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SubscribeStressTest: Can YOUR Speech LM Handle the Stress?
Sentence stress refers to emphasis, placed on specific words within a spoken utterance to highlight or contrast an idea, or to introduce new information. It is often used to imply an underlying intention that is not explicitly stated. Recent advances in speech-aware language models (SLMs) have enabled direct processing of audio, allowing models to bypass transcription and access the full richness of the speech signal and perform audio reasoning tasks such as spoken question answering. Despite the crucial role of sentence stress in shaping meaning and speaker intent, it remains largely overlooked in evaluation and development of such models. In this work, we address this gap by introducing StressTest, a benchmark specifically designed to evaluate a model's ability to distinguish between interpretations of spoken sentences based on the stress pattern. We assess the performance of several leading SLMs and find that, despite their overall capabilities, they perform poorly on such tasks. To overcome this limitation, we propose a novel synthetic data generation pipeline, and create Stress17k, a training set that simulates change of meaning implied by stress variation. Then, we empirically show that optimizing models with this synthetic dataset aligns well with real-world recordings and enables effective finetuning of SLMs. Results suggest, that our finetuned model, StresSLM, significantly outperforms existing models on both sentence stress reasoning and detection tasks. Code, models, data, and audio samples - pages.cs.huji.ac.il/adiyoss-lab/stresstest.
How Does a Deep Neural Network Look at Lexical Stress?
Despite their success in speech processing, neural networks often operate as black boxes, prompting the question: what informs their decisions, and how can we interpret them? This work examines this issue in the context of lexical stress. A dataset of English disyllabic words was automatically constructed from read and spontaneous speech. Several Convolutional Neural Network (CNN) architectures were trained to predict stress position from a spectrographic representation of disyllabic words lacking minimal stress pairs (e.g., initial stress WAllet, final stress exTEND), achieving up to 92% accuracy on held-out test data. Layerwise Relevance Propagation (LRP), a technique for CNN interpretability analysis, revealed that predictions for held-out minimal pairs (PROtest vs. proTEST ) were most strongly influenced by information in stressed versus unstressed syllables, particularly the spectral properties of stressed vowels. However, the classifiers also attended to information throughout the word. A feature-specific relevance analysis is proposed, and its results suggest that our best-performing classifier is strongly influenced by the stressed vowel's first and second formants, with some evidence that its pitch and third formant also contribute. These results reveal deep learning's ability to acquire distributed cues to stress from naturally occurring data, extending traditional phonetic work based around highly controlled stimuli.
The Effect of Person-Specific Biometrics in Improving Generic Stress Predictive Models
Because stress is subjective and is expressed differently from one person to another, generic stress prediction models (i.e., models that predict the stress of any person) perform crudely. Only person-specific ones (i.e., models that predict the stress of a preordained person) yield reliable predictions, but they are not adaptable and costly to deploy in real-world environments. For illustration, in an office environment, a stress monitoring system that uses person-specific models would require collecting new data and training a new model for every employee. Moreover, once deployed, the models would deteriorate and need expensive periodic upgrades because stress is dynamic and depends on unforeseeable factors. We propose a simple, yet practical and cost effective calibration technique that derives an accurate and personalized stress prediction model from physiological samples collected from a large population. We validate our approach on two stress datasets. The results show that our technique performs much better than a generic model. For instance, a generic model achieved only a 42.5% accuracy. However, with only 100 calibration samples, we raised its accuracy to 95.2% We also propose a blueprint for a stress monitoring system based on our strategy, and we debate its merits and limitation. Finally, we made public our source code and the relevant datasets to allow other researchers to replicate our findings.
Cross-Modality Investigation on WESAD Stress Classification
Deep learning's growing prevalence has driven its widespread use in healthcare, where AI and sensor advancements enhance diagnosis, treatment, and monitoring. In mobile health, AI-powered tools enable early diagnosis and continuous monitoring of conditions like stress. Wearable technologies and multimodal physiological data have made stress detection increasingly viable, but model efficacy depends on data quality, quantity, and modality. This study develops transformer models for stress detection using the WESAD dataset, training on electrocardiograms (ECG), electrodermal activity (EDA), electromyography (EMG), respiration rate (RESP), temperature (TEMP), and 3-axis accelerometer (ACC) signals. The results demonstrate the effectiveness of single-modality transformers in analyzing physiological signals, achieving state-of-the-art performance with accuracy, precision and recall values in the range of 99.73% to 99.95% for stress detection. Furthermore, this study explores cross-modal performance and also explains the same using 2D visualization of the learned embedding space and quantitative analysis based on data variance. Despite the large body of work on stress detection and monitoring, the robustness and generalization of these models across different modalities has not been explored. This research represents one of the initial efforts to interpret embedding spaces for stress detection, providing valuable information on cross-modal performance.
StressPrompt: Does Stress Impact Large Language Models and Human Performance Similarly?
