1
|
Ding Z, Chen J, Zhong BL, Liu CL, Liu ZT. Emotional stimulated speech-based assisted early diagnosis of depressive disorders using personality-enhanced deep learning. J Affect Disord 2025; 376:177-188. [PMID: 39914753 DOI: 10.1016/j.jad.2025.01.136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/10/2024] [Revised: 01/15/2025] [Accepted: 01/26/2025] [Indexed: 02/11/2025]
Abstract
BACKGROUND Early diagnosis of depression is crucial, and speech-based early diagnosis of depression is promising, but insufficient data and lack of theoretical support make it difficult to be applied. Therefore, it is valuable to combine psychiatric theories, collect speech recognition data for depression, and develop a practicable recognition method for depression. METHODS In this study, 24 patients with major depressive disorders (MDDs) and 36 healthy controls (HCs) were recruited to participate in a multi-task speech experiment. Descriptive statistics and tests of variance were used to analyze subjects' personality and speech changes. Subsequently, the speech task with the most depressive cues was explored using the Bidirectional Long - Short Term Memory (Bi-LSTM) algorithm, on which a personality-assisted multitasking deep model, i.e., multi-task attentional temporal convolutional network model (TCN-MTA). RESULTS Statistical analyses of speech duration showed that the fable reading, neutral stimulus, and negative stimulus tasks had significant differences on subjects' speech duration, and the negative stimulus task had significant differences between the depressed and control groups (p < 0.001, 0.03, 0.04). Notably, the Big Five personality emotional stability scores were significantly different between the depressed and control groups (0.03). Depression was best identified using Bi-LSTM in negative (Youden index = 0.44) and positive stimulus speech (Youden index = 0.42). Further, the specificity of 0.72 and sensitivity of 0.87 for recognizing depression in negative stimulus speech using our proposed TCN-MTA outperforms existing methods. LIMITATIONS The sample size enrolled in this study is higher than the minimum sample size calculated through G-Power 3.1, but the sample size in this study is still small. CONCLUSION The proposed deep learning-based personality-assisted multitasking method could accurately recognize major depression, which demonstrated the potential of the method based on the fusion of specialized theories and artificial intelligence.
Collapse
Affiliation(s)
- Zhong Ding
- School of Education, China University of Geosciences, Lumo Road, Wuhan 430074, Hubei, China; Psychological Science and Health Research Center, China University of Geosciences, Lumo Road, Wuhan 430074, Hubei, China
| | - Jing Chen
- Wuhan Mental Health Center, Jianshe Avenue, Wuhan 430032, Hubei, China; Wuhan Hospital for Psychotherapy, Jianshe Avenue, Wuhan 430032, Hubei, China
| | - Bao-Liang Zhong
- Psychological Science and Health Research Center, China University of Geosciences, Lumo Road, Wuhan 430074, Hubei, China; Wuhan Mental Health Center, Jianshe Avenue, Wuhan 430032, Hubei, China; Wuhan Hospital for Psychotherapy, Jianshe Avenue, Wuhan 430032, Hubei, China.
| | - Chen-Ling Liu
- School of Education, China University of Geosciences, Lumo Road, Wuhan 430074, Hubei, China; Psychological Science and Health Research Center, China University of Geosciences, Lumo Road, Wuhan 430074, Hubei, China.
| | - Zhen-Tao Liu
- Psychological Science and Health Research Center, China University of Geosciences, Lumo Road, Wuhan 430074, Hubei, China; School of Automation, China University of Geosciences, Lumo Road, Wuhan 430074, Hubei, China.
| |
Collapse
|
2
|
Pfeiffer S, Peixoto Pereira N, Saraiva de Macedo Lisboa C. Fears of Compassion Scales: Cross-Cultural Adaptation and Validity Evidence for Use in Brazil. TRENDS IN PSYCHOLOGY 2022. [PMCID: PMC9360723 DOI: 10.1007/s43076-022-00220-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
|
3
|
Abstract
Como motivação pró-social, a compaixão tende a promover maior envolvimento em mentalidades de cuidado e ações de senso coletivo, capacidades prejudicadas pelos medos da compaixão. O estudo objetivou investigar o papel dos medos da compaixão em fatores envolvidos no engajamento às medidas de distanciamento social. 284 adultos (idade média = 36,47) responderam as Escalas de Medos da Compaixão, Escala de Dificuldades de Regulação Emocional e um questionário sobre engajamento aos protocolos contra a COVID-19. Um modelo de path analysis explicou 32% da variância na adesão aos protocolos por duas vias: o medo de ser compassivo por outros diminui o engajamento por motivações pró-sociais; enquanto os medos de expressar compaixão por si e outros predizem maiores dificuldades de regulação emocional, diminuindo a aderência por exaustão emocional. Oportunizar o desenvolvimento da compaixão pode contribuir para um enfrentamento mais saudável às dificuldades emocionais suscitadas pela pandemia e no envolvimento em ações coletivas.
