用眼动数据训练深度学习模型,识别抑郁和自杀倾向。
Deep Learning Characterizes Depression and Suicidal Ideation from Eye Movements
- 分正负情感分支建模眼动时序特征,捕捉认知变化模式。
- 预测抑郁与自杀意念的AUC达0.793,特定区分自杀风险达0.826。
- 负性情绪句子下眼动差异最显著,适合精神健康筛查场景。
识别精神健康状况的生理与行为标志物是精神科长期面临的挑战。抑郁与自杀意念缺乏客观生物标记,目前主要依赖自我报告与临床访谈进行筛查和诊断。本文研究眼动追踪作为潜在筛查指标的可能性。眼动受神经网络直接调控,与注意力及情绪模式相关,但其对抑郁与自杀风险的预测价值尚不明确。我们记录了126名年轻成年人在阅读并回应情绪语句时的眼动序列,并构建了一个深度学习框架以预测其临床状态。该模型包含针对正负情感试次的独立分支,采用二维时序表示法,兼顾试次内与试次间的变化。结果表明,模型对健康对照组的抑郁与自杀意念识别达到AUC 0.793(95% CI: 0.765–0.819),对自杀风险的特异性识别达0.826(95% CI: 0.797–0.852)。模型在区分抑郁与自杀个体时也表现出中等但显著的准确性,AUC为0.609(95% CI: 0.571–0.646)。当以反应生成时刻为基准分析数据时,区分性模式更明显;负性情感语句且与抑郁/自杀者情绪一致时,效应最为显著。研究揭示眼动追踪作为精神健康评估的客观工具潜力,并强调情绪刺激对影响眼动控制的认知过程具有调节作用。
原文摘要 · Abstract (English)
Identifying physiological and behavioral markers for mental health conditions is a longstanding challenge in psychiatry. Depression and suicidal ideation, in particular, lack objective biomarkers, with screening and diagnosis primarily relying on self-reports and clinical interviews. Here, we investigate eye tracking as a potential marker modality for screening purposes. Eye movements are directly modulated by neuronal networks and have been associated with attentional and mood-related patterns; however, their predictive value for depression and suicidality remains unclear. We recorded eye-tracking sequences from 126 young adults as they read and responded to affective sentences, and subsequently developed a deep learning framework to predict their clinical status. The proposed model included separate branches for trials of positive and negative sentiment, and used 2D time-series representations to account for both intra-trial and inter-trial variations. We were able to identify depression and suicidal ideation with an area under the receiver operating curve (AUC) of 0.793 (95% CI: 0.765-0.819) against healthy controls, and suicidality specifically with 0.826 AUC (95% CI: 0.797-0.852). The model also exhibited moderate, yet significant, accuracy in differentiating depressed from suicidal participants, with 0.609 AUC (95% CI 0.571-0.646). Discriminative patterns emerge more strongly when assessing the data relative to response generation than relative to the onset time of the final word of the sentences. The most pronounced effects were observed for negative-sentiment sentences, that are congruent to depressed and suicidal participants. Our findings highlight eye tracking as an objective tool for mental health assessment and underscore the modulatory impact of emotional stimuli on cognitive processes affecting oculomotor control.
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