Evidence map›Paper›PMID 41639189›Full record

ArticleScientific reports2026

Improving cognitive stress classification via multimodal EEG and ECG fusion: gender differences in physiological response.

Abdus Salam, Fakhre Alam, Dilawar Shah, Sami Ur Rahman, Shujaat Ali, Muhammad Tahir

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In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Abdus SalamDepartment of Computer Science & I.T , University of Malakand , KP, Dir Lower, Pakistan.
Fakhre AlamDepartment of Computer Science & I.T , University of Malakand , KP, Dir Lower, Pakistan.
Dilawar ShahDepartment of Computer Science , Bacha Khan University , Charsadda, Pakistan. dilawar_shah@bkuc.edu.pk.
Sami Ur RahmanDepartment of Computer Science & I.T , University of Malakand , KP, Dir Lower, Pakistan.
Shujaat AliDepartment of Computer Science , Bacha Khan University , Charsadda, Pakistan.
Muhammad TahirDepartment of Computer Science , Kardan University , Kabul, Afghanistan. m.tahir@kardan.edu.af.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In this paper, we present a multimodal machine learning system integrating electroencephalogram (EEG) and electrocardiogram (ECG) features to discriminate cognitive stress levels and analyze gender differences. In particular, we assess how well feature fusion enhances the classification accuracy and we also compare the physiological signs of cognitive stress in male and female subjects. A publicly available dataset, namely, ECG and EEG features for mental workload and multilevel stress classification of different sexes, was used. Three essential physiological characteristics (Theta/Alpha Ratio (TAR), Heart Rate (HR), and LF/HF Ratio) were identified in EEG signals as well as in ECG signals. The discriminative power of the features was confirmed by statistical testing, such as Shapiro-Wilk and Kruskal-Wallis tests. Dimensional reduction was performed using Principal Component Analysis (PCA). Feature fusion was performed, where EEG and ECG signals were introduced and aligned to form a complete input for the classification. Six machine learning (ML) classification models, namely Decision Tree (DT), K-Nearest Neighbors (KNN), Linear Discriminant (LD), Naive Bayes (NB), Random Forest (RF), and Support Vector Machine (SVM), were tested on binary and multiclass cognitive stress tasks. In terms of overall performance, the SVM achieved the best results, attaining 94.7% accuracy in the combined-gender classification of cognitive stress. For sex-specific classifications, LD recorded the highest score (90.9%). The multimodal SVM demonstrated superiority over the unimodal EEG/ECG models, reaching a peak average accuracy of 92.6%. Owing to the gender-based analysis, females had a better score in classification, implying a difference in sex-related physiological patterns during cognitive stress. The results show that multimodal fusion of physiological features can improve cognitive stress classification. The suggestion of gender-based analysis highlights the possibility of cognitive monitoring systems being at a personal level. This has potential applications in education, ergonomics, and human-computer interaction.

Indexed as

CognitionElectrocardiographyElectroencephalographyStress, PsychologicalClassification AlgorithmsFemaleHeart RateHumansMachine LearningMaleRandom ForestSex CharacteristicsSex FactorsSupport Vector MachineCognitive stressECGEEGFeature fusionGender differencesHRVMachine learningMultimodal classificationSVMTheta/Alpha ratio

Identifiers

PMID41639189
PMCPMC12923731

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.