Farzan Sasangohar

Hyun-Gee Jei, Caleb J. Armstrong, Farzan Sasangohar

Modern command, control, communications, computers, cyber, intelligence, surveillance, and reconnaissance (C5ISR) environments place substantial attentional demands on mission commanders. Failures in attention allocation in these high-risk settings can have severe operational consequences. This study investigates the efficacy of gaze-driven, attention-guided adaptive decision support tools, including visual-only and multimodal designs, in a high-fidelity simulated military command center. To characterize gaze and attentional dynamics during interaction with these tools, recurrence quantification analysis was applied to eye-tracking data. Stepwise regression using the Bayesian information criterion was then used to identify recurrence-based gaze metrics associated with performance. Results showed that the multimodal adaptive decision support tool was associated with significantly higher performance than the visual-only attention-guided tool. Average diagonal line length showed a negative linear association with performance, whereas entropy showed a positive linear association. Recurrence rate, determinism, and entropy also showed nonlinear quadratic relationships with performance. In particular, recurrence rate and determinism followed an inverted-U pattern consistent with the Yerkes-Dodson law. These findings suggest that effective performance in dynamic C5ISR contexts depends on a balance between structured and flexible visual scanning, and that recurrence-based gaze metrics can help characterize attentional dynamics during interaction with adaptive decision support systems.

Moein Razavi, Samira Ziyadidegan, Reza Jahromi et al.

Background: Mental stress and its consequent mental disorders (MDs) are significant public health issues. With the advent of machine learning (ML), there's potential to harness computational techniques for better understanding and addressing these problems. This review seeks to elucidate the current ML methodologies employed in this domain to enhance the detection, prediction, and analysis of mental stress and MDs. Objective: This review aims to investigate the scope of ML methodologies used in the detection, prediction, and analysis of mental stress and MDs. Methods: Utilizing a rigorous scoping review process with PRISMA-ScR guidelines, this investigation delves into the latest ML algorithms, preprocessing techniques, and data types used in the context of stress and stress-related MDs. Results and Discussion: A total of 98 peer-reviewed publications were examined. The findings highlight that Support Vector Machine (SVM), Neural Network (NN), and Random Forest (RF) models consistently exhibit superior accuracy and robustness among ML algorithms. Physiological parameters such as heart rate measurements and skin response are prevalently used as stress predictors due to their rich explanatory information and ease of data acquisition. Dimensionality reduction techniques, including mappings, feature selection, filtering, and noise reduction, are frequently observed as crucial steps preceding the training of ML algorithms. Conclusion: This review identifies significant research gaps and outlines future directions for the field. These include model interpretability, model personalization, the incorporation of naturalistic settings, and real-time processing capabilities for the detection and prediction of stress and stress-related MDs. Keywords: Machine Learning; Deep Learning; Data Preprocessing; Stress Detection; Stress Prediction; Stress Monitoring; Mental Disorders

Alan Ta, Nilsu Salgin, Mustafa Demir et al.

College students are increasingly affected by stress, anxiety, and depression, yet face barriers to traditional mental health care. This study evaluated the efficacy of a mobile health (mHealth) intervention, Mental Health Evaluation and Lookout Program (mHELP), which integrates a smartwatch sensor and machine learning (ML) algorithms for real-time stress detection and self-management. In a 12-week randomized controlled trial (n = 117), participants were assigned to a treatment group using mHELP's full suite of interventions or a control group using the app solely for real-time stress logging and weekly psychological assessments. The primary outcome, "Moments of Stress" (MS), was assessed via physiological and self-reported indicators and analyzed using Generalized Linear Mixed Models (GLMM) approaches. Similarly, secondary outcomes of psychological assessments, including the Generalized Anxiety Disorder-7 (GAD-7) for anxiety, the Patient Health Questionnaire (PHQ-8) for depression, and the Perceived Stress Scale (PSS), were also analyzed via GLMM. The finding of the objective measure, MS, indicates a substantial decrease in MS among the treatment group compared to the control group, while no notable between-group differences were observed in subjective scores of anxiety (GAD-7), depression (PHQ-8), or stress (PSS). However, the treatment group exhibited a clinically meaningful decline in GAD-7 and PSS scores. These findings underscore the potential of wearable-enabled mHealth tools to reduce acute stress in college populations and highlight the need for extended interventions and tailored features to address chronic symptoms like depression.

Mahnoosh Sadeghi, Farzan Sasangohar, Anthony D McDonald

Post Traumatic Stress Disorder is a psychiatric condition experienced by individuals after exposure to a traumatic event. Prior work has shown promise in detecting PTSD using physiological data such as heart rate. Despite the promise shown by the machine learning based algorithms for PTSD, the validation approaches used in previous research largely rely on theoretical and computational validation methods rather than naturalistic evaluations that account for users perceived precision and validity. Previous research has shown that users perceptions of physiological changes may not always align well with automated detection of such variables and such misalignment may lead to distrust in automated detection which may affect adoption or sustainable usage of such technologies. Therefore, the goal of this article is to investigate the perceived precision of the PTSD hyperarousal detection tool (developed previously) in a home study with a group of PTSD patients. Naturalistic evaluation of such data driven algorithms may provide foundational insight into the efficacy of such tools for non intrusive and cost efficient remote monitoring of PTSD symptoms and will pave the way for their future adoption and sustainable use. The results showed over sixty five percent of perceived precision in naturalistic validation of the detection tool. Further, the results indicated that longitudinal exposure to the detection tool might calibrate users trust in automation.

Mahnoosh Sadeghi, Anthony D McDonald, Farzan Sasangohar

Posttraumatic Stress Disorder (PTSD) is a psychiatric condition affecting nearly a quarter of the United States war veterans who return from war zones. Treatment for PTSD typically consists of a combination of in-session therapy and medication. However; patients often experience their most severe PTSD symptoms outside of therapy sessions. Mobile health applications may address this gap, but their effectiveness is limited by the current gap in continuous monitoring and detection capabilities enabling timely intervention. The goal of this article is to develop a novel method to detect hyperarousal events using physiological and activity-based machine learning algorithms. Physiological data including heart rate and body acceleration as well as self-reported hyperarousal events were collected using a tool developed for commercial off-the-shelf wearable devices from 99 United States veterans diagnosed with PTSD over several days. The data were used to develop four machine learning algorithms: Random Forest, Support Vector Machine, Logistic Regression and XGBoost. The XGBoost model had the best performance in detecting onset of PTSD symptoms with over 83% accuracy and an AUC of 0.70. Post-hoc SHapley Additive exPlanations (SHAP) additive explanation analysis showed that algorithm predictions were correlated with average heart rate, minimum heart rate and average body acceleration. Findings show promise in detecting onset of PTSD symptoms which could be the basis for developing remote and continuous monitoring systems for PTSD. Such systems may address a vital gap in just-in-time interventions for PTSD self-management outside of scheduled clinical appointments.