Collapse
|
4
|
Saarinen A, Keltikangas-Järvinen L, Viding E, Dobewall H, Kaseva K, Lehtimäki T, Raitakari O, Hintsanen M. Compassion protects against vital exhaustion and negative emotionality. MOTIVATION AND EMOTION 2021; 45:506-517. [PMID: 34720257 PMCID: PMC8550749 DOI: 10.1007/s11031-021-09878-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/02/2021] [Indexed: 11/25/2022]
Abstract
We investigated (i) the predictive relationships of compassion with negative emotionality (a marker of susceptibility to stress) and vital exhaustion (a marker of chronic stress response) and (ii) the effect of compassion on the developmental courses of negative emotionality and vital exhaustion over a follow-up from early adulthood to middle age. We used the prospective Young Finns data (n = 1031-1495, aged 20-50). Compassion was evaluated in 1997, 2001, and 2012; and vital exhaustion and negative emotionality in 2001, 2007, and 2012. The predictive paths from compassion to vital exhaustion and negative emotionality were stronger than vice versa: high compassion predicted lower vital exhaustion and lower negative emotionality. The effect of high compassion on lower vital exhaustion and lower negative emotionality was evident from early adulthood to middle age. Overall, high compassion appears to protect against dimensions of stress from early adulthood to middle age, whereas this study found no evidence that dimensions of stress could reduce disposition to feel compassion for others' distress over a long-term follow-up. SUPPLEMENTARY INFORMATION The online version contains supplementary material available at 10.1007/s11031-021-09878-2.
Collapse
Affiliation(s)
- Aino Saarinen
- Research Unit of Psychology, University of Oulu, Oulu, Finland
- Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland
| | | | - Essi Viding
- Division of Psychology and Language Sciences, University College London, London, UK
| | - Henrik Dobewall
- Research Unit of Psychology, University of Oulu, Oulu, Finland
| | - Kaisa Kaseva
- Cicero Learning, Faculty of Educational Sciences, University of Helsinki, Helsinki, Finland
| | - Terho Lehtimäki
- Department of Clinical Chemistry, Fimlab Laboratories, and Finnish Cardiovascular Research Center, Tampere, Finland
- Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland
| | - Olli Raitakari
- Centre for Population Health Research, University of Turku and Turku University Hospital, Turku, Finland
- Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland
- Department of Clinical Physiology and Nuclear Medicine, Turku University Hospital, Turku, Finland
| | - Mirka Hintsanen
- Research Unit of Psychology, University of Oulu, Oulu, Finland
| |
Collapse
|
5
|
Gutiérrez-Hernández ME, Fanjul LF, Díaz-Megolla A, Reyes-Hurtado P, Herrera-Rodríguez JF, Enjuto-Castellanos MDP, Peñate W. COVID-19 Lockdown and Mental Health in a Sample Population in Spain: The Role of Self-Compassion. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:2103. [PMID: 33670059 PMCID: PMC7926975 DOI: 10.3390/ijerph18042103] [Citation(s) in RCA: 33] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/24/2021] [Revised: 02/13/2021] [Accepted: 02/15/2021] [Indexed: 12/14/2022]
Abstract
Previous data support that mental health is affected during pandemic and lockdown situations. Yet, little is known about the positive factors that protect mental health during a lockdown. This study analyzed mental health status-particularly emotional problems-and the role of several sociodemographic and clinical variables; it also explored whether there is a positive relationship between self-compassion and better mental health status. A cross-sectional study was carried out in Spain with the participation of 917 fluent Spanish-speaking residents in a survey conducted approximately midway through the COVID-19 lockdown. The survey tested for anxiety, depression, and stress using the Depression Anxiety Stress Scale-21 (DASS-21), the Self-Compassion Scale (SCS) to measure self-compassion values, and the Perceived Vulnerability to Disease Questionnaire (PVDQ) to assess the degree of risk perceived by participants. Around 30% of the individuals surveyed (recruited by snowball sampling) showed clinically significant levels of anxiety, depression, and stress. The variables most frequently associated with anxiety, depression, and stress were low levels of self-compassion, age, gender, previous physical symptoms, a previous mental disorder, being a student, and perceived vulnerability to disease. We discuss the hypothetical protective role against anxiety, depression, and stress of certain skills such as self-compassion and the possibility that increasing self-compassion may be used to promote better mental health in similar situations.
Collapse
Affiliation(s)
- María Elena Gutiérrez-Hernández
- School of Medicine, Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas, Spain;
- Servicio de Psiquiatría, Complejo Hospitalario Universitario Insular-Materno Infantil, 35016 Las Palmas, Spain; (P.R.-H.); (J.F.H.-R.)
| | - Luisa Fernanda Fanjul
- School of Medicine, Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas, Spain;
| | - Alicia Díaz-Megolla
- Departamento de Educación, Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas, Spain;
| | - Pablo Reyes-Hurtado
- Servicio de Psiquiatría, Complejo Hospitalario Universitario Insular-Materno Infantil, 35016 Las Palmas, Spain; (P.R.-H.); (J.F.H.-R.)
| | - Jonay Francisco Herrera-Rodríguez
- Servicio de Psiquiatría, Complejo Hospitalario Universitario Insular-Materno Infantil, 35016 Las Palmas, Spain; (P.R.-H.); (J.F.H.-R.)
