den, Hulsman, A.M., Idesis, S.A., Jaeger, M., Janse, E., Janzing, J.G., Kessels, R.P.C., Karremans, J.C.T.M., Kleijn, W.P.E. de, Klein, M., Klumpers, F., Kohn, N., Korzilius, H.P.L.M., Krahmer, B., Lange, F.P. de, Leeuwen, J.M.C. van, Liu, H., Luijten, M., Manders, P., Manevska, K., Marques, J.P., Matthews, J., McQueen, J.M., Medendorp, W.P., Melis, R.J.F., Meyer, A.S., Oosterman, J.M., Overbeek, L.I.H., Peelen, M.V., Popma, J.A.M., Postma, G.J., Roelofs, K., Rossenberg, Y.G.T. van, Schaap, G.J., Scheepers, P.T., Selen, L.P.J., Starren, M.B.P., Swinkels, D.W., Tendolkar, I., Thijssen, D.H.J., Timmerman, H., Toutounji, R.T., Tuladhar, A.M., Veling, H.P., Verhagen, M., Verkroost, J., Vriezekolk, V., Vrijsen, J.N., Vyrastekova, J., Wal, S.E.I. van der, Willems, R.M., Willemsen, A.E., Healthy Brain Study consortium, ., Aarts, E., Akkerman, A., Altgassen, A.M., Bartels, R.H.M.A., Beckers, D.G.J., Bevelander, K.E., Bijleveld, E., Blaney Davidson, E.N., Boleij, A., Bralten, J.B., Cillessen, A.H.N., Claassen, J.A., Cools, R., Cornelissen, I.M., Dresler, M., Eijsvogels, T.M.H., Faber, M., Fernandez, G., Figner, B., Fritsche, M., Füllbrunn, S.C., Gayet, S., Gelder, M.M.H.J. van, Gerven, M.A.J. van, Geurts, S.A.E., Greven, C.U., Groefsema, M.M., Haak, K.V., Hagoort, P., Hartman, Y.A.W., Heijden, B.I.J.M. van der, Hermans, E.J., Heuvelmans, V.R., Hintz, F., Hollander, J.W. den, Hulsman, A.M., Idesis, S.A., Jaeger, M., Janse, E., Janzing, J.G., Kessels, R.P.C., Karremans, J.C.T.M., Kleijn, W.P.E. de, Klein, M., Klumpers, F., Kohn, N., Korzilius, H.P.L.M., Krahmer, B., Lange, F.P. de, Leeuwen, J.M.C. van, Liu, H., Luijten, M., Manders, P., Manevska, K., Marques, J.P., Matthews, J., McQueen, J.M., Medendorp, W.P., Melis, R.J.F., Meyer, A.S., Oosterman, J.M., Overbeek, L.I.H., Peelen, M.V., Popma, J.A.M., Postma, G.J., Roelofs, K., Rossenberg, Y.G.T. van, Schaap, G.J., Scheepers, P.T., Selen, L.P.J., Starren, M.B.P., Swinkels, D.W., Tendolkar, I., Thijssen, D.H.J., Timmerman, H., Toutounji, R.T., Tuladhar, A.M., Veling, H.P., Verhagen, M., Verkroost, J., Vriezekolk, V., Vrijsen, J.N., Vyrastekova, J., Wal, S.E.I. van der, Willems, R.M., and Willemsen, A.E.

Abstract

Contains fulltext : 242453.pdf (Publisher’s version ) (Open Access), The endeavor to understand the human brain has seen more progress in the last few decades than in the previous two millennia. Still, our understanding of how the human brain relates to behavior in the real world and how this link is modulated by biological, social, and environmental factors is limited. To address this, we designed the Healthy Brain Study (HBS), an interdisciplinary, longitudinal, cohort study based on multidimensional, dynamic assessments in both the laboratory and the real world. Here, we describe the rationale and design of the currently ongoing HBS. The HBS is examining a population-based sample of 1,000 healthy participants (age 30-39) who are thoroughly studied across an entire year. Data are collected through cognitive, affective, behavioral, and physiological testing, neuroimaging, bio-sampling, questionnaires, ecological momentary assessment, and real-world assessments using wearable devices. These data will become an accessible resource for the scientific community enabling the next step in understanding the human brain and how it dynamically and individually operates in its bio-social context. An access procedure to the collected data and bio-samples is in place and published on https://www.healthybrainstudy.nl/en/data-and-methods. https://www.trialregister.nl/trial/7955

