{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T15:38:42Z","timestamp":1784302722571,"version":"3.55.0"},"reference-count":102,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T00:00:00Z","timestamp":1737590400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Center on Complementary and Integrative Health (NCCIH)"},{"name":"National Institute on Minority Health and Health Disparities (NIMHD)"},{"name":"National Institute on Drug Abuse (NIDA)"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sensors"],"abstract":"<jats:p>Cognitive rumination, a transdiagnostic symptom across mental health disorders, has traditionally been assessed through self-report measures. However, these measures are limited by their temporal nature and subjective bias. The rise in wearable technologies offers the potential for continuous, real-time monitoring of physiological indicators associated with rumination. This scoping review investigates the current state of research on using wearable technology to detect cognitive rumination. Specifically, we examine the sensors and wearable devices used, physiological biomarkers measured, standard measures of rumination used, and the comparative validity of specific biomarkers in identifying cognitive rumination. The review was performed according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines on IEEE, Scopus, PubMed, and PsycInfo databases. Studies that used wearable devices to measure rumination-related physiological responses and biomarkers were included (n = 9); seven studies assessed one biomarker, and two studies assessed two biomarkers. Electrodermal Activity (EDA) sensors capturing skin conductance activity emerged as both the most prevalent sensor (n = 5) and the most comparatively valid biomarker for detecting cognitive rumination via wearable devices. Other commonly investigated biomarkers included electrical brain activity measured through Electroencephalogram (EEG) sensors (n = 2), Heart Rate Variability (HRV) measured using Electrocardiogram (ECG) sensors and heart rate fitness monitors (n = 2), muscle response measured through Electromyography (EMG) sensors (n = 1) and movement measured through an accelerometer (n = 1). The Empatica E4 and Empatica Embrace 2 wrist-worn devices were the most frequently used wearable (n = 3). The Rumination Response Scale (RRS), was the most widely used standard scale for assessing rumination. Experimental induction protocols, often adapted from Nolen-Hoeksema and Morrow\u2019s 1993 rumination induction paradigm, were also widely used. In conclusion, the findings suggest that wearable technology offers promise in capturing real-time physiological responses associated with rumination. However, the field is still developing, and further research is needed to validate these findings and explore the impact of individual traits and contextual factors on the accuracy of rumination detection.<\/jats:p>","DOI":"10.3390\/s25030654","type":"journal-article","created":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T05:49:54Z","timestamp":1737611394000},"page":"654","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["The Potential of Wearable Sensors for Detecting Cognitive Rumination: A Scoping Review"],"prefix":"10.3390","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6023-6459","authenticated-orcid":false,"given":"Vitica X.","family":"Arnold","sequence":"first","affiliation":[{"name":"Department of Informatics, University of California, Irvine, CA 92697, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6052-4875","authenticated-orcid":false,"given":"Sean D.","family":"Young","sequence":"additional","affiliation":[{"name":"Department of Informatics, University of California, Irvine, CA 92697, USA"},{"name":"Department of Emergency Medicine, University of California, Irvine, CA 92697, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,1,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1111\/j.1745-6924.2008.00088.x","article-title":"Rethinking Rumination","volume":"3","author":"Wisco","year":"2008","journal-title":"Perspect. Psychol. Sci. J. Assoc. Psychol. Sci."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"763","DOI":"10.2466\/PR0.99.3.763-772","article-title":"Comparison of Ruminative Responses with Negative Rumination as a Vulnerability Factor for Depression","volume":"99","author":"Ito","year":"2006","journal-title":"Psychol. Rep."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1007\/s10865-008-9152-9","article-title":"The influence of trait and state rumination on cardiovascular recovery from a negative emotional stressor","volume":"31","author":"Key","year":"2008","journal-title":"J. Behav. Med."