Improving the Generalizability of Depression Detection by Leveraging Clinical Questionnaires
Authors: Thong Nguyen, Andrew Yates, Ayah Zirikly, Bart Desmet, Arman Cohan
AI-generated Key Points
- Automated methods are used to identify and analyze mental health conditions from various sources of information, including social media.
- Challenges in deploying these models in real-world healthcare applications include poor out-of-domain generalization and a lack of trust in black box models.
- A team of researchers proposed an approach for depression detection that leverages the presence of symptoms described in PHQ9, a questionnaire used by clinicians during the depression screening process.
- The model was tested on three social media datasets using dataset-transfer experiments and compared to a standard BERT-based approach.
- Grounding the model in PHQ9's symptoms substantially improved its ability to generalize to out-of-distribution data while still performing competitively on in-domain data.
- Qualitative analyses suggested that this approach produced a model that was easier to inspect and more clinically relevant.
- These findings have important implications for improving the generalizability and trustworthiness of automated methods for detecting mental health conditions in real-world healthcare settings.
Abstract: Automated methods have been widely used to identify and analyze mental health conditions (e.g., depression) from various sources of information, including social media. Yet, deployment of such models in real-world healthcare applications faces challenges including poor out-of-domain generalization and lack of trust in black box models. In this work, we propose approaches for depression detection that are constrained to different degrees by the presence of symptoms described in PHQ9, a questionnaire used by clinicians in the depression screening process. In dataset-transfer experiments on three social media datasets, we find that grounding the model in PHQ9's symptoms substantially improves its ability to generalize to out-of-distribution data compared to a standard BERT-based approach. Furthermore, this approach can still perform competitively on in-domain data. These results and our qualitative analyses suggest that grounding model predictions in clinically-relevant symptoms can improve generalizability while producing a model that is easier to inspect.
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