# Modulation of autonomic responses to cognitive tasks under acute mental stress

## TL;DR

This study explores how acute mental stress affects the autonomic nervous system during cognitive tasks using physiological signals like ECG and EDA.

## Contribution

The study introduces a multimodal approach combining ECG, EDA, and respiratory data to better understand acute stress responses.

## Key findings

- Linear HRV and respiratory parameters changed significantly during cognitive tasks compared to rest.
- Nonlinear HRV and EDA indices showed more task-specific modulations.
- Phasic EDA amplitude, RSA, HRV sample entropy, and mean breathing period were key features distinguishing tasks from rest.

## Abstract

Acute mental stress activates the autonomic nervous system (ANS), modulating physiological parameters. To assess the ANS response, we collected multimodal physiological signals, including electrocardiogram (ECG), electrodermal activity (EDA), and respiratory activity from healthy participants. The experimental protocol was designed to induce a high stress level in one group (STRESS) and low stress in the other (CONTROL), undergoing the same cognitive tasks. Heart rate variability (HRV) indices, parameters from respiratory activity and EDA were computed and analyzed. First, the effect of the proposed stress manipulation on the ANS was assessed, showing that linear HRV and respiratory parameters significantly changed during cognitive tasks with respect to rest in both the groups, mainly when respiration activity was integrated in the analysis. Nonlinear HRV parameters and EDA-based indices presented more task-specific modulations. Significant differences among groups were found only for the mean RR interval and the EDA-derived parameters. Additionally, Random Forest models were trained, and feature importance was assessed through Shapley values. Results identified the amplitude of the phasic EDA component, respiratory sinus arrhythmia (RSA), HRV sample entropy, and mean breathing period as the features most clearly differentiating cognitive tasks from rest, highlighting the importance of a multimodal assessment of acute stress.