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Smartphone gaze-tracking for accessible psychiatric assessment
Gancheng Zhu1, Hanyu Shao2, Hongyan Liu3
1Center for Psychological Sciences, Zhejiang University, Hangzhou, China.
Npj Mental Health Research
|May 5, 2026
Summary
Smartphone gaze tracking offers a novel, accessible method for psychiatric assessment. This technology shows promise in identifying conditions like schizophrenia and depressive symptoms with high accuracy, comparable to traditional methods.
Area of Science:
- Neuroscience
- Psychiatry
- Biomedical Engineering
Background:
- Eye movements serve as crucial biomarkers for neurological and psychiatric disorders.
- Traditional eye-tracking methods are often cumbersome, expensive, and confined to laboratory settings.
- Deep learning-based gaze tracking on smartphones presents a scalable, accessible alternative for real-world data collection.
Purpose of the Study:
- To evaluate the feasibility of smartphone-based gaze tracking for psychiatric assessment.
- To compare the efficacy of smartphone gaze tracking against research-grade equipment for detecting schizophrenia.
- To assess the utility of smartphone gaze tracking in classifying depressive symptoms.
Main Methods:
- Two studies were conducted: a clinical investigation of schizophrenia patients and a normative study on healthy college students.
- Gaze data was collected using both iPhones and a research-grade EyeLink eye-tracker for schizophrenia detection.
- Smartphone gaze-tracking data from a university cohort was used to classify depressive symptoms via a free-viewing task.
Main Results:
- Smartphone gaze metrics effectively distinguished between individuals with schizophrenia and healthy controls, achieving an AUC of 87.00% and accuracy of 83.33%.
- Performance of the smartphone model was comparable to the EyeLink benchmark (AUC 87.12%, accuracy 86.67%).
- Classification of depressive symptoms using Android smartphones yielded an AUC of 75.54% and accuracy of 75.79%.
Conclusions:
- Smartphone gaze tracking is a viable tool for real-world psychiatric assessment.
- This technology offers an accessible and privacy-preserving method for monitoring psychiatric conditions and treatment.
- The findings support the integration of smartphone-based eye movement analysis into clinical practice.

