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May 28

Tiny-BioMoE: a Lightweight Embedding Model for Biosignal Analysis

Pain is a complex and pervasive condition that affects a significant portion of the population. Accurate and consistent assessment is essential for individuals suffering from pain, as well as for developing effective management strategies in a healthcare system. Automatic pain assessment systems enable continuous monitoring, support clinical decision-making, and help minimize patient distress while mitigating the risk of functional deterioration. Leveraging physiological signals offers objective and precise insights into a person's state, and their integration in a multimodal framework can further enhance system performance. This study has been submitted to the Second Multimodal Sensing Grand Challenge for Next-Gen Pain Assessment (AI4PAIN). The proposed approach introduces Tiny-BioMoE, a lightweight pretrained embedding model for biosignal analysis. Trained on 4.4 million biosignal image representations and consisting of only 7.3 million parameters, it serves as an effective tool for extracting high-quality embeddings for downstream tasks. Extensive experiments involving electrodermal activity, blood volume pulse, respiratory signals, peripheral oxygen saturation, and their combinations highlight the model's effectiveness across diverse modalities in automatic pain recognition tasks. The model's architecture (code) and weights are available at https://github.com/GkikasStefanos/Tiny-BioMoE.

  • 3 authors
·
Jul 29, 2025

SynPAIN: A Synthetic Dataset of Pain and Non-Pain Facial Expressions

Accurate pain assessment in patients with limited ability to communicate, such as older adults with dementia, represents a critical healthcare challenge. Robust automated systems of pain detection may facilitate such assessments. Existing pain detection datasets, however, suffer from limited ethnic/racial diversity, privacy constraints, and underrepresentation of older adults who are the primary target population for clinical deployment. We present SynPAIN, a large-scale synthetic dataset containing 10,710 facial expression images (5,355 neutral/expressive pairs) across five ethnicities/races, two age groups (young: 20-35, old: 75+), and two genders. Using commercial generative AI tools, we created demographically balanced synthetic identities with clinically meaningful pain expressions. Our validation demonstrates that synthetic pain expressions exhibit expected pain patterns, scoring significantly higher than neutral and non-pain expressions using clinically validated pain assessment tools based on facial action unit analysis. We experimentally demonstrate SynPAIN's utility in identifying algorithmic bias in existing pain detection models. Through comprehensive bias evaluation, we reveal substantial performance disparities across demographic characteristics. These performance disparities were previously undetectable with smaller, less diverse datasets. Furthermore, we demonstrate that age-matched synthetic data augmentation improves pain detection performance on real clinical data, achieving a 7.0% improvement in average precision. SynPAIN addresses critical gaps in pain assessment research by providing the first publicly available, demographically diverse synthetic dataset specifically designed for older adult pain detection, while establishing a framework for measuring and mitigating algorithmic bias. The dataset is available at https://doi.org/10.5683/SP3/WCXMAP

  • 8 authors
·
Jul 31, 2025

Pain in 3D: Generating Controllable Synthetic Faces for Automated Pain Assessment

Automated pain assessment from facial expressions is crucial for non-communicative patients, such as those with dementia. Progress has been limited by two challenges: (i) existing datasets exhibit severe demographic and label imbalance due to ethical constraints, and (ii) current generative models cannot precisely control facial action units (AUs), facial structure, or clinically validated pain levels. We present 3DPain, a large-scale synthetic dataset specifically designed for automated pain assessment, featuring unprecedented annotation richness and demographic diversity. Our three-stage framework generates diverse 3D meshes, textures them with diffusion models, and applies AU-driven face rigging to synthesize multi-view faces with paired neutral and pain images, AU configurations, PSPI scores, and the first dataset-level annotations of pain-region heatmaps. The dataset comprises 82,500 samples across 25,000 pain expression heatmaps and 2,500 synthetic identities balanced by age, gender, and ethnicity. We further introduce ViTPain, a Vision Transformer based cross-modal distillation framework in which a heatmap-trained teacher guides a student trained on RGB images, enhancing accuracy, interpretability, and clinical reliability. Together, 3DPain and ViTPain establish a controllable, diverse, and clinically grounded foundation for generalizable automated pain assessment.

