Previous studies reported mental stress as one of the major contributing factors leading to various diseases such as heart attack, depression and stroke. An accurate stress assessment method may thus be of importance to clinical intervention and disease prevention. We propose a joint independent component analysis (jICA) based approach to fuse simultaneous measurement of electroencephalography (EEG) and functional near-infrared spectroscopy (fNIRS) on the prefrontal cortex (PFC) as a means of stress assessment. For the purpose of this study, stress was induced by using an established mental arithmetic task under time pressure with negative feedback. The induction of mental stress was confirmed by salivary alpha amylase test. Experiment results showed that the proposed fusion of EEG and fNIRS measurements improves the classification accuracy of mental stress by +3.4% compared to EEG alone and +11% compared to fNIRS alone. Similar improvements were also observed in sensitivity and specificity of proposed approach over unimodal EEG/fNIRS. Our study suggests that combination of EEG (frontal alpha rhythm) and fNIRS (concentration change of oxygenated hemoglobin) could be a potential means to assess mental stress objectively. References and links1. J. Decker, "The Stress Syndrome," Am. J. Nurs. 65(3), 97-99 (1965). 2. L. R. Murphy, "Stress management in work settings: a critical review of the health effects," Am. J. Health Promot. 11(2), 112-135 (1996). 3. B. Czéh, T. Michaelis, T. Watanabe, J. Frahm, G. de Biurrun, M. van Kampen, A. Bartolomucci, and E. Fuchs, "Stress-induced changes in cerebral metabolites, hippocampal volume, and cell proliferation are prevented by antidepressant treatment with tianeptine," Proc. Natl. Acad. Sci. U.S.A. 98(22), 12796-12801 (2001). 4. C. M. Vander Weele, C. Saenz, J. Yao, S. S. Correia, and K. A. Goosens, "Restoration of hippocampal growth hormone reverses stress-induced hippocampal impairment," Front. Behav. Neurosci. 7, 66 (2013). 5. A. Vyas, R. Mitra, B. S. Shankaranarayana Rao, and S. Chattarji, "Chronic stress induces contrasting patterns of dendritic remodeling in hippocampal and amygdaloid neurons," J. Neurosci. 22(15), 6810-6818 (2002). 6. B. S. McEwen, "Central effects of stress hormones in health and disease: Understanding the protective and damaging effects of stress and stress mediators," Eur. J. Pharmacol. 583(2-3), 174-185 (2008). 7. P. C. Strike and A. Steptoe, "Systematic review of mental stress-induced myocardial ischaemia," Eur. Heart J.24(8), 690-703 (2003). 8. A. Tsutsumi, K. Kayaba, and S. Ishikawa, "Impact of occupational stress on stroke across occupational classes and genders," Soc. Sci. Med. 72(10), 1652-1658 (2011). 9. R. A. Ajjan and P. J. Grant, "Cardiovascular disease prevention in patients with type 2 diabetes: The role of oral anti-diabetic agents," Diab. Vasc. Dis. Res. 3(3), 147-158 (2006). 10. C. Hammen, "Stress and depression," Annu. Rev. Clin. Psychol. 1(1), 293-319 (2005 532-545 (1972). 22. T. G. Vrijkotte, L. J. van Doornen, and E. ...

Mental stress has been identified as one of the major contributing factors that leads to various diseases such as heart attack, depression, and stroke. To avoid this, stress quantification is important for clinical intervention and disease prevention. This study aims to investigate the feasibility of exploiting electroencephalography (EEG) signals to discriminate between different stress levels. We propose a new assessment protocol whereby the stress level is represented by the complexity of mental arithmetic (MA) task for example, at three levels of difficulty, and the stressors are time pressure and negative feedback. Using 18-male subjects, the experimental results showed that there were significant differences in EEG response between the control and stress conditions at different levels of MA task with p values < 0.001. Furthermore, we found a significant reduction in alpha rhythm power from one stress level to another level, p values < 0.05. In comparison, results from self-reporting questionnaire NASA-TLX approach showed no significant differences between stress levels. In addition, we developed a discriminant analysis method based on multiclass support vector machine (SVM) with error-correcting output code (ECOC). Different stress levels were detected with an average classification accuracy of 94.79%. The lateral index (LI) results further showed dominant right prefrontal cortex (PFC) to mental stress (reduced alpha rhythm). The study demonstrated the feasibility of using EEG in classifying multilevel mental stress and reported alpha rhythm power at right prefrontal cortex as a suitable index.

This paper presents an investigation about the effects of mental stress on prefrontal cortex (PFC) subregions using simultaneous measurement of functional Near-Infrared Spectroscopy (fNIRS) and Electroencephalography (EEG) signals. The aim is to explore canonical correlation analysis (CCA) technique to study the relationship among the bimodality signals in mental stress assessment, and how we could fuse the signals for better accuracy in stress detection. Twenty-five male healthy subjects participated in the study while performing mental arithmetic task under control and stress (under time pressure with negative feedback) conditions. The fusion of brain signals acquired by fNIRS-EEG was performed at feature-level using CCA by maximizing the inter-subject covariance across modalities. The CCA result discovered the associations across the modalities and estimated the components responsible for these associations. The experiment results showed that mental stress experienced by this cohort of subjects is subregion specific and localized to the right ventrolateral PFC subregion. These suggest the right ventrolateral PFC as a suitable candidate region to extract biomarkers as performance indicators of neurofeedback training in stress coping.

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Mental stress is one of the serious factors that lead to many health problems. Scientists and physicians have developed various tools to assess the level of mental stress in its early stages. Several neuroimaging tools have been proposed in the literature to assess mental stress in the workplace. Electroencephalogram (EEG) signal is one important candidate because it contains rich information about mental states and condition. In this paper, we review the existing EEG signal analysis methods on the assessment of mental stress. The review highlights the critical differences between the research findings and argues that variations of the data analysis methods contribute to several contradictory results. The variations in results could be due to various factors including lack of standardized protocol, the brain region of interest, stressor type, experiment duration, proper EEG processing, feature extraction mechanism, and type of classifier. Therefore, the significant part related to mental stress recognition is choosing the most appropriate features. In particular, a complex and diverse range of EEG features, including time-varying, functional, and dynamic brain connections, requires integration of various methods to understand their associations with mental stress. Accordingly, the review suggests fusing the cortical activations with the connectivity network measures and deep learning approaches to improve the accuracy of mental stress level assessment.