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Martins LA, Schiavo A, Paz LV, Xavier LL, Mestriner RG. Neural underpinnings of fine motor skills under stress and anxiety: A review. Physiol Behav 2024; 282:114593. [PMID: 38782244 DOI: 10.1016/j.physbeh.2024.114593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2024] [Revised: 05/17/2024] [Accepted: 05/21/2024] [Indexed: 05/25/2024]
Abstract
This review offers a comprehensive examination of how stress and anxiety affect motor behavior, particularly focusing on fine motor skills and gait adaptability. We explore the role of several neurochemicals, including brain-derived neurotrophic factor (BDNF) and dopamine, in modulating neural plasticity and motor control under these affective states. The review highlights the importance of developing therapeutic strategies that enhance motor performance by leveraging the interactions between key neurochemicals. Additionally, we investigate the complex interplay between emotional-cognitive states and sensorimotor behaviors, showing how stress and anxiety disrupt neural integration, leading to impairments in skilled movements and negatively impacting quality of life. Synthesizing evidence from human and rodent studies, we provide a detailed understanding of the relationships among stress, anxiety, and motor behavior. Our findings reveal neurophysiological pathways, behavioral outcomes, and potential therapeutic targets, emphasizing the intricate connections between neurobiological mechanisms, environmental factors, and motor performance.
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Affiliation(s)
- Lucas Athaydes Martins
- Pontifical Catholic University of Rio Grande do Sul (PUCRS). Graduate Program in Biomedical Gerontology, Av. Ipiranga, 6681, Porto Alegre, Brazil; Pontifical Catholic University of Rio Grande do Sul (PUCRS). Neuroscience, Motor Behavior, and Rehabilitation Research Group (NECORE-CNPq), Av. Ipiranga, 6681, Porto Alegre, Brazil
| | - Aniuska Schiavo
- Pontifical Catholic University of Rio Grande do Sul (PUCRS). Graduate Program in Biomedical Gerontology, Av. Ipiranga, 6681, Porto Alegre, Brazil; Pontifical Catholic University of Rio Grande do Sul (PUCRS). Neuroscience, Motor Behavior, and Rehabilitation Research Group (NECORE-CNPq), Av. Ipiranga, 6681, Porto Alegre, Brazil
| | - Lisiê Valéria Paz
- Pontifical Catholic University of Rio Grande do Sul (PUCRS). Graduate Program in Cellular and Molecular Biology, Av. Ipiranga, 6681, Porto Alegre, Brazil
| | - Léder Leal Xavier
- Pontifical Catholic University of Rio Grande do Sul (PUCRS). Neuroscience, Motor Behavior, and Rehabilitation Research Group (NECORE-CNPq), Av. Ipiranga, 6681, Porto Alegre, Brazil; Pontifical Catholic University of Rio Grande do Sul (PUCRS). Graduate Program in Cellular and Molecular Biology, Av. Ipiranga, 6681, Porto Alegre, Brazil
| | - Régis Gemerasca Mestriner
- Pontifical Catholic University of Rio Grande do Sul (PUCRS). Graduate Program in Biomedical Gerontology, Av. Ipiranga, 6681, Porto Alegre, Brazil; Pontifical Catholic University of Rio Grande do Sul (PUCRS). Neuroscience, Motor Behavior, and Rehabilitation Research Group (NECORE-CNPq), Av. Ipiranga, 6681, Porto Alegre, Brazil; Pontifical Catholic University of Rio Grande do Sul (PUCRS). Graduate Program in Cellular and Molecular Biology, Av. Ipiranga, 6681, Porto Alegre, Brazil.
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Kim H, Kim M, Park K, Kim J, Yoon D, Kim W, Park CH. Machine learning-based classification analysis of knowledge worker mental stress. Front Public Health 2023; 11:1302794. [PMID: 38026368 PMCID: PMC10661277 DOI: 10.3389/fpubh.2023.1302794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2023] [Accepted: 10/25/2023] [Indexed: 12/01/2023] Open
Abstract
The aim of this study is to analyze the performance of classifying stress and non-stress by measuring biosignal data using a wearable watch without interfering with work activities at work. An experiment is designed where participants wear a Galaxy Watch3 to measure HR and photoplethysmography data while performing stress-inducing and relaxation tasks. The classification model was constructed using k-NN, SVM, DT, LR, RF, and MLP classifiers. The performance of each classifier was evaluated using LOSO-CV as a verification method. When the top 9 features, including the average and minimum value of HR, average of NNI, SDNN, vLF, HF, LF, LF/HF ratio, and total power, were used in the classification model, it showed the best performance with an accuracy of 0.817 and an F1 score of 0.801. This study also finds that it is necessary to measure physiological data for more than 2 or 3 min to accurately distinguish stress states.