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"56","DOI":"10.3758\/s13415-018-0644-y","article-title":"Anticipation and violated expectation of pain are influenced by trait rumination: An fMRI study","volume":"19","author":"Kokonyei","year":"2018","journal-title":"Cogn. Affect. Behav. Neurosci."},{"key":"ref_5","unstructured":"Thompson, M., and Thompson, L. (2003). The Neurofeedback Book: An Introduction to Basic Concepts in Applied Psychophysiology, Association for Applied Psychophysiology & Biofeedback. Available online: https:\/\/cir.nii.ac.jp\/crid\/1130282271208678528."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"470","DOI":"10.3758\/CABN.10.4.470","article-title":"Neural correlates of rumination in depression","volume":"10","author":"Cooney","year":"2010","journal-title":"Cogn. Affect. Behav. Neurosci."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Wong, S.M.Y., Chen, E.Y.H., Lee, M.C.Y., Suen, Y.N., and Hui, C.L.M. (2023). Rumination as a Transdiagnostic Phenomenon in the 21st Century: The Flow Model of Rumination. Brain Sci., 13.","DOI":"10.3390\/brainsci13071041"},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Nykl\u00ed\u010dek, I., Vingerhoets, A., and Zeelenberg, M. (2011). Perseverative Cognition, Psychopathology, and Somatic Health. Emotion Regulation and Well-Being, Springer.","DOI":"10.1007\/978-1-4419-6953-8"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.jpsychores.2005.06.074","article-title":"The perseverative cognition hypothesis: A review of worry, prolonged stress-related physiological activation, and health","volume":"60","author":"Brosschot","year":"2006","journal-title":"J. Psychosom. Res."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1016\/j.jpsychores.2010.02.002","article-title":"Conscious and unconscious perseverative cognition: Is a large part of prolonged physiological activity due to unconscious stress?","volume":"69","author":"Brosschot","year":"2010","journal-title":"J. Psychosom. Res."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"343","DOI":"10.3758\/BF03194392","article-title":"Automatic vigilance for task-related information: Perseverance after failure and inhibition after success","volume":"31","author":"Rothermund","year":"2003","journal-title":"Mem. Cognit."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"e5626","DOI":"10.2196\/mental.5626","article-title":"Using real-time social media technologies to monitor levels of perceived stress and emotional state in college students: A web-based questionnaire study","volume":"4","author":"Liu","year":"2017","journal-title":"JMIR Ment. Health"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Emish, M., and Young, S.D. (2024). Remote Wearable Neuroimaging Devices for Health Monitoring and Neurophenotyping: A Scoping Review. Biomimetics, 9.","DOI":"10.3390\/biomimetics9040237"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"e21490","DOI":"10.2196\/21490","article-title":"Association between generalized anxiety disorder scores and online activity among US adults during the COVID-19 pandemic: Cross-sectional analysis","volume":"22","author":"Singh","year":"2020","journal-title":"J. Med. Internet Res."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"113027","DOI":"10.1016\/j.physbeh.2020.113027","article-title":"The autonomic correlates of dysphoric rumination and post-rumination savoring","volume":"224","author":"Stone","year":"2020","journal-title":"Physiol. Behav."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Siegle, G.J., and Thayer, J.F. (2003). Physiological Aspects of Depressive Rumination. Depressive Rumination, John Wiley & Sons, Ltd.","DOI":"10.1002\/9780470713853.ch5"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1037\/bul0000036","article-title":"Physiological concomitants of perseverative cognition: A systematic review and meta-analysis","volume":"142","author":"Ottaviani","year":"2016","journal-title":"Psychol. Bull."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Schumann, A., Helbing, N., Rieger, K., Suttkus, S., and B\u00e4r, K.