Cano Sandra, Cubillos Claudio, Alfaro Rodrigo, Romo Andrés, García Matías, Moreira Fernando
School of Informatic Engineering, Pontificia Universidad Católica de Valparaíso, Valparaíso 2340000, Chile.
REMIT (Research on Economics, Management and Information Technologies), IJP (Instituto Jurídico Portucalense), Universidade Portucalense, Rua Dr. António Bernardino de Almeida, 541-619, 4200-072 Porto, Portugal.
Sensors (Basel). 2024 Dec 20;24(24):8137. doi: 10.3390/s24248137.
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.
先前的一些研究专注于通过可穿戴设备利用生理信号来检测自闭症谱系障碍（ASD）患者的压力，但很少有研究关注如何设计此类解决方案。可穿戴技术可能是一种有价值的工具，可帮助家长和护理人员监测处于经历极度压力情况高风险中的ASD患者的情绪状态。然而，针对ASD患者的有效可穿戴设备可能需要与针对非ASD患者的解决方案有所不同。ASD患者通常具有感官敏感性，因此可能无法耐受某些类型的配件，并且在使用时会感到不适。我们使用Scopus、PubMed、WoS和IEEE-Xplore数据库搜索了2014年至2024年发表的研究，以回答与ASD患者的可穿戴解决方案、生理参数以及用于压力检测的技术/过程相关的四个研究问题。我们的综述发现了31篇文章；并非所有研究都考虑了ASD患者，有些超出了本综述的范围。大多数综述研究基于使用光电容积脉搏波描记法（PPG）和心电图（ECG）监测压力的心脏活动。然而，局限性包括样本量小、研究条件的变异性以及压力检测算法需要定制。此外，由于设备的个体变异性和敏感性高，需要定制压力阈值。可穿戴解决方案在监测ASD患者压力方面的潜力是明显的，但挑战包括需要用户友好且不显眼的设计，以及将这些技术整合到综合护理计划中。
