Skip to main content

Utilization of Neurophysiological Data to Classify Player Immersion to Distract from Pain

  • Conference paper
  • First Online:
HCI International 2020 – Late Breaking Papers: Cognition, Learning and Games (HCII 2020)

Abstract

Painful experiences during clinical procedures can have detrimental effects on the physical and mental health of a patient. Current pain reduction methods can be effective in reducing pain, however these methods are not without fault. Active distraction via computer games have been proven to effectively reduce the experience of pain. However, the potential of this distraction to effectively alleviate pain is dependent on players’ engagement with the game, which is determined by the difficulty of the game and the skill of the player. This paper aims to model and classify immersion through increasingly difficult levels of game play, in the presence of pain, using functional Near Infrared Spectroscopy (fNIRS) and heart rate data. Twenty people participated in a study wherein fNIRS data (4 channels located at the prefrontal cortex, four channels located at the somatosensory cortex) and heart rate data were collected whilst participants were subjected to experimental pain, via the Cold Pressor Test (CPT). Participants played a computer game at varying difficultly levels as a distraction. Data were then pre-processed using an Acceleration Based Movement Artefact Reduction Algorithm (AMARA) and Correlation Based Signal Improvement (CBSI). Classification was subsequently undertaken using Linear Discriminant Analysis (LDA), Support Vector Machine (SVM) and Recursive Partitioning (rPart). The results demonstrate a maximum accuracy of 99.2% for the binary detection of immersion in the presence of pain.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Broad, R.D., Wheeler, K.: An adult with childhood medical trauma treated with psychoanalytic psychotherapy and EMDR: a case study. Perspect. Psychiatr. Care 42(2), 95–105 (2006)

    Article  Google Scholar 

  2. Diseth, T.H.: Dissociation following traumatic medical treatment procedures in childhood: a longitudinal follow-up. Dev. Psychopathol. 18(1), 233–251 (2006)

    Article  Google Scholar 

  3. Anand, K.J., et al.: Tolerance and withdrawal from prolonged opioid use in critically ill children. Pediatrics 125(5), e1208–e1225 (2010)

    Article  Google Scholar 

  4. Greenbaum, S., et al.: The impact of catastrophizing. Anesthesiology 6, 1292–1301 (2014)

    Google Scholar 

  5. Hua, Y., Qiu, R., Yao, W.Y., Zhang, Q., Chen, X.L.: The effect of virtual reality distraction on pain relief during dressing changes in children with chronic wounds on lower limbs. Pain Manag. Nurs. 16(5), 685–691 (2015)

    Article  Google Scholar 

  6. Eccleston, C., Crombez, G.: Pain demands attention: a cognitive-affective model of the interruptive function of pain. Psychol. Bull. 125(3), 356–366 (1999)

    Article  Google Scholar 

  7. Wohlheiter, K.A.: Interactive versus passive distraction for acute pain management in young children: the role of selective attention and development. J. Pediatr. Psychol. 38(2), 202–212 (2013)

    Google Scholar 

  8. Jameson, E., Trevena, J., Swain, N.: Electronic gaming as pain distraction. Pain Res. Manag. 16(1), 27–32 (2011)

    Article  Google Scholar 

  9. Bantick, S.J., Wise, R.G., Ploghaus, A., Clare, S., Smith, S.M., Tracey, I.: Imaging how attention modulates pain in humans using functional MRI. Brain 125(Pt 2), 310–319 (2002)

    Article  Google Scholar 

  10. Legrain, V., Van Damme, S., Eccleston, C., Davis, K.D., Seminowicz, D.A., Crombez, G.: A neurocognitive model of attention to pain: behavioral and neuroimaging evidence. Pain 144(3), 230–232 (2009)

    Article  Google Scholar 

  11. Weiss, K.E., Dahlquist, L.M., Wohlheiter, K.: The effects of interactive and passive distraction on cold pressor pain in preschool-aged children. J. Pediatr. Psychol. 36(7), 816–826 (2011)

