npj Mental Health Research (Dec 2024)

Harnessing multimodal approaches for depression detection using large language models and facial expressions

  • Misha Sadeghi,
  • Robert Richer,
  • Bernhard Egger,
  • Lena Schindler-Gmelch,
  • Lydia Helene Rupp,
  • Farnaz Rahimi,
  • Matthias Berking,
  • Bjoern M. Eskofier

DOI
https://doi.org/10.1038/s44184-024-00112-8
Journal volume & issue
Vol. 3, no. 1
pp. 1 – 14

Abstract

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Abstract Detecting depression is a critical component of mental health diagnosis, and accurate assessment is essential for effective treatment. This study introduces a novel, fully automated approach to predicting depression severity using the E-DAIC dataset. We employ Large Language Models (LLMs) to extract depression-related indicators from interview transcripts, utilizing the Patient Health Questionnaire-8 (PHQ-8) score to train the prediction model. Additionally, facial data extracted from video frames is integrated with textual data to create a multimodal model for depression severity prediction. We evaluate three approaches: text-based features, facial features, and a combination of both. Our findings show the best results are achieved by enhancing text data with speech quality assessment, with a mean absolute error of 2.85 and root mean square error of 4.02. This study underscores the potential of automated depression detection, showing text-only models as robust and effective while paving the way for multimodal analysis.