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PAs are transdiagnostic, occurring in individuals across and without a mental health diagnosis. However, prior work has largely focused on PA indications within individuals with panic disorder. This study identifies PA risk factors from over 6 months of passive sensing data recorded by Oura Rings in 182 young adults with and without adverse childhood experiences and psychiatric diagnoses, beyond just panic disorder. Our findings reveal that changes in Oura Ring\u2013derived measures are associated with next-day PAs, with distinct associations observed across different mental health diagnoses. For individuals with panic disorder, the likelihood of PA increases with time spent inactive. For those with depression, the likelihood of PA increases with decreased variation in nightly respiratory rate, decreased rapid eye movement sleep, and increased time spent in high-intensity activity. For those without a mental health diagnosis, the likelihood of PA increases with decreased heart rate variability. Data aggregation window sizes that capture the associations with PA risk vary by diagnosis and the type of feature, suggesting that cumulative physiological patterns from windows up to 7 days before a PA contribute to onset. These findings point to the possibility that continuous monitoring of panic attack risk could one day support preventive mental health intervention.<\/jats:p>","DOI":"10.3389\/fdgth.2026.1764371","type":"journal-article","created":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T05:23:55Z","timestamp":1776662635000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Exploration of wearable sensor measures associated with panic attacks differs across mental health conditions"],"prefix":"10.3389","volume":"8","author":[{"given":"Dheeraj Dhanvee","family":"Kairamkonda","sequence":"first","affiliation":[{"name":"Center for Remote Health Monitoring, Wake Forest University School of Medicine","place":["Winston-Salem, NC, United States"]},{"name":"Department of Biomedical Engineering, Wake Forest University School of Medicine","place":["Winston-Salem, NC, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen W.","family":"McGinnis","sequence":"additional","affiliation":[{"name":"Center for Remote Health Monitoring, Wake Forest University School of Medicine","place":["Winston-Salem, NC, United States"]},{"name":"Department of Social Sciences and Health Policy, Wake Forest University School of Medicine","place":["Winston-Salem, NC, United States"]},{"name":"Department of Pediatrics, Wake Forest University School of Medicine","place":["Winston-Salem, NC, United States"]},{"name":"Project LEMURS (Lived Experience Measured Using Rings), University of Vermont","place":["Burlington, VT, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Price","sequence":"additional","affiliation":[{"name":"Project LEMURS (Lived Experience Measured Using Rings), University of Vermont","place":["Burlington, VT, United States"]},{"name":"Department of Psychological Science, University of Vermont","place":["Burlington, VT, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna E.","family":"Hidalgo","sequence":"additional","affiliation":[{"name":"Project LEMURS (Lived Experience Measured Using Rings), University of Vermont","place":["Burlington, VT, United States"]},{"name":"Department of Psychological Science, University of Vermont","place":["Burlington, VT, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Kim","sequence":"additional","affiliation":[{"name":"Project LEMURS (Lived Experience Measured Using Rings), University of Vermont","place":["Burlington, VT, United States"]},{"name":"Vermont Complex Systems Institute, MassMutual Center of Excellence for Complex Systems and Data Science, University of Vermont","place":["Burlington, VT, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordan","family":"Llorin","sequence":"additional","affiliation":[{"name":"Project LEMURS (Lived Experience Measured Using Rings), University of Vermont","place":["Burlington, VT, United States"]},{"name":"Vermont Complex Systems Institute, MassMutual Center of Excellence for Complex Systems and Data Science, University of Vermont","place":["Burlington, VT, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Stanton","sequence":"additional","affiliation":[{"name":"Project LEMURS (Lived Experience Measured Using Rings), University of Vermont","place":["Burlington, VT, United States"]},{"name":"Department of Psychological Science, University of Vermont","place":["Burlington, VT, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura S. 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