Automation of Stress Recognition Using Subjective or Objective Measures

Abstract Automation of stress recognition involves collecting stress-reflecting data and then using a computational technique to estimate the stress level corresponding to that data. With the advent of objective sensors or mobile context measurement, automated stress recognition revolves around and is restricted to only these measures. Traditional subjective questionnaires and self-reports, though highly reliable, have been bounded to only clinical settings, without extending their scope to general population and natural environments. This review discusses some widely used questionnaires for measuring stress which can prove to be equally efficient to their conventional paper-based application when computerized. A summary on highly accepted objective measures of stress, including physiological, behavioural and contextual data, is provided next. Past research work using these subjective and objective measures for automatically recognizing stress is also reviewed. A comparative analysis of questionnaires and objective measures is conducted, which helped in highlighting significant advantages and disadvantages of the measures. Use of reports or questionnaires for automating stress recognition is suggested, owing to improved costs, high reliability and user trust.

[1]  Daniel Gatica-Perez,et al.  StressSense: detecting stress in unconstrained acoustic environments using smartphones , 2012, UbiComp.

[2]  K. Douglas,et al.  The Perceived Stress Scale: Evaluating Configural, Metric and Scalar Invariance across Mental Health Status and Gender , 2011, Journal of Psychopathology and Behavioral Assessment.

[3]  L. Derogatis,et al.  The Brief Symptom Inventory: an introductory report , 1983, Psychological Medicine.

[4]  Zhiwei Zhu,et al.  Toward a decision-theoretic framework for affect recognition and user assistance , 2006, Int. J. Hum. Comput. Stud..

[5]  Paul Lukowicz,et al.  Smartphone based experience sampling of stress-related events , 2013, 2013 7th International Conference on Pervasive Computing Technologies for Healthcare and Workshops.

[6]  Otto B. Walter,et al.  An evaluation of patient-reported outcomes found computerized adaptive testing was efficient in assessing stress perception. , 2009, Journal of clinical epidemiology.

[7]  Michael A. Andrykowski,et al.  Short Form of the Profile of Mood States (POMS-SF): Psychometric Information. , 1995 .

[8]  Andrea Gaggioli,et al.  Computerized experience-sampling approach for realtime assessment of stress , 2013, EAI Endorsed Trans. Ambient Syst..

[9]  N. Sudo,et al.  Profile of mood states and stress-related biochemical indices in long-term yoga practitioners , 2011, BioPsychoSocial medicine.

[10]  Ulrich Atz,et al.  Evaluating experience sampling of stress in a single-subject research design , 2013, Personal and Ubiquitous Computing.

[11]  PGI Health Questionnaire N-1 : A Simple Neuroticism Scale In India , 1973 .

[12]  Kimberly R. Zlomke,et al.  Psychometric properties of internet administered versions of Penn State Worry Questionnaire (PSWQ) and Depression, Anxiety, and Stress Scale (DASS) , 2009, Comput. Hum. Behav..

[13]  Elena Commodari,et al.  Children staying in hospital: a research on psychological stress of caregivers , 2010, Italian journal of pediatrics.

[14]  K. Koh,et al.  Development of the Stress Response Inventory and Its Application in Clinical Practice , 2001, Psychosomatic medicine.

[15]  Herbert Fliege,et al.  Evaluation of Computerized Adaptive Tests (CATs) for longitudinal monitoring of depression, anxiety, and stress reactions. , 2016, Journal of affective disorders.

[16]  Manolya Kavakli,et al.  eMedicalHelp: A customized medical diagnostic application: Is a single questionnaire enough to measure stress? , 2015, 2015 IEEE/ACIS 14th International Conference on Computer and Information Science (ICIS).

[17]  N. Canitano,et al.  Montelukast therapy and psychological distress in chronic obstructive pulmonary disease (COPD): a preliminary report. , 2011, Archives of gerontology and geriatrics.

[18]  Tamás D. Gedeon,et al.  Objective measures, sensors and computational techniques for stress recognition and classification: A survey , 2012, Comput. Methods Programs Biomed..

[19]  K. Dobson,et al.  Psychometric properties of the Brief Symptom Inventory in a sample of recovered Iranian depressed patients , 2010 .

[20]  J. Hayes What Does the Brief Symptom Inventory Measure in College and University Counseling Center Clients , 1997 .

[21]  J. M. Figueiredo Distress, demoralization and psychopathology: Diagnostic boundaries , 2013 .

