MUPA$^{2}$E: Multimodal Unified Perception with Asymmetric Attention for Emotion Assessment

Automatic emotion assessment can benefit from combining neural and behavioral signals, but many multimodal approaches rely on separate, modality-specific feature-extraction pipelines before fusion. This paper presents MUPA\textsuperscript{2}E, a unified perception framework that processes facial video and electroencephalography (EEG) through a single shared asymmetric-attention backbone. Facial video is represented through axis-folded frame tokens, while EEG is processed either as a raw multichannel waveform or projected into the spatial domain for multimodal fusion. The framework is evaluated on the DMER dataset under a stratified subject-independent protocol, comparing unimodal video, unimodal EEG, and fused video--EEG configurations with per-channel and merged EEG projections. Using the original recordings, with shorter trials zero-padded to match the longest duration, merged fusion at stride~$30$ achieves the highest validation performance and a test accuracy of $70.07\%$. Further analysis revealed that recording duration is unevenly distributed across the affective classes, making the padding pattern a potential classification cue. Controlling for this factor by cropping all recordings to a common duration of $20$ seconds yielded a test accuracy of $62.71\%$, providing a stricter duration-controlled assessment of the framework in which differences in recording length are removed as a potential classification cue. These findings demonstrate the feasibility of processing structurally different neural and visual signals within a compact unified architecture while highlighting the importance of controlling duration-related cues in affective datasets.

FUSE: Frame-Unified Stress Estimation from Facial Video

Automatic stress detection from facial video offers a practical path to non-intrusive affect monitoring, yet existing video-based approaches commonly decompose full recordings into short temporal windows before classification. This design introduces additional choices regarding window length, overlap, and aggregation, while limiting direct analysis of temporal information across the entire recording. In this study, we present FUSE (Frame-Unified Stress Estimation), a facial-video stress detection framework that processes complete recordings as a single input without temporal windowing or external segmentation. The name reflects the defining operation of the method: rather than dividing a recording into short clips, all frames are fused into one unified two-dimensional representation from which the stress state is estimated. This unification is realized by folding the temporal dimension into the channel dimension of the spatial representation, and the resulting high-dimensional input is processed using a unified asymmetric-attention architecture. At a temporal stride of t = 1, FUSE retains the full 120-second recording as one input, corresponding to 3,600 frames at 30 fps. Experiments on a 58-subject stress dataset using a stratified subject-level protocol evaluate seven temporal-stride configurations, ranging from full-frame input to sparse subsampling. FUSE achieves the highest test accuracy of 69.44% at t = 15, while the full-frame configuration remains competitive at 69.03%. Across the stride range, computational cost varies from 12.48 to 348.78 GFLOPs, showing the trade-off between temporal density and efficiency. These results demonstrate that temporal windowing is not required for effective facial-video stress detection in this setting, and that complete-recording inference can be achieved within a single unified architecture.

ReMiX-MAE: Learning Missing-Channel Cross-Modal Representations from RGB-Only Clinical Facial Videos for Sympathetic-Mediated Pain Assessment

Automated pain assessment in real clinics is limited by scarce clinically grounded facial video data with weak labels (often sequence-level self-report) and by the fact that pain cues can be subtle or near-neutral in RGB, while thermal and depth signals are informative yet impractical to deploy routinely. To address these challenges, we propose ReMiX-MAE (Reconstructing Missing Channel Cross-Modal Masked Autoencoder), a self-supervised multimodal masked pretraining framework that learns transferable facial representations from synchronized RGB, thermal, and depth videos and explicitly trains robustness to missing modalities, enabling RGB-only deployment. To fill the gap of clinically grounded facial pain data with video-level self-report and longitudinal treatment trajectories, we collect the Sympathetic Mediated Pain (SMP) dataset with paired pre- and post-recordings across multiple visits. Under RGB-only deployment, we evaluate ReMiX-MAE using both direct feature extraction and pseudo-multimodal features decoded from RGB. ReMiX-MAE consistently outperforms an RGB-only masked autoencoder baseline on SMP, with pseudo-multimodal features providing additional gains in the challenging five-class setting. Across external datasets, ReMiX-MAE further shows more robust and label-efficient transfer than RGB-only baselines, highlighting its advantage in data-limited clinical settings.

ReFace: Reorganizing Facial Spatiotemporal Representations for Improved Pain Assessment

Automatic pain assessment from facial video remains challenging due to the spatial heterogeneity of pain-related facial cues. This study proposes ReFace, a spatial reorganization pipeline that divides facial input into four spatial quadrants before tokenization, rather than processing the entire face as a single region. Evaluated on the AI4Pain dataset, the proposed approach achieves $56.00\%$ accuracy on the test set using video only, achieving the highest reported accuracy under the fixed AI4Pain benchmark protocol among the compared methods. Notably, the four-quadrant configuration processes the same total pixel budget as the full-face input, yet achieves higher accuracy, suggesting that spatial reorganization can improve performance under the proposed tokenization design. A single quadrant region, processing just one quarter of those pixels, remains competitive at a fraction of the computational cost.

A Unified Tokenization Framework for Pain Recognition using Heterogeneous 3D Modalities

Pain is a complex and pervasive phenomenon affecting a large percentage of the population, and accurate assessment is essential for effective clinical management and intervention. Computational pain recognition systems enable continuous monitoring, support clinical decision-making, and help mitigate pain-related distress and functional decline. This study introduces a unified tokenization framework for heterogeneous 3D modalities in pain recognition that provides a single processing pipeline across behavioral and brain-activity 3D data, without requiring separate architectures for each modality or handcrafted inductive biases. The framework preserves spatial, temporal, and time--frequency structure while mapping diverse inputs into a shared token space. Extensive experiments show that the proposed approach effectively processes facial videos and fNIRS data in both raw-signal and spectrogram-based representations. On the AI4Pain benchmark dataset, the proposed framework achieves state-of-the-art performance while maintaining high computational efficiency and enabling real-time assessment on both GPU and CPU hardware.

DREAMS: Diverse Reactions of Engagement and Attention Mind States Dataset

Active attention and engagement are important in improving users' learning experiences. Engagement refers to the level of involvement and interest individuals show towards a particular task. Attention, on the other hand, refers to a state where someone is entirely focused on a particular task with conscious awareness. Engagement and attention are different but closely linked concepts and can influence each other bidirectionally. To explore the relationship between user engagement and attention, we introduce the Diverse Reactions of Engagement and Attention Mind States (DREAMS) dataset. The dataset includes facial video recordings of 32 users in naturalistic settings watching various stimuli to evoke diverse emotions. We then analyze user engagement and attention states in these videos by framing it as a classification problem, exploring single-task, transfer learning task, and multi-task settings. In single and transfer learning task settings, separate networks are applied to predict engagement and attention states. Whereas in multi-task settings a shared network is applied, which jointly learns to predict both engagement and attention states. Moreover, we examine participants' performance on video-based questionnaires and evaluate their perceived cognitive workload. In our findings, we observe (a) better classification performance in predicting engagement states in both transfer and multi-task learning compared to single-task learning and (b) higher engagement and attention states correlate with lower cognitive load and improved task performance. The dataset and the code are publicly available and can be accessed through https://sites.google.com/view/dreams-dataset/dataset.