-J. (2022). Depressive rumination and heart rate variability: A pilot study on the effect of biofeedback on rumination and its physiological concomitants. Front. Psychiatry, 13.","DOI":"10.3389\/fpsyt.2022.961294"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Held, J., V\u00eesl\u0103, A., Wolfer, C., Messerli-B\u00fcrgy, N., and Fl\u00fcckiger, C. (2021). Heart rate variability change during a stressful cognitive task in individuals with anxiety and control participants. BMC Psychol., 9.","DOI":"10.1186\/s40359-021-00551-4"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1159\/000530376","article-title":"Heart Rate Variability for Evaluating Psychological Stress Changes in Healthy Adults: A Scoping Review","volume":"82","author":"Immanuel","year":"2023","journal-title":"Neuropsychobiology"},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Jiryis, T., Magal, N., Fructher, E., Hertz, U., and Admon, R. (2022). Resting-state heart rate variability (HRV) mediates the association between perceived chronic stress and ambiguity avoidance. Sci. Rep., 12.","DOI":"10.1038\/s41598-022-22584-4"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"102142","DOI":"10.1016\/j.nicl.2019.102142","article-title":"Neural correlates of rumination in major depressive disorder: A brain network analysis","volume":"25","author":"Jacob","year":"2019","journal-title":"NeuroImage Clin."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"3540","DOI":"10.1038\/s41467-023-39142-9","article-title":"A dorsomedial prefrontal cortex-based dynamic functional connectivity model of rumination","volume":"14","author":"Kim","year":"2023","journal-title":"Nat. Commun."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Chen, X., Fan, Z., Chen, D., Wang, L., Chen, L., and Yan, C.-G. (2024). Intracranial neurophysiological correlates of rumination. bioRxiv.","DOI":"10.1101\/2024.05.08.593187"},{"key":"ref_25","first-page":"29","article-title":"Rumination","volume":"9","author":"Sansone","year":"2012","journal-title":"Innov. Clin. Neurosci."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1016\/j.paid.2013.03.019","article-title":"Gender differences in rumination: A meta-analysis","volume":"55","author":"Johnson","year":"2013","journal-title":"Personal. Individ. Differ."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"313","DOI":"10.18863\/pgy.1322319","article-title":"Effect of Gender on the Relationship Between Ruminative Thinking and Depressive Symptoms","volume":"15","year":"2023","journal-title":"Psikiyatr. G\u00fcncel Yakla\u015f\u0131mlar"},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Lilly, K.J., Howard, C., Zubielevitch, E., and Sibley, C.G. (2023). Thinking twice: Examining gender differences in repetitive negative thinking across the adult lifespan. Front. Psychol., 14.","DOI":"10.3389\/fpsyg.2023.1239112"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1037\/0021-843X.109.3.504","article-title":"The role of rumination in depressive disorders and mixed anxiety\/depressive symptoms","volume":"109","year":"2000","journal-title":"J. Abnorm. Psychol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"101910","DOI":"10.1016\/j.cpr.2020.101910","article-title":"Rumination in posttraumatic stress disorder: A systematic review","volume":"82","author":"Moulds","year":"2020","journal-title":"Clin. Psychol. Rev."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1017\/bec.2016.10","article-title":"A Comprehensive Review of the Cognitive Determinants of Anxiety and Rumination in Social Anxiety Disorder","volume":"33","author":"Modini","year":"2016","journal-title":"Behav. Change"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1590\/1516-4446-2014-1556","article-title":"Rumination in bipolar disorder: A systematic review","volume":"37","author":"Silveira","year":"2015","journal-title":"Braz. J. Psychiatry"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1097\/NMD.0b013e3181b3af20","article-title":"Rumination and Negative Symptoms in Schizophrenia","volume":"197","author":"Halari","year":"2009","journal-title":"J. Nerv. Ment. Dis."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"103573","DOI":"10.1016\/j.brat.2020.103573","article-title":"Reflecting on rumination: Consequences, causes, mechanisms and treatment of rumination","volume":"127","author":"Watkins","year":"2020","journal-title":"Behav. Res. Ther."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"311","DOI":"10.2217\/pmt.11.29","article-title":"Thinking about thinking about pain: A qualitative investigation of rumination in chronic pain","volume":"1","author":"Edwards","year":"2011","journal-title":"Pain Manag."},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"das Neves, J.F., Kornacka, M., Serra, E., Rollin, N., Kosinski, T., Mar\u00e9chal, V., Jehel, L., and Rusinek, S. (2023). The impact of rumination on fibromyalgia pain after physical activity: An experimental study. Sci. Rep., 13.","DOI":"10.1038\/s41598-023-47414-z"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"929","DOI":"10.1111\/bjc.12367","article-title":"Understanding the experience of rumination and worry: A descriptive qualitative survey study","volume":"61","author":"Joubert","year":"2022","journal-title":"Br. J. Clin. Psychol."