    Article  Google Scholar 

  12. Fairclough, S.H., Gilleade, K., Ewing, K.C., Roberts, J.: Capturing user engagement via psychophysiology: measures and mechanisms for biocybernetic adaptation. Int. J. Auton. Adapt. Commun. Syst. 6(1), 63 (2013)

    Article  Google Scholar 

  13. Ewing, K.C., Fairclough, S.H., Gilleade, K.: Evaluation of an adaptive game that uses EEG measures validated during the design process as inputs to a biocybernetic loop. Front. Hum. Neurosci. 10(May), 1–13 (2016)

    Google Scholar 

  14. Nacke, L., Kalyn, M., Lough, C., Mandryk, R.: Biofeedback game design: using direct and indirect physiological control to enhance game interaction. In: Proceedings of the SIGCHI …, pp. 103–112 (2011)

    Google Scholar 

  15. Jennett, C., et al.: Measuring and defining the experience of immersion in games. Int. J. Hum Comput Stud. 66(9), 641–661 (2008)

    Article  Google Scholar 

  16. Nacke, L.E., Lindley, C.A.: Flow and immersion in first-person shooters: measuring the player’s gameplay experience. In: Proceedings of the 2008 Conference on Future Play: Research Play Share, pp. 81–88 (2008)

    Google Scholar 

  17. Harrivel, A.R., Weissman, D.H., Noll, D.C., Peltier, S.J.: Monitoring attentional state with fNIRS. Front. Hum. Neurosci. 7(December), 861 (2013)

    Google Scholar 

  18. Izzetoglu, K., Bunce, S., Izzetoglu, M., Onaral, B., Pourrezaei, K.: fNIR spectroscopy as a measure of cognitive task load. In: Proceedings of 25th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (IEEE Cat. No. 03CH37439), vol. 4, pp. 3431–3434 (2003)

    Google Scholar 

  19. Olsson, E., Ahlsén, G., Eriksson, M.: Skin-to-skin contact reduces near-infrared spectroscopy pain responses in premature infants during blood sampling. Acta Paediatr. Int. J. Paediatr. 105(4), 376–380 (2016)

    Article  Google Scholar 

  20. Jennett, C., Cox, A., Cairns, P.: Investigating computer game immersion and the component real world dissociation. In: Proceedings of the 27th International Conference Extend Abstract Human Factors Computer Systems CHI EA 09, no. February 2007, pp. 3407–3412 (2009)

    Google Scholar 

  21. Kussman, B.D., et al.: Capturing pain in the cortex during general anesthesia: near infrared spectroscopy measures in patients undergoing catheter ablation of arrhythmias. PLoS ONE 11(7), 1–13 (2016)

    Article  Google Scholar 

  22. Von Baeyer, C.L., Piira, T., Chambers, C.T., Trapanotto, M., Zeltzer, L.K.: Guidelines for the cold pressor task as an experimental pain stimulus for use with children. J. Pain 6(4), 218–227 (2005)

    Article  Google Scholar 

  23. Baker, W.B., Parthasarathy, A.B., Busch, D.R., Mesquita, R.C., Greenberg, J.H., Yodh, A.G.: Modified Beer-Lambert law for blood flow. Biomed. Opt. Express 5(11), 4053 (2014)

    Article  Google Scholar 

  24. Naseer, N., Noori, F.M., Qureshi, N.K., Hong, K.-S.: Determining optimal feature-combination for LDA classification of functional near-infrared spectroscopy signals in brain-computer interface application. Front. Hum. Neurosci. 10(May), 1–10 (2016)

