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Domain Adversarial Training for Mitigating Gender Bias in Speech-based Mental Health Detection

Published 6 May 2025 in cs.AI | (2505.03359v1)

Abstract: Speech-based AI models are emerging as powerful tools for detecting depression and the presence of Post-traumatic stress disorder (PTSD), offering a non-invasive and cost-effective way to assess mental health. However, these models often struggle with gender bias, which can lead to unfair and inaccurate predictions. In this study, our study addresses this issue by introducing a domain adversarial training approach that explicitly considers gender differences in speech-based depression and PTSD detection. Specifically, we treat different genders as distinct domains and integrate this information into a pretrained speech foundation model. We then validate its effectiveness on the E-DAIC dataset to assess its impact on performance. Experimental results show that our method notably improves detection performance, increasing the F1-score by up to 13.29 percentage points compared to the baseline. This highlights the importance of addressing demographic disparities in AI-driven mental health assessment.

Summary

Domain Adversarial Training for Mitigating Gender Bias in Speech-based Mental Health Detection

Research into speech-based artificial intelligence models has gained significant traction, particularly as a tool for detecting mental health disorders such as depression and PTSD. The appeal lies in their non-invasive nature and cost-effectiveness compared to traditional methods like clinical interviews or neuroimaging techniques. Speech-based analysis is premised on the understanding that mental health conditions affect speech patterns. Nevertheless, these models often suffer from gender bias, which can compromise their predictive performance and fairness.

The paper "Domain Adversarial Training for Mitigating Gender Bias in Speech-based Mental Health Detection" addresses this critical issue by proposing a domain adversarial training approach. This method explicitly considers gender differences as distinct domains within speech data, which are used to inform and adapt a pre-trained speech foundation model. The objective is to improve the accuracy of depression and PTSD detection across different genders, thereby enhancing the applicability of these models in clinical settings.

The researchers employed the Extended Distress Analysis Interview Corpus (E-DAIC) dataset for their experiments. E-DAIC is designed to support the automatic assessment of mental health through analysis of audio-visual recordings and transcripts of clinical interviews. The dataset includes annotations for depression and PTSD, as well as demographic metadata like gender.

The study's methodological approach involved fine-tuning pretrained speech foundation models--wav2vec 2.0, HuBERT, and WavLM--which have previously been shown to effectively capture speech representations. The key innovation lies in integrating domain adversarial training into this paradigm. This technique trains the model not only to predict mental health states but also to produce speech representations that are invariant to gender distinctions. As a result, the model is discouraged from associating gender-specific features with mental health labels, reducing the potential for biased predictions.

Experimental results revealed substantial improvements, with the domain adversarial training approach increasing the F1-score by up to 13.29 percentage points. This significant leap in performance underlines the importance of addressing demographic disparities in AI-driven mental health assessment. On closer examination, the results showed that while gender biases were apparent with traditional fine-tuning methods, these biases were largely mitigated when domain adversarial training was employed.

The implications of this research are manifold. Practically, it aligns with the wider goal of achieving equitable healthcare outcomes, as gender biases in automated diagnostics could lead to disparities in clinical advice or intervention strategies. Theoretically, it provides a framework for considering demographic factors in model training, offering insights into how similar issues might be addressed in other modalities and applications.

Looking ahead, this study opens avenues for further exploration in mitigating biases inherent in speech-based models. Future developments could consider other demographic dimensions, such as age or ethnicity, potentially extending the robustness of these frameworks. Moreover, as LLMs continue to evolve, their integration with speech analysis systems may offer enhanced contextual understanding, further diminishing the influence of demographic bias. As AI technologies mature, the pursuit of fairness alongside accuracy remains pivotal, particularly in sensitive fields like mental health.

The paper thus contributes a comprehensive approach to reducing gender bias in speech-based mental health detection, providing both empirical findings and practical strategies that could inform the next steps in AI fairness and reliability.

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