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Affiliation(s)
- Hyunsuk Kim
- Mobility UX Research Section, Electronics and Telecommunications Research Institute, Daejeon, Republic of Korea
| | - Minjung Kim
- Mobility UX Research Section, Electronics and Telecommunications Research Institute, Daejeon, Republic of Korea
| | - Kyounghyun Park
- Mobility UX Research Section, Electronics and Telecommunications Research Institute, Daejeon, Republic of Korea
| | - Jungsook Kim
- Mobility UX Research Section, Electronics and Telecommunications Research Institute, Daejeon, Republic of Korea
| | - Daesub Yoon
- Mobility UX Research Section, Electronics and Telecommunications Research Institute, Daejeon, Republic of Korea
| | - Woojin Kim
- Mobility UX Research Section, Electronics and Telecommunications Research Institute, Daejeon, Republic of Korea
| | - Cheong Hee Park
- Division of Computer Convergence, Chungnam National University, Daejeon, Republic of Korea
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3
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Schulz A, Larra Y Ramirez MF, Vögele C, Kölsch M, Schächinger H. The relationship between self-reported chronic stress, physiological stress axis dysregulation and medically-unexplained symptoms. Biol Psychol 2023; 183:108690. [PMID: 37757998 DOI: 10.1016/j.biopsycho.2023.108690] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Revised: 09/19/2023] [Accepted: 09/19/2023] [Indexed: 09/29/2023]
Abstract
The positive feedback model of medically-unexplained symptoms posits that chronic stress affects the activity of the physiological stress axes, which in turn generates medically-unexplained symptoms. As a first step to empirically test its model assumptions, we investigated potential associations between chronic stress, physiological stress axis activity and medically-unexplained in a cross-sectional study. One hundred-ninety-nine healthy individuals provided self-reports on chronic stress and medically-unexplained symptoms, resting heart rate/variability (HR/HRV; e.g., root mean square of successive differences/RMSSD, low frequency/LF power), cortisol awakening response (CAR) and diurnal cortisol. Significant positive contributors to medically-unexplained symptoms were the chronic stress scales 'lack of social appreciation' and 'chronic worries', as well as CAR and LF HRV; diurnal cortisol was a negative contributor. Mediation analyses showed that the impact of neural indicators associated with physiological stress axis activity (HR/HRV) related to medically-unexplained symptoms, which was mediated by chronic stress, whereas the mediation effect as suggested by the positive feedback model was not significant. These cross-sectional findings do not support the positive feedback model. Longitudinal studies are required to conclude about potential mechanistic and causal relationships in the model. Nevertheless, our mediation analyses give first indication that the constitution of physiological stress axes may play a major role in how stressors are perceived and which kind of health-consequences (e.g., medically-unexplained symptoms) this may have.
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Affiliation(s)
- André Schulz
- Clinical Psychophysiology Laboratory, Department of Behavioural and Cognitive Sciences, University of Luxembourg, Esch-sur-Alzette, Luxembourg; Division of Clinical Psychophysiology, Institute of Psychobiology, Trier University, Trier, Germany; Institute for Cognitive and Affective Neuroscience, Trier University, Trier, Germany.