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Nolen-Hoeksema, S., and Morrow, J. (1991). Response Styles Questionnaire, American Psychological Association.","DOI":"10.1037\/t03823-000"},{"key":"ref_39","first-page":"5","article-title":"Kwestionariusz ruminacji. [Rumination questionnaire]","volume":"43","author":"Wojciszke","year":"2005","journal-title":"Stud. Psychol."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1080\/10615806.2010.529901","article-title":"Assessing posttraumatic cognitive processes: The Event Related Rumination Inventory","volume":"24","author":"Cann","year":"2011","journal-title":"Anxiety Stress Coping"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1037\/1040-3590.7.4.524","article-title":"The Pain Catastrophizing Scale: Development and validation","volume":"7","author":"Sullivan","year":"1995","journal-title":"Psychol. Assess."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1023\/A:1023910315561","article-title":"Rumination Reconsidered: A Psychometric Analysis","volume":"27","author":"Treynor","year":"2003","journal-title":"Cogn. Ther. Res."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"211","DOI":"10.2147\/JMDH.S104807","article-title":"Information bias in health research: Definition, pitfalls, and adjustment methods","volume":"9","author":"Althubaiti","year":"2016","journal-title":"J. Multidiscip. Healthc."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"108074","DOI":"10.1016\/j.comnet.2021.108074","article-title":"A Survey on Wearable Technology: History, State-of-the-Art and Current Challenges","volume":"193","author":"Ometov","year":"2021","journal-title":"Comput. Netw."},{"key":"ref_45","doi-asserted-by":"crossref","unstructured":"Gomes, N., Pato, M., Louren\u00e7o, A.R., and Datia, N. (2023). A Survey on Wearable Sensors for Mental Health Monitoring. Sensors, 23.","DOI":"10.3390\/s23031330"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"e34384","DOI":"10.2196\/34384","article-title":"The Impact of Wearable Technologies in Health Research: Scoping Review","volume":"10","author":"Huhn","year":"2022","journal-title":"JMIR mHealth uHealth"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"2000853","DOI":"10.1002\/admt.202000853","article-title":"Seamlessly Integrable Optoelectronics for Clinical Grade Wearables","volume":"6","author":"Polat","year":"2021","journal-title":"Adv. Mater. Technol."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1038\/s41467-023-44634-9","article-title":"From lab to life: How wearable devices can improve health equity","volume":"15","author":"Walter","year":"2024","journal-title":"Nat. Commun."},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Kim, S., Malik, J., Seo, J.M., Cho, Y.M., and Bien, F. (2022). Subcutaneously implantable electromagnetic biosensor system for continuous glucose monitoring. Sci. Rep., 12.","DOI":"10.1038\/s41598-022-22128-w"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"e28901","DOI":"10.2196\/28901","article-title":"The Potential of Current Noninvasive Wearable Technology for the Monitoring of Physiological Signals in the Management of Type 1 Diabetes: Literature Survey","volume":"24","author":"Daskalaki","year":"2022","journal-title":"J. Med. Internet Res."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"114993","DOI":"10.1016\/j.sna.2023.114993","article-title":"A review on flexible wearables\u2014Recent developments in non-invasive continuous health monitoring","volume":"366","author":"Kazanskiy","year":"2024","journal-title":"Sens. Actuators Phys."},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Ahmed, A., Aziz, S., Alzubaidi, M., Schneider, J., Irshaidat, S., Abu Serhan, H., Abd-alrazaq, A.A., Solaiman, B., and Househ, M. (2023). Wearable devices for anxiety & depression: A scoping review. Comput. Methods Programs Biomed. Update, 3.","DOI":"10.1016\/j.cmpbup.2023.100095"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"e20230037","DOI":"10.1002\/INMD.20230037","article-title":"Clinical research on neurological and psychiatric diagnosis and monitoring using wearable devices: A literature review","volume":"2","author":"Huang","year":"2024","journal-title":"Interdiscip. Med."},{"key":"ref_54","doi-asserted-by":"crossref","unstructured":"Hickey, B.A., Chalmers, T., Newton, P., Lin, C.