This article proposes a robust brain-inspired audio feature extractor (RBA-FE) model for depression diagnosis, using an improved hierarchical network architecture. Most deep learning models achieve state-of-the-art performance for image-based diagnostic tasks, ignoring the counterpart audio features. In order to tailor the noise challenge, RBA-FE leverages six acoustic features extracted from the raw audio, capturing both spatial characteristics and temporal dependencies. This hybrid attribute helps alleviate the precision limitation in audio feature extraction within other learning models like deep residual shrinkage networks. To deal with the noise issues, our model incorporates an improved spiking neuron model, called adaptive rate smooth leaky integrate-and-fire (ARSLIF). The ARSLIF model emulates the mechanism of ``retuning of cellular signal selectivity" in the brain attention systems, which enhances the model robustness against environmental noises in audio data. Experimental results demonstrate that RBA-FE achieves state-of-the-art accuracy on the MODMA dataset, respectively with 0.8750, 0.8974, 0.8750 and 0.8750 in precision, accuracy, recall and F1 score. Extensive experiments on the AVEC2014 and DAIC-WOZ datasets both show enhancements in noise robustness. It is further indicated by comparison that the ARSLIF neuron model suggest the abnormal firing pattern within the feature extraction on depressive audio data, offering brain-inspired interpretability.

Depression disorder is a serious health condition that has affected the lives of millions of people around the world. Diagnosis of depression is a challenging practice that relies heavily on subjective studies and, in most cases, suffers from late findings. Electroencephalography (EEG) biomarkers have been suggested and investigated in recent years as a potential transformative objective practice. In this article, for the first time, a detailed systematic review of EEG-based depression diagnosis approaches is conducted using advanced machine learning techniques and statistical analyses. For this, 938 potentially relevant articles (since 1985) were initially detected and filtered into 139 relevant articles based on the review scheme 'preferred reporting items for systematic reviews and meta-analyses (PRISMA).' This article compares and discusses the selected articles and categorizes them according to the type of machine learning techniques and statistical analyses. Algorithms, preprocessing techniques, extracted features, and data acquisition systems are discussed and summarized. This review paper explains the existing challenges of the current algorithms and sheds light on the future direction of the field. This systematic review outlines the issues and challenges in machine intelligence for the diagnosis of EEG depression that can be addressed in future studies and possibly in future wearable technologies.

Stigma has emerged as one of the major obstacles to effectively diagnosing depression, as it prevents users from open conversations about their struggles. This requires advanced questioning skills to carefully probe the presence of specific symptoms in an unobtrusive manner. While recent efforts have been made on depression-diagnosis-oriented dialogue systems, they largely ignore this problem, ultimately hampering their practical utility. To this end, we propose a novel and effective method, UPSD$^{4}$, developing a series of strategies to promote a sense of unobtrusiveness within the dialogue system and assessing depression disorder by probing symptoms. We experimentally show that UPSD$^{4}$ demonstrates a significant improvement over current baselines, including unobtrusiveness evaluation of dialogue content and diagnostic accuracy. We believe our work contributes to developing more accessible and user-friendly tools for addressing the widespread need for depression diagnosis.

Depression has impacted millions of people worldwide and has become one of the most prevalent mental disorders. Early mental disorder detection can lead to cost savings for public health agencies and avoid the onset of other major comorbidities. Additionally, the shortage of specialized personnel is a critical issue because clinical depression diagnosis is highly dependent on expert professionals and is time consuming. In this study, we explore the use of GPT-4 for clinical depression assessment based on transcript analysis. We examine the model's ability to classify patient interviews into binary categories: depressed and not depressed. A comparative analysis is conducted considering prompt complexity (e.g., using both simple and complex prompts) as well as varied temperature settings to assess the impact of prompt complexity and randomness on the model's performance. Results indicate that GPT-4 exhibits considerable variability in accuracy and F1-Score across configurations, with optimal performance observed at lower temperature values (0.0-0.2) for complex prompts. However, beyond a certain threshold (temperature >= 0.3), the relationship between randomness and performance becomes unpredictable, diminishing the gains from prompt complexity. These findings suggest that, while GPT-4 shows promise for clinical assessment, the configuration of the prompts and model parameters requires careful calibration to ensure consistent results. This preliminary study contributes to understanding the dynamics between prompt engineering and large language models, offering insights for future development of AI-powered tools in clinical settings.