| | - Mauro F Larra Y Ramirez
- Division of Clinical Psychophysiology, Institute of Psychobiology, Trier University, Trier, Germany; Leibniz Research Centre for Working Environment and Human Factors, Dortmund, Germany
| | - Claus Vögele
- Clinical Psychophysiology Laboratory, Department of Behavioural and Cognitive Sciences, University of Luxembourg, Esch-sur-Alzette, Luxembourg
| | - Monika Kölsch
- Division of Clinical Psychophysiology, Institute of Psychobiology, Trier University, Trier, Germany
| | - Hartmut Schächinger
- Division of Clinical Psychophysiology, Institute of Psychobiology, Trier University, Trier, Germany
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4
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Nakagome K, Makinodan M, Uratani M, Kato M, Ozaki N, Miyata S, Iwamoto K, Hashimoto N, Toyomaki A, Mishima K, Ogasawara M, Takeshima M, Minato K, Fukami T, Oba M, Takeda K, Oi H. Feasibility of a wrist-worn wearable device for estimating mental health status in patients with mental illness. Front Psychiatry 2023; 14:1189765. [PMID: 37547203 PMCID: PMC10399687 DOI: 10.3389/fpsyt.2023.1189765] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/20/2023] [Accepted: 07/07/2023] [Indexed: 08/08/2023] Open
Abstract
Object Real-world data from wearable devices has the potential to understand mental health status in everyday life. We aimed to investigate the feasibility of estimating mental health status using a wrist-worn wearable device (Fitbit Sense) that measures movement using a 3D accelerometer and optical pulse photoplethysmography (PPG). Methods Participants were 110 patients with mental illnesses from different diagnostic groups. The study was undertaken between 1 October 2020 and 31 March 2021. Participants wore a Fitbit Sense on their wrist and also completed the State-Trait Anxiety Inventory (STAI), Positive and Negative Affect Schedule (PANAS), and EuroQol 5 dimensions 5-level (EQ-5D-5L) during the study period. To determine heart rate (HR) variability (HRV), we calculated the sdnn (standard deviation of the normal-to-normal interval), coefficient of variation of R-R intervals, and mean HR separately for each sleep stage and the daytime. The association between mental health status and HR and HRV was analyzed. Results The following significant correlations were found in the wake after sleep onset stage within 3 days of mental health status assessment: sdnn, HR and STAI scores, HR and PANAS scores, HR and EQ-5D-5L scores. The association between mental health status and HR and HRV was stronger the closer the temporal distance between mental health status assessment and HR measurement. Conclusion A wrist-worn wearable device that measures PPG signals was feasible for use with patients with mental illness. Resting state HR and HRV could be used as an objective assessment of mental health status within a few days of measurement.
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Affiliation(s)
- Kazuyuki Nakagome
- Department of Psychiatry, National Center of Neurology and Psychiatry, Kodaira, Japan
| | - Manabu Makinodan
- Department of Psychiatry, Nara Medical University, Kashihara, Japan
| | | | - Masaki Kato
- Department of Neuropsychiatry, Kansai Medical University, Hirakata, Japan
| | - Norio Ozaki
- Pathophysiology of Mental Disorders, Nagoya University Graduate School of Medicine, Nagoya, Japan
- Department of Psychiatry, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Seiko Miyata
- Department of Psychiatry, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Kunihiro Iwamoto
- Department of Psychiatry, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Naoki Hashimoto
- Department of Psychiatry, Hokkaido University Graduate School of Medicine, Sapporo, Japan
| | - Atsuhito Toyomaki
- Department of Psychiatry, Hokkaido University Graduate School of Medicine, Sapporo, Japan
| | - Kazuo Mishima
- Department of Neuropsychiatry, Akita University Graduate School of Medicine, Akita, Japan
| | - Masaya Ogasawara
- Department of Neuropsychiatry, Akita University Graduate School of Medicine, Akita, Japan
| | - Masahiro Takeshima
- Department of Neuropsychiatry, Akita University Graduate School of Medicine, Akita, Japan
| | | | | | - Mari Oba
- Department of Clinical Data Science, National Center of Neurology and Psychiatry, Kodaira, Japan
| | - Kazuyoshi Takeda
- Department of Clinical Data Science, National Center of Neurology and Psychiatry, Kodaira, Japan
| | - Hideki Oi
- Department of Clinical Data Science, National Center of Neurology and Psychiatry, Kodaira, Japan
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Chen Q, Lee BG. Deep Learning Models for Stress Analysis in University Students: A Sudoku-Based Study. SENSORS (BASEL, SWITZERLAND) 2023; 23:6099. [PMID: 37447948 DOI: 10.3390/s23136099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Revised: 06/25/2023] [Accepted: 06/30/2023] [Indexed: 07/15/2023]
Abstract
