TY - JOUR
T1 - Photoplethysmography Enabled Wearable Devices and Stress Detection
T2 - A Scoping Review
AU - Namvari, Mina
AU - Lipoth, Jessica
AU - Knight, Sheida
AU - Jamali, Ali Akbar
AU - Hedayati, Mojtaba
AU - Spiteri, Raymond J.
AU - Syed-Abdul, Shabbir
N1 - Funding Information:
This research was funded by Mitacs: IT27060 and Natural Sciences and Engineering Research Council: RGPN-2020-04467.
Funding Information:
The authors express their sincere gratitude to the anonymous referees for their astute and highly constructive feedback. R.J.S. gratefully acknowledges funding from the Natural Sciences and Engineering Research Council of Canada through its Discovery Grant Program, Mitacs, and Refresh, Inc. The funders had no other direct role in the review.
Publisher Copyright:
© 2022 by the authors.
PY - 2022/11
Y1 - 2022/11
N2 - Background: Mental and physical health are both important for overall health. Mental health includes emotional, psychological, and social well-being; however, it is often difficult to monitor remotely. The objective of this scoping review is to investigate studies that focus on mental health and stress detection and monitoring using PPG-based wearable sensors. Methods: A literature review for this scoping review was conducted using the PRISMA (Preferred Reporting Items for the Systematic Reviews and Meta-analyses) framework. A total of 290 studies were found in five medical databases (PubMed, Medline, Embase, CINAHL, and Web of Science). Studies were deemed eligible if non-invasive PPG-based wearables were worn on the wrist or ear to measure vital signs of the heart (heart rate, pulse transit time, pulse waves, blood pressure, and blood volume pressure) and analyzed the data qualitatively. Results: Twenty-three studies met the inclusion criteria, with four real-life studies, eighteen clinical studies, and one joint clinical and real-life study. Out of the twenty-three studies, seventeen were published as journal-based articles, and six were conference papers with full texts. Because most of the articles were concerned with physiological and psychological stress, we decided to only include those that focused on stress. In twelve of the twenty articles, a PPG-based sensor alone was used to monitor stress, while in the remaining eight papers, a PPG sensor was used in combination with other sensors. Conclusion: The growing demand for wearable devices for mental health monitoring is evident. However, there is still a significant amount of research required before wearable devices can be used easily and effectively for such monitoring. Although the results of this review indicate that mental health monitoring and stress detection using PPG is possible, there are still many limitations within the current literature, such as a lack of large and diverse studies and ground-truth methods, that need to be addressed before wearable devices can be globally useful to patients.
AB - Background: Mental and physical health are both important for overall health. Mental health includes emotional, psychological, and social well-being; however, it is often difficult to monitor remotely. The objective of this scoping review is to investigate studies that focus on mental health and stress detection and monitoring using PPG-based wearable sensors. Methods: A literature review for this scoping review was conducted using the PRISMA (Preferred Reporting Items for the Systematic Reviews and Meta-analyses) framework. A total of 290 studies were found in five medical databases (PubMed, Medline, Embase, CINAHL, and Web of Science). Studies were deemed eligible if non-invasive PPG-based wearables were worn on the wrist or ear to measure vital signs of the heart (heart rate, pulse transit time, pulse waves, blood pressure, and blood volume pressure) and analyzed the data qualitatively. Results: Twenty-three studies met the inclusion criteria, with four real-life studies, eighteen clinical studies, and one joint clinical and real-life study. Out of the twenty-three studies, seventeen were published as journal-based articles, and six were conference papers with full texts. Because most of the articles were concerned with physiological and psychological stress, we decided to only include those that focused on stress. In twelve of the twenty articles, a PPG-based sensor alone was used to monitor stress, while in the remaining eight papers, a PPG sensor was used in combination with other sensors. Conclusion: The growing demand for wearable devices for mental health monitoring is evident. However, there is still a significant amount of research required before wearable devices can be used easily and effectively for such monitoring. Although the results of this review indicate that mental health monitoring and stress detection using PPG is possible, there are still many limitations within the current literature, such as a lack of large and diverse studies and ground-truth methods, that need to be addressed before wearable devices can be globally useful to patients.
KW - PPG
KW - stress monitoring
KW - wearable devices
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U2 - 10.3390/jpm12111792
DO - 10.3390/jpm12111792
M3 - Review article
AN - SCOPUS:85141724752
SN - 2075-4426
VL - 12
JO - Journal of Personalized Medicine
JF - Journal of Personalized Medicine
IS - 11
M1 - 1792
ER -