Abstract
The stress factor has been considered as a primary cause that affects a variety of human health conditions nowadays. Medical studies indicate that long-term stress can result in behavioral and cardiovascular problems directly or indirectly. Many individuals still disregard their signs of stress and do not take appropriate steps before severe physiological and emotional issues arise. In several types of research, the physiological signal obtained by heart rate (HR) and blood pressure (BP) monitoring is used for the assessment of mental stress, and this can be suggested to inform an individual about her (his) state of mind due to its non-invasiveness. Therefore this paper proposes an Artificial Intelligence-based fuzzy assisted Petri net (AI-FAS) method for stress assessment on HR and BP monitoring. The normal HR can be determined by the interval between two successive QRS complexes in the ECG waveform. However, acknowledgment of ECG patterns faces problems because of pathological response and noise caused by time-variant physiology. The variance of the heart rate is measured with the analysis of time and frequency. Fuzzy assisted Petri nets in evaluating the stress assessment for HR. BP monitoring for stress management is achieved by the transient time of each pulse. The strength of fuzzy systems indicates interpretability versus the accuracy of two different requirements. Furthermore, the findings indicate that the performance rate of 93.55%, precision 89.01%, recall 89.50%, adaption 89.901% has been numerically validated in stress management.
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AbdulGhaffar A, Mostafa SM, Alsaleh A, Sheltami T, Shakshuki EM (2020) Internet of things based multiple disease monitoring and health improvement system. J Ambient Intell Humaniz Comput 11(3):1021–1029
Astramskaitė I, Juodžbalys G (2017) Scales used to rate adult patients’ psycho-emotional status in tooth extraction procedures: a systematic review. Int J Oral Maxillofac Surg 46(7):886–898
Das UN (2018) Arachidonic acid in health and disease with focus on hypertension and diabetes mellitus: a review. J Adv Res 11:43–55
Das AK, Wazid M, Kumar N, Khan MK, Choo KKR, Park Y (2017) Design of secure and lightweight authentication protocol for wearable devices environment. IEEE J Biomed Health Inform 22(4):1310–1322
de Santos A, Avila CS, Bailador G, Guerra J (2011) Secure access control by means of human stress detection. In: 2011 Carnahan conference on security technology, IEEE, pp 1–8. https://doi.org/10.1109/CCST.2011.6095936
Dhabhar FS (2018) The short-term stress response—mother nature’s mechanism for enhancing protection and performance under conditions of threat, challenge, and opportunity. Front Neuroendocrinol 49:175–192
Entringer S, Buss C, Wadhwa PD (2015) Prenatal stress, development, health and disease risk: a psychobiological perspective—2015 Curt Richter Award Paper. Psychoneuroendocrinology 62:366–375
Giakoumis D, Drosou A, Cipresso P, Tzovaras D, Hassapis G, Gaggioli A, Riva G (2012) Using activity-related behavioural features towards more effective automatic stress detection. PLoS ONE 7(9):e43571
Hoge EA, Bui E, Goetter E, Robinaugh DJ, Ojserkis RA, Fresco DM, Simon NM (2015) Change in decentering mediates improvement in anxiety in mindfulness-based stress reduction for generalized anxiety disorder. Cogn Ther Res 39(2):228–235
Jutinico CJM, Montenegro-Marin CE, Burgos D, Crespo RG (2019) Natural language interface model for the evaluation of ergonomic routines in occupational health (ILENA). J Ambient Intell Humaniz Comput 10(4):1611–1619
Karthikeyan P, Murugappan M, Yaacob S (2014) Analysis of Stroop color word test-based human stress detection using electrocardiography and heart rate variability signals. Arab J Sci Eng 39(3):1835–1847
Kivimäki M, Steptoe A (2018) Effects of stress on the development and progression of cardiovascular disease. Nat Rev Cardiol 15(4):215
Lai YC, Chuang YC, Chang CP, Yeh TM (2015) Macrophage migration inhibitory factor has a permissive role in concanavalin A-induced cell death of human hepatoma cells through autophagy. Cell Death Dis 6(12):e2008–e2008
Lee DY, Kim E, Choi MH (2015) Technical and clinical aspects of cortisol as a biochemical marker of chronic stress. BMB Rep 48(4):209