Published
2021

7. Pre- and post-therapy assessment of clinical outcomes and white matter integrity in autism spectrum disorder: Pilot study

Author

Saaybi, S., AlArab, Natally, Hannoun, Salem, Saade, Maritherese, Toutounji, R.T., Zeeni, Carine, Shbarou, Rolla, Hourani, R., Boustany, R.M., Saaybi, S., AlArab, Natally, Hannoun, Salem, Saade, Maritherese, Toutounji, R.T., Zeeni, Carine, Shbarou, Rolla, Hourani, R., and Boustany, R.M.

Abstract

Contains fulltext : 206714.pdf (publisher's version ) (Open Access), Objective: This pilot study aims to identify white matter (WM) tract abnormalities in Autism Spectrum Disorders (ASD) toddlers and pre-schoolers by Diffusion Tensor Imaging (DTI), and, to correlate imaging findings with clinical improvement after early interventional and Applied Behaviour Analysis (ABA) therapies by Verbal Behaviour Milestones Assessment and Placement Program (VB-MAPP). Methods: DTI scans were performed on 17 ASD toddlers/pre-schoolers and seven age-matched controls. Nine ASD patients had follow-up MRI twelve months following early intervention and ABA therapy. VB-MAPP was assessed and compared at diagnosis, six and twelve months after therapies. Tract-Based Spatial Statistics (TBSS) was used to measure fractional anisotropy (FA), mean diffusivity (MD), axial diffusivity (AD) and radial (RD) diffusivity Results: VB-MAPP scores improved at six and twelve months after early intervention and ABA therapy compared to scores at baseline. TBSS analysis showed significant FA decrease and/or RD increase in ASD patients before therapy versus controls in inferior fronto-occipital fasciculi, uncinate fasciculi, left superior fronto-occipital fasciculus, forceps minor, left superior fronto-occipital fasciculus, right superior longitudinal fasciculus, corona radiata bilaterally and left external capsule. A significantly FA increase in 21 tracts and ROIs is reported in post- versus pre-therapy DTI analysis. Conclusion: DTI findings highlighted ASD patient WM abnormalities at diagnosis and confirmed the benefits of twelve months of early intervention and ABA therapy on clinical and neuro imaging outcomes.

Published
2019

8. Thalamic volume and dimensions on MRI in the pediatric population: Normative values and correlations: (A cross sectional study)

Author

Toutounji, R.T., Homsi, M. El, Saaybi, S., Arab, N. Al, Tamim, H., Makki, M., Hourani, M., and Hourani, R.

Subjects
130 000 Cognitive Neurology & Memory, Stress-related disorders Donders Center for Medical Neuroscience [Radboudumc 13]
Abstract

Item does not contain fulltext BACKGROUND: Diagnoses of thalamic atrophy in children are based on experts' judgments. No normative measures exist for aiding objective diagnoses. Our aim was to determine normative two-dimensions(2D) and volume measurements of the thalamus in normally developing children. METHODS: MRI images of 245 patients were retrospectively collected. Only participants with normal brain MRIs were included in this cross-sectional study. Anterior-posterior (AP), transverse (T), and craniocaudal (C) diameters were measured. Volumetric masks of the thalamus were manually drawn, whereas volumetric measurements of the brain were automated. RESULTS: 124 patients were male (50.6%). We tabulated our measurements from birth until 18 years old. No significant differences in the thalamus measurements are found between the two hemispheres nor between sexes. The most remarkable increase in the thalamus volume and AP dimension is noted in the first four years of life, following which the values seem to stabilize. Craniocaudal diameters seem to increase in the first year of life, whereas transverse diameters increase until the age of 14 before plateauing. CONCLUSION: We report normative values of the thalamus in 2D and 3D from birth until 18 years of age. A rapid increase in the thalamic size is noted during the first four years of life followed by stabilization.

Published
2018

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