A Novel Approach for Acute Mental Stress Mitigation Through Adapted Binaural Beats: A Pilot Study

Stress significantly impacts our society, making strategies for its mitigation necessary. A possible approach may involve binaural beats (BBs), i.e., an auditory stimulation obtained by presenting pure tones with slightly different frequencies to the user’s ears, resulting in a third phantom beat (𝑓𝐵𝐵). While studies in the literature investigate the effects of BBs at a constant stimulation frequency, with this pilot study, we present an innovative approach that adapts the beat frequency in real time within the theta range (4.0–8.0 Hz) to reduce acute mental stress. A stress index, obtained from the predictions of a random forest regressor, was considered to adjust the stimulation. The regressor considered features from an electrocardiogram (ECG) and the ECG-derived respiratory signal. Thirteen healthy subjects underwent a stressful protocol involving multiple mental arithmetic tasks during which constant (CBB) or adapted (ABB) stimulation occurred. Task performances like accuracy and reaction times were recorded. The results show that ABBs significantly lowered the average stress index (𝑝<0.05) and heart rate (𝑝<0.05) compared to CBBs. No statistically significant differences were detected in task performance. The results support the importance of adaptive and personalized approaches for mitigating stress. Future research is necessary to assess the goodness of our proposal, considering a larger sample, different stressors, and an objective and external assessment of stress (e.g., cortisol levels)