Lee BG, Chung WY (2016) Wearable glove-type driver stress detection using a motion sensor. IEEE Trans Intell Transp Syst 18(7):1835–1844
Malasinghe LP, Ramzan N, Dahal K (2019) Remote patient monitoring: a comprehensive study. J Ambient Intell Humaniz Comput 10(1):57–76
Márquez PHP, Feliu-Soler A, Solé-Villa MJ, Matas-Pericas L, Filella-Agullo D, Ruiz-Herrerias M, Arroyo-Díaz JA (2019) Benefits of mindfulness meditation in reducing blood pressure and stress in patients with arterial hypertension. J Hum Hypertens 33(3):237–247
Melillo P, Bracale M, Pecchia L (2011) Nonlinear heart rate variability features for real-life stress detection. Case study: students under stress due to university examination. Biomed Eng 10(1):96
Mozos OM, Sandulescu V, Andrews S, Ellis D, Bellotto N, Dobrescu R, Ferrandez JM (2017) Stress detection using wearable physiological and sociometric sensors. Int J Neural Syst 27(02):1650041
Olde Rikkert MG, Dakos V, Buchman TG, Boer RD, Glass L, Cramer AO, Tolner EA (2016) Slowing down of recovery as generic risk marker for acute severity transitions in chronic diseases. Crit Care Med 44(3):601–606
Patil SA, Hansen JH (2010) The physiological microphone (PMIC): a competitive alternative for speaker assessment in stress detection and speaker verification. Speech Commun 52(4):327–340
Ren P, Barreto A, Huang J, Gao Y, Ortega FR, Adjouadi M (2014) Off-line and on-line stress detection through processing of the pupil diameter signal. Ann Biomed Eng 42(1):162–176
Shakeel PM, Baskar S (2020) Automatic human emotion classification in web document using fuzzy inference system (FIS): human emotion classification. Int J Technol Hum Interact 16(1):94–104
Sherman J (2017) Double Secret protection: bridging federal and state law to protect privacy rights for telemental and mobile health users. Duke LJ 67:1115
Sirois FM, Molnar DS, Hirsch JK (2015) Self-compassion, stress, and coping in the context of chronic illness. Self Identity 14(3):334–347
Sornalakshmi M, Balamurali S, Venkatesulu M, Navaneetha Krishnan M, Ramasamy LK, Kadry S, Muthu BA (2020) Hybrid method for mining rules based on enhanced Apriori algorithm with sequential minimal optimization in healthcare industry. Neural Comput Appl. https://doi.org/10.1007/s00521-020-04862-2
Stucke D, Ruse MG, Lebelt D (2015) Measuring heart rate variability in horses to investigate the autonomic nervous system activity—Pros and cons of different methods. Appl Anim Behav Sci 166:1–10
Sun J, Ryder AG (2016) The Chinese experience of rapid modernization: sociocultural changes, psychological consequences? Front Psychol 7:477
Tang TB, Yeo LW, Lau DJH (2014). Activity awareness can improve continuous stress detection in galvanic skin response. In: SENSORS, 2014 IEEE, pp 1980–1983. https://doi.org/10.1109/ICSENS.2014.6985421.
Thakur S, Singh AK, Ghrera SP, Elhoseny M (2019) Multi-layer security of medical data through watermarking and chaotic encryption for tele-health applications. Multimedia Tools Appl 78(3):3457–3470
Tharwat A, Mahdi H, Elhoseny M, Hassanien AE (2018) Recognizing human activity in mobile crowdsensing environment using optimized k-NN algorithm. Expert Syst Appl 107:32–44
Thompson CW, Aspinall P, Roe J, Robertson L, Miller D (2016) Mitigating stress and supporting health in deprived urban communities: the importance of green space and the social environment. Int J Environ Res Public Health 13(4):440
Useche SA, Ortiz VG, Cendales BE (2017) Stress-related psychosocial factors at work, fatigue, and risky driving behavior in bus rapid transport (BRT) drivers. Accid Anal Prev 104:106–114
Wang P, Ji X, Yan X, Zhu L, Wang H, Tian G, Yao E (2013) Investigation of temperature effect of stress detection based on Barkhausen noise. Sens Actuators, A 194:232–239
Acknowledgements
This work was supported by the Gansu Provincial First-class Discipline Program of Northwest Minzu University (No. 11080305) and the Program for Innovative Research Team of SEAC (No. [2018] 98).
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Lin, Q., Li, T., Shakeel, P.M. et al. Advanced artificial intelligence in heart rate and blood pressure monitoring for stress management. J Ambient Intell Human Comput 12, 3329–3340 (2021). https://doi.org/10.1007/s12652-020-02650-3
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DOI: https://doi.org/10.1007/s12652-020-02650-3