  • 4 authors
·
Sep 20, 2025

Pain level and pain-related behaviour classification using GRU-based sparsely-connected RNNs

There is a growing body of studies on applying deep learning to biometrics analysis. Certain circumstances, however, could impair the objective measures and accuracy of the proposed biometric data analysis methods. For instance, people with chronic pain (CP) unconsciously adapt specific body movements to protect themselves from injury or additional pain. Because there is no dedicated benchmark database to analyse this correlation, we considered one of the specific circumstances that potentially influence a person's biometrics during daily activities in this study and classified pain level and pain-related behaviour in the EmoPain database. To achieve this, we proposed a sparsely-connected recurrent neural networks (s-RNNs) ensemble with the gated recurrent unit (GRU) that incorporates multiple autoencoders using a shared training framework. This architecture is fed by multidimensional data collected from inertial measurement unit (IMU) and surface electromyography (sEMG) sensors. Furthermore, to compensate for variations in the temporal dimension that may not be perfectly represented in the latent space of s-RNNs, we fused hand-crafted features derived from information-theoretic approaches with represented features in the shared hidden state. We conducted several experiments which indicate that the proposed method outperforms the state-of-the-art approaches in classifying both pain level and pain-related behaviour.

  • 5 authors
·
Dec 20, 2022

Decade of Natural Language Processing in Chronic Pain: A Systematic Review

In recent years, the intersection of Natural Language Processing (NLP) and public health has opened innovative pathways for investigating various domains, including chronic pain in textual datasets. Despite the promise of NLP in chronic pain, the literature is dispersed across various disciplines, and there is a need to consolidate existing knowledge, identify knowledge gaps in the literature, and inform future research directions in this emerging field. This review aims to investigate the state of the research on NLP-based interventions designed for chronic pain research. A search strategy was formulated and executed across PubMed, Web of Science, IEEE Xplore, Scopus, and ACL Anthology to find studies published in English between 2014 and 2024. After screening 132 papers, 26 studies were included in the final review. Key findings from this review underscore the significant potential of NLP techniques to address pressing challenges in chronic pain research. The past 10 years in this field have showcased the utilization of advanced methods (transformers like RoBERTa and BERT) achieving high-performance metrics (e.g., F1>0.8) in classification tasks, while unsupervised approaches like Latent Dirichlet Allocation (LDA) and k-means clustering have proven effective for exploratory analyses. Results also reveal persistent challenges such as limited dataset diversity, inadequate sample sizes, and insufficient representation of underrepresented populations. Future research studies should explore multimodal data validation systems, context-aware mechanistic modeling, and the development of standardized evaluation metrics to enhance reproducibility and equity in chronic pain research.

  • 1 authors
·
Dec 19, 2024

ReflectDiffu:Reflect between Emotion-intent Contagion and Mimicry for Empathetic Response Generation via a RL-Diffusion Framework

Empathetic response generation necessitates the integration of emotional and intentional dynamics to foster meaningful interactions. Existing research either neglects the intricate interplay between emotion and intent, leading to suboptimal controllability of empathy, or resorts to large language models (LLMs), which incur significant computational overhead. In this paper, we introduce ReflectDiffu, a lightweight and comprehensive framework for empathetic response generation. This framework incorporates emotion contagion to augment emotional expressiveness and employs an emotion-reasoning mask to pinpoint critical emotional elements. Additionally, it integrates intent mimicry within reinforcement learning for refinement during diffusion. By harnessing an intent twice reflect the mechanism of Exploring-Sampling-Correcting, ReflectDiffu adeptly translates emotional decision-making into precise intent actions, thereby addressing empathetic response misalignments stemming from emotional misrecognition. Through reflection, the framework maps emotional states to intents, markedly enhancing both response empathy and flexibility. Comprehensive experiments reveal that ReflectDiffu outperforms existing models regarding relevance, controllability, and informativeness, achieving state-of-the-art results in both automatic and human evaluations.

  • 5 authors
·
Sep 16, 2024

Whether, Not Which: Mechanistic Interpretability Reveals Dissociable Affect Reception and Emotion Categorization in LLMs