[22]  I. Savic,et al.  Stress-related exhaustion disorder--clinical manifestation of burnout? A review of assessment methods, sleep impairments, cognitive disturbances, and neuro-biological and physiological changes in clinical burnout. , 2015, Scandinavian journal of psychology.

[23]  Mounir Chennaoui,et al.  Stress Biomarkers, Mood States, and Sleep during a Major Competition: “Success” and “Failure” Athlete's Profile of High-Level Swimmers , 2016, Front. Physiol..

[24]  F. Zitman,et al.  Brief Symptom Inventory symptom profiles of outpatients with borderline intellectual functioning and major depressive disorder or posttraumatic stress disorder: Comparison with patients from regular mental health care and patients with Mild Intellectual Disabilities. , 2016, Research in developmental disabilities.

[25]  C. Gall,et al.  Mental Distress in Patients with Cerebral Visual Injury Assessed with the German Brief Symptom Inventory , 2015, Front. Aging Neurosci..

[26]  B. K. Sinha,et al.  A Cross-Cultural Comparison of the Brief Symptom Inventory , 1999 .

[27]  I. Anusic,et al.  The Validity of the Day Reconstruction Method in the German Socio-economic Panel Study , 2016, Social Indicators Research.

[28]  L. Varvogli,et al.  Validation of the Greek Version of Perceived Stress Questionnaire: Psychometric Properties and Factor Structure in a Population-Based Survey , 2014 .

[29]  Hiroe Kikuchi,et al.  Systematic comparison between ecological momentary assessment and day reconstruction method for fatigue and mood states in healthy adults. , 2013, British journal of health psychology.

[30]  Tamás D. Gedeon,et al.  Modeling stress recognition in typical virtual environments , 2013, 2013 7th International Conference on Pervasive Computing Technologies for Healthcare and Workshops.

[31]  N. Mendell,et al.  Hostility and cardiovascular reactivity to stress in women and men. , 1989, Psychosomatic medicine.

[32]  Matjaz Gams,et al.  Automatic Detection of Perceived Stress in Campus Students Using Smartphones , 2015, 2015 International Conference on Intelligent Environments.

[33]  Rosalind W. Picard,et al.  FEEL: frequent EDA and event logging -- a mobile social interaction stress monitoring system , 2012, CHI Extended Abstracts.

[34]  Matthew J Miller,et al.  Factorial invariance of the Brief Symptom Inventory-18 (BSI-18) for adults of Mexican descent across nativity status, language format, and gender. , 2013, Psychological assessment.

[35]  S. Di Nuovo,et al.  Psychological stress measure in type 2 diabetes. , 2006, European review for medical and pharmacological sciences.

[36]  Kristina Höök,et al.  Mind the body!: designing a mobile stress management application encouraging personal reflection , 2010, Conference on Designing Interactive Systems.

[37]  Andrea Gaggioli,et al.  A mobile data collection platform for mental health research , 2013, Personal and Ubiquitous Computing.

[38]  Adrian Basarab,et al.  Towards an automatic early stress recognition system for office environments based on multimodal measurements: A review , 2016, J. Biomed. Informatics.

[39]  T. Kamarck,et al.  A global measure of perceived stress. , 1983, Journal of health and social behavior.

[40]  L. Lemyre,et al.  Psychological stress measure (PSM-9): Integration of an evidence-based approach to assessment, monitoring, and evaluation of stress in physical therapy practice , 2009, Physiotherapy theory and practice.

[41]  D. Hennessy,et al.  Traffic congestion, driver stress, and driver aggression , 1999 .

[42]  O. Shokri,et al.  ASSESSING STRESS IN CANCER PATIENTS: FACTORIAL VALIDITY OF THE PERCEIVED STRESS SCALE IN IRAN , 2014 .

[43]  Otto B. Walter,et al.  The Perceived Stress Questionnaire (PSQ) Reconsidered: Validation and Reference Values From Different Clinical and Healthy Adult Samples , 2005, Psychosomatic medicine.

[44]  Louise Lemyre,et al.  Measuring psychological stress. Concept, model, and measurement instrument in primary care research. , 2003, Canadian family physician Medecin de famille canadien.

[45]  Ricardo Gutierrez-Osuna,et al.  Removal of subject-dependent and activity-dependent variation in physiological measures of stress , 2012, 2012 6th International Conference on Pervasive Computing Technologies for Healthcare (PervasiveHealth) and Workshops.

