UNWIND: Any-Length Facial Video for Stress Detection without Temporal Windowing

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.

Stress is a dynamic process characterized by significant individual variability in facial expression. Traditional architectures, such as Recurrent Neural Networks (RNNs) and Convolutional Neural Networks (CNNs), often overlook person-specific baselines or lack the representational capacity to model the non-linear temporal progression of distress due to sequential bottlenecks and rigid grid-based constraints. Furthermore, many deep learning models lack the interpretability required for clinical deployment. This study introduces StressGAT, a Graph Attention Network that leverages the relational inductive bias of graph modeling to capture complex facial dynamics that indicate acute stress. By using Differential Action Units, the framework normalizes individual responses relative to neutral baselines to achieve personalized recognition. The proposed model achieves 88.62% accuracy on a diverse stress-induction cohort (58 participants) using a subject-independent, Leave-One-Subject-Out (LOSO) cross-validation protocol. Beyond predictive accuracy, the architecture integrates a Multiple Instance Learning (MIL) attention mechanism to identify peak stress intervals and reveal distinct expressivity phenotypes. By simultaneously optimizing for accuracy and interpretability, this framework provides a robust, explainable solution for personalized affective monitoring.

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.