ArticleScientific reports2026
Improving cognitive stress classification via multimodal EEG and ECG fusion: gender differences in physiological response.
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.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- The Neuro-Cardiac Symbiotic Engine: A Multimodal Fusion Architecture for Cognitive State Decoding via High-Performance Computing.Life (Basel, Switzerland) · 2026Article
- Examining physiological parameters of mental workload in the cockpit: a multimethod approach.Frontiers in physiology · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
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
Identifiers
What OpenQuestion holds
Registered trials
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.