Evaluation and Classification of Physical and Psychological Stress in Firefighters using Heart Rate Variability

Stress detection has a huge potential for disease prevention and management, and to improve the quality of life of people. Also, work safety can be improved if stress is timely and reliably detected. The availability of low-cost consumer wearable devices that monitor vital-signs, gives access to stress detection schemes. Heart rate variability (HRV), a stress-related vital-sign, was derived from wearable device data to reliably determine stress-levels. In order to build and train a deployable stress-detector, we collected labeled HRV data in controlled environments, where subjects were exposed to physical, psychological and combined stress. We then applied machine learning to separate and identify the different stress types and understand the relationship with HRV data. The resulting C5 decision tree model is capable of identifying the stress type with 88% accuracy, in a 1-minute time window. For the first time physical and psychological stress can be distinguished with a 1-minute time resolution from smoke-divers, firefighters, who enter high-risk environments to rescue people, and experience intense physical and psychological stress. To improve our model, we created an integrated system to acquire expert labels in real-time from firefighters during their training in a Rescue Maze. A next goal is to transfer the algorithms into generic systems for monitoring and coaching high-risk professionals to improve their stress resilience during training and reduce their risk in the field.

[1]  Rossana Castaldo,et al.  Acute mental stress assessment via short term HRV analysis in healthy adults: A systematic review with meta-analysis , 2015, Biomed. Signal Process. Control..

[2]  Anna Sjörs,et al.  Low heart rate variability in patients with clinical burnout. , 2016, International journal of psychophysiology : official journal of the International Organization of Psychophysiology.

[3]  Heart Rate Variability in Hyperthyroidism , 2010 .

[4]  D. Atılgan,et al.  Heart Rate Variability in Diabetes Patients , 2006, The Journal of international medical research.

[5]  N. Cook,et al.  Migraine and Heart Rate Variability—Reply , 2007 .

[6]  F. Pukelsheim The Three Sigma Rule , 1994 .

[7]  B. Appelhans,et al.  Heart Rate Variability as an Index of Regulated Emotional Responding , 2006 .

[8]  Matias M. Pulopulos,et al.  Acute stress affects free recall and recognition of pictures differently depending on age and sex , 2015, Behavioural Brain Research.

[9]  Csaba Nyakas,et al.  The effects of training and detraining on memory, neurotrophins and oxidative stress markers in rat brain , 2006, Neurochemistry International.

[10]  U. Rajendra Acharya,et al.  Heart rate variability: a review , 2006, Medical and Biological Engineering and Computing.

[11]  Muhammad Nubli Abdul Wahab,et al.  Heart Rate Variability (HRV) biofeedback: A new training approach for operator’s performance enhancement , 2010 .

[12]  Heart rate variability and depression. , 2006, Archives of general psychiatry.

[13]  George S. Everly,et al.  A Clinical Guide to the Treatment of the Human Stress Response , 2002 .

[14]  H. Rüddel,et al.  Spectral analysis of heart rate variability under mental stress. , 1989, Journal of hypertension. Supplement : official journal of the International Society of Hypertension.

[15]  Veränderungen und Unterschiede in der Herzratenvariabilität (HRV) von Patienten einer psychiatrischen Rehabilitationsklinik , 2016, neuropsychiatrie.

[16]  Pilar Serra-Añó,et al.  Use of Heart Rate Variability in Monitoring Stress and Recovery in Judo Athletes , 2014, Journal of strength and conditioning research.

[17]  Sazali Yaacob,et al.  Analysis of Stroop Color Word Test-Based Human Stress Detection using Electrocardiography and Heart Rate Variability Signals , 2014 .

[18]  Guy Lapalme,et al.  A systematic analysis of performance measures for classification tasks , 2009, Inf. Process. Manag..

[19]  B. Sredniawa,et al.  Heart rate variability in heart failure. , 2003, Kardiologia polska.

[20]  Hon Eh,et al.  THE FETAL ELECTROCARDIOGRAM. II. MEASURING TECHNICS. , 1964 .

[21]  Trine M. Seeberg,et al.  Decision Support for Subjects Exposed to Heat Stress , 2013, IEEE Journal of Biomedical and Health Informatics.

[22]  Charu C. Aggarwal,et al.  Managing and Mining Sensor Data , 2013, Springer US.

[23]  Ankur Teredesai,et al.  Divide-n-Discover - Discretization based Data Exploration Framework for Healthcare Analytics , 2014, HEALTHINF.

[24]  A. Hackney,et al.  HEART RATE VARIABILITY IN COMPETITIVE ATHLETES , 1999 .

[25]  F. Plessow,et al.  Successful voluntary recruitment of cognitive control under acute stress , 2017, Cognition.