Detection and Classification of Anxiety in University Students
Detection and Classification of Anxiety in University Students
ScienceDirect
Procedia Computer Science 00 (2022) 000–000
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Available online at www.sciencedirect.com
Procedia Computer Science 00 (2022) 000–000
www.elsevier.com/locate/procedia
ScienceDirect
Procedia Computer Science 218 (2023) 1542–1550
International Conference on Machine Learning and Data Engineering
Keywords: Anxiety; classification algorithms; dataset; machine learning; mental health; statistical analysis
1. Introduction
Anxiety happens to be a disorder which causes worry and nervousness so much that it begins to interfere with one’s daily
life. There can be several contributing factors that may trigger an individual and make them become anxious for prolonged
times, which can leave behind crippling and devastating after-effects, for e.g., feeling worthless, self-hatred, hopeless etc.
University students constitute a large portion of the sufferers, bearing numerous adverse effects caused by crippling anxiety.
There exist several questionnaires that are specifically tailored to conclude whether an individual suffers from anxiety and
its effects, such as the DASS-21 (Depression, Anxiety and Stress Scale), GAD-7 (Generalized Anxiety Disorder). The causes
and effects of anxiety vary from person to person, however certain circumstances can generalize the causes as well as the
effects of anxiety, this generalization can be attributed to several university students in India that is subject to copious
amounts of stress, this may be academic, social, or intrinsic stress. This paper has dived into the possibility of pinpointing
the plausible and common causes of anxiety, as well as linking said causes to certain effects that may surface in an average
Indian university student. A self-created question form was used to gather the dataset for this purpose, following which the
dataset gathered was subjected to certain statistical analyses to determine its reliability and validity, finally machine learning
classification algorithms were applied on the dataset to classify new data points into mild, moderate, or severe categories in
relevance to anxiety levels calculated using the identified causes. It has beennoticed that there has been a significant rise in
suicides in India especially during the past couple of years[1]. A study also found that 37 percent of University’s students in
India suffer from moderate depression [2]. This can be correlated with severe pressure that university students are often
labouring under. Several factors contribute towards the origin of this stress and are often disregarded assuming that the
student will simply get over it, however, this ordeal may render an individual crippled and unmotivated to extreme degrees.
The dataset collection included 127 engineering students that participated in this research, the questionnaire for this purpose
targeted numerous factors that is relatable to the causes and effects of anxiety that may present itself in an average Indian
university student. The students that participated in this research belong to an engineering background, however the
questionnaire designed can be used with students belonging to any study field at any respective University local to a certain
region. The Questionnaire consists of 40 questions that is divided into following categories:
• Demographic
• Probable Causes of Anxiety
• Probable Effects of Anxiety
Anxiety can be described as a feeling composed of worrisome thoughts, tension, and physical manifestations in the
form of high blood pressure and several other effects. There can be several reasons behind the feeling anxious, it is the
human body’s natural response to stressful situations, such as starting a new job, or one’s first day at college/university
[3]. It is essential to understand the difference between ordinary anxiety that manifests as a natural response, and
anxiety disorders that can adversely affect an individual’s life [4]. Ordinary anxiety is temporary, it is sporadic and
intermittent, usually kicking in when an individual is placed under stressful circumstances, for example, delivering a
presentation before an audience, or taking a huge test, the feeling of anxiety that accompanies these situations usually
subsides, and the individual returns to their original state of mind. However, anxiety disorders are perpetual. They
can severely incapacitate an individual, to an extent of rendering them incapable of carrying out everyday tasks. There
are several categories of anxiety disorders, as listed below [4]:
Panic Disorder: This causes an individual to experience a panic attack at any point in time, this may be triggered by
a situation and usually leaves the personally incapacitated.
Phobia: This is characterized by an intense fear of a certain situation or object, for example, claustrophobia is the fear
of being stuck in tight spaces, such as a small elevator.
• Social Anxiety Disorder: Characterized by the fear of social interactions, usually owing to the fear of
judgement by others.
• Obsessive Compulsive Disorder: Characterized by an individual compulsively and repetitively engaging in
a particular set of activities due to their intrinsic fears.