[46]  S. Levenstein,et al.  Development of the Perceived Stress Questionnaire: a new tool for psychosomatic research. , 1993, Journal of psychosomatic research.

[47]  M. Sliwinski,et al.  Validation of the Perceived Stress Scale in a community sample of older adults , 2014, International journal of geriatric psychiatry.

[48]  M. Swartz,et al.  Comparing PROMIS computer-adaptive tests to the Brief Symptom Inventory in patients with prostate cancer , 2014, Quality of Life Research.

[49]  M. Sterling General Health Questionnaire - 28 (GHQ-28). , 2011, Journal of physiotherapy.

[50]  R. Lazarus From psychological stress to the emotions: a history of changing outlooks. , 1993, Annual review of psychology.

[51]  S. Shiffman,et al.  Equivalence of electronic and paper-and-pencil administration of patient-reported outcome measures: a meta-analytic review. , 2008, Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research.

[52]  Jessica Y. Lee,et al.  Examining the association between parenting stress and the development of early childhood caries. , 2005, Community dentistry and oral epidemiology.

[53]  Horiuchi Influence of Forest Walking on Blood Pressure, Profile of Mood States and Stress Markers from the Viewpoint of Aging , 2013 .

[54]  Jin Pyo Hong,et al.  The 12-Item General Health Questionnaire as an Effective Mental Health Screening Tool for General Korean Adult Population , 2013, Psychiatry investigation.

[55]  Åsa Smedberg,et al.  Design of a Mobile Phone App Prototype for Reflections on Perceived Stress , 2012, eTELEMED 2012.

[56]  M. Tadesse,et al.  Psychometric properties and factor structure of the General Health Questionnaire as a screening tool for anxiety and depressive symptoms in a multi-national study of young adults. , 2015, Journal of affective disorders.

[57]  M. Åsberg,et al.  Construction and evaluation of a self rating scale for stress-induced Exhaustion Disorder, the Karolinska Exhaustion Disorder Scale , 2013, Scandinavian journal of psychology.

[58]  Hao Tang,et al.  deStress: Mobile and remote stress monitoring, alleviation, and management platform , 2012, GLOBECOM.

[59]  A. Beck,et al.  An inventory for measuring clinical anxiety: psychometric properties. , 1988, Journal of consulting and clinical psychology.

[60]  F. Bagheriyeh,et al.  The prevalence obsessive- compulsive disorder in students in Khoy University in 2013 , 2014 .

[61]  S. Fukudo A neurological approach to biopsychosocial medicine: Lessons from irritable bowel syndrome , 2011, BioPsychoSocial medicine.

[62]  J. Kabat-Zinn,et al.  Three-year follow-up and clinical implications of a mindfulness meditation-based stress reduction intervention in the treatment of anxiety disorders. , 1995, General hospital psychiatry.

[63]  J. Os,et al.  A momentary assessment study of the relationship between affective and adrenocortical stress responses in daily life , 2007, Biological Psychology.

[64]  G. Hariharan,et al.  Congenital Afibrinogenemia presenting as antenatal intracranial bleed: a case report , 2010, Italian journal of pediatrics.

[65]  E. Baca-García,et al.  Psychometrical assessment and item analysis of the General Health Questionnaire in victims of terrorism. , 2013, Psychological assessment.

[66]  Stephen S. Intille,et al.  Technological Innovations Enabling Automatic, Context-Sensitive Ecological Momentary Assessment , 2007 .

[67]  L. Derogatis Brief Symptom Inventory-18 , 2011 .

[68]  The application of perceived stress scale in health studies. An analysis of literature , 2012 .

[69]  M. Benzeval,et al.  Common mental disorders and mortality in the West of Scotland Twenty-07 Study: comparing the General Health Questionnaire and the Hospital Anxiety and Depression Scale , 2013, Journal of Epidemiology & Community Health.

[70]  R. Baumeister,et al.  Self-control and its relation to emotions and psychobiology: evidence from a Day Reconstruction Method study , 2014, Journal of Behavioral Medicine.

[71]  Kenneth J. Smith,et al.  An Assessment of the Psychometric Properties of the Perceived Stress Scale‐10 (PSS10) with Business and Accounting Students , 2014 .

[72]  Jin-Hyuk Hong,et al.  Understanding physiological responses to stressors during physical activity , 2012, UbiComp.

[73]  Alex Pentland,et al.  Daily Stress Recognition from Mobile Phone Data, Weather Conditions and Individual Traits , 2014, ACM Multimedia.