Human beings often experience stress, which can significantly influence their performance. This study explores whether Large Language Models (LLMs) exhibit stress responses similar to those of humans and whether their performance fluctuates under different stress-inducing prompts. To investigate this, we developed a novel set of prompts, termed StressPrompt, designed to induce varying levels of stress. These prompts were derived from established psychological frameworks and carefully calibrated based on ratings from human participants. We then applied these prompts to several LLMs to assess their responses across a range of tasks, including instruction-following, complex reasoning, and emotional intelligence. The findings suggest that LLMs, like humans, perform optimally under moderate stress, consistent with the Yerkes-Dodson law. Notably, their performance declines under both low and high-stress conditions. Our analysis further revealed that these StressPrompts significantly alter the internal states of LLMs, leading to changes in their neural representations that mirror human responses to stress. This research provides critical insights into the operational robustness and flexibility of LLMs, demonstrating the importance of designing AI systems capable of maintaining high performance in real-world scenarios where stress is prevalent, such as in customer service, healthcare, and emergency response contexts. Moreover, this study contributes to the broader AI research community by offering a new perspective on how LLMs handle different scenarios and their similarities to human cognition.
WHISTRESS: Enriching Transcriptions with Sentence Stress Detection
Spoken language conveys meaning not only through words but also through intonation, emotion, and emphasis. Sentence stress, the emphasis placed on specific words within a sentence, is crucial for conveying speaker intent and has been extensively studied in linguistics. In this work, we introduce WHISTRESS, an alignment-free approach for enhancing transcription systems with sentence stress detection. To support this task, we propose TINYSTRESS-15K, a scalable, synthetic training data for the task of sentence stress detection which resulted from a fully automated dataset creation process. We train WHISTRESS on TINYSTRESS-15K and evaluate it against several competitive baselines. Our results show that WHISTRESS outperforms existing methods while requiring no additional input priors during training or inference. Notably, despite being trained on synthetic data, WHISTRESS demonstrates strong zero-shot generalization across diverse benchmarks. Project page: https://pages.cs.huji.ac.il/adiyoss-lab/whistress.
Tissue Cross-Section and Pen Marking Segmentation in Whole Slide Images
Tissue segmentation is a routine preprocessing step to reduce the computational cost of whole slide image (WSI) analysis by excluding background regions. Traditional image processing techniques are commonly used for tissue segmentation, but often require manual adjustments to parameter values for atypical cases, fail to exclude all slide and scanning artifacts from the background, and are unable to segment adipose tissue. Pen marking artifacts in particular can be a potential source of bias for subsequent analyses if not removed. In addition, several applications require the separation of individual cross-sections, which can be challenging due to tissue fragmentation and adjacent positioning. To address these problems, we develop a convolutional neural network for tissue and pen marking segmentation using a dataset of 200 H&E stained WSIs. For separating tissue cross-sections, we propose a novel post-processing method based on clustering predicted centroid locations of the cross-sections in a 2D histogram. On an independent test set, the model achieved a mean Dice score of 0.981pm0.033 for tissue segmentation and a mean Dice score of 0.912pm0.090 for pen marking segmentation. The mean absolute difference between the number of annotated and separated cross-sections was 0.075pm0.350. Our results demonstrate that the proposed model can accurately segment H&E stained tissue cross-sections and pen markings in WSIs while being robust to many common slide and scanning artifacts. The model with trained model parameters and post-processing method are made publicly available as a Python package called SlideSegmenter.
Microscale stress-geometry interactions in an additively manufactured NiTi cardiovascular stent: A synchrotron dual imaging tomography and diffraction study
This study explores cardiovascular stents fabricated using laser powder bed fusion (LPBF); an emerging method to offer patient-specific customisable parts. Here, the shape memory alloy NiTi, in a near equiatomic composition, was investigated to deconvolve the material response from macroscopic component effects. Specifically, stress-geometry interactions were revealed, in-situ, for a minaturised cardiovascular stent subjected to an externally applied cylindrical stress whilst acquiring synchrotron X-ray imaging and diffraction data. The approach enabled the collection of spatially resolved micromechanical deformation data; the formation of stress-induced martensite and R-phase was evident, occurring in locations near junctions between stent ligaments where stress concentrations exist. In the as-fabricated condition, hardness maps were obtained through nanoindentation, demonstrating that the localised deformation and deformation patterning is further controlled by porosity and microstructural heterogeneity. Electron backscatter diffraction (EBSD) supported these observations, showing a finer grain structure near stent junctions with higher associated lattice curvature. These features, combined with stress concentrations when loaded will initiate localised phase transformations. If the stent was subjected to repeated loading, representing in-vivo conditions, these regions would be susceptible to cyclic damage through transformation memory loss, leading to premature component failure. This study highlights the challenges that must be addressed for the post-processing treatment of LABF-processed stents for healthcare-related applications.
Application of CARE-SD text classifier tools to assess distribution of stigmatizing and doubt-marking language features in EHR
Introduction: Electronic health records (EHR) are a critical medium through which patient stigmatization is perpetuated among healthcare teams. Methods: We identified linguistic features of doubt markers and stigmatizing labels in MIMIC-III EHR via expanded lexicon matching and supervised learning classifiers. Predictors of rates of linguistic features were assessed using Poisson regression models. Results: We found higher rates of stigmatizing labels per chart among patients who were Black or African American (RR: 1.16), patients with Medicare/Medicaid or government-run insurance (RR: 2.46), self-pay (RR: 2.12), and patients with a variety of stigmatizing disease and mental health conditions. Patterns among doubt markers were similar, though male patients had higher rates of doubt markers (RR: 1.25). We found increased stigmatizing labels used by nurses (RR: 1.40), and social workers (RR: 2.25), with similar patterns of doubt markers. Discussion: Stigmatizing language occurred at higher rates among historically stigmatized patients, perpetuated by multiple provider types.