• Separation anxiety: Characterized by the fear of having to be away from loved ones.
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Author name / Procedia Computer Science 00 (2019) 000–000 3
Anxiety manifests itself in the form of physical alterations in the body as well, a person experiencing about of
anxiety may exhibit the physical symptoms A feeling of dizziness, one may feel as though they are about to faint,
shortness of breath, dryness of mouth, increased blood pressure and heart palpitations, feeling nauseous etc[4]. Anxiety
disorders can affect a huge chunk of an individual's life, in 2017, 44.9 million people in India were suffering from
anxiety disorders [5].
The feeling of worrying thoughts, mental pressure and accompanying physical signs and symptoms akin to cold
sweating, blood pressure, dry mouth and several other implications constitute anxiety. This feeling of anxiety can
present itself due to several reasons and situations, such as a job interview, or an exam [3]. Nevertheless, anxiety can
present a problem when it becomes perpetual and recurrent for an individual, therefore it becomes necessary to draw
out a distinction between ‘usual’ anxiety and disorders pertaining to anxiety that can be caused concern [4]. Anxiety
disorders can be devastating, considering that any individual suffering from its effects will find it extremely hard to
go about their daily routine without entering the vicious cycle of intrusive and worrying thoughts this may lead to
adverse and long and lasting effects on mental health.
The diagnosis of anxiety disorders does not narrow itself down to one single method, in this domain,
questionnaires present themselves as useful tools to judge the state of mind of an individual and their level of
anxiety, they consist of questions that directly highlight symptoms that an individual may be manifesting, this is
determining level of anxiety of an individual, GAD-7(General Anxiety Disorder), DASS-21 (Depression Anxiety And
Stress Scale ), PTSD questionnaire(Post-traumatic Stress Disorder), Social Anxiety Disorder questionnaire are some
of many questionnaires that are for this.
The objective of this paper was to quantify anxiety in University students and classify it into the mild,
moderate, andsevere category using machine learning algorithms by considering just the effects observed. The main
contribution this research aims to make is to target the causes and effects of anxiety in university studentsand classify
it to produce awareness about the potentially immense mental pressure faced by them.
This research paper has been organized into numerous This research paper has been organized into numerous
sections,section 2 elaborates on the work that has been done regarding past research related to the topic of this research,
section 3 describes the research methodology that has been used to achieve the objective of this paper. Section 4
consistsof the result analysis followed by conclusion and future scope in section 5.
2. Related Work
The objective of this paper was to review how different ML algorithms are used to diagnose different mental illnesses
and how they are employed. The algorithms reviewed are Support Vector Machine (SVM), Gradient Boosting Machine
(GBM), Naïve Bayes, Random Forest and K-Nearest Neighbors since they were in frequent use. It begins by defining
different types of machine learning algorithms into broad categories, i.e., supervised machine learning and unsupervised
machine learning, it then touches upon different algorithms being talked about throughout the research and their subtleties
and nuances. A research search engine is used to search for articles related to mental illnesses involving the use of machine
learning. The articles are then categorized in accordance with mental illness type, ML techniques, accuracy, and sample size.
Mental illnesses such as PTSD (Post Traumatic Stress Disorder), Schizophrenia, depression and autism are considered.
Different ML algorithms are applied in numerous research papers using various datasets that yield respective accuracies. It
was found out that most of the SVM classifiers yielded an accuracy of more than 75% in the papers that it was used [6].
Srividya, Mohanavalli and Bhalaji employ numerous machine learning algorithms, such as SVM (Support Vector Machine),
KNN (K-Nearest Neighbor), Logistic Regression, Naive Bayes Classifier to identify the state of mental health in a certain
target group. The questionnaire
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Author name / Procedia Computer Science 00 (2019) 000–000 4
consisted of a scoring system constituting a range 0-100, where 0-30 was labelled as mentally distressed, 31-60 as
neutral, and 61-100 as happy. All the algorithms performed almost equally well, and the use of ensemble machine
learning yielded an accuracy of 90% [7]. T. Wyatt, S. Oswalt and Y. Ochoa have performed the examination of
differences in the diagnosis related to mental health and the academic impact related to the same, considering the year
of college as a classification factor, they have done a secondary data analysis here where responses from US
Undergraduate students from the American College Health Association-National College Health Assessment II were
considered, the sample size was 66,159 students and regression analysis was performed. The results of this paper
outlined the distinction in diagnoses of mental health, found by classification, where it was reported that first year
students exhibited a higher rate of injury to self and serious consideration of suicide. The rest of the upper students a
heavier academic impact due to factors relating to mental health [8]. E. Garcia-Ceja, M. Riegler, T. Nordgreen, P.
