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PMID: 41829576 Published · epublish English

Mental Stress Detection Using Physiological Sensors and Artificial Intelligence: A Review.

Sensors (Basel, Switzerland) ·Vol. 26 ·No. 5 ·2026-03-04

Al Abdi R, AlKaabi S, Elsifi S, Yousaf J

Abstract

Stress can cause many disorders, including mental and physical ones, if it persists. To take timely and effective early intervention measures, mental stress levels must be carefully monitored. This study investigates the rapidly growing topic of mental stress detection, focusing on the primary goals and mechanisms of existing detection frameworks. The main objectives and mechanisms will be highlighted. This study examines physiological sensors, stressors, algorithms, monitoring methods, and validation tools used to assess and classify mental stress. The study targets physiological sensors. Wearable sensors are becoming more popular because they can continuously monitor physiological responses in human-like environments. This allows them to reveal relevant stress patterns across various work environments. Numerous physiological sensors are used regularly. Galvanic skin response (GSR), electrocardiogram (ECG), photoplethysmography (PPG), electroencephalography (EEG), and pupil diameter camera systems are examples of these sensors. The combination of these sensors provides a wealth of cognitive and autonomic response data for stress detection. This review examines AI-based methods for interpreting complex physiological data. Machine learning and ensemble models are emphasized for improving stress classification accuracy and reducing incorrect classifications. In addition, this article discusses stressors used to induce reliable physiological responses. Validated self-report instruments are being reviewed as benchmarking tools for objective sensor-based measurements. STAI and PSS-10 are examples. These instruments demonstrate a strong correlation between stress and anxiety and physiological health outcomes. In conclusion, this review discusses future research avenues, focusing on advanced artificial intelligence-driven approaches and sophisticated sensors. These developments aim to better define stress levels and physiological factors that have not been thoroughly studied.

Keywords
Perceived Stress Scale (PSS-10) State-Trait Anxiety Inventory (STAI) artificial intelligence algorithms electrocardiogram (ECG) electroencephalogram (EEG) galvanic skin response (GSR) heart rate variability (HRV) mental health monitoring mental stress detection non-invasive techniques photoplethysmography (PPG) physiological sensors pupil diameter (PD) real-time monitoring wearable devices
Article Info
Journal
Sensors (Basel, Switzerland)
Abbr.
Sensors (Basel)
ISSN
1424-8220
Published
2026-03-04
Language
English
Country/Region
Switzerland
NLM ID
101204366
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