Assessing HRV and HR Dynamics with Wearables During Socially Anxious Situations: Insights from a Controlled Study in a Low-Middle-Income Country

This paper investigates physiological markers of Social Anxiety Disorder (SAD) by examining the relationship between Electrocardiogram (ECG) measurements and speech, a known anxiety-inducing activity. Specifically, we analyze changes in heart rate variability (HRV) and heart rate (HR) during four distinct phases: baseline, anticipation, speech activity, and reflection. Our study, involving 51 participants (31 with SAD and 20 without), found that HRV decreased and HR increased during the anticipation and speech activity phases compared to baseline. In contrast, during the reflection phase, HRV increased and HR decreased. Additionally, participants with SAD exhibited lower HRV, higher HR, and reported greater self-perceived anxiety compared to those without SAD. These findings have implications for developing wearable technology to monitor SAD. We also provide our dataset, which captures anxiety across multiple stages, to support further research in this area.