Jakobsen, K. Oedegaard and J. Tørresen perform surveys related to recent research in the field of Mental Health
Monitoring Systems(MHMS), which uses Machine learning and sensor data, the focus has been placed on numerous
mental conditions such as anxiety, depression, stress, bipolar disorder etc, a classification structure has beenproposed
to direct the audit of the related work and the research challenges have been discussed. [9] Similarly, N. Mohd Shafiee
and S. Mutalib review mental health problems amongst higher education students in Malaysia, it talksabout the higher
education system in Malaysia and the factors affecting the students’ mental health, they have compared different
research papers in order to determine research gaps. The most common factors affecting the mental health were
identified as lack of social support, the learning environment and financial problems, it wasfound that related
research uses the SVM (Support Vector Machine) algorithm the most, and it yields an accuracy of 70% to 90% [10].
Another review performed by A. Le Glaz summarizes the studies in which machine learning and Natural Language
processing was utilized for the purpose of mental health, in addition to this, the potential use of these methods was
taken into consideration for clinical practice. 58 articles out a total of 327 were included in the review, it was observed
that population studies could be widely grouped into 3 categories: social media users, patients included in medical
databases and patients coming into emergency. Python was used most frequently as the language [11]. P. Tiffin and
L. Paton explore the benefits of applying machine learning to mental healthcare in addition to conventional statistical
modelling, the challenges and limitations have been discussed as well. They have described machine learning as a tool
in the box of several others that can pave the way to real time practice [12].
M. Dobias, M. Sugarman, M. Mullarkey and J. Schleider find out if adolescents battling depression had access to mental
health treatments. They used symptoms of depression and sociodemographic variables for this purpose. They performed a
secondary data analysis; the dataset was from the National Survey of Drug Use and Health. 4 cross-validated random forest
models were used to predict whether depressed adolescents with symptoms that were elevated had accessed treatment in the
prior 12 months, it was found that 53.38% of them had accessed some form of treatment, it was found that neither the
symptoms of depression, nor the socioeconomic variables could predict the access of treatment, they also go on to highlight
the limitations of the research [13]. Y. Liu, J. Hankey, B. Cao and P. Chokka screen for MDD (Major Depressive Disorder)
in tertiary care environments. They use machine learning to test their composite screening application, which involves early
detection and life history factors, the primary aim in this study was to improvespecificity in a tertiary setting. There was a
total of 955 participants in this study that went through an interview with a psychiatrist, here, machine learning was used to
make more accurate predictions on an individual level, the accuracy of their tool was 72%, the sensitivity was 74.2%, and
the specificity was 69.8% [14]. A. Sheik Abdullah, R. Abirami, A. Gitwina and C. Varthana examine the psychotherapeutic
support offered to students to overcome distress during the COVID-19 pandemic, it does so by using machine learning
techniques. It evaluates the effectiveness of the academic performance of the students during the situation of the pandemic
for this purpose. They have taken a hybrid approach using a generic algorithm and upon statistical evaluation, they have
used an artificial neural network. The three key factors taken into consideration are cognitivism, behaviorism and social
constructivism. The dataset included 775 students. The data was processed by the algorithm and then classified using the
neural network. The hybrid approach yielded an accuracy of 88.18%, precision 94.69%, recall 92.94%. The P value for the
Fisher’s F-Statistical test was P < 0.001 [15]. F.M. Albagmi, A. Alansari, D.S.A Shawan, H.Y. AlNujaidi and S.O. Olatunji
leverage the power of machine learning by classifying two-class and three-class anxiety issues at an early stage during the
covid-19 pandemic, the dataset was collected via an online survey and consisted of 3017 participants, they identified the
factors affecting anxiety levels, followed by responses from the GAD-7 questionnaire, following which they used the
