Speech signals are valuable biomarkers for assessing an individuals mental health, including identifying Major Depressive Disorder (MDD) automatically. A frequently used approach in this regard is to employ features related to speaker identity, such as speaker-embeddings. However, over-reliance on speaker identity features in mental health screening systems can compromise patient privacy. Moreover, some aspects of speaker identity may not be relevant for depression detection and could serve as a bias factor that hampers system performance. To overcome these limitations, we propose disentangling speaker-identity information from depression-related information. Specifically, we present four distinct disentanglement methods to achieve this - adversarial speaker identification (SID)-loss maximization (ADV), SID-loss equalization with variance (LEV), SID-loss equalization using Cross-Entropy (LECE) and SID-loss equalization using KL divergence (LEKLD). Our experiments, which incorporated diverse input features and model architectures, have yielded improved F1 scores for MDD detection and voice-privacy attributes, as quantified by Gain in Voice Distinctiveness GV D and De-Identification Scores (DeID). On the DAIC-WOZ dataset (English), LECE using ComparE16 features results in the best F1-Scores of 80% which represents the audio-only SOTA depression detection F1-Score along with a GV D of -1.1 dB and a DeID of 85%. On the EATD dataset (Mandarin), ADV using raw-audio signal achieves an F1-Score of 72.38% surpassing multi-modal SOTA along with a GV D of -0.89 dB dB and a DeID of 51.21%. By reducing the dependence on speaker-identity-related features, our method offers a promising direction for speech-based depression detection that preserves patient privacy.

The proposed method focuses on speaker disentanglement in the context of depression detection from speech signals. Previous approaches require patient/speaker labels, encounter instability due to loss maximization, and introduce unnecessary parameters for adversarial domain prediction. In contrast, the proposed unsupervised approach reduces cosine similarity between latent spaces of depression and pre-trained speaker classification models. This method outperforms baseline models, matches or exceeds adversarial methods in performance, and does so without relying on speaker labels or introducing additional model parameters, leading to a reduction in model complexity. The higher the speaker de-identification score (DeID), the better the depression detection system is in masking a patients identity thereby enhancing the privacy attributes of depression detection systems. On the DAIC-WOZ dataset with ComparE16 features and an LSTM-only model, our method achieves an F1-Score of 0.776 and a DeID score of 92.87%, outperforming its adversarial counterpart which has an F1Score of 0.762 and 68.37% DeID, respectively. Furthermore, we demonstrate that speaker-disentanglement methods are complementary to text-based approaches, and a score-level fusion with a Word2vec-based depression detection model further enhances the overall performance to an F1-Score of 0.830.

Speech-based automatic depression detection systems have been extensively explored over the past few years. Typically, each speaker is assigned a single label (Depressive or Non-depressive), and most approaches formulate depression detection as a speech classification task without explicitly considering the non-uniformly distributed depression pattern within segments, leading to low generalizability and robustness across different scenarios. However, depression corpora do not provide fine-grained labels (at the phoneme or word level) which makes the dynamic depression pattern in speech segments harder to track using conventional frameworks. To address this, we propose a novel framework, Speechformer-CTC, to model non-uniformly distributed depression characteristics within segments using a Connectionist Temporal Classification (CTC) objective function without the necessity of input-output alignment. Two novel CTC-label generation policies, namely the Expectation-One-Hot and the HuBERT policies, are proposed and incorporated in objectives on various granularities. Additionally, experiments using Automatic Speech Recognition (ASR) features are conducted to demonstrate the compatibility of the proposed method with content-based features. Our results show that the performance of depression detection, in terms of Macro F1-score, is improved on both DAIC-WOZ (English) and CONVERGE (Mandarin) datasets. On the DAIC-WOZ dataset, the system with HuBERT ASR features and a CTC objective optimized using HuBERT policy for label generation achieves 83.15% F1-score, which is close to state-of-the-art without the need for phoneme-level transcription or data augmentation. On the CONVERGE dataset, using Whisper features with the HuBERT policy improves the F1-score by 9.82% on CONVERGE1 (in-domain test set) and 18.47% on CONVERGE2 (out-of-domain test set). These findings show that depression detection can benefit from modeling non-uniformly distributed depression patterns and the proposed framework can be potentially used to determine significant depressive regions in speech utterances.

The genetic influence on human vocal pitch in tonal and non-tonal languages remains largely unknown. In tonal languages, such as Mandarin Chinese, pitch changes differentiate word meanings, whereas in non-tonal languages, such as Icelandic, pitch is used to convey intonation. We addressed this question by searching for genetic associations with interindividual variation in median pitch in a Chinese major depression case-control cohort and compared our results with a genome-wide association study from Iceland. The same genetic variant, rs11046212-T in an intron of the ABCC9 gene, was one of the most strongly associated loci with median pitch in both samples. Our meta-analysis revealed four genome-wide significant hits, including two novel associations. The discovery of genetic variants influencing vocal pitch across both tonal and non-tonal languages suggests the possibility of a common genetic contribution to the human vocal system shared in two distinct populations with languages that differ in tonality (Icelandic and Mandarin).