MUPA${}^2$S: Multimodal Unified Perception with Asymmetric Attention for Stress Assessment

Stefanos Gkikas, Thomas Kassiotis, Yu Fang, Christian Arzate Cruz, Miao Cheng +6

Stress is a leading contributor to long-term physical and mental health decline. The automatic assessment of stress is a promising approach for continuous monitoring and mitigating human biases. However, the development of automated systems remains challenging due to the heterogeneity of physiological and behavioral signals. This paper presents MUPA${}^2$S, a multimodal framework for automatic stress assessment that combines facial video and ECG signals within a unified perception architecture. Both modalities are mapped into a shared token representation without modality-specific components, and processed through asymmetric attention comprising segment-local cross-attention and global self-attention across segment states. Experiments on a newly collected 58-subject stress dataset, evaluated under a stratified subject-level protocol, show that facial video achieves 69.44% test accuracy, while ECG-only performance remains close to chance under the proposed representation. Unified Video-ECG fusion achieves a test accuracy of 69.58% at approximately half the number of parameters of feature-level fusion, with negligible additional computational cost. Feature-level fusion does not…