Due to the phenomenon of "involution" in China, the current generation of college and university students are experiencing escalating levels of stress, both academically and within their families. Extensive research has shown a strong correlation between heightened stress levels and overall well-being decline. Therefore, monitoring students' stress levels is crucial for improving their well-being in educational institutions and at home. Previous studies have primarily focused on recognizing emotions and detecting stress using physiological signals like ECG and EEG. However, these studies often relied on video clips to induce various emotional states, which may not be suitable for university students who already face additional stress to excel academically. In this study, a series of experiments were conducted to evaluate students' stress levels by engaging them in playing Sudoku games under different distracting conditions. The collected physiological signals, including PPG, ECG, and EEG, were analyzed using enhanced models such as LRCN and self-supervised CNN to assess stress levels. The outcomes were compared with participants' self-reported stress levels after the experiments. The findings demonstrate that the enhanced models presented in this study exhibit a high level of proficiency in assessing stress levels. Notably, when subjects were presented with Sudoku-solving tasks accompanied by noisy or discordant audio, the models achieved an impressive accuracy rate of 95.13% and an F1-score of 93.72%. Additionally, when subjects engaged in Sudoku-solving activities with another individual monitoring the process, the models achieved a commendable accuracy rate of 97.76% and an F1-score of 96.67%. Finally, under comforting conditions, the models achieved an exceptional accuracy rate of 98.78% with an F1-score of 95.39%.
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Affiliation(s)
- Qicheng Chen
- School of Computer Science, University of Nottingham Ningbo China, Ningbo 315100, China
| | - Boon Giin Lee
- Nottingham Ningbo China Beacons of Excellence Research and Innovation Institute, School of Computer Science, University of Nottingham Ningbo China, Ningbo 315100, China
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Achanccaray D, Sumioka H. Analysis of Physiological Response of Attention and Stress States in Teleoperation Performance of Social Tasks. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2023; 2023:1-4. [PMID: 38083262 DOI: 10.1109/embc40787.2023.10340007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/18/2023]
Abstract
Some studies addressed monitoring mental states by physiological responses analysis in robots' teleoperation in traditional applications such as inspection and exploration; however, no study analyzed the physiological response during teleoperated social tasks to the best of our knowledge. We analyzed the physiological response of attention and stress mental states by computing the correlation between multimodal biomarkers and performance, pleasure-arousal scale, and workload. Physiological data were recorded during simulated teleoperated social tasks to induce mental states, such as normal, attention, and stress. The results showed that task performance and workload subscales achieved moderate correlations with some multimodal biomarkers. The correlations depended on the induced state. The cognitive workload was related to brain biomarkers of attention in the frontal and frontal-central regions. These regions were close to the frontopolar region, which is commonly reported in attentional studies. Thus, some multimodal biomarkers of attention and stress mental states could monitor or predict metrics related to the performance in teleoperation of social tasks.
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Yadav H, Maini S. Electroencephalogram based brain-computer interface: Applications, challenges, and opportunities. MULTIMEDIA TOOLS AND APPLICATIONS 2023:1-45. [PMID: 37362726 PMCID: PMC10157593 DOI: 10.1007/s11042-023-15653-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/25/2021] [Revised: 07/17/2022] [Accepted: 04/22/2023] [Indexed: 06/28/2023]
Abstract
Brain-Computer Interfaces (BCI) is an exciting and emerging research area for researchers and scientists. It is a suitable combination of software and hardware to operate any device mentally. This review emphasizes the significant stages in the BCI domain, current problems, and state-of-the-art findings. This article also covers how current results can contribute to new knowledge about BCI, an overview of BCI from its early developments to recent advancements, BCI applications, challenges, and future directions. The authors pointed to unresolved issues and expressed how BCI is valuable for analyzing the human brain. Humans' dependence on machines has led humankind into a new future where BCI can play an essential role in improving this modern world.
