Yang Lü

Tomasz Rutowski, Amir Harati, Yang Lu et al.

Machine learning models for speech-based depression classification offer promise for health care applications. Despite growing work on depression classification, little is understood about how the length of speech-input impacts model performance. We analyze results for speaker-independent depression classification using a corpus of over 1400 hours of speech from a human-machine health screening application. We examine performance as a function of response input length for two NLP systems that differ in overall performance. Results for both systems show that performance depends on natural length, elapsed length, and ordering of the response within a session. Systems share a minimum length threshold, but differ in a response saturation threshold, with the latter higher for the better system. At saturation it is better to pose a new question to the speaker, than to continue the current response. These and additional reported results suggest how applications can be better designed to both elicit and process optimal input lengths for depression classification.

Tomasz Rutowski, Elizabeth Shriberg, Amir Harati et al.

Digital screening and monitoring applications can aid providers in the management of behavioral health conditions. We explore deep language models for detecting depression, anxiety, and their co-occurrence from conversational speech collected during 16k user interactions with an application. Labels come from PHQ-8 and GAD-7 results also collected by the application. We find that results for binary classification range from 0.86 to 0.79 AUC, depending on condition and co-occurrence. Best performance is achieved when a user has either both or neither condition, and we show that this result is not attributable to data skew. Finally, we find evidence suggesting that underlying word sequence cues may be more salient for depression than for anxiety.

Tomek Rutowski, Elizabeth Shriberg, Amir Harati et al.

Deep learning models are rapidly gaining interest for real-world applications in behavioral health. An important gap in current literature is how well such models generalize over different populations. We study Natural Language Processing (NLP) based models to explore portability over two different corpora highly mismatched in age. The first and larger corpus contains younger speakers. It is used to train an NLP model to predict depression. When testing on unseen speakers from the same age distribution, this model performs at AUC=0.82. We then test this model on the second corpus, which comprises seniors from a retirement community. Despite the large demographic differences in the two corpora, we saw only modest degradation in performance for the senior-corpus data, achieving AUC=0.76. Interestingly, in the senior population, we find AUC=0.81 for the subset of patients whose health state is consistent over time. Implications for demographic portability of speech-based applications are discussed.