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Robust Speech and Natural Language Processing Models for Depression Screening

Published 26 Dec 2024 in eess.AS and cs.CL | (2412.19072v1)

Abstract: Depression is a global health concern with a critical need for increased patient screening. Speech technology offers advantages for remote screening but must perform robustly across patients. We have described two deep learning models developed for this purpose. One model is based on acoustics; the other is based on natural language processing. Both models employ transfer learning. Data from a depression-labeled corpus in which 11,000 unique users interacted with a human-machine application using conversational speech is used. Results on binary depression classification have shown that both models perform at or above AUC=0.80 on unseen data with no speaker overlap. Performance is further analyzed as a function of test subset characteristics, finding that the models are generally robust over speaker and session variables. We conclude that models based on these approaches offer promise for generalized automated depression screening.

Summary

  • The paper introduces dual deep learning models that integrate acoustic and NLP features for effective binary depression classification.
  • It leverages a depression-labeled corpus from over 11,000 users, achieving robust AUC values around 0.80.
  • The models maintain consistent performance across diverse demographics and session conditions without model-specific retraining.

Robust Speech and Natural Language Processing Models for Depression Screening

The paper "Robust Speech and Natural Language Processing Models for Depression Screening" by Y. Lu et al. presents a comprehensive study on the development and evaluation of deep learning models for automated depression screening using speech data. Two distinct models, one focused on acoustic features and the other on NLP, have been developed to operate as binary classifiers for depression detection. These models leverage a depression-labeled corpus consisting of conversational speech data from 11,000 unique users, collected via a human-machine interface. A critical aspect of this research is the analysis of model robustness across various user demographics and session characteristics without model-specific retraining.

Methodology and Models

The core of the study lies in building two deep learning models: an acoustic model and an NLP model, both utilizing transfer learning to improve their generalized performance on new data. The acoustic model incorporates convolutional neural networks (CNNs) and long short-term memories (LSTMs) to capture acoustic-prosodic features indicative of depression. Conversely, the NLP model employs a pre-trained LLM, adjusted through domain-adaptive fine-tuning, to discern depression-related word patterns.

Data and Experiments

The dataset employed contains over 16,000 sessions segmented into training and testing sets with non-overlapping speakers. Each session includes a PHQ-8 completed by users to provide gold-standard labels for depression classification. The models' efficacy was assessed in terms of area under the ROC curve (AUC), achieving values around or above 0.80, indicative of their robust classification capabilities. The comparative analysis with human performance—particularly with primary care providers—further situates the models' competencies in real-world contexts.

Results and Observations

The NLP model generally outperformed the acoustic model, although both demonstrated competitive results. Performance consistency across different demographic subsets (e.g., age, gender, smoking status) and session timing variables (e.g., time of day, day of the week) were analyzed. Notably, the models retained their robustness despite variance in session metadata, with only a few exceptions primarily observed in the acoustic model's performance among certain age groups and ethnicities.

Implications and Future Scope

The implications of this research are significant, particularly in enhancing remote screening methodologies for depression through widely accessible technologies. The potential for speech-based technologies to complement or augment existing screening practices could markedly impact public health outcomes. Future investigations should direct attention to further heterogeneity in datasets, aiming for inclusivity across diverse demographics and varied speech collection scenarios. Cross-corpus studies and enhancements in ASR for non-native accents are other promising avenues to explore, ensuring broad applicability and accuracy of such models.

Overall, Y. Lu et al.'s study not only contributes to the domain of speech-driven diagnostic tools but also provides a solid foundation for multidisciplinary extensions and more inclusive understanding in the field of automated depression screening.

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