Large language models appear to develop internal representations of emotion -- "emotion circuits," "emotion neurons," and structured emotional manifolds have been reported across multiple model families. But every study making these claims uses stimuli signalled by explicit emotion keywords, leaving a fundamental question unanswered: do these circuits detect genuine emotional meaning, or do they detect the word "devastated"? We present the first clinical validity test of emotion circuit claims using mechanistic interpretability methods grounded in clinical psychology -- clinical vignettes that evoke emotions through situational and behavioural cues alone, emotion keywords removed. Across six models (Llama-3.2-1B, Llama-3-8B, Gemma-2-9B; base and instruct variants), we apply four convergent mechanistic interpretability methods -- linear probing, causal activation patching, knockout experiments, and representational geometry -- and discover two dissociable emotion processing mechanisms. Affect reception -- detecting emotionally significant content -- operates with near-perfect accuracy (AUROC 1.000), consistent with early-layer saturation, and replicates across all six models. Emotion categorization -- mapping affect to specific emotion labels -- is partially keyword-dependent, dropping 1-7% without keywords and improving with scale. Causal activation patching confirms keyword-rich and keyword-free stimuli share representational space, transferring affective salience rather than emotion-category identity. These findings falsify the keyword-spotting hypothesis, establish a novel mechanistic dissociation, and introduce clinical stimulus methodology as a rigorous standard for testing emotion processing claims in large language models -- with direct implications for AI safety evaluation and alignment. All stimuli, code, and data are released for replication.

  • 1 authors
·
Mar 14

AIPsy-Affect: A Keyword-Free Clinical Stimulus Battery for Mechanistic Interpretability of Emotion in Language Models

Mechanistic interpretability research on emotion in large language models -- linear probing, activation patching, sparse autoencoder (SAE) feature analysis, causal ablation, steering vector extraction -- depends on stimuli that contain the words for the emotions they test. When a probe fires on "I am furious", it is unclear whether the model has detected anger or detected the word "furious". The two readings have very different consequences for every downstream claim about emotion circuits, features, and interventions. We release AIPsy-Affect, a 480-item clinical stimulus battery that removes the confound at the stimulus level: 192 keyword-free vignettes evoking each of Plutchik's eight primary emotions through narrative situation alone, 192 matched neutral controls that share characters, setting, length, and surface structure with the affect surgically removed, plus moderate-intensity and discriminant-validity splits. The matched-pair structure supports linear probing, activation patching, SAE feature analysis, causal ablation, and steering vector extraction under a strong methodological guarantee: any internal representation that distinguishes a clinical item from its matched neutral cannot be doing so on the basis of emotion-keyword presence. A three-method NLP defense battery -- bag-of-words sentiment, an emotion-category lexicon, and a contextual transformer classifier -- confirms the property: bag-of-words methods see only situational vocabulary, and a contextual classifier detects affect (p < 10^-15) but cannot identify the category (5.2% top-1 vs. 82.5% on a keyword-rich control). AIPsy-Affect extends our earlier 96-item battery (arXiv:2603.22295) by a factor of four and is released openly under MIT license.

  • 1 authors
·
Apr 27

Expressive Gaussian Human Avatars from Monocular RGB Video

Nuanced expressiveness, particularly through fine-grained hand and facial expressions, is pivotal for enhancing the realism and vitality of digital human representations. In this work, we focus on investigating the expressiveness of human avatars when learned from monocular RGB video; a setting that introduces new challenges in capturing and animating fine-grained details. To this end, we introduce EVA, a drivable human model that meticulously sculpts fine details based on 3D Gaussians and SMPL-X, an expressive parametric human model. Focused on enhancing expressiveness, our work makes three key contributions. First, we highlight the critical importance of aligning the SMPL-X model with RGB frames for effective avatar learning. Recognizing the limitations of current SMPL-X prediction methods for in-the-wild videos, we introduce a plug-and-play module that significantly ameliorates misalignment issues. Second, we propose a context-aware adaptive density control strategy, which is adaptively adjusting the gradient thresholds to accommodate the varied granularity across body parts. Last but not least, we develop a feedback mechanism that predicts per-pixel confidence to better guide the learning of 3D Gaussians. Extensive experiments on two benchmarks demonstrate the superiority of our framework both quantitatively and qualitatively, especially on the fine-grained hand and facial details. See the project website at https://evahuman.github.io

  • 7 authors
·
Jul 3, 2024

EmoArt: A Multidimensional Dataset for Emotion-Aware Artistic Generation

With the rapid advancement of diffusion models, text-to-image generation has achieved significant progress in image resolution, detail fidelity, and semantic alignment, particularly with models like Stable Diffusion 3.5, Stable Diffusion XL, and FLUX 1. However, generating emotionally expressive and abstract artistic images remains a major challenge, largely due to the lack of large-scale, fine-grained emotional datasets. To address this gap, we present the EmoArt Dataset -- one of the most comprehensive emotion-annotated art datasets to date. It contains 132,664 artworks across 56 painting styles (e.g., Impressionism, Expressionism, Abstract Art), offering rich stylistic and cultural diversity. Each image includes structured annotations: objective scene descriptions, five key visual attributes (brushwork, composition, color, line, light), binary arousal-valence labels, twelve emotion categories, and potential art therapy effects. Using EmoArt, we systematically evaluate popular text-to-image diffusion models for their ability to generate emotionally aligned images from text. Our work provides essential data and benchmarks for emotion-driven image synthesis and aims to advance fields such as affective computing, multimodal learning, and computational art, enabling applications in art therapy and creative design. The dataset and more details can be accessed via our project website.

