Stress Clinical Trial
Official title:
Data Collection for Identification of the Chronic Stress Presence in Healthy Adult Subjects
This study consists of psychological and biological data collection for identification of the chronic stress presence in healthy adult subjects. The psychological data collected were the results provided by three different instruments: ISSL, PSS and SRRS. The biological data collected were the blood pressure, the skin temperature, the galvanic skin response, and the heart rate variability in time and frequency domain.
According to the WHO (World Health Organization) the stress has become a worldwide epidemic
and has been considered as the disease of the century, attaining people of different ages
and occupations. Stress is defined as a pressure or tension, of a physical, mental or
emotional type, which overwhelms the individual and adversely affects the performance of his
physical and intellectual functions. When stress is prolonged, the immune system is
affected, leaving the body subject to disease and premature aging. Among the
psychophysiological reactions associated with excessive stress are chronic fatigue, ulcers,
depression, hypertension and heart attack. In light of these consequences, it is important
that measures are taken to early identifying the symptoms of stress, allowing people to be
properly treated and resume their normal activities.
The studies presented in literature suggest the possibility of using biological signals as
indicators of the presence of stress. In these studies, certain physiological variables are
measured and related to this stress on the individual. However, most previous studies
focused on acute stress, meaning that short-lived. The objective of this study was to relate
certain physiological indicators with the presence of chronic stress, ie that long-lasting
and often not perceived by the individual.
To this end, the investigators performed the measurement of blood pressure values, skin
temperature, galvanic skin response and heart rate variability, and compared with the
results provided by the ISSL (Lipp's Inventory of Stress Symptoms for Adults), PSS
(Perceived Stress Scale) and SRRS (Social Readjustment Rating Scale), as the stress
condition of the individual. The heart rate variability was checked in both time and
frequency domain. All of the physiological signals were monitored by non-invasive and
non-intrusive sensors and totally safe for participants.
To investigate the relationship between the physiological variables and the existing chronic
stress condition the investigators used an algorithm for analysis of biological signals
based on Multilayer Perceptron Neural Network with Backpropagation Algorithm (MLP) and
Principal Components Analysis (PCA). To evaluate the performance of the classifier on the
identification of chronic stress the investigators check the indicators of precision,
sensitivity, specificity and accuracy. The results were then analyzed by Receiver Operating
Characteristic Curves (ROC).
Ethical approval was obtained from the Local Ethics Committee (CAAE-28201014.2.0000.5497)
for the participants. They had been informed about the methodology and confidentiality of
their personal information. All procedures were performed after written informed consent
from all participants. Data collection was completed in October 2014.
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Observational Model: Case-Only, Time Perspective: Cross-Sectional
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