A Review of Voice-Based Pain Detection in Adults Using Artificial Intelligence
Authors:
- Sahar BornaSahar Borna
- Clifton R. HaiderClifton R. Haider
- Karla C. MaitaKarla C. Maita
- Ricardo A. TorresRicardo A. Torres
- Francisco R. AvilaFrancisco R. Avila
- John P. GarciaJohn P. Garcia
- Gioacchino D. De Sario VelasquezGioacchino D. De Sario Velasquez
- Christopher J. McLeodChristopher J. McLeod
- Charles J. BruceCharles J. Bruce
- Rickey E. CarterRickey E. Carter
- Antonio J. ForteAntonio J. Forte
Open Access
- 21 April 2023
- journal article
- review article
- Published by MDPI AG in Bioengineering
- Vol. 10 (4) , 500
Abstract
Pain is a complex and subjective experience, and traditional methods of pain assessment can be limited by factors such as self-report bias and observer variability. Voice is frequently used to evaluate pain, occasionally in conjunction with other behaviors such as facial gestures. Compared to facial emotions, there is less available evidence linking pain with voice. This literature review synthesizes the current state of research on the use of voice recognition and voice analysis for pain detection in adults, with a specific focus on the role of artificial intelligence (AI) and machine learning (ML) techniques. We describe the previous works on pain recognition using voice and highlight the different approaches to voice as a tool for pain detection, such as a human effect or biosignal. Overall, studies have shown that AI-based voice analysis can be an effective tool for pain detection in adult patients with various types of pain, including chronic and acute pain. We highlight the high accuracy of the ML-based approaches used in studies and their limitations in terms of generalizability due to factors such as the nature of the pain and patient population characteristics. However, there are still potential challenges, such as the need for large datasets and the risk of bias in training models, which warrant further research.Keywords
This publication has 73 references indexed in Scilit:
- The Perception of Pain in Others: How Gender, Race, and Age Influence Pain ExpectationsThe Journal of Pain, 2012
- Influence of age on pain perception in acute myocardial ischemia: A possible cause for delayed treatment in elderly patientsInternational Journal of Cardiology, 2011
- Changes in skin conductance as a tool to monitor nociceptive stimulation and painCurrent Opinion in Anaesthesiology, 2008
- Pain Behavior in Rheumatoid Arthritis Patients: Identification of Pain Behavior SubgroupsJournal of Pain and Symptom Management, 2008
- The assessment of postoperative pain by monitoring skin conductance: results of a prospective study*Anaesthesia, 2007
- Sex Differences in the Associations Among Psychological Factors and Pain Report: A Novel Psychophysical Study of Patients With Chronic Low Back PainThe Journal of Pain, 2005
- Age effects on pain thresholds, temporal summation and spatial summation of heat and pressure painPain, 2005
- Gender variations in clinical pain experiencePain, 1996
- Heart rate changes as an autonomic component of the pain responsePain, 1990
- Relation of Heart Rate and Systolic Blood Pressure to the Onset of Pain in Angina PectorisCirculation, 1967