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PreprintCC BY 4.0arXiv

Duration-Aware World Models for Sleep Staging with Dwell-Time Constraints

Abstract

Closed-loop neuromodulation requires sleep staging that respects stage-specific minimum dwells: stimulation policies switch by sleep stage, and a policy change is permitted only after the current stage has persisted for its minimum duration. Discriminative classifiers fragment stage trajectories---for example, a 30 s Wake segment inside a 10 min N2 run---and even hidden semi-Markov smoothing leaves 11.3% of segments below the minimum dwell threshold. This paper presents a world model in which a recurrent state-space model (RSSM) learns dwell structure endogenously from EEG, via duration-aware latent sampling, a survival-curve dwell prior, and transition-matrix calibration, and a trajectory-level hard-constraint layer guarantees the minimum dwell at decoding. On SHHS-1 (200 subjects, 160/20/20, three repeated splits), the model reaches a test accuracy of 0.690 +/- 0.053 (95% CI over 3 folds) versus 0.641 +/- 0.042 for an identically split discriminative baseline, with macro-F1 +17.5 pp and better accuracy on all three folds. On Sleep-EDF the constraint layer cuts below-threshold segments from 71.8% to 0.1% with no accuracy loss (0.734 to 0.737), and an online locked scheduler reduces RL policy switches by 87% per night while keeping every policy run at least 90 s. To the best of the author's knowledge, this is the first system to couple learned dwell statistics with a decoding-time hard guarantee. Code and pretrained weights will be released.

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BibTeX
@misc{gao2026durationaware,
  title = {{Duration-Aware World Models for Sleep Staging with Dwell-Time Constraints}},
  author = {Junhui Gao},
  howpublished = {arXiv},
  year = {2026},
  month = oct,
  doi = {10.48550/arxiv.2610.33033},
  eprint = {2610.33033},
  archivePrefix = {arXiv},
  url = {https://arxiv.org/abs/2610.33033},
  note = {CC BY 4.0},
}
RIS
TY  - UNPB
TI  - Duration-Aware World Models for Sleep Staging with Dwell-Time Constraints
AU  - Junhui Gao
PY  - 2026
DA  - 2026/10/14
PB  - arXiv
DO  - 10.48550/arxiv.2610.33033
UR  - https://arxiv.org/abs/2610.33033
AB  - Closed-loop neuromodulation requires sleep staging that respects stage-specific minimum dwells: stimulation policies switch by sleep stage, and a policy change is permitted only after the current stage has persisted for its minimum duration. Discriminative classifiers fragment stage trajectories---for example, a 30 s Wake segment inside a 10 min N2 run---and even hidden semi-Markov smoothing leaves 11.3% of segments below the minimum dwell threshold. This paper presents a world model in which a recurrent state-space model (RSSM) learns dwell structure endogenously from EEG, via duration-aware latent sampling, a survival-curve dwell prior, and transition-matrix calibration, and a trajectory-level hard-constraint layer guarantees the minimum dwell at decoding. On SHHS-1 (200 subjects, 160/20/20, three repeated splits), the model reaches a test accuracy of 0.690 +/- 0.053 (95% CI over 3 folds) versus 0.641 +/- 0.042 for an identically split discriminative baseline, with macro-F1 +17.5 pp and better accuracy on all three folds. On Sleep-EDF the constraint layer cuts below-threshold segments from 71.8% to 0.1% with no accuracy loss (0.734 to 0.737), and an online locked scheduler reduces RL policy switches by 87% per night while keeping every policy run at least 90 s. To the best of the author's knowledge, this is the first system to couple learned dwell statistics with a decoding-time hard guarantee. Code and pretrained weights will be released.
ER  -