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Updated: Sep 4, 2025

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The Trier Social Stress Test Protocol for Inducing Psychological Stress
Published on: October 19, 2011
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Inducing and Recording Acute Stress Responses on a Large Scale With the Digital Stress Test (DST): Development and
Matthias Norden1,2,3, Amin Gerard Hofmann1,2, Martin Meier2
1Faculty of Technology, Bielefeld University, Bielefeld, Germany.
Journal of Medical Internet Research
|July 15, 2022
Summary
A novel digital stress test (DST) effectively induces acute stress responses in participants using smartphones, offering a scalable alternative to lab-based methods for large-scale studies.
Area of Science:
- Psychology
- Psychophysiology
- Digital Health
Background:
- Standardized stress induction experiments provide valuable insights but are often limited to laboratory settings, hindering scalability and real-world application.
- Existing protocols are labor-intensive and cannot be easily adapted for large cohorts or daily life scenarios.
Purpose of the Study:
- To develop a scalable digital tool for standardized induction and recording of acute stress responses outside laboratory settings.
- To enable stress assessment without direct experimenter contact, facilitating large-scale data collection.
Main Methods:
- Developed the Digital Stress Test (DST) based on established stress protocols.
- Evaluated DST feasibility and stress induction in a large web-based study with 284 participants using smartphones.
- Compared affective responses and stress-related feelings with a control group and historical Trier Social Stress Test data.
Main Results:
- DST participants reported significantly higher perceived stress levels than the control group.
- The increase in negative affect within the DST was comparable in effect size to that observed in classic Trier Social Stress Test experiments.
Conclusions:
- A digital stress paradigm administered via smartphone enables standardized, large-scale stress induction and multimodal data collection.
- Further development and validation of the DST, including physiological markers, are planned.
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