| | | | - Wenceslao Peñate
- Departamento de Psicología Clínica, Psicobiología y Metodología, Universidad de La Laguna, 38200 Santa Cruz de Tenerife, Spain;
- Instituto Universitario de Neurociencia, Universidad de La Laguna, 38200 Santa Cruz de Tenerife, Spain
| |
Collapse
|
6
|
Kim JJ, Kent KM, Cunnington R, Gilbert P, Kirby JN. Attachment styles modulate neural markers of threat and imagery when engaging in self-criticism. Sci Rep 2020; 10:13776. [PMID: 32792601 PMCID: PMC7426808 DOI: 10.1038/s41598-020-70772-x] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Accepted: 08/04/2020] [Indexed: 11/09/2022] Open
Abstract
Attachment styles hold important downstream consequences for mental health through their contribution to the emergence of self-criticism. To date, no work has extended our understanding of the influence of attachment styles on self-criticism at a neurobiological level. Herein we investigate the relationship between self-reported attachment styles and neural markers of self-criticism using fMRI. A correlation network analysis revealed lingual gyrus activation during self-criticism, a marker of visual mental imagery, correlated with amygdala activity (threat response). It also identified that secure attachment positively correlated with lingual gyrus activation, whilst avoidant attachment was negatively correlated with lingual gyrus activation. Further, at greater levels of amygdala response, more securely attached individuals showed greater lingual gyrus activation, and more avoidantly attached individuals showed less lingual gyrus activation. Our data provide the first evidence that attachment mechanisms may modulate threat responses and mental imagery when engaging in self-criticism, which have important clinical and broader social implications.
Collapse
Affiliation(s)
- Jeffrey J Kim
- Compassionate Mind Research Group, School of Psychology, The University of Queensland, Level 3 Building 24a, St Lucia, Brisbane, QLD, 4072, Australia. .,The Centre for Advanced Imaging, The University of Queensland, Brisbane, QLD, Australia.
| | - Kirsty M Kent
- Compassionate Mind Research Group, School of Psychology, The University of Queensland, Level 3 Building 24a, St Lucia, Brisbane, QLD, 4072, Australia
| | - Ross Cunnington
- Compassionate Mind Research Group, School of Psychology, The University of Queensland, Level 3 Building 24a, St Lucia, Brisbane, QLD, 4072, Australia
| | - Paul Gilbert
- Compassionate Mind Research Group, School of Psychology, The University of Queensland, Level 3 Building 24a, St Lucia, Brisbane, QLD, 4072, Australia.,School of Allied Health and Social Care, University of Derby, Derby, DE22 1GB, UK
| | - James N Kirby
- Compassionate Mind Research Group, School of Psychology, The University of Queensland, Level 3 Building 24a, St Lucia, Brisbane, QLD, 4072, Australia
| |
Collapse
|
7
|
Kim JJ, Henderson T, Best T, Cunnington R, Kirby JN. Neural and Self-Report Markers of Reassurance: A Generalized Additive Modelling Approach. Front Psychiatry 2020; 11:566141. [PMID: 33173515 PMCID: PMC7538506 DOI: 10.3389/fpsyt.2020.566141] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/03/2020] [Accepted: 09/01/2020] [Indexed: 12/17/2022] Open
Abstract
Research has shown that engaging in self-reassurance, a compassionately motivated cognitive relating style, can down-regulate neural markers of threat and pain. Whilst important, the relationship between neural and self-report markers of reassurance are largely unknown. Here we analyzed previously published fMRI data which measured neural responses when participants engaged in self-reassurance toward a mistake, setback, or failure. Within the present paper, we identified correlations between regions of interest extracted during self-reassurance with fMRI and self-report data. Using generalized additive modelling, we show that participants with greater inadequate forms of self-criticism exhibited greater neural activation within the medial prefrontal cortex (MPFC) and anterior insula (AI). Furthermore, a relationship between greater fears of expressing compassion to the self and neural activation within the MPFC returned non-significant after correction for multiple comparisons. No significant relationships were observed between brain activation and hated and reassuring forms of self-criticism. Our results identify preliminary evidence for neural activity during self-reassurance as correlated with self-report markers, and we outline a method for modelling neural and self-report data which can be applied to future studies in compassion science, particularly with a clinical sample.
Collapse
Affiliation(s)
- Jeffrey J Kim
- Compassionate Mind Research Group, School of Psychology, The University of Queensland, Brisbane, QLD, Australia.,The Centre for Advanced Imaging, The University of Queensland, Brisbane, QLD, Australia
| | | | - Talitha Best
- School of Health, Medical and Applied Sciences, Central Queensland University, Brisbane, QLD, Australia
| | - Ross Cunnington
- Compassionate Mind Research Group, School of Psychology, The University of Queensland, Brisbane, QLD, Australia
| | - James N Kirby
- Compassionate Mind Research Group, School of Psychology, The University of Queensland, Brisbane, QLD, Australia
| |
Collapse
|