Support Vector Machine classifier which yielded promising results [16]. K.-S. Na, S.-E. Cho, and S.-J. Cho follow an
approach based on machine learning, they aim to draw out a distinction between panic disorder and other anxiety disorders
by taking
1546 Shaurya Bhatnagar et al. / Procedia Computer Science 218 (2023) 1542–1550
HRV(Heart Rate Variability) into consideration, the dataset consisted of 60 patients diagnosed with panic disorder and 61
others diagnosed with other anxiety disorders, it was seen that logistic regression performed best with an accuracy of 78.4%
[17]. W. A. Bokma et al., focus on the recovery period of anxiety, and predict it using machine learning algorithms, they
used a dataset consisting of 887 patients with different forms of anxiety disorders, several baseline predictors were used to
predict the recovery process, the random forest algorithm was used in this case and it was found that 484 patients had
recovered from their anxiety disorders [18]. V. Khullar, R. G. Tiwari, A. K. Agarwal, and S. Dutta focus on
GAD(Generalized Anxiety Disorder) and enumerate an automatic intelligent system to discern anxiety based off of
physiological symptoms. The dataset was collected and pre-processed a comparison was drawn out between ML
algorithms and ensemble learning [19]. I. C. Passos et al., zero in on the probability of suicide attempts amongst
patients with mood disorders, the dataset included a total of 144 patients that were diagnosed with mood disorders,
the machine learning model was trained on the basis of demographic variables, the subjects were then categorized into
suicide attempters or non-attempters, the accuracies lied between 65% to 72% [20]. L. Jani Anbarasi, M. Jawahar, V.
Ravi, S. M. Cherian, S. Shreenidhi & H. Sharen aim to analyze sleeping disorders and anxiety disorders amongst a
wide variety of individuals belonging to different strata of life in view of the recent COVID-19 pandemic, the study
also aims to predict symptoms in association with stress induced due to the pandemic. A total of 740 participants were
included in the research, GAD-7 and PSQI index were used to measure stress. The study highlighted the connection
between a lower social status and mental health problems as well. [21]
3. Experimental Setup
The following software was used for the purpose of this study:
1. IBM SPSS: A software developed by IBM for the purpose of data analysis.
2. Jupyter Notebook: A server-client application that helps the user to run and edit notebook documents through a
web browser.
In addition to the above, the following python libraries were used:
3. NumPy: A powerful python library that is used for the purpose of working with multi-dimensional arrays and
matrices.
4. Matplotlib: A cross-platform library that is used for the purpose of data visualization and the plotting of graphs,
usually used in conjunction with NumPy.
5. Pandas: A software library used for the purpose of manipulation and analysis of data in a tabular form.
4. Scikit-learn: A robust software library that offers a wide variety of tools for the purpose of implementing
machine learning algorithms such as regression and classification algorithms.
4. Research Methodology
From the related work, it can be observed that numerous statistical analysis techniques as well as machine learning
algorithms have been used to deduce meaningful results in terms detection, prediction and diagnosis of mental health
issues. The complete procedure that was followed for the purpose of this study is mentioned in Fig. 1.
Step 1: Identify factors that affect the mental health and well-being of Indian engineering students: In order to
achieve this task, an in-depth literature review was done, and numerous factors that affect the mental health of
university students were deduced and taken into consideration, each individual research work was scanned, and
various pre-existing questionnaires such as the GAD-7(General Anxiety Disorder), DASS-21 (Depression Anxiety
And Stress Scale ) were referred to as well. In addition to this, a psychologist was also consulted for the purpose of
the identification of the factors.
Shaurya Bhatnagar et al. / Procedia Computer Science 218 (2023) 1542–1550 1547
is absent and that the items on that scale are completely independent of one another, which also signifies that there is
no reliability. On the hand, if the alpha value deduced were to approach 1, then that would mean that the inter -item
relatability is high, which shows that the consistency of the results is high, and that the scale is highly reliable [20].