-T., Sibbritt, D., McLachlan, C.S., Clifton-Bligh, R., Morley, J., and Lal, S. (2021). Smart Devices and Wearable Technologies to Detect and Monitor Mental Health Conditions and Stress: A Systematic Review. Sensors, 21.","DOI":"10.3390\/s21103461"},{"key":"ref_55","doi-asserted-by":"crossref","unstructured":"Canali, S., Schiaffonati, V., and Aliverti, A. (2022). Challenges and recommendations for wearable devices in digital health: Data quality, interoperability, health equity, fairness. PLoS Digit. Health, 1.","DOI":"10.1371\/journal.pdig.0000104"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"e35684","DOI":"10.2196\/35684","article-title":"Wearing the Future\u2014Wearables to Empower Users to Take Greater Responsibility for Their Health and Care: Scoping Review","volume":"10","author":"Kang","year":"2022","journal-title":"JMIR mHealth uHealth"},{"key":"ref_57","doi-asserted-by":"crossref","unstructured":"Kouaho, W.-J., and Epstein, D.A. (2024, January 11\u201316). Socioeconomic Class in Physical Activity Wearables Research and Design. Proceedings of the 2024 CHI Conference on Human Factors in Computing Systems, Honolulu, HI, USA.","DOI":"10.1145\/3613904.3642789"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"7899","DOI":"10.3934\/mbe.2022369","article-title":"A scoping review on monitoring mental health using smart wearable devices","volume":"19","author":"Long","year":"2022","journal-title":"Math. Biosci. Eng. MBE"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"e52444","DOI":"10.2196\/52444","article-title":"Use of Consumer Wearables in Health Research: Issues and Considerations","volume":"25","author":"Dobson","year":"2023","journal-title":"J. Med. Internet Res."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1080\/1364557032000119616","article-title":"Scoping studies: Towards a methodological framework","volume":"8","author":"Arksey","year":"2005","journal-title":"Int. J. Soc. Res. Methodol."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"565","DOI":"10.4300\/JGME-D-22-00621.1","article-title":"Steps for Conducting a Scoping Review","volume":"14","author":"Mak","year":"2022","journal-title":"J. Grad. Med. Educ."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"467","DOI":"10.7326\/M18-0850","article-title":"PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation","volume":"169","author":"Tricco","year":"2018","journal-title":"Ann. Intern. Med."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1080\/01652176.2021.1987581","article-title":"Using rumination time to manage health and reproduction in dairy cattle: A review","volume":"41","author":"Paudyal","year":"2021","journal-title":"Vet. Q."},{"key":"ref_64","unstructured":"Bauer, A., Lameg, A., Eckerson, A., Diaz, A., Costas, A., Abel, A., Rojas, C., Conrick, C., Keane, C., and Brunson, D. (2024, December 05). Technology: Where It Started and Where It\u2019s Going. Available online: https:\/\/opentextbooks.clemson.edu\/sts1010fidlerfall2021\/."},{"key":"ref_65","doi-asserted-by":"crossref","unstructured":"Ottaviani, C., Shahabi, L., Tarvainen, M., Cook, I., Abrams, M., and Shapiro, D. (2015). Cognitive, behavioral, and autonomic correlates of mind wandering and perseverative cognition in major depression. Front. Neurosci., 8.","DOI":"10.3389\/fnins.2014.00433"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.biopsycho.2017.04.013","article-title":"Orofacial electromyographic correlates of induced verbal rumination","volume":"127","author":"Nalborczyk","year":"2017","journal-title":"Biol. Psychol."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1080\/10615806.2018.1438723","article-title":"Worry and rumination: Do they prolong physiological and affective recovery from stress?","volume":"31","author":"Capobianco","year":"2018","journal-title":"Anxiety Stress Coping"},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"e13763","DOI":"10.1111\/psyp.13763","article-title":"Do Trait Psychological Characteristics Moderate Sympathetic Arousal to Racial Discrimination Exposure in a Natural Setting?","volume":"58","author":"Jelsma","year":"2021","journal-title":"Psychophysiology"},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1038\/s41398-021-01730-y","article-title":"Can passive measurement of physiological distress help better predict suicidal thinking?","volume":"11","author":"Kleiman","year":"2021","journal-title":"Transl. Psychiatry"},{"key":"ref_70","doi-asserted-by":"crossref","unstructured":"Bailey, A.W., and Kang, H.-K. (2022). Walking and Sitting Outdoors: Which Is Better for Cognitive Performance and Mental States?. Int. J. Environ. Res. Public. Health, 19.","DOI":"10.3390\/ijerph192416638"},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1016\/j.genhosppsych.2022.12.005","article-title":"Real-Time Digital Monitoring of a Suicide Attempt by a Hospital Patient","volume":"80","author":"Coppersmith","year":"2023","journal-title":"Gen. Hosp. Psychiatry"},{"key":"ref_72","doi-asserted-by":"crossref","unstructured":"Li, Y., Li, C., Zhang, T., Wu, L., Lin, X., Li, Y., Wang, L., Yang, H., Lu, D., and Miao, D. (2023). Questionnaires based on natural language processing elicit immersive ruminative thinking in ruminators: Evidence from behavioral responses and EEG data. Front. Neurosci., 17.","DOI":"10.3389\/fnins.2023.1118650"},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"1006","DOI":"10.1080\/02699931.2018.1535426","article-title":"Imagery and verbal thought during rumination and distraction: Does imagery amplify affective response?","volume":"33","author":"Lawrence","year":"2019","journal-title":"Cogn. Emot."