Cross-validation of bimodal health-related stress assessment

  • Authors:
  • Egon L. Broek;Frans Sluis;Ton Dijkstra

  • Affiliations:
  • Human Media Interaction (HMI), Faculty of Electrical Engineering, Mathematics, and Computer Science, University of Twente, Enschede, The Netherlands 7500 AE and Karakter U.C., Radboud University M ...;Human Media Interaction (HMI), Faculty of Electrical Engineering, Mathematics, and Computer Science, University of Twente, Enschede, The Netherlands 7500 AE and Karakter U.C., Radboud University M ...;Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen (RU), Nijmegen, The Netherlands 6500 HE and Centre for Language Studies, Faculty of Arts, Radboud University Nijme ...

  • Venue:
  • Personal and Ubiquitous Computing
  • Year:
  • 2013

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Abstract

This study explores the feasibility of objective and ubiquitous stress assessment. 25 post-traumatic stress disorder patients participated in a controlled storytelling (ST) study and an ecologically valid reliving (RL) study. The two studies were meant to represent an early and a late therapy session, and each consisted of a "happy" and a "stress triggering" part. Two instruments were chosen to assess the stress level of the patients at various point in time during therapy: (i) speech, used as an objective and ubiquitous stress indicator and (ii) the subjective unit of distress (SUD), a clinically validated Likert scale. In total, 13 statistical parameters were derived from each of five speech features: amplitude, zero-crossings, power, high-frequency power, and pitch. To model the emotional state of the patients, 28 parameters were selected from this set by means of a linear regression model and, subsequently, compressed into 11 principal components. The SUD and speech model were cross-validated, using 3 machine learning algorithms. Between 90% (2 SUD levels) and 39% (10 SUD levels) correct classification was achieved. The two sessions could be discriminated in 89% (for ST) and 77% (for RL) of the cases. This report fills a gap between laboratory and clinical studies, and its results emphasize the usefulness of Computer Aided Diagnostics (CAD) for mental health care.