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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 MUPA²S, 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 exceed the video-only baseline, while unified input-level integration provides a parameter-efficient mechanism for jointly processing the two modalities.
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Gkikas et al. (2026) studied this question.
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