},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1177\/107385840200800209","article-title":"Review: Electrodermal Responses: What Happens in the Brain","volume":"8","author":"Critchley","year":"2002","journal-title":"Neuroscientist"},{"key":"ref_75","doi-asserted-by":"crossref","unstructured":"Boucsein, W. (2012). Electrodermal Activity, Springer Science & Business Media.","DOI":"10.1007\/978-1-4614-1126-0"},{"key":"ref_76","doi-asserted-by":"crossref","unstructured":"Boucsein, W. (2013). Electrodermal Activity, Springer Science & Business Media.","DOI":"10.1007\/978-1-4614-1126-0"},{"key":"ref_77","unstructured":"Douilliez, C., Philippot, P., Watkins, E.R., and Banard, P. (2012). The Mini-CERTS (Cambridge-Exeter Repetitive Thought Scale): A short questionnaire to assess constructive and unconstructive repetitive thinking. Rev. Can. Sci. Comport. J. Behav. Sci., 1."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1080\/02699939308409206","article-title":"Effects of rumination and distraction on naturally occurring depressed mood","volume":"7","author":"Morrow","year":"1993","journal-title":"Cogn. Emot."},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"174","DOI":"10.3758\/BF03192765","article-title":"Cyberball: A program for use in research on interpersonal ostracism and acceptance","volume":"38","author":"Williams","year":"2006","journal-title":"Behav. Res. Methods"},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"1776","DOI":"10.1126\/science.1103572","article-title":"A Survey Method for Characterizing Daily Life Experience: The Day Reconstruction Method","volume":"306","author":"Kahneman","year":"2004","journal-title":"Science"},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"3296","DOI":"10.1093\/brain\/aww255","article-title":"Medial reward and lateral non-reward orbitofrontal cortex circuits change in opposite directions in depression","volume":"139","author":"Cheng","year":"2016","journal-title":"Brain"},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1093\/scan\/nsq080","article-title":"Depression, rumination and the default network","volume":"6","author":"Berman","year":"2011","journal-title":"Soc. Cogn. Affect. Neurosci."},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"2034","DOI":"10.1093\/scan\/nsu006","article-title":"Increased involvement of the parahippocampal gyri in a sad mood predicts future depressive symptoms","volume":"9","author":"Zamoscik","year":"2014","journal-title":"Soc. Cogn. Affect. Neurosci."},{"key":"ref_84","doi-asserted-by":"crossref","unstructured":"Meyer, T.J., Miller, M.L., Metzger, R.L., and Borkovec, T.D. (1990). Penn State Worry Questionnaire, American Psychological Association.","DOI":"10.1037\/t01760-000"},{"key":"ref_85","doi-asserted-by":"crossref","unstructured":"Robinson, M.S., and Alloy, L.B. (2003). Stress-Reactive Rumination Scale, American Psychological Association.","DOI":"10.1037\/t82211-000"},{"key":"ref_86","unstructured":"Robinson, M.S. (1997). The Role of Negative Inferential Style and Stress-Reactive Rumination on Negative Inferences in the Etiology of Depression: Empirical Investigation and Clinical Implications. [Ph.D. Thesis, Temple University]. Available online: https:\/\/www.proquest.com\/docview\/304374331\/abstract\/80D76BC3E1A543EBPQ\/1."},{"key":"ref_87","doi-asserted-by":"crossref","unstructured":"Beck, A.T., Kovacs, M., and Weissman, A. (1979). Scale for Suicide Ideation, American Psychological Association.","DOI":"10.1037\/t01299-000"},{"key":"ref_88","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1097\/PSY.0b013e31824c3ef2","article-title":"The Effect of Trait Rumination on Adaptation to Repeated Stress","volume":"74","author":"Johnson","year":"2012","journal-title":"Psychosom. Med."},{"key":"ref_89","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1037\/0022-3514.75.1.166","article-title":"Effects of ruminative and distracting responses to depressed mood on retrieval of autobiographical memories","volume":"75","author":"Lyubomirsky","year":"1998","journal-title":"J. Pers. Soc. Psychol."