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Affiliation(s)
- Hitesh Yadav
- Department of Electrical and Instrumentation Engineering, Sant Longowal Institute of Engineering & Technology, Longowal, Punjab India
| | - Surita Maini
- Department of Electrical and Instrumentation Engineering, Sant Longowal Institute of Engineering & Technology, Longowal, Punjab India
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8
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Barki H, Chung WY. Mental Stress Detection Using a Wearable In-Ear Plethysmography. BIOSENSORS 2023; 13:397. [PMID: 36979609 PMCID: PMC10046749 DOI: 10.3390/bios13030397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Revised: 03/15/2023] [Accepted: 03/16/2023] [Indexed: 06/18/2023]
Abstract
This study presents an ear-mounted photoplethysmography (PPG) system that is designed to detect mental stress. Mental stress is a prevalent condition that can negatively impact an individual's health and well-being. Early detection and treatment of mental stress are crucial for preventing related illnesses and maintaining overall wellness. The study used data from 14 participants that were collected in a controlled environment. The participants were subjected to stress-inducing tasks such as the Stroop color-word test and mathematical calculations. The raw PPG signal was then preprocessed and transformed into scalograms using continuous wavelet transform (CWT). A convolutional neural network classifier was then used to classify the transformed signals as stressed or non-stressed. The results of the study show that the PPG system achieved high levels of accuracy (92.04%) and F1-score (90.8%). Furthermore, by adding white Gaussian noise to the raw PPG signals, the results were improved even more, with an accuracy of 96.02% and an F1-score of 95.24%. The proposed ear-mounted device shows great promise as a reliable tool for the early detection and treatment of mental stress, potentially revolutionizing the field of mental health and well-being.
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Affiliation(s)
- Hika Barki
- Department of AI Convergence, Pukyong National University, Busan 48513, Republic of Korea;
| | - Wan-Young Chung
- Department of AI Convergence, Pukyong National University, Busan 48513, Republic of Korea;
- Department of Electronic Engineering, Pukyong National University, Busan 48513, Republic of Korea
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Chai J, Wu R, Li A, Xue C, Qiang Y, Zhao J, Zhao Q, Yang Q. Classification of mild cognitive impairment based on handwriting dynamics and qEEG. Comput Biol Med 2023; 152:106418. [PMID: 36566627 DOI: 10.1016/j.compbiomed.2022.106418] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2022] [Revised: 11/01/2022] [Accepted: 12/10/2022] [Indexed: 12/14/2022]
Abstract
Subtle changes in fine motor control and quantitative electroencephalography (qEEG) in patients with mild cognitive impairment (MCI) are important in screening for early dementia in primary care populations. In this study, an automated, non-invasive and rapid detection protocol for mild cognitive impairment based on handwriting kinetics and quantitative EEG analysis was proposed, and a classification model based on a dual fusion of feature and decision layers was designed for clinical decision-marking. Seventy-nine volunteers (39 healthy elderly controls and 40 patients with mild cognitive impairment) were recruited for this study, and the handwritten data and the EEG signals were performed using a tablet and MUSE under four designed handwriting tasks. Sixty-eight features were extracted from the EEG and handwriting parameters of each test. Features selected from both models were fused using a late feature fusion strategy with a weighted voting strategy for decision making, and classification accuracy was compared using three different classifiers under handwritten features, EEG features and fused features respectively. The results show that the dual fusion model can further improve the classification accuracy, with the highest classification accuracy for the combined features and the best classification result of 96.3% using SVM with RBF kernel as the base classifier. In addition, this not only supports the greater significance of multimodal data for differentiating MCI, but also tests the feasibility of using the portable EEG headband as a measure of EEG in patients with cognitive impairment.
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Affiliation(s)
- Jiali Chai
- College of Information and Computer, Taiyuan University of Technology, 030000, Taiyuan, Shanxi, China.
| | - Ruixuan Wu
- College of Information and Computer, Taiyuan University of Technology, 030000, Taiyuan, Shanxi, China
| | - Aoyu Li
- College of Information and Computer, Taiyuan University of Technology, 030000, Taiyuan, Shanxi, China
| | - Chen Xue
- College of Information and Computer, Taiyuan University of Technology, 030000, Taiyuan, Shanxi, China
| | - Yan Qiang
- College of Information and Computer, Taiyuan University of Technology, 030000, Taiyuan, Shanxi, China.