  • 6 authors
·
Jun 4, 2025

The OMG-Empathy Dataset: Evaluating the Impact of Affective Behavior in Storytelling

Processing human affective behavior is important for developing intelligent agents that interact with humans in complex interaction scenarios. A large number of current approaches that address this problem focus on classifying emotion expressions by grouping them into known categories. Such strategies neglect, among other aspects, the impact of the affective responses from an individual on their interaction partner thus ignoring how people empathize towards each other. This is also reflected in the datasets used to train models for affective processing tasks. Most of the recent datasets, in particular, the ones which capture natural interactions ("in-the-wild" datasets), are designed, collected, and annotated based on the recognition of displayed affective reactions, ignoring how these displayed or expressed emotions are perceived. In this paper, we propose a novel dataset composed of dyadic interactions designed, collected and annotated with a focus on measuring the affective impact that eight different stories have on the listener. Each video of the dataset contains around 5 minutes of interaction where a speaker tells a story to a listener. After each interaction, the listener annotated, using a valence scale, how the story impacted their affective state, reflecting how they empathized with the speaker as well as the story. We also propose different evaluation protocols and a baseline that encourages participation in the advancement of the field of artificial empathy and emotion contagion.

  • 4 authors
·
Aug 30, 2019

Tensegrity crutches with compliance from a pre-stressed self-tensile module improve ground reaction force profiles, speed, effort, comfort, and perceived stability

Purpose: Six million people use crutches as mobile aids in the US. Rigid designs with no axial mobility limit sensory feedback and lead to secondary injury on the upper joints. Spring-loaded designs offer compliance but may compromise stability. We designed a biologically inspired tensegrity crutch with a compliant module aiming to achieve favorable mechanical properties. The terminal module was a pre-stressed self-tensile two-cell tensegrity structure. We compared the tensegrity crutch to commercial rigid and spring-loaded crutches in mechanical tests using axial loading, in overground straight and turning walking, and in participant experience. Methods: In human trials, healthy young adults (N=18) with no recent lower-body injury performed straight walking and turning trials at a comfortable self-selected pace. A knee blocker simulated unilateral injury of the dominant leg. After using each type of crutch, participants reported their perceived levels of effort, comfort, pain, stability, and usability. Results: Compared to the rigid design, both spring-loaded and tensegrity conditions reduced peak loading rates. The tensegrity design improved effort, comfort, pain, and usability. Spring-loaded crutches reduced perceived stability and walking speed. Conclusion: The biologically inspired tensegrity crutches were an overall improvement to existing designs. Simulations and mechanical testing suggest that nonlinear stiffness, ground-following, and force feedback are among the beneficial mechanical properties that underlie this improvement.

  • 6 authors
·
May 3

Think-Before-Draw: Decomposing Emotion Semantics & Fine-Grained Controllable Expressive Talking Head Generation

Emotional talking-head generation has emerged as a pivotal research area at the intersection of computer vision and multimodal artificial intelligence, with its core value lying in enhancing human-computer interaction through immersive and empathetic engagement.With the advancement of multimodal large language models, the driving signals for emotional talking-head generation has shifted from audio and video to more flexible text. However, current text-driven methods rely on predefined discrete emotion label texts, oversimplifying the dynamic complexity of real facial muscle movements and thus failing to achieve natural emotional expressiveness.This study proposes the Think-Before-Draw framework to address two key challenges: (1) In-depth semantic parsing of emotions--by innovatively introducing Chain-of-Thought (CoT), abstract emotion labels are transformed into physiologically grounded facial muscle movement descriptions, enabling the mapping from high-level semantics to actionable motion features; and (2) Fine-grained expressiveness optimization--inspired by artists' portrait painting process, a progressive guidance denoising strategy is proposed, employing a "global emotion localization--local muscle control" mechanism to refine micro-expression dynamics in generated videos.Our experiments demonstrate that our approach achieves state-of-the-art performance on widely-used benchmarks, including MEAD and HDTF. Additionally, we collected a set of portrait images to evaluate our model's zero-shot generation capability.