[74]  S. Murray,et al.  Using the 12‐item General Health Questionnaire to screen psychological distress from survivorship to end‐of‐life care: dimensionality and item quality , 2012, Psycho-oncology.

[75]  Louis Tay,et al.  Review of the Day Reconstruction Method (DRM) , 2014 .

[76]  David M Almeida,et al.  Foundation Research Network on Successful Midlife Development. We wish to thank , 2022 .

[77]  Eun-Hyun Lee,et al.  Review of the psychometric evidence of the perceived stress scale. , 2012, Asian nursing research.

[78]  Lorie Loeb,et al.  The mobile photographic stress meter (MPSM): a new way to measure stress using images , 2015, UbiComp/ISWC Adjunct.

[79]  F. Wilhelm,et al.  Emotions beyond the laboratory: Theoretical fundaments, study design, and analytic strategies for advanced ambulatory assessment , 2010, Biological Psychology.

[80]  Per Backlund,et al.  Proposal for Non-Contact Analysis of Multimodal Inputs to Measure Stress Level in Serious Games , 2015, 2015 7th International Conference on Games and Virtual Worlds for Serious Applications (VS-Games).

[81]  J. Cacioppo,et al.  Handbook Of Psychophysiology , 2019 .

[82]  Sonia Jain,et al.  A real-time assessment of work stress in physicians and nurses. , 2009, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[83]  J. García-Campayo,et al.  Reassessment of the Psychometric Characteristics and Factor Structure of the ‘Perceived Stress Questionnaire’ (PSQ): Analysis in a Sample of Dental Students , 2014, PloS one.

[84]  Mohd Nasir Taib,et al.  Brainwaves stress pattern based on perceived stress scale test , 2015, 2015 IEEE 6th Control and System Graduate Research Colloquium (ICSGRC).

[85]  Rachel Blouin,et al.  Measuring Stress in a Clergy Population: Lessons Learned from Cognitive Interview Testing of the Perceived Stress Scale with Clergy , 2015 .

[86]  L. Nilsson,et al.  Dimensionality of stress experiences: Factorial structure of the Perceived Stress Questionnaire (PSQ) in a population-based Swedish sample. , 2015, Scandinavian journal of psychology.

[87]  Ulrich Reimer,et al.  SmartCoping - A Mobile Solution for Stress Recognition and Prevention , 2014, HEALTHINF.

[88]  S. Hart,et al.  Development of NASA-TLX (Task Load Index): Results of Empirical and Theoretical Research , 1988 .

[89]  Emre Ertin,et al.  cStress: towards a gold standard for continuous stress assessment in the mobile environment , 2015, UbiComp.

[90]  A. Bowe The Cultural Fairness of the 12-Item General Health Questionnaire Among Diverse Adolescents , 2017, Psychological assessment.

[91]  Akane Sano,et al.  Stress Recognition Using Wearable Sensors and Mobile Phones , 2013, 2013 Humaine Association Conference on Affective Computing and Intelligent Interaction.

[92]  Desok Kim,et al.  Dependence of Heart Rate Variability on Stress Factors of Stress Response Inventory , 2007, 2007 9th International Conference on e-Health Networking, Application and Services.

[93]  Chan-Hyun Youn,et al.  Association of Heart Rates with Stress Response Inventory Scores in Different Age Groups , 2007, 2007 29th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[94]  K. Glise,et al.  Self-reported exhaustion: a possible indicator of reduced work ability and increased risk of sickness absence among human service workers , 2010, International archives of occupational and environmental health.

[95]  T. H. Holmes,et al.  The Social Readjustment Rating Scale. , 1967, Journal of psychosomatic research.

[96]  D. Kahneman,et al.  A Survey Method for Characterizing Daily Life Experience: The Day Reconstruction Method , 2004, Science.

[97]  A. Mišković,et al.  Measurement Characteristics of the Perceived Stress Scale in Individuals With Spinal Cord Injury , 2016 .

[98]  S. Shiffman,et al.  Ecological momentary assessment. , 2008, Annual review of clinical psychology.

[99]  Craig Jackson,et al.  VALIDITY OF A SHORT 5-ITEM VERSION OF THE GENERAL HEALTH QUESTIONNAIRE (G.H.Q) , 1986, Indian journal of psychiatry.

[100]  Matevz Pogacnik,et al.  Noninvasive stress recognition considering the current activity , 2015, Personal and Ubiquitous Computing.

[101]  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..