arXiv AI

When Consistency Becomes Bias: Interviewer Effects in Semi-Structured Clinical Interviews

The paper examines automatic depression detection from doctor‑patient conversations and finds that models trained on semi‑structured interview data can achieve high accuracy by exploiting fixed interviewer prompts rather than the participants’ language. Across three datasets (ANDROIDS, DAIC‑WOZ, E‑DAIC), the authors show that restricting models to participant utterances distributes decision evidence more broadly and reflects genuine linguistic cues. The study highlights a cross‑dataset, architecture‑agnostic bias introduced by interviewer prompts and calls for analyses that localize decision evidence by time and speaker to ensure models learn from participants’ language.

arXiv Computation and Language
Aug 21

Explainable Multimodal Depression Recognition in Clinical Interviews via PHQ-Aligned Symptom Summarization

arXiv:2501. 16106v2 Announce Type: replace Abstract: Recent advances in multimodal depression recognition for clinical interviews (MDRC) have demonstrated the potential of AI systems by integrating textual, acoustic, and facial cues.

By Wenjie Zheng, Qiming Xie, Jianfei Yu, Yang Wang, Lei Cao, Fei Wang, Shijin Wang, Rui Xia, Chengqing Zong
arXiv Computation and Language
Sep 16

DiaWhisper-DPO: Role-Attributed Transcription of Clinical Interviews via Failure-Mined Preference Optimization

The paper introduces DiaWhisper-DPO, an end‑to‑end model that fine‑tunes Whisper-large-v3 with LoRA and a frame‑level role head to transcribe and attribute utterances in clinical interviews. It further refines the system using failure‑mined preference optimization (DPO) that leverages genuine decoding failures as rejected completions, eliminating the need for human preference data. On the DAIC‑WOZ dataset, DiaWhisper‑DPO attains 0.973 role accuracy and 0.119 DER, outperforming cascaded baselines by 72% and dramatically reducing seed variation, while also improving performance on the cross‑lingual PDCH‑HAMD dataset.

By Weiming Li, Ana Catarina Fidalgo Barata, Miguel Constante, Jo\~ao Miguel Sanches
arXiv Computation and Language
Sep 3

Candidate Generation and Definition-Guided Verification for Sentence-Level Depression Symptom Recognition

The paper introduces a two‑stage framework for recognizing depression symptoms at the sentence level. First, a contrastively fine‑tuned sentence encoder generates a symptom candidate for each sentence. Then, a fine‑tuned language model verifies the candidate’s presence or absence by comparing the sentence, its context, and a diagnostic definition, ensuring the model’s judgment aligns with that definition before responding.

By Weiming Li, Catarina Barata, Miguel Constante, Joao Sanches
arXiv Machine Learning
2d ago

Role-guided Speaker Deletion Verification in Clinical Psychiatry Speech Recordings with Audio Language Models

arXiv:2609.38491v1 Announce Type: new Abstract: Clinical research in psychiatry increasingly relies on large scale collection of spoken language data to identify acoustic and linguistic biomarkers. Y...

By Joseph T Colonel, Daniel Katzman, Kelsey Kirker, Adam N Davidson, Shalaila S Haas, Cheryl Corcoran, Ren\'{e} S Kahn, Guillermo Checci, Baihan Lin
arXiv Computation and Language
Sep 1

Evidence-Bounded Mental Health Reasoning from Heterogeneous Speech Protocols

The paper introduces Evidence-Bounded Mental Health Reasoning, addressing the problem that current multimodal mental health screening models treat all clinical speech protocols as equally evidential. It presents the Evidence Package Benchmark, comprising 1,870 annotated packages from six diverse protocols, and proposes EviBound, a protocol-aware framework that limits reasoning to valid evidence using a planner, acoustic consensus, and a boundary critic. EviBound outperforms existing omni-modal baselines, achieving a Depression AUROC of 0.8658 with no claim violations.

By Chengyuan Gao, Jiang Wu, Tao Lu, Jiayan Guo, Mingkun Xu, Tianyi Zang, Shangyang Li