Alpha approaches one if the number of items on the scale approach infinite. Another way of looking at it is, if the
extent to which the items on the questionnaire are measuring the same variable needs to be known, in which case, ‘1’
would mean that all the items on the scale consistently measure the same thing and ‘0’ would mean all the items are
independent and measure completely different things altogether. However, 0 and 1 are ideal values, and the real- world
values of alpha lie between 0 and 1, a “good” alpha value completely depends on the scale being used and what it
aims to measure however, it is said that a good alpha value should lie within the range of 0.65 to 0.8(or higher). If the
scale that is being analyzed is unidimensional then any values below 0.5 should be immediately rejected. It should be
noted that the alpha value is a function of both the number of items on the scale and the covariances, this means that
the alpha value can be increased by simply increasing the number of items present on the scale, therefore it should be
noted that a very high alpha value is subject to redundancy in the items. For this research, IBM SPSS software was
used in order to perform both the reliability and validity analysis.
Step 5: Validity Analysis: This analysis was performed between 2 variables, the anxiety calculated using the cause-
based questions and the overall effects of anxiety. In general, a link between two items can be identified as the
correlation between them, the value denoting that correlation is said to be within the range of -1 to +1, this is also
known to be the Pearson’s correlation coefficient (r) when measured between two continuous variables, a direct
relationship is characterized by the positive value of the coefficient and an inverse relationship of any two variables
is characterized by a negative value, however, the value 0 is indicative of the fact that there is absolutely no linear
relationship that is there between the two variables being subjected to the test, although useful, this should not be
construed in a sense that other forms of non-linear relationships do not exist between the two variables.
Step 6: Applying various classification algorithms for the purpose of anxiety classification: The dataset was
separated in 3 classes of anxiety levels, i.e., mild, moderate, and severe. This was done according to the following
mean range of anxiety calculated using the cause-based questions:
• Mild: 1 to 2.3
• Moderate: 2.3 to 3.6
• Severe: 3.6 to 5
After this, the new data-points were attempted to be classed given the values of effects-based questions, that is, the
severity of the effects of anxiety was used as training data to correctly class the new data-points. The questions that
target the effects of anxiety were split into the training and test set in a 70% and 30% ratio. The algorithms applied
were the Naïve Bayes, Random Forest, Decision Trees, and SVM (Support Vector Machine).
5. Result Analysis
The reliability and validity analyses followed by the application of Machine Learning algorithms which were applied
to dataset yielded certain significant results which are discussed in this section. While performing a reliability analysis
on the whole dataset, an alpha value of 0.723 was achieved. Furthermore, a reliability test on the questions that pinpoint
the causes of anxiety yielded an alpha value of 0.871, similarly, questions that pinpoint the effects of anxiety yielded
an alpha value of 0.843. This is shown in Table 1. This provided preliminary evidence of the following fact: The
questions on the questionnaire reliably and consistently measures anxiety levels, since our Cronbach's alpha value
falls within the range of 0.7 to 0.9. The Cronbach’s alpha test consistently yielded a value above 0.7, which is indicative
of the fact that this questionnaire consistently measures the underlying factor of anxiety calculated using the cause-
based questions, in addition to this, a bivariate correlation (validity analysis) is performed between levels of anxiety
deduced from the cause variables and overall effects of anxiety (average). The validity analysis yielded a Pearson
correlation value of 0.823. SIG 2 tailed value for the validity analysis is 0.001 (< 0.05) which indicates a significant
directly proportional relationship. The validity test, namely, the Pearson’s correlation analysis proved that the
relationship between average anxiety pertaining to all data-points and overall effects of anxiety holds a positive,
directly proportional relationship, that is, if the causes rise, the effects of anxiety will also rise. The application of ML
algorithms can be interpreted as observed by the accuracy levels. The accuracies obtained are shown in Table 2. Fig.
