Trustworthy depression prediction based on deep learning, incorporating both predictive reliability and algorithmic fairness across diverse demographic groups, is crucial for clinical application. Recently, achieving reliable depression predictions through uncertainty quantification has attracted increasing attention. However, few studies have focused on the fairness of uncertainty quantification (UQ) in depression prediction. In this work, we investigate the algorithmic fairness of UQ, namely Equal Opportunity Coverage (EOC) fairness, and propose Fair Uncertainty Quantification (FUQ) for depression prediction. FUQ pursues reliable and fair depression predictions through group-based analysis. Specifically, we first group all the participants by different sensitive attributes and leverage conformal prediction to quantify uncertainty within each demographic group, which provides a theoretically guaranteed and valid way to quantify uncertainty for depression prediction and facilitates the investigation of fairness across different demographic groups. Furthermore, we propose a fairness-aware optimization strategy that formulates fairness as a constrained optimization problem under EOC constraints. This enables the model to preserve predictive reliability while adapting to the heterogeneous uncertainty levels across demographic groups, thereby achieving optimal fairness. Through extensive evaluations on several visual and audio depression datasets, our approach demonstrates its effectiveness.

Depression is a common mental illness across current human society. Traditional depression assessment relying on inventories and interviews with psychologists frequently suffer from subjective diagnosis results, slow and expensive diagnosis process as well as lack of human resources. Since there is a solid evidence that depression is reflected by various human internal brain activities and external expressive behaviours, early traditional machine learning (ML) and advanced deep learning (DL) models have been widely explored for human behaviour-based automatic depression assessment (ADA) since 2012. However, recent ADA surveys typically only focus on a limited number of human behaviour modalities. Despite being used as a theoretical basis for developing ADA approaches, existing ADA surveys lack a comprehensive review and summary of multi-modal depression-related human behaviours. To bridge this gap, this paper specifically summarises depression-related human behaviours across a range of modalities (e.g. the human brain, verbal language and non-verbal audio/facial/body behaviours). We focus on conducting an up-to-date and comprehensive survey of ML-based ADA approaches for learning depression cues from these behaviours as well as discussing and comparing their distinctive features and limitations. In addition, we also review existing ADA competitions and datasets, identify and discuss the main challenges and opportunities to provide further research directions for future ADA researchers.

Speech-based algorithms have gained interest for the management of behavioral health conditions such as depression. We explore a speech-based transfer learning approach that uses a lightweight encoder and that transfers only the encoder weights, enabling a simplified run-time model. Our study uses a large data set containing roughly two orders of magnitude more speakers and sessions than used in prior work. The large data set enables reliable estimation of improvement from transfer learning. Results for the prediction of PHQ-8 labels show up to 27% relative performance gains for binary classification; these gains are statistically significant with a p-value close to zero. Improvements were also found for regression. Additionally, the gain from transfer learning does not appear to require strong source task performance. Results suggest that this approach is flexible and offers promise for efficient implementation.

While existing depression prediction methods based on deep learning show promise, their practical application is hindered by the lack of trustworthiness, as these deep models are often deployed as \textit{black box} models, leaving us uncertain about the confidence of the model predictions. For high-risk clinical applications like depression prediction, uncertainty quantification is essential in decision-making. In this paper, we introduce conformal depression prediction (CDP), a depression prediction method with uncertainty quantification based on conformal prediction (CP), giving valid confidence intervals with theoretical coverage guarantees for the model predictions. CDP is a plug-and-play module that requires neither model retraining nor an assumption about the depression data distribution. As CDP provides only an average coverage guarantee across all inputs rather than per-input performance guarantee, we further propose CDP-ACC, an improved conformal prediction with approximate conditional coverage. CDP-ACC firstly estimates the prediction distribution through neighborhood relaxation, and then introduces a conformal score function by constructing nested sequences, so as to provide a tighter prediction interval for each specific input. We empirically demonstrate the application of CDP in uncertainty-aware depression prediction, as well as the effectiveness and superiority of CDP-ACC on the AVEC 2013 and AVEC 2014 datasets.

A significant level of stigma and inequality exists in mental healthcare, especially in under-served populations. Inequalities are reflected in the data collected for scientific purposes. When not properly accounted for, machine learning (ML) models leart from data can reinforce these structural inequalities or biases. Here, we present a systematic study of bias in ML models designed to predict depression in four different case studies covering different countries and populations. We find that standard ML approaches show regularly biased behaviors. We also show that mitigation techniques, both standard and our own post-hoc method, can be effective in reducing the level of unfair bias. No single best ML model for depression prediction provides equality of outcomes. This emphasizes the importance of analyzing fairness during model selection and transparent reporting about the impact of debiasing interventions. Finally, we provide practical recommendations to develop bias-aware ML models for depression risk prediction.

Health sensing for chronic disease management creates immense benefits for social welfare. Existing health sensing studies primarily focus on the prediction of physical chronic diseases. Depression, a widespread complication of chronic diseases, is however understudied. We draw on the medical literature to support depression prediction using motion sensor data. To connect human expertise in the decision-making, safeguard trust for this high-stake prediction, and ensure algorithm transparency, we develop an interpretable deep learning model: Temporal Prototype Network (TempPNet). TempPNet is built upon the emergent prototype learning models. To accommodate the temporal characteristic of sensor data and the progressive property of depression, TempPNet differs from existing prototype learning models in its capability of capturing the temporal progression of depression. Extensive empirical analyses using real-world motion sensor data show that TempPNet outperforms state-of-the-art benchmarks in depression prediction. Moreover, TempPNet interprets its predictions by visualizing the temporal progression of depression and its corresponding symptoms detected from sensor data. We further conduct a user study to demonstrate its superiority over the benchmarks in interpretability. This study offers an algorithmic solution for impactful social good - collaborative care of chronic diseases and depression in health sensing. Methodologically, it contributes to extant literature with a novel interpretable deep learning model for depression prediction from sensor data. Patients, doctors, and caregivers can deploy our model on mobile devices to monitor patients' depression risks in real-time. Our model's interpretability also allows human experts to participate in the decision-making by reviewing the interpretation of prediction outcomes and making informed interventions.