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Related Experiment Video

Updated: Aug 29, 2025

Evaluation of Commercial-Off-The-Shelf Wrist Wearables to Estimate Stress on Students
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Comparison of Stress Detection through ECG and PPG signals using a Random Forest-based Algorithm.

Mouna Benchekroun, Baptiste Chevallier, Hamza Beaouiss

    Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference
    |September 10, 2022
    PubMed
    Summary

    This study introduces a machine learning algorithm for stress detection using Heart Rate Variability (HRV) from electrocardiograms (ECG) and photoplethysmograms (PPG). The algorithm accurately identifies stress, showing PPG is a viable alternative to ECG for continuous monitoring.

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    Area of Science:

    • Affective computing
    • Neuroscience
    • Psychology
    • Medicine

    Background:

    • Stress is a major health concern in the 21st century, with ongoing research across multiple scientific disciplines.
    • Current stress detection relies on cortisol levels, lacking a standard for continuous monitoring.
    • Wearable sensors offer potential for stress identification via physiological signals like Heart Rate Variability (HRV).

    Purpose of the Study:

    • To develop and validate a supervised machine learning algorithm for stress detection using HRV.
    • To investigate the efficacy of photoplethysmograms (PPG) as a low-cost alternative to electrocardiograms (ECG) for HRV analysis and stress detection.

    Main Methods:

    • A subject-independent Random Forest algorithm was trained and tested using HRV features derived from ECG and PPG signals.
    • Data was collected from 46 healthy subjects.
    • The algorithm was evaluated for its accuracy in stress identification.

    Main Results:

    • The machine learning algorithm achieved over 80% F1-score and 90% AUC for stress detection from both ECG and PPG data.
    • Photoplethysmography (PPG) demonstrated comparable performance to electrocardiography (ECG) in HRV analysis and stress detection.
    • The proposed method enables accurate, automated, and continuous stress analysis.

    Conclusions:

    • Photoplethysmography (PPG) is a suitable and cost-effective alternative to ECG for Heart Rate Variability (HRV) analysis.
    • The developed machine learning algorithm effectively detects stress using HRV from PPG signals.
    • This technology has significant potential for researchers and clinicians in automated, continuous stress monitoring.