Major Depressive Disorder (MDD) is a pervasive mental health condition that affects 300 million people worldwide. This work presents a novel, BiLSTM-based tri-modal model-level fusion architecture for the binary classification of depression from clinical interview recordings. The proposed architecture incorporates Mel Frequency Cepstral Coefficients, Facial Action Units, and uses a two-shot learning based GPT-4 model to process text data. This is the first work to incorporate large language models into a multi-modal architecture for this task. It achieves impressive results on the DAIC-WOZ AVEC 2016 Challenge cross-validation split and Leave-One-Subject-Out cross-validation split, surpassing all baseline models and multiple state-of-the-art models. In Leave-One-Subject-Out testing, it achieves an accuracy of 91.01%, an F1-Score of 85.95%, a precision of 80%, and a recall of 92.86%.

Telehealth is a valuable tool for primary health care (PHC), where depression is a common condition. PHC is the first point of contact for most people with depression, but about 25% of diagnoses made by PHC physicians are inaccurate. Many other barriers also hinder depression detection and treatment in PHC. Artificial intelligence (AI) may help reduce depression misdiagnosis in PHC and improve overall diagnosis and treatment outcomes. Telehealth consultations often have video issues, such as poor connectivity or dropped calls. Audio-only telehealth is often more practical for lower-income patients who may lack stable internet connections. Thus, our study focused on using audio data to predict depression risk. The objectives were to: 1) Collect audio data from 24 people (12 with depression and 12 without mental health or major health condition diagnoses); 2) Build a machine learning model to predict depression risk. TPOT, an autoML tool, was used to select the best machine learning algorithm, which was the K-nearest neighbors classifier. The selected model had high performance in classifying depression risk (Precision: 0.98, Recall: 0.93, F1-Score: 0.96). These findings may lead to a range of tools to help screen for and treat depression. By developing tools to detect depression risk, patients can be routed to AI-driven chatbots for initial screenings. Partnerships with a range of stakeholders are crucial to implementing these solutions. Moreover, ethical considerations, especially around data privacy and potential biases in AI models, need to be at the forefront of any AI-driven intervention in mental health care.

The Early diagnosis and treatment of depression is essential for effective treatment. Depression, while being one of the most common mental illnesses, is still poorly understood in both research and clinical practice. Among different treatments, drug prescription is widely used, however the drug treatment is not effective for many patients. In this work, we propose a method for major depressive disorder (MDD) diagnosis as well as a method for predicting the drug response in patient with MDD using EEG signals. Method: We employ transformers, which are modified recursive neural networks with novel architecture to evaluate the time dependency of time series effectively. We also compare the model to the well-known deep learning schemes such as CNN, LSTM and CNN-LSTM. Results: The transformer achieves an average recall of 99.41% and accuracy of 97.14% for classifying normal and MDD subjects. Furthermore, the transformer also performed well in classifying responders and non-responders to the drug, resulting in 97.01% accuracy and 97.76% Recall. Conclusion: Outperforming other methods on a similar number of parameters, the suggested technique, as a screening tool, seems to have the potential to assist health care professionals in assessing MDD patients for early diagnosis and treatment. Significance: Analyzing EEG signal analysis using transformers, which have replaced the recursive models as a new structure to examine the time dependence of time series, is the main novelty of this research.

The use of artificial intelligence in community oncology practices has the potential to grow rapidly and provide more assistance to oncologists and hematologists in the coming years, according to presenters at Community Oncology Alliance Annual Conference. But artificial intelligence (AI) will not take the place of oncologists, and presenters warned of relying too heavily on AI when caring for patients in the community practice setting. "We have to find a way to be very agile and adaptable," Aaron Lyss, MBA, director of strategy and business development at Tennessee Oncology, said during a presentation. "One of the things you will see in the community practice setting that's different than the academic setting, to use a baseball metaphor, is that we will not be swinging for the fences and missing. We are going to be [more careful] and hit doubles and singles."

Could a computer be better at identifying depression than a primary care physician? That's the suggestion of a new study that focused on using machine learning to analyze Instagram photos. The study, conducted by a researcher from the department of psychology at Harvard University and another from the University of Vermont, analyzed nearly 44,000 photographs posted to Instagram, exploring factors like what filter was used and how makes "likes" a photo received. The study included photographs from 166 people, some of whom were depressed, and some of whom were not. Instagram offers a variety of filters to change how a photo appears, and the researchers discovered that healthy participants were more likely to use a filter than depressed people.

Could a computer be better at identifying depression than a primary care physician? That's the suggestion of a new study that focused on using machine learning to analyze Instagram photos. The study, conducted by a researcher from the department of psychology at Harvard University and another from the University of Vermont, analyzed nearly 44,000 photographs posted to Instagram, exploring factors like what filter was used and how makes "likes" a photo received. The study included photographs from 166 people, some of whom were depressed, and some of whom were not. Instagram offers a variety of filters to change how a photo appears, and the researchers discovered that healthy participants were more likely to use a filter than depressed people.