2 depicts the accuracies yielded by different machine learning algorithms applied. The naïve bayes classification
algorithm yielded an accuracy of 71.05 %, that means 71.05 % of
Shaurya Bhatnagar et al. / Procedia Computer Science 218 (2023) 1542–1550 1549
the data-points were correctly classed after being trained on the data provided, which consisted of the effects of anxiety
the data-points were correctly classed after being trained on the data provided, which consisted of the effects of anxiety
questions and the level of anxiety calculated using the questions on causes, and the random forest algorithm, decision
questions
the and the
data-points level
were of anxiety
correctly calculated
classed using
after being the questions
trained on provided,
on the data causes, and the random
which forest
consisted algorithm,
of the effects ofdecision
anxiety
tree & SVM algorithms yielded accuracies 78.9 %, 71.05%, 75.5%. The random forest algorithm appears to have
tree & SVM
questions andalgorithms
the level ofyielded
anxietyaccuracies
calculated 78.9
using%,the71.05%,
questions75.5%. The and
on causes, random forest algorithm
the random appears decision
forest algorithm, to have
performed the best. The computation time for the SVM, Random Forest, Naïve Bayes and Decision trees algorithm
performed
tree & SVM thealgorithms
best. The computation time for
yielded accuracies the%,
78.9 SVM, Random
71.05%, Forest,
75.5%. TheNaïve
randomBayes andalgorithm
forest Decisionappears
trees algorithm
to have
was noted as 0.016s, 0.048s, 0.028s and 0.013s respectively.
was noted as
performed the0.016s, 0.048s,
best. The 0.028s and
computation 0.013s
time respectively.
for the SVM, Random Forest, Naïve Bayes and Decision trees algorithm
was noted as 0.016s, 0.048s, 0.028s and 0.013s respectively.
Table 1. Alpha values for different variables.
Table 1. Alpha values for different variables.
TableVariables
Variables
Considered
1. Alpha values Alpha Value
for different variables.
Considered Alpha Value
All Variables
Variables Considered 0.723 Value
Alpha
All Variables 0.723
Cause-based variables
All Variablesvariables 0.871
0.723
Cause-based 0.871
Effect-based variables
Cause-based variables 0.843
0.871
Effect-based variables 0.843
Effect-based variables 0.843
Table 2. Accuracies for classification algorithms.
Table 2. Accuracies for classification algorithms.
Algorithm
Table Accuracy
2. Accuracies for classification algorithms.
Algorithm Accuracy
Decision Trees
AlgorithmTrees 71.05%
Accuracy
Decision 71.05%
Naïve Bayes
Decision Trees 71.05%
71.05%
Naïve Bayes 71.05%
Random Forest
Naïve Bayes 78.9%
71.05%
Random Forest 78.9%
Support
Random Vector
Forest Machine 75.55%
78.9%
Support Vector Machine 75.55%
Support Vector Machine 75.55%
to help understand the causes and effects of anxiety amongst students who are studying different courses, moreover,
the research can be extended to other locations in the country as well to understand what impact different regions have
and what challenges students living in these regions to face, as well as how these challenges and anxiety triggers differ
from one another, so as to cater to each subset of students in the most competent and effective manner.
References
[1] Swain, Prafulla Kumar, Manas Ranjan Tripathy, Subhadra Priyadarshini, and Subhendu K. Acharya (2021) “Forecasting suicide rates in
India: An empirical exposition”. PLOS ONE 16(7):1-21.
[2] Sawhney, Manisha, Seth Kunen, and Ashum Gupta (2018) “Depressive Symptoms and Coping Strategies Among Indian University Students.”
Psychological Reports 123(2): 266-280.
[3] Kazdin (2000) “Encyclopedia of psychology”, Oxford University Press, New York.
[4] Kessler, Ronald C, Ayelet Meron Ruscio, Katherine Shear, and Hans-Ulrich Wittchen (2009) “Epidemiology of Anxiety Disorders”. Behavioral
Neurobiology of Anxiety and Its Treatment: 21-35.
[5] India State-Level Disease Burden Initiative Mental Disorders Collaborators. (2020) “The burden of mental disorders across the states of India:
the Global Burden of Disease Study 1990–2017.” The Lancet Psychiatry 7(2): 148-161
[6] Cho, Gyeongcheol, Jinyeong Yim , Younyoung Choi , Jungmin Ko, and Seoung-Hwan Lee (2019) “Review of Machine Learning Algorithms
for Diagnosing Mental Illness.” Psychiatry Investigation 16(4): 262-269.
