Wearable-Derived Evening Motion Entropy and Morning Light Exposure Are Associated with Depressive Symptoms in...

Depressive symptoms are prevalent in university students, yet scalable screening is constrained by self-report and intermittent assessment. Wearable monitoring of motion and light offers an objective alternative, though their combined screening characterization is limited. Undergraduate volunteers wore a self-designed wristband for seven days, recording triaxial acceleration and ambient light at 1 min resolution. Depressive symptoms were assessed via nine-item Patient Health Questionnaire (PHQ-9) and grouped as Dep (≥5) or HC (<5). Motion and light rhythm features were extracted from 24 h profiles and predefined windows; logistic regression (LR) and support vector machine (SVM) compared motion-only, light-only, and joint sets, interpreted with Shapley additive explanations (SHAP). After preprocessing, 152 participants provided valid activity data (HC = 132, Dep = 20) and 218 valid light data (HC = 186, Dep = 32). The Dep group showed delayed activity timing, lower daily light exposure, and greater evening motion irregularity, with differences most prominent during 18:00-22:00 for motion entropy and variance. The joint motion-light SVM performed best (accuracy 85.2%, recall 60.0%, F1 Score 46.2%, Area Under Curve 0.892). SHAP highlighted evening motion entropy and variance, morning light exposure, and rhythm-related wavelet features. These findings indicate that wearable motion and light rhythms are associated with depressive symptoms; evening motion entropy and morning light exposure may aid campus risk screening as interpretable markers, although the cross-sectional design and PHQ-9-based grouping preclude diagnostic or causal conclusions.