| | - Juanjuan Zhao
- College of Information and Computer, Taiyuan University of Technology, 030000, Taiyuan, Shanxi, China; Jinzhong College of Information, 030600, Taiyuan, Shanxi, China
| | - Qinghua Zhao
- College of Information and Computer, Taiyuan University of Technology, 030000, Taiyuan, Shanxi, China
| | - Qianqian Yang
- Jinzhong College of Information, 030600, Taiyuan, Shanxi, China
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Abromavičius V, Serackis A, Katkevičius A, Kazlauskas M, Sledevič T. Prediction of exam scores using a multi-sensor approach for wearable exam stress dataset with uniform preprocessing. Technol Health Care 2023; 31:2499-2511. [PMID: 37955074 DOI: 10.3233/thc-235015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2023]
Abstract
BACKGROUND Physiological signals, such as skin conductance, heart rate, and temperature, provide valuable insight into the physiological responses of students to stress during examination sessions. OBJECTIVE The primary objective of this research is to explore the effectiveness of physiological signals in predicting grades and to assess the impact of different models and feature selection techniques on predictive performance. METHODS We extracted a comprehensive feature vector comprising 301 distinct features from seven signals and implemented a uniform preprocessing technique for all signals. In addition, we analyzed different algorithmic selection features to design relevant features for robust and accurate predictions. RESULTS The study reveals promising results, with the highest scores achieved using 100 and 150 features. The corresponding values for accuracy, AUROC, and F1-Score are 0.9, 0.89, and 0.87, respectively, indicating the potential of physiological signals for accurate grade prediction. CONCLUSION The findings of this study suggest practical applications in the field of education, where the use of physiological signals can help students cope with exam stress and improve their academic performance. The importance of feature selection and the use of appropriate models highlight the importance of engineering relevant features for precise and reliable predictions.
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Pal R, Adhikari D, Heyat MBB, Guragai B, Lipari V, Brito Ballester J, De la Torre Díez I, Abbas Z, Lai D. A Novel Smart Belt for Anxiety Detection, Classification, and Reduction Using IIoMT on Students' Cardiac Signal and MSY. Bioengineering (Basel) 2022; 9:bioengineering9120793. [PMID: 36550999 PMCID: PMC9774730 DOI: 10.3390/bioengineering9120793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2022] [Revised: 12/07/2022] [Accepted: 12/09/2022] [Indexed: 12/14/2022] Open
Abstract
The prevalence of anxiety among university students is increasing, resulting in the negative impact on their academic and social (behavioral and emotional) development. In order for students to have competitive academic performance, the cognitive function should be strengthened by detecting and handling anxiety. Over a period of 6 weeks, this study examined how to detect anxiety and how Mano Shakti Yoga (MSY) helps reduce anxiety. Relying on cardiac signals, this study follows an integrated detection-estimation-reduction framework for anxiety using the Intelligent Internet of Medical Things (IIoMT) and MSY. IIoMT is the integration of Internet of Medical Things (wearable smart belt) and machine learning algorithms (Decision Tree (DT), Random Forest (RF), and AdaBoost (AB)). Sixty-six eligible students were selected as experiencing anxiety detected based on the results of self-rating anxiety scale (SAS) questionnaire and a smart belt. Then, the students were divided randomly into two groups: experimental and control. The experimental group followed an MSY intervention for one hour twice a week, while the control group followed their own daily routine. Machine learning algorithms are used to analyze the data obtained from the smart belt. MSY is an alternative improvement for the immune system that helps reduce anxiety. All the results illustrate that the experimental group reduced anxiety with a significant (p < 0.05) difference in group × time interaction compared to the control group. The intelligent techniques achieved maximum accuracy of 80% on using RF algorithm. Thus, students can practice MSY and concentrate on their objectives by improving their intelligence, attention, and memory.
