Ai-enabled wearable and digital biomarkers for stress and mental health monitoring: a systematic literature review
Jurnal Konseling dan Pendidikan September 20, 2026 Volume 14, Number 2 3 authors
Abstract
Stress, anxiety, depression, and post-traumatic stress disorder (PTSD) carry a heavy burden. Yet the usual way we assess them still leans on episodic, self-reported instruments, which don't always reflect real life. Now wearable biosensors, smartphones, and artificial intelligence (AI) are opening the door to digital biomarkers. In this systematic literature review, we looked at how AI takes physiological and behavioural signals from wearables and smartphones to detect, predict, and monitor stress and mental-health conditions. We followed PRISMA 2020. A Scopus search turned up 403 records. After 14 duplicates were removed, 389 records went into screening. From there, 88 full texts were assessed, and 15 studies published between 2018 and 2026 made the final cut. Each eligible study combined digital sensing with AI or machine learning and linked those signals to outcomes. Three main themes came out of the synthesis. Heart-rate variability remains the dominant biomarker. Multimodal signals, combining electrodermal, cardiac, and electroencephalographic data, tend to improve classification. And smartphone phenotyping pushes monitoring further into depression, social anxiety, and trauma. The reported performance is promising, but small samples, device heterogeneity, and limited interpretability still hold these models back. Future work needs to prioritise larger cohorts, standardised reporting, explainability, and proper clinical validation.
Authors
Ifdil Ifdil
Universitas Negeri Padang
Nur Adila Wafiqoh Zulvi
Univrsitas Negeri Padang, Padang
M. Fahli Zatrahadi
Universitas Islam Negeri Sultan Syarif Kasim Riau, Pekanbaru
Keywords
Digital biomarkersMachine learningMental health monitoringStress detectionWearable biosensors
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Ifdil Ifdil; Nur Adila Wafiqoh Zulvi; M. Fahli Zatrahadi (2026). Ai-enabled wearable and digital biomarkers for stress and mental health monitoring: a systematic literature review. Jurnal Konseling dan Pendidikan, 14(2), 575-591. https://doi.org/10.29210/1228000
Ifdil Ifdil; Nur Adila Wafiqoh Zulvi; M. Fahli Zatrahadi. "Ai-enabled wearable and digital biomarkers for stress and mental health monitoring: a systematic literature review." Jurnal Konseling dan Pendidikan 14, no. 2 (2026): 575-591. https://doi.org/10.29210/1228000
Ifdil Ifdil; Nur Adila Wafiqoh Zulvi; M. Fahli Zatrahadi (2026) 'Ai-enabled wearable and digital biomarkers for stress and mental health monitoring: a systematic literature review', Jurnal Konseling dan Pendidikan, 14(2), pp. 575-591. https://doi.org/10.29210/1228000
Ifdil Ifdil; Nur Adila Wafiqoh Zulvi; M. Fahli Zatrahadi. "Ai-enabled wearable and digital biomarkers for stress and mental health monitoring: a systematic literature review." Jurnal Konseling dan Pendidikan, vol. 14, no. 2, 2026, pp. 575-591. https://doi.org/10.29210/1228000