[7] Srividya, M, S Mohanavalli, and N Bhalaji (2018) “Behavioral Modeling for Mental Health using Machine Learning Algorithms.” Journal
Of Medical Systems 42(5): 1-12.
[8] Wyatt, Tammy Jordan, Sara B. Oswalt and Yesenia Ochoa (2017). “Mental Health and Academic Success of First-Year College Students.
International Journal of Higher Education 6(3):178.
[9] Garcia-Ceja, Enrique, M. Riegler, T. Nordgreen, P. Jakobsen, K. Oedegaard, and J. Tørresen (2018) “Mental health monitoring with multimodal
sensing and machine learning: A survey.” Pervasive And Mobile Computing 51:1-26.
[10] Mohd Shafiee, Nor Safika, and Sofianita Mutalib (2020) “Prediction of Mental Health Problems among Higher Education Student Using
Machine Learning.” International Journal of Education and Management Engineering 10(6):1-9.
[11] Glaz, Aziliz le, Yannis Haralambous , Deok-Hee Kim-Dufor , Philippe Lenca , Romain Billot , Taylor C Ryan , Jonathan Marsh , Jordan
DeVylder , Michel Walter , Sofian Berrouiguet, and Christophe Lemey (2021) “Machine Learning and Natural Language Processing in Mental
Health: Systematic Review”. Journal of Medical Internet Research 23(5):1-20.
[12] Tiffin, Paul A, and Lewis W Paton. (2018) “Rise of the machines? Machine Learning Approaches and Mental Health: Opportunities and
challenges.” The British Journal of Psychiatry 213(3): 509–510.
[13] Dobias, Mallory L, Michael B Sugarman, Michael C Mullarkey, and Jessica L Schleider (2021) “Predicting mental health treatment access
among adolescents with elevated depressive symptoms: Machine learning approaches.” Administration and Policy in Mental Health and Mental
Health Services Research 49(1): 88–103.
[14] Liu, Yang S., J. Hankey, Bo Cao, and P. Chokka (2021) “Screening for major depressive disorder in a tertiary mental health centre using
Early Detect: A machine learning-based pilot study.” Journal of Affective Disorders Reports 3:100062.
[15] Abdullah, Azman, R. Abirami, A. Gitwina, and C. Varthana (2021) “Assessment of academic performance with the E-mental Health
Interventions in virtual learning environment using Machine Learning Techniques: A hybrid approach”. Journal of Engineering Education
Transformations 34:79-85.
[16] Albagmi, Faisal Mashel, Aisha Alansari, Deema Saad Al Shawan, Heba Yaagoub AlNujaidi, and Sunday O. Olatunji. (2022) “Prediction of
generalized anxiety levels during the Covid-19 pandemic: A machine learning-based modeling approach.” Informatics in Medicine Unlocked,
28:100854.
[17] Na, Kyoung-Sae, Seo-Eun Cho, and Seong-Jin Cho. (2021) “Machine learning-based discrimination of panic disorder from other anxiety
disorders.” Journal of Affective Disorders, 278:1–4.
[18] Bokma, Wicher A., Paul Zhutovsky, Erik J Giltay, Robert A Schoevers, Brenda W J H Penninx, Anton L J M van Balkom, Neeltje M Batelaan,
and Guido A van Wingen. (2020) “Predicting the naturalistic course in anxiety disorders using clinical and biological markers: A machine learning
approach.” Psychological Medicine, 52(1):57–67.
[19] Khullar, Vikas, Raj G. Tiwari, Ambuj K. Agarwal, and Soumi Dutta. (2021) “Physiological Signals Based anxiety detection using ensemble
machine learning”. Cyber Intelligence and Information Retrieval: 291: 597–608.
[20] Rakesh, Gopalkumar. (2017) “Suicide prediction with machine learning.” American Journal of Psychiatry Residents Journal, 12(1):15–17.
[21] Anbarasi, L. Jani, Malathy Jawahar, Vinayakumar Ravi, and Sherin M. Cherian. (2022) “Machine Learning Approach for anxiety and sleep
disorders analysis during COVID-19 lockdown”, Health and Technology 12(4): 825–838.