Classifying Emotionally Induced Pain Intensity Using Multimodal Physiological Signals and Subjective Ratings: A Pilot Study

We explore the feasibility of classifying perceived pain intensity—despite the stimulus being identical—using multimodal physiological signals and self-reported emotional ratings. A total of 112 healthy participants watched the same anger-inducing video, yet reported varying pain intensities (5, 6,...

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Main Authors: Eun-Hye Jang, Young-Ji Eum, Daesub Yoon, Sangwon Byun
Format: Article
Language:English
Published: MDPI AG 2025-06-01
Series:Applied Sciences
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Online Access:https://www.mdpi.com/2076-3417/15/13/7149
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author Eun-Hye Jang
Young-Ji Eum
Daesub Yoon
Sangwon Byun
author_facet Eun-Hye Jang
Young-Ji Eum
Daesub Yoon
Sangwon Byun
author_sort Eun-Hye Jang
collection DOAJ
description We explore the feasibility of classifying perceived pain intensity—despite the stimulus being identical—using multimodal physiological signals and self-reported emotional ratings. A total of 112 healthy participants watched the same anger-inducing video, yet reported varying pain intensities (5, 6, or 7 on a 7-point scale). We recorded electrocardiogram, skin conductance (SC), respiration, photoplethysmogram results, and finger temperature, extracting 12 physiological features. Participants also rated their valence and arousal. Using a random forest model, we classified pain versus baseline and distinguished intensity levels. Compared to baseline, the painful stimulus altered heart rate variability, SC, respiration, and pulse transit time (PTT). Higher perceived pain correlated with more negative valence, higher arousal, and elevated SC, suggesting stronger sympathetic activation. The classification of baseline versus pain using SC and respiratory features reached an F1 score of 0.83. For intensity levels 6 versus 7, including PTT and skin conductance response along with valence achieved an F1 score of 0.73. These findings highlight distinct psychophysiological patterns that reflect perceived intensity under the same stimulus. SC features emerged as key biomarkers, while valence and arousal offered complementary insights, supporting the development of personalized, psychologically informed pain assessment systems.
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spelling doaj-art-122be1ec5ac64ba2aa370f077cd766dc2025-08-20T03:28:32ZengMDPI AGApplied Sciences2076-34172025-06-011513714910.3390/app15137149Classifying Emotionally Induced Pain Intensity Using Multimodal Physiological Signals and Subjective Ratings: A Pilot StudyEun-Hye Jang0Young-Ji Eum1Daesub Yoon2Sangwon Byun3Mobility User Experience Research Section, Electronics Telecommunication and Research Institute, Daejeon 34129, Republic of KoreaDepartment of Psychology, Chungnam National Universisty, Daejeon 34134, Republic of KoreaMobility User Experience Research Section, Electronics Telecommunication and Research Institute, Daejeon 34129, Republic of KoreaDepartment of Electronics Engineering, Incheon National University, Incheon 22012, Republic of KoreaWe explore the feasibility of classifying perceived pain intensity—despite the stimulus being identical—using multimodal physiological signals and self-reported emotional ratings. A total of 112 healthy participants watched the same anger-inducing video, yet reported varying pain intensities (5, 6, or 7 on a 7-point scale). We recorded electrocardiogram, skin conductance (SC), respiration, photoplethysmogram results, and finger temperature, extracting 12 physiological features. Participants also rated their valence and arousal. Using a random forest model, we classified pain versus baseline and distinguished intensity levels. Compared to baseline, the painful stimulus altered heart rate variability, SC, respiration, and pulse transit time (PTT). Higher perceived pain correlated with more negative valence, higher arousal, and elevated SC, suggesting stronger sympathetic activation. The classification of baseline versus pain using SC and respiratory features reached an F1 score of 0.83. For intensity levels 6 versus 7, including PTT and skin conductance response along with valence achieved an F1 score of 0.73. These findings highlight distinct psychophysiological patterns that reflect perceived intensity under the same stimulus. SC features emerged as key biomarkers, while valence and arousal offered complementary insights, supporting the development of personalized, psychologically informed pain assessment systems.https://www.mdpi.com/2076-3417/15/13/7149emotional painperceived pain intensityphysiological signalsautonomic nervous systemvalencearousal
spellingShingle Eun-Hye Jang
Young-Ji Eum
Daesub Yoon
Sangwon Byun
Classifying Emotionally Induced Pain Intensity Using Multimodal Physiological Signals and Subjective Ratings: A Pilot Study
Applied Sciences
emotional pain
perceived pain intensity
physiological signals
autonomic nervous system
valence
arousal
title Classifying Emotionally Induced Pain Intensity Using Multimodal Physiological Signals and Subjective Ratings: A Pilot Study
title_full Classifying Emotionally Induced Pain Intensity Using Multimodal Physiological Signals and Subjective Ratings: A Pilot Study
title_fullStr Classifying Emotionally Induced Pain Intensity Using Multimodal Physiological Signals and Subjective Ratings: A Pilot Study
title_full_unstemmed Classifying Emotionally Induced Pain Intensity Using Multimodal Physiological Signals and Subjective Ratings: A Pilot Study
title_short Classifying Emotionally Induced Pain Intensity Using Multimodal Physiological Signals and Subjective Ratings: A Pilot Study
title_sort classifying emotionally induced pain intensity using multimodal physiological signals and subjective ratings a pilot study
topic emotional pain
perceived pain intensity
physiological signals
autonomic nervous system
valence
arousal
url https://www.mdpi.com/2076-3417/15/13/7149
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AT youngjieum classifyingemotionallyinducedpainintensityusingmultimodalphysiologicalsignalsandsubjectiveratingsapilotstudy
AT daesubyoon classifyingemotionallyinducedpainintensityusingmultimodalphysiologicalsignalsandsubjectiveratingsapilotstudy
AT sangwonbyun classifyingemotionallyinducedpainintensityusingmultimodalphysiologicalsignalsandsubjectiveratingsapilotstudy