    Google Scholar 

  25. Kocsis, L., Herman, P., Eke, A.: The modified Beer-Lambert law revisited. Phys. Med. Biol. 51(5) (2006)

    Google Scholar 

  26. Bontrager, D., Novak, D., Zimmermann, R., Riener, R., Marchal-crespo, L.: Physiological noise cancellation in fNIRS using an adaptive filter based on mutual information *, Present. In:IEEE International Conference Systems Man, Cybernetics, San Diego, CA, USA, 5–8 October 2014 (2014)

    Google Scholar 

  27. Julien, C.: The enigma of Mayer waves: facts and models. Cardiovasc. Res. 70(1), 12–21 (2006)

    Article  Google Scholar 

  28. Metz, A.J., Wolf, M., Achermann, P., Scholkmann, F.: A new approach for automatic removal of movement artifacts in near-infrared spectroscopy time series by means of acceleration data. Algorithms 8(4), 1052–1075 (2015)

    Article  MathSciNet  MATH  Google Scholar 

  29. Caldwell, M., Scholkmann, F., Wolf, U., Wolf, M., Elwell, C., Tachtsidis, I.: Modelling confounding effects from extracerebral contamination and systemic factors on functional near-infrared spectroscopy. Neuroimage 143, 91–105 (2016)

    Article  Google Scholar 

  30. Cui, X., Bray, S., Reiss, A.L.: Functional near infrared spectroscopy (NIRS) signal improvement based on negative correlation between oxygenated and deoxygenated hemoglobin dynamics. Neuroimage 49(4), 3039–3046 (2010)

    Article  Google Scholar 

  31. Cui, X., Bray, S., Bryant, D.M., Glover, G.H., Reiss, A.L.: A quantitative comparison of NIRS and fMRI across multiple cognitive tasks. Neuroimage 54(4), 2808–2821 (2011)

    Article  Google Scholar 

  32. Schroeter, M.L., et al.: Towards a standard analysis for functional near-infrared imaging. Neuroimage 21(1), 283–290 (2004)

    Article  MathSciNet  Google Scholar 

  33. Tsunashima, H., Yanagisawa, K.: Measurement of brain function of car driver using functional near-infrared spectroscopy (fNIRS). Comput. Intell. Neurosci. 2009 (2009)

    Google Scholar 

  34. Frank, E., Hall, M.A., Witten, I.H.: The WEKA Workbench Data Mining: Practical Machine Learning Tools and Techniques, Fourth edn., p. 128. Morgan Kaufmann (2016)

    Google Scholar 

  35. Kononenko, I., Šimec, E., Robnik-Šikonja, M.: Overcoming the myopia of inductive learning algorithms with RELIEFF. Appl. Intell. 7(1), 39–55 (1997)

    Article  Google Scholar 

  36. Naseer, N., Hong, K.-S.: fNIRS-based brain-computer interfaces: a review. Front. Hum. Neurosci. 9(January), 1–15 (2015)

    Google Scholar 

  37. Krol, L.R., Zander, T.O.: Cognitive and Affective Probing for Neuroergonomics Cognitive and Affective Probing for Neuroergonomics. no. June (2018)

    Google Scholar 

  38. Kaiser, V., et al.: Cortical effects of user training in a motor imagery based brain-computer interface measured by fNIRS and EEG. Neuroimage 85, 432–444 (2014)

    Article  Google Scholar 

Download references

Acknowledgments

The authors would like to thank Onteca Inc., who provided an adapted version of their title Space Ribbon for use in this study. The authors would also like to thank all of the participants for agreeing to take part in the study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kellyann Stamp .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Stamp, K., Dobbins, C., Fairclough, S. (2020). Utilization of Neurophysiological Data to Classify Player Immersion to Distract from Pain. In: Stephanidis, C., et al. HCI International 2020 – Late Breaking Papers: Cognition, Learning and Games. HCII 2020. Lecture Notes in Computer Science(), vol 12425. Springer, Cham. https://doi.org/10.1007/978-3-030-60128-7_55

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-60128-7_55

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-60127-0

  • Online ISBN: 978-3-030-60128-7

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics