An Emotion-Driven Vocal Biomarker-Based PTSD Screening Tool

<italic>Goal:</italic> This paper introduces an automated post-traumatic stress disorder (PTSD) screening tool that could potentially be used as a self-assessment or inserted into routine medical visits to aid in PTSD diagnosis and treatment. <italic>Methods:</italic> With an...

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Main Authors: Thomas F. Quatieri, Jing Wang, James R. Williamson, Richard DeLaura, Tanya Talkar, Nancy P. Solomon, Stefanie E. Kuchinsky, Megan Eitel, Tracey Brickell, Sara Lippa, Kristin J. Heaton, Douglas S. Brungart, Louis French, Rael Lange, Jeffrey Palmer, Hayley Reynolds
Format: Article
Language:English
Published: IEEE 2024-01-01
Series:IEEE Open Journal of Engineering in Medicine and Biology
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Online Access:https://ieeexplore.ieee.org/document/10149847/
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author Thomas F. Quatieri
Jing Wang
James R. Williamson
Richard DeLaura
Tanya Talkar
Nancy P. Solomon
Stefanie E. Kuchinsky
Megan Eitel
Tracey Brickell
Sara Lippa
Kristin J. Heaton
Douglas S. Brungart
Louis French
Rael Lange
Jeffrey Palmer
Hayley Reynolds
author_facet Thomas F. Quatieri
Jing Wang
James R. Williamson
Richard DeLaura
Tanya Talkar
Nancy P. Solomon
Stefanie E. Kuchinsky
Megan Eitel
Tracey Brickell
Sara Lippa
Kristin J. Heaton
Douglas S. Brungart
Louis French
Rael Lange
Jeffrey Palmer
Hayley Reynolds
author_sort Thomas F. Quatieri
collection DOAJ
description <italic>Goal:</italic> This paper introduces an automated post-traumatic stress disorder (PTSD) screening tool that could potentially be used as a self-assessment or inserted into routine medical visits to aid in PTSD diagnosis and treatment. <italic>Methods:</italic> With an emotion estimation algorithm providing arousal (excited to calm) and valence (pleasure to displeasure) levels through discourse, we select regions of the acoustic signal that are most salient for PTSD detection. Our algorithm was tested on a subset of data from the DVBIC-TBICoE TBI Study, which contains PTSD Check List Civilian (PCL-C) assessment scores. <italic>Results:</italic> Speech from low-arousal and positive-valence regions provide the highest discrimination for PTSD. Our model achieved an AUC (area under the curve) of 0.80 in detecting PCL-C ratings, outperforming models with no emotion filtering (AUC &#x003D; 0.68). <italic>Conclusions:</italic> This result suggests that emotion drives the selection of the most salient temporal regions of an audio recording for PTSD detection.
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publisher IEEE
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spelling doaj-art-fab60860d17f47afa81789cbb1f4af662025-01-30T00:03:45ZengIEEEIEEE Open Journal of Engineering in Medicine and Biology2644-12762024-01-01562162610.1109/OJEMB.2023.328479810149847An Emotion-Driven Vocal Biomarker-Based PTSD Screening ToolThomas F. Quatieri0https://orcid.org/0000-0003-1925-6340Jing Wang1https://orcid.org/0000-0002-7953-6718James R. Williamson2https://orcid.org/0000-0001-9449-3616Richard DeLaura3https://orcid.org/0000-0003-2971-9441Tanya Talkar4https://orcid.org/0000-0002-1999-6843Nancy P. Solomon5https://orcid.org/0000-0002-5018-7569Stefanie E. Kuchinsky6https://orcid.org/0000-0001-9320-486XMegan Eitel7Tracey Brickell8Sara Lippa9Kristin J. Heaton10https://orcid.org/0000-0001-8366-6294Douglas S. Brungart11Louis French12Rael Lange13Jeffrey Palmer14https://orcid.org/0000-0001-8919-1285Hayley Reynolds15MIT Lincoln Laboratory (MIT LL), Lexington, MA, USAMIT Lincoln Laboratory (MIT LL), Lexington, MA, USAMIT Lincoln Laboratory (MIT LL), Lexington, MA, USAMIT Lincoln Laboratory (MIT LL), Lexington, MA, USAMIT Lincoln Laboratory (MIT LL), Lexington, MA, USAWalter Reed National Military Medical Center (WRNMMC), Bethesda, MD, USAWalter Reed National Military Medical Center (WRNMMC), Bethesda, MD, USAWalter Reed National Military Medical Center (WRNMMC), Bethesda, MD, USATraumatic Brain Injury Center of Excellence, Walter Reed National Military Medical Center (WRNMMC), Bethesda, MD, USANational Intrepid Center of Excellence, WRNMMC, Bethesda, MD, USAU.S. Army Research Institute of Environmental Medicine (USARIEM), Natick, MA, USAWalter Reed National Military Medical Center (WRNMMC), Bethesda, MD, USATraumatic Brain Injury Center of Excellence, Walter Reed National Military Medical Center (WRNMMC), Bethesda, MD, USATraumatic Brain Injury Center of Excellence, Walter Reed National Military Medical Center (WRNMMC), Bethesda, MD, USAMIT Lincoln Laboratory (MIT LL), Lexington, MA, USAMIT Lincoln Laboratory (MIT LL), Lexington, MA, USA<italic>Goal:</italic> This paper introduces an automated post-traumatic stress disorder (PTSD) screening tool that could potentially be used as a self-assessment or inserted into routine medical visits to aid in PTSD diagnosis and treatment. <italic>Methods:</italic> With an emotion estimation algorithm providing arousal (excited to calm) and valence (pleasure to displeasure) levels through discourse, we select regions of the acoustic signal that are most salient for PTSD detection. Our algorithm was tested on a subset of data from the DVBIC-TBICoE TBI Study, which contains PTSD Check List Civilian (PCL-C) assessment scores. <italic>Results:</italic> Speech from low-arousal and positive-valence regions provide the highest discrimination for PTSD. Our model achieved an AUC (area under the curve) of 0.80 in detecting PCL-C ratings, outperforming models with no emotion filtering (AUC &#x003D; 0.68). <italic>Conclusions:</italic> This result suggests that emotion drives the selection of the most salient temporal regions of an audio recording for PTSD detection.https://ieeexplore.ieee.org/document/10149847/Emotional digital twinemotion sensingneuromotor coordinationPTSDvocal biomarkers
spellingShingle Thomas F. Quatieri
Jing Wang
James R. Williamson
Richard DeLaura
Tanya Talkar
Nancy P. Solomon
Stefanie E. Kuchinsky
Megan Eitel
Tracey Brickell
Sara Lippa
Kristin J. Heaton
Douglas S. Brungart
Louis French
Rael Lange
Jeffrey Palmer
Hayley Reynolds
An Emotion-Driven Vocal Biomarker-Based PTSD Screening Tool
IEEE Open Journal of Engineering in Medicine and Biology
Emotional digital twin
emotion sensing
neuromotor coordination
PTSD
vocal biomarkers
title An Emotion-Driven Vocal Biomarker-Based PTSD Screening Tool
title_full An Emotion-Driven Vocal Biomarker-Based PTSD Screening Tool
title_fullStr An Emotion-Driven Vocal Biomarker-Based PTSD Screening Tool
title_full_unstemmed An Emotion-Driven Vocal Biomarker-Based PTSD Screening Tool
title_short An Emotion-Driven Vocal Biomarker-Based PTSD Screening Tool
title_sort emotion driven vocal biomarker based ptsd screening tool
topic Emotional digital twin
emotion sensing
neuromotor coordination
PTSD
vocal biomarkers
url https://ieeexplore.ieee.org/document/10149847/
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