},{"key":"ref_90","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1037\/0022-3514.65.2.339","article-title":"Self-perpetuating properties of dysphoric rumination","volume":"65","author":"Lyubomirsky","year":"1993","journal-title":"J. Pers. Soc. Psychol."},{"key":"ref_91","doi-asserted-by":"crossref","first-page":"1041","DOI":"10.1037\/0022-3514.77.5.1041","article-title":"Why ruminators are poor problem solvers: Clues from the phenomenology of dysphoric rumination","volume":"77","author":"Lyubomirsky","year":"1999","journal-title":"J. Pers. Soc. Psychol."},{"key":"ref_92","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1037\/0022-3514.58.3.519","article-title":"Effects of responses to depression on the remediation of depressive affect","volume":"58","author":"Morrow","year":"1990","journal-title":"J. Pers. Soc. Psychol."},{"key":"ref_93","doi-asserted-by":"crossref","unstructured":"Ram\u00f3n-Arbu\u00e9s, E., Gea-Caballero, V., Granada-L\u00f3pez, J.M., Ju\u00e1rez-Vela, R., Pellicer-Garc\u00eda, B., and Ant\u00f3n-Solanas, I. (2020). The Prevalence of Depression, Anxiety and Stress and Their Associated Factors in College Students. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17197001"},{"key":"ref_94","doi-asserted-by":"crossref","unstructured":"Agre, G., van Genabith, J., and Declerck, T. (2018, January 12\u201314). Improving Machine Learning Prediction Performance for Premature Termination of Psychotherapy. Proceedings of the Artificial Intelligence: Methodology, Systems, and Applications: 18th International Conference, AIMSA 2018, Varna, Bulgaria.","DOI":"10.1007\/978-3-319-99344-7"},{"key":"ref_95","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1007\/s10488-020-01065-8","article-title":"Improving Mental Health Services: A 50-Year Journey from Randomized Experiments to Artificial Intelligence and Precision Mental Health","volume":"47","author":"Bickman","year":"2020","journal-title":"Adm. Policy Ment. Health Ment. Health Serv. Res."},{"key":"ref_96","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1016\/S0887-6185(00)00054-2","article-title":"The Impact of Anxiety Sensitivity, Bodily Expectations, and Cultural Beliefs on Menstrual Symptom Reporting: A Test of the Menstrual Reactivity Hypothesis","volume":"14","author":"Sigmon","year":"2000","journal-title":"J. Anxiety Disord."},{"key":"ref_97","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1023\/A:1023970501448","article-title":"The Effects of Rumination and Distraction Tasks on Psychophysiological Responses and Mood in Dysphoric and Nondysphoric Individuals","volume":"27","author":"Vickers","year":"2003","journal-title":"Cogn. Ther. Res."},{"key":"ref_98","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1017\/S0033291708003553","article-title":"Rumination, distraction and mindful self-focus: Effects on mood, dysfunctional attitudes and cortisol stress response","volume":"39","author":"Kuehner","year":"2009","journal-title":"Psychol. Med."},{"key":"ref_99","doi-asserted-by":"crossref","unstructured":"Singh, N.K., Chung, S., Chang, A.-Y., Wang, J., and Hall, D.A. (2023). A non-invasive wearable stress patch for real-time cortisol monitoring using a pseudoknot-assisted aptamer. Biosens. Bioelectron., 227.","DOI":"10.1016\/j.bios.2023.115097"},{"key":"ref_100","doi-asserted-by":"crossref","first-page":"2211595","DOI":"10.1002\/adma.202211595","article-title":"Wearable and Implantable Cortisol-Sensing Electronics for Stress Monitoring","volume":"36","author":"Ok","year":"2024","journal-title":"Adv. Mater."},{"key":"ref_101","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1038\/s41378-023-00590-4","article-title":"A new method of continuous blood pressure monitoring using multichannel sensing signals on the wrist","volume":"9","author":"Wang","year":"2023","journal-title":"Microsyst. Nanoeng."},{"key":"ref_102","doi-asserted-by":"crossref","first-page":"5009","DOI":"10.1038\/s41467-023-40763-3","article-title":"Thin, soft, wearable system for continuous wireless monitoring of artery blood pressure","volume":"14","author":"Li","year":"2023","journal-title":"Nat. Commun."}],"container-title":["Sensors"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1424-8220\/25\/3\/654\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T10:34:10Z","timestamp":1759919650000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1424-8220\/25\/3\/654"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,23]]},"references-count":102,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,2]]}},"alternative-id":["s25030654"],"URL":"https:\/\/doi.org\/10.3390\/s25030654","relation":{},"ISSN":["1424-8220"],"issn-type":[{"value":"1424-8220","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,23]]}}}