Ricardo Oliveira

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.

Y. Lu, A. Harati, T. Rutowski et al.

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.