Automatic Detection of Stress from Speech in the Trier Social Stress Test
Authors: Hanna Drimalla, Wieland R. Cremer, Christine Kraus, Oliver T. Wolf
Organizations: Human-Centered Artificial Intelligence Group, Faculty of Technology, Bielefeld University, Bielefeld, Germany. · Department of Cognitive Psychology, Faculty of Psychology, Ruhr University Bochum, Bochum, Germany.
Abstract
Automatically detecting stress in speech provides an unobtrusive way to gain insights relevant to behavioral research or clinical assessment. This study investigates the automatic differentiation between a stressful and non-stressful situation, and the prediction of physiological and affective stress responses. Speech data was collected from 50 participants who either completed the Trier Social Stress Test (TSST) or a non-stressful control condition. With a processing pipeline that included speaker diarization and machine learning models, we achieved stress detection performance significantly above a mean baseline. Moreover, relevant physiological and affective stress responses were partially predictable from acoustic-prosodic features. Feature-importance analyses identified the most informative predictors contributing to model performance. The findings demonstrate that speech can serve as a meaningful and unobtrusive indicator of multiple dimensions of the human stress response.
Speech and language technologies offer valuable opportunities for supporting mental health assessment through objective and interpretable cues. We present a systematic feature-based analysis framework leveraging perceptually grounded acoustic and linguistic characteristics, including prosody, vocal quality, semantic coherence, syntactic structure, and sarcasm. Using statistical analysis and interpretable machine learning (XGBoost with SHAP and LIME), we examine associations between speech features and validated symptom measures of depression, anxiety, and ADHD. Evaluated on both controlled benchmark datasets (StressID, DAIC-WOZ, Androids, EATD) and a real-world clinical dataset, the framework reveals stable and consistent relationships between symptom severity and vocal irregularities (e.g., shimmer, jitter), lexical-syntactic patterns, and affective tone. An ablation study conducted across all datasets further identifies the most informative feature groups. This work explores a transparent and clinically interpretable approach to speech-based mental health analysis.
Vassilis Lyberatos, Edmund G. Dervakos, Eleni Adamidi +2
Current approaches to detecting depression and anxiety from speech primarily rely on machine learning techniques that utilize hand-engineered paralinguistic features and related acoustic descriptors derived from time- and frequency-domain representations of speech signals. Applying deep learning methods directly to raw speech signals has the potential to produce biomarker representations with substantially greater predictive power. However, these approaches typically require large volumes of carefully annotated data to learn robust and clinically meaningful representations of the underlying biomarkers. In this paper, we describe our efforts toward developing a deep learning model trained on a large-scale proprietary dataset comprising ~65,000 utterances collected from more than 23,000 subjects representative of relevant United States demographics. We present the techniques employed and analyze their impact on model performance. Our results demonstrate that the proposed models can extract content-agnostic biomarker information, which, when combined with lexical features extracted from audio, yields improved predictive performance in production settings. Our models are evaluated on ~5000 unique subjects and achieve performance of 71% in terms of sensitivity and specificity. To foster further research in mental health assessment from speech, we release the best-performing model described in this paper on HuggingFace.
This study identifies new depression biomarkers based on the dynamical properties of tract variables, which represent geometric features describing the configuration of the speech articulators. A key advantage of this approach lies in its ability to quantify aspects of the articulatory process that have not been previously explored in the context of depression, namely predictability, complexity, and randomness. These properties are respectively characterised using the Largest Lyapunov Exponent, the Correlation Dimension, and the Sample Entropy. Thorough experiments were conducted on the Androids Corpus, a publicly available dataset comprising 64 speakers diagnosed with depression by clinicians and 54 control speakers with no reported history of mental health conditions. The results indicate that the proposed biomarkers effectively discriminate between the depressed and control speakers, as evidenced by the high Cliffs delta values across both read and spontaneous speech.