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Affiliation(s)
- Rishi Pal
- School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu 610056, China
| | - Deepak Adhikari
- School of Information and Software Engineering, University of Electronic Science and Technology of China, Chengdu 610056, China
| | - Md Belal Bin Heyat
- IoT Research Center, College of Computer Science and Software Engineering, Shenzhen University, Shenzhen 518060, China
- Centre for VLSI and Embedded System Technologies, International Institute of Information Technology, Hyderabad 500032, India
- Department of Science and Engineering, Novel Global Community Educational Foundation, Hebersham, NSW 2770, Australia
- Correspondence: (M.B.B.H.); (D.L.)
| | - Bishal Guragai
- School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu 610056, China
| | - Vivian Lipari
- Research Group on Foods, Nutritional Biochemistry and Health Universidad Europea Del Atlántico, Isabel Torres, 39011 Santander, Spain
- Research Group on Foods, Nutritional Biochemistry and Health Universidade Internacional do Cuanza, Cuito EN250, Angola
- Research Group on Foods, Nutritional Biochemistry and Health Universidad Internacional Iberoamericana, Arecibo, PR 00613, USA
| | - Julien Brito Ballester
- Research Group on Foods, Nutritional Biochemistry and Health Universidad Europea Del Atlántico, Isabel Torres, 39011 Santander, Spain
- Research Group on Foods, Nutritional Biochemistry and Health Universidade Internacional do Cuanza, Cuito EN250, Angola
- Research Group on Foods, Nutritional Biochemistry and Health Universidad Internacional Iberoamericana, Arecibo, PR 00613, USA
| | - Isabel De la Torre Díez
- Department of Signal Theory and Communications and Telematic Engineering, University of Valladolid, Paseo de Belén 15, 47011 Valladolid, Spain
| | - Zia Abbas
- Centre for VLSI and Embedded System Technologies, International Institute of Information Technology, Hyderabad 500032, India
| | - Dakun Lai
- School of Electronic Science and Engineering, University of Electronic Science and Technology of China, Chengdu 610056, China
- Correspondence: (M.B.B.H.); (D.L.)
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Photoplethysmography Enabled Wearable Devices and Stress Detection: A Scoping Review. J Pers Med 2022; 12:jpm12111792. [PMID: 36579537 PMCID: PMC9695300 DOI: 10.3390/jpm12111792] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2022] [Revised: 10/16/2022] [Accepted: 10/27/2022] [Indexed: 11/06/2022] Open
Abstract
BACKGROUND Mental and physical health are both important for overall health. Mental health includes emotional, psychological, and social well-being; however, it is often difficult to monitor remotely. The objective of this scoping review is to investigate studies that focus on mental health and stress detection and monitoring using PPG-based wearable sensors. METHODS A literature review for this scoping review was conducted using the PRISMA (Preferred Reporting Items for the Systematic Reviews and Meta-analyses) framework. A total of 290 studies were found in five medical databases (PubMed, Medline, Embase, CINAHL, and Web of Science). Studies were deemed eligible if non-invasive PPG-based wearables were worn on the wrist or ear to measure vital signs of the heart (heart rate, pulse transit time, pulse waves, blood pressure, and blood volume pressure) and analyzed the data qualitatively. RESULTS Twenty-three studies met the inclusion criteria, with four real-life studies, eighteen clinical studies, and one joint clinical and real-life study. Out of the twenty-three studies, seventeen were published as journal-based articles, and six were conference papers with full texts. Because most of the articles were concerned with physiological and psychological stress, we decided to only include those that focused on stress. In twelve of the twenty articles, a PPG-based sensor alone was used to monitor stress, while in the remaining eight papers, a PPG sensor was used in combination with other sensors. CONCLUSION The growing demand for wearable devices for mental health monitoring is evident. However, there is still a significant amount of research required before wearable devices can be used easily and effectively for such monitoring. Although the results of this review indicate that mental health monitoring and stress detection using PPG is possible, there are still many limitations within the current literature, such as a lack of large and diverse studies and ground-truth methods, that need to be addressed before wearable devices can be globally useful to patients.
