Wearable Solutions Using Physiological Signals for Stress Monitoring on Individuals with Autism Spectrum Disorder (ASD): A Systematic Literature Review

Some previous studies have focused on using physiological signals to detect stress in individuals with ASD through wearable devices, yet few have focused on how to design such solutions. Wearable technology may be a valuable tool to aid parents and caregivers in monitoring the emotional states of in...

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Main Authors: Sandra Cano, Claudio Cubillos, Rodrigo Alfaro, Andrés Romo, Matías García, Fernando Moreira
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Sensors
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Online Access:https://www.mdpi.com/1424-8220/24/24/8137
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author Sandra Cano
Claudio Cubillos
Rodrigo Alfaro
Andrés Romo
Matías García
Fernando Moreira
author_facet Sandra Cano
Claudio Cubillos
Rodrigo Alfaro
Andrés Romo
Matías García
Fernando Moreira
author_sort Sandra Cano
collection DOAJ
description Some previous studies have focused on using physiological signals to detect stress in individuals with ASD through wearable devices, yet few have focused on how to design such solutions. Wearable technology may be a valuable tool to aid parents and caregivers in monitoring the emotional states of individuals with ASD who are at high risk of experiencing very stressful situations. However, effective wearable devices for individuals with ASD may need to differ from solutions for those without ASD. People with ASD often have sensory sensitivity and may, therefore, not tolerate certain types of accessories and experience discomfort when using them. We used the Scopus, PubMed, WoS, and IEEE-Xplore databases to search for studies published from 2014 to 2024 to answer four research questions related to wearable solutions for individuals with ASD, physiological parameters, and techniques/processes used for stress detection. Our review found 31 articles; not all studies considered individuals with ASD, and some were beyond the scope of this review. Most of the studies reviewed are based on cardiac activity for stress monitoring using photoplethysmography (PPG) and electrocardiography (ECG). However, limitations include small sample sizes, variability in study conditions, and the need for customization in stress detection algorithms. In addition, there is a need to customize the stress threshold due to the device’s high individual variability and sensitivity. The potential of wearable solutions for stress monitoring in ASD is evident, but challenges include the need for user-friendly and unobtrusive designs and integrating these technologies into comprehensive care plans.
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spelling doaj-art-e15bedf40b8c42e7af926fb4da9a5ce82025-08-20T02:01:23ZengMDPI AGSensors1424-82202024-12-012424813710.3390/s24248137Wearable Solutions Using Physiological Signals for Stress Monitoring on Individuals with Autism Spectrum Disorder (ASD): A Systematic Literature ReviewSandra Cano0Claudio Cubillos1Rodrigo Alfaro2Andrés Romo3Matías García4Fernando Moreira5School of Informatic Engineering, Pontificia Universidad Católica de Valparaíso, Valparaíso 2340000, ChileSchool of Informatic Engineering, Pontificia Universidad Católica de Valparaíso, Valparaíso 2340000, ChileSchool of Informatic Engineering, Pontificia Universidad Católica de Valparaíso, Valparaíso 2340000, ChileSchool of Informatic Engineering, Pontificia Universidad Católica de Valparaíso, Valparaíso 2340000, ChileSchool of Informatic Engineering, Pontificia Universidad Católica de Valparaíso, Valparaíso 2340000, ChileREMIT (Research on Economics, Management and Information Technologies), IJP (Instituto Jurídico Portucalense), Universidade Portucalense, Rua Dr. António Bernardino de Almeida, 541-619, 4200-072 Porto, PortugalSome previous studies have focused on using physiological signals to detect stress in individuals with ASD through wearable devices, yet few have focused on how to design such solutions. Wearable technology may be a valuable tool to aid parents and caregivers in monitoring the emotional states of individuals with ASD who are at high risk of experiencing very stressful situations. However, effective wearable devices for individuals with ASD may need to differ from solutions for those without ASD. People with ASD often have sensory sensitivity and may, therefore, not tolerate certain types of accessories and experience discomfort when using them. We used the Scopus, PubMed, WoS, and IEEE-Xplore databases to search for studies published from 2014 to 2024 to answer four research questions related to wearable solutions for individuals with ASD, physiological parameters, and techniques/processes used for stress detection. Our review found 31 articles; not all studies considered individuals with ASD, and some were beyond the scope of this review. Most of the studies reviewed are based on cardiac activity for stress monitoring using photoplethysmography (PPG) and electrocardiography (ECG). However, limitations include small sample sizes, variability in study conditions, and the need for customization in stress detection algorithms. In addition, there is a need to customize the stress threshold due to the device’s high individual variability and sensitivity. The potential of wearable solutions for stress monitoring in ASD is evident, but challenges include the need for user-friendly and unobtrusive designs and integrating these technologies into comprehensive care plans.https://www.mdpi.com/1424-8220/24/24/8137stress detectionemotion detectionwearable technologyautism spectrum disorderphysiological signalsbiomedical sensors
spellingShingle Sandra Cano
Claudio Cubillos
Rodrigo Alfaro
Andrés Romo
Matías García
Fernando Moreira
Wearable Solutions Using Physiological Signals for Stress Monitoring on Individuals with Autism Spectrum Disorder (ASD): A Systematic Literature Review
Sensors
stress detection
emotion detection
wearable technology
autism spectrum disorder
physiological signals
biomedical sensors
title Wearable Solutions Using Physiological Signals for Stress Monitoring on Individuals with Autism Spectrum Disorder (ASD): A Systematic Literature Review
title_full Wearable Solutions Using Physiological Signals for Stress Monitoring on Individuals with Autism Spectrum Disorder (ASD): A Systematic Literature Review
title_fullStr Wearable Solutions Using Physiological Signals for Stress Monitoring on Individuals with Autism Spectrum Disorder (ASD): A Systematic Literature Review
title_full_unstemmed Wearable Solutions Using Physiological Signals for Stress Monitoring on Individuals with Autism Spectrum Disorder (ASD): A Systematic Literature Review
title_short Wearable Solutions Using Physiological Signals for Stress Monitoring on Individuals with Autism Spectrum Disorder (ASD): A Systematic Literature Review
title_sort wearable solutions using physiological signals for stress monitoring on individuals with autism spectrum disorder asd a systematic literature review
topic stress detection
emotion detection
wearable technology
autism spectrum disorder
physiological signals
biomedical sensors
url https://www.mdpi.com/1424-8220/24/24/8137
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