Evidence map›Paper›PMID 42280967›Full record

ArticleSensors (Basel, Switzerland)2026

Hybrid Feature Learning for Wearable Stress Detection: Combining Domain Knowledge with Supervised Deep Learning.

Dennis Birkenmaier, Shanthan Rao Kanuganti, Wilhelm Stork

Abstract read
In one paragraph

Article in Sensors (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Dennis BirkenmaierFZI Research Center for Information Technology, 76131 Karlsruhe, Germany.ORCID 0009-0008-4021-1386
Shanthan Rao KanugantiFZI Research Center for Information Technology, 76131 Karlsruhe, Germany.
Wilhelm StorkInstitute for Information Processing Technologies, Karlsruhe Institute of Technology KIT, 76131 Karlsruhe, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Accurate stress monitoring is critical for high-risk professions like firefighting, yet existing wearable solutions face challenges balancing accuracy with practical usability. While electrodermal activity (EDA) offers a non-invasive, single-sensor approach, current automated feature extraction methods fail to capture stress-discriminative patterns effectively. We developed a hybrid stress detection pipeline combining 20 hand-crafted physiological features with 32 deep-learned features from a supervised convolutional autoencoder. Unlike traditional unsupervised approaches optimized solely for signal reconstruction, our architecture employs a dual-head design with weighted classification loss to guide feature learning toward stress discrimination. The system was validated on the WESAD dataset (15 subjects) using rigorous leave-one-subject-out (LOSO) cross-validation, along with comprehensive preprocessing, including cvxEDA decomposition, adaptive artifact detection, and physiological peak validation. Our optimized K-Nearest Neighbors classifier achieved 98.62% accuracy, surpassing the industry-standard PyEDA benchmark (97.0%) by 1.62 percentage points. The model demonstrated 97.58% sensitivity (true positive rate) and 98.92% specificity (true negative rate), with only 2.42% false negatives-critical for safety-critical applications. Ablation studies revealed that unsupervised autoencoder features alone achieved only 55% accuracy, increasing to 89% with supervised learning and 98.62% with the hybrid approach, representing a 43.62-percentage-point improvement. This work demonstrates that combining domain-specific physiological knowledge with label-aware deep learning produces more discriminative features than either approach alone. The resulting system successfully translates complex probabilistic outputs into an interpretable 1-10 stress score, providing a practical foundation for real-time stress monitoring in wearable devices for first responders.

Indexed as

Deep LearningStress, PhysiologicalSupervised Machine LearningWearable Electronic DevicesAlgorithmsAutoencoderClassification AlgorithmsHumansMonitoring, PhysiologicSignal Processing, Computer-Assistedartifact detectioncvxEDA decompositiondeep learningelectrodermal activityfeature extractionstress detectionsupervised learningwearable sensorsWESAD dataset

Identifiers

PMID42280967
PMCPMC13259440

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.