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Baseline-independent stress classification based on facial StO2. APPL INTELL 2022. [DOI: 10.1007/s10489-022-04041-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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14
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Hao T, Zheng X, Wang H, Xu K, Chen S. Linear and nonlinear analyses of heart rate variability signals under mental load. Biomed Signal Process Control 2022. [DOI: 10.1016/j.bspc.2022.103758] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Mental Stress Assessment Using Ultra Short Term HRV Analysis Based on Non-Linear Method. BIOSENSORS 2022; 12:bios12070465. [PMID: 35884267 PMCID: PMC9313333 DOI: 10.3390/bios12070465] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Revised: 06/14/2022] [Accepted: 06/24/2022] [Indexed: 11/17/2022]
Abstract
Mental stress is on the rise as one of the major health problems in modern society. It is important to detect and manage mental stress to prevent various diseases caused by stress and to maintain a healthy life. The purpose of this paper is to present new heart rate variability (HRV) features based on empirical mode decomposition and to detect acute mental stress through short-term HRV (5 min) and ultra-short-term HRV (under 5 min) analysis. HRV signals were acquired from 74 young police officers using acute stressors, including the Trier Social Stress Test and horror movie viewing, and a total of 26 features, including the proposed IMF energy features and general HRV features, were extracted. A support vector machine (SVM) classification model is used to classify the stress and non-stress states through leave-one-subject-out cross-validation. The classification accuracies of short-term HRV and ultra-short-term HRV analysis are 86.5% and 90.5%, respectively. In the results of ultra-short-term HRV analysis using various time lengths, we suggest the optimal duration to detect mental stress, which can be applied to wearable devices or healthcare systems.
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Muhammad F, Al-Ahmadi S. Human state anxiety classification framework using EEG signals in response to exposure therapy. PLoS One 2022; 17:e0265679. [PMID: 35303027 PMCID: PMC8932601 DOI: 10.1371/journal.pone.0265679] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2021] [Accepted: 03/06/2022] [Indexed: 12/17/2022] Open
Abstract
Human anxiety is a grave mental health concern that needs to be addressed in the appropriate manner in order to develop a healthy society. In this study, an objective human anxiety assessment framework is developed by using physiological signals of electroencephalography (EEG) and recorded in response to exposure therapy. The EEG signals of twenty-three subjects from an existing database called "A Database for Anxious States which is based on a Psychological Stimulation (DASPS)" are used for anxiety quantification into two and four levels. The EEG signals are pre-processed using appropriate noise filtering techniques to remove unwanted ocular and muscular artifacts. Channel selection is performed to select the significantly different electrodes using statistical analysis techniques for binary and four-level classification of human anxiety, respectively. Features are extracted from the data of selected EEG channels in the frequency domain. Frequency band selection is applied to select the appropriate combination of EEG frequency bands, which in this study are theta and beta bands. Feature selection is applied to the features of the selected EEG frequency bands. Finally, the selected subset of features from the appropriate frequency bands of the statistically significant EEG channels were classified using multiple machine learning algorithms. An accuracy of 94.90% and 92.74% is attained for two and four-level anxiety classification using a random forest classifier with 9 and 10 features, respectively. The proposed state anxiety classification framework outperforms the existing anxiety detection framework in terms of accuracy with a smaller number of features which reduces the computational complexity of the algorithm.
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Affiliation(s)
- Farah Muhammad
- Department of Computer Science, King Saud University, Riyadh, Saudi Arabia
| | - Saad Al-Ahmadi
- Computer Science Department, College of Computer and Information Sciences, King Saud University, Riyadh, Saudi Arabia
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Enhancing EEG-Based Mental Stress State Recognition Using an Improved Hybrid Feature Selection Algorithm. SENSORS 2021; 21:s21248370. [PMID: 34960469 PMCID: PMC8703860 DOI: 10.3390/s21248370] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Revised: 12/06/2021] [Accepted: 12/10/2021] [Indexed: 01/15/2023]
Abstract
In real-life applications, electroencephalogram (EEG) signals for mental stress recognition require a conventional wearable device. This, in turn, requires an efficient number of EEG channels and an optimal feature set. This study aims to identify an optimal feature subset that can discriminate mental stress states while enhancing the overall classification performance. We extracted multi-domain features within the time domain, frequency domain, time-frequency domain, and network connectivity features to form a prominent feature vector space for stress. We then proposed a hybrid feature selection (FS) method using minimum redundancy maximum relevance with particle swarm optimization and support vector machines (mRMR-PSO-SVM) to select the optimal feature subset. The performance of the proposed method is evaluated and verified using four datasets, namely EDMSS, DEAP, SEED, and EDPMSC. To further consolidate, the effectiveness of the proposed method is compared with that of the state-of-the-art metaheuristic methods. The proposed model significantly reduced the features vector space by an average of 70% compared with the state-of-the-art methods while significantly increasing overall detection performance.
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