DualStabSleepNet: A Dual-Domain Diffusion Stabilization Network for Robust Sleep Staging

Existing deep learning approaches for automatic sleep staging suffer from limited robustness under heterogeneous recording conditions, where non-stationary noise, inter-subject differences and cross-dataset distribution shifts cause unstable features and poor generalization. This work proposes DualStabSleepNet (DSSNet), a dual-domain diffusion stabilization network for robust sleep staging, which improves robustness in both data and feature domains. After preprocessing multi-channel polysomnography (PSG), a continuous-scale diffusion-based stabilization module suppresses noise while preserving physiological signal structures. Stabilized signals are converted to time-frequency representations and fed into a Vision Transformer backbone. A teacher-student guided diffusion feature stabilization module further mitigates feature drift and enforces multi-level feature consistency. Evaluated on four public PSG datasets SleepEDF-20, SleepEDF-78, SHHS and ISRUC-S3, DSSNet achieves state-of-the-art accuracy of 89.2%, 88.0%, 89.7%, 86.7% with improved macro-F1 and Cohen's kappa. It obtains notable improvements on hard transitional stages (e.g., 12.5% gain for N1 on SHHS) and boosts N2/REM recognition. Under cross-dataset settings, DSSNet is robust to distribution shift and performs on par with or superior to target-dataset trained baselines, demonstrating its practical potential for real-world sleep staging across heterogeneous cohorts.