  • 6 authors
·
Jul 16, 2025

Investigating Acoustic-Textual Emotional Inconsistency Information for Automatic Depression Detection

Previous studies have demonstrated that emotional features from a single acoustic sentiment label can enhance depression diagnosis accuracy. Additionally, according to the Emotion Context-Insensitivity theory and our pilot study, individuals with depression might convey negative emotional content in an unexpectedly calm manner, showing a high degree of inconsistency in emotional expressions during natural conversations. So far, few studies have recognized and leveraged the emotional expression inconsistency for depression detection. In this paper, a multimodal cross-attention method is presented to capture the Acoustic-Textual Emotional Inconsistency (ATEI) information. This is achieved by analyzing the intricate local and long-term dependencies of emotional expressions across acoustic and textual domains, as well as the mismatch between the emotional content within both domains. A Transformer-based model is then proposed to integrate this ATEI information with various fusion strategies for detecting depression. Furthermore, a scaling technique is employed to adjust the ATEI feature degree during the fusion process, thereby enhancing the model's ability to discern patients with depression across varying levels of severity. To best of our knowledge, this work is the first to incorporate emotional expression inconsistency information into depression detection. Experimental results on a counseling conversational dataset illustrate the effectiveness of our method.

  • 7 authors
·
Dec 8, 2024

Beyond No: Quantifying AI Over-Refusal and Emotional Attachment Boundaries

We present an open-source benchmark and evaluation framework for assessing emotional boundary handling in Large Language Models (LLMs). Using a dataset of 1156 prompts across six languages, we evaluated three leading LLMs (GPT-4o, Claude-3.5 Sonnet, and Mistral-large) on their ability to maintain appropriate emotional boundaries through pattern-matched response analysis. Our framework quantifies responses across seven key patterns: direct refusal, apology, explanation, deflection, acknowledgment, boundary setting, and emotional awareness. Results demonstrate significant variation in boundary-handling approaches, with Claude-3.5 achieving the highest overall score (8.69/10) and producing longer, more nuanced responses (86.51 words on average). We identified a substantial performance gap between English (average score 25.62) and non-English interactions (< 0.22), with English responses showing markedly higher refusal rates (43.20% vs. < 1% for non-English). Pattern analysis revealed model-specific strategies, such as Mistral's preference for deflection (4.2%) and consistently low empathy scores across all models (< 0.06). Limitations include potential oversimplification through pattern matching, lack of contextual understanding in response analysis, and binary classification of complex emotional responses. Future work should explore more nuanced scoring methods, expand language coverage, and investigate cultural variations in emotional boundary expectations. Our benchmark and methodology provide a foundation for systematic evaluation of LLM emotional intelligence and boundary-setting capabilities.

  • 2 authors
·
Feb 20, 2025 3

LibriQuote: A Speech Dataset of Fictional Character Utterances for Expressive Zero-Shot Speech Synthesis

Text-to-speech (TTS) systems have recently achieved more expressive and natural speech synthesis by scaling to large speech datasets. However, the proportion of expressive speech in such large-scale corpora is often unclear. Besides, existing expressive speech corpora are typically smaller in scale and primarily used for benchmarking TTS systems. In this paper, we introduce the LibriQuote dataset, an English corpus derived from read audiobooks, designed for both fine-tuning and benchmarking expressive zero-shot TTS system. The training dataset includes 12.7K hours of read, non-expressive speech and 5.3K hours of mostly expressive speech drawn from character quotations. Each utterance in the expressive subset is supplemented with the context in which it was written, along with pseudo-labels of speech verbs and adverbs used to describe the quotation (e.g. ``he whispered softly''). Additionally, we provide a challenging 7.5 hour test set intended for benchmarking TTS systems: given a neutral reference speech as input, we evaluate system's ability to synthesize an expressive utterance while preserving reference timbre. We validate qualitatively the test set by showing that it covers a wide range of emotions compared to non-expressive speech, along with various accents. Extensive subjective and objective evaluations show that fine-tuning a baseline TTS system on LibriQuote significantly improves its synthesized speech intelligibility, and that recent systems fail to synthesize speech as expressive and natural as the ground-truth utterances. The dataset and evaluation code are freely available. Audio samples can be found at https://libriquote.github.io/.

  • 3 authors
·
Sep 4, 2025