A multimodal Bayesian Network for symptom-level depression and anxiety prediction from voice and speech data

During psychiatric assessment, clinicians observe not only what patients report, but important nonverbal signs such as tone, speech rate, fluency, responsiveness, and body language. Weighing and integrating these different information sources is a challenging task and a good candidate for support by intelligence-driven tools - however this is yet to be realized in the clinic. Here, we argue that several important barriers to adoption can be addressed using Bayesian network modelling. To demonstrate this, we evaluate a model for depression and anxiety symptom prediction from voice and speech features in large-scale datasets (30,135 unique speakers). Alongside performance for conditions and symptoms (for depression, anxiety ROC-AUC=0.842,0.831 ECE=0.018,0.015; core individual symptom ROC-AUC>0.74), we assess demographic fairness and investigate integration across and redundancy between different input modality types. Clinical usefulness metrics and acceptability to mental health service users are explored. When provided with sufficiently rich and large-scale multimodal data streams and specified to represent common mental conditions at the symptom rather than disorder level, such models are a principled approach for building robust assessment support tools: providing clinically-relevant outputs in a transparent and explainable format that is directly amenable to expert clinical supervision.

Meta-Learning Approaches for Speaker-Dependent Voice Fatigue Models

Speaker-dependent modelling can substantially improve performance in speech-based health monitoring applications. While mixed-effect models are commonly used for such speaker adaptation, they require computationally expensive retraining for each new observation, making them impractical in a production environment. We reformulate this task as a meta-learning problem and explore three approaches of increasing complexity: ensemble-based distance models, prototypical networks, and transformer-based sequence models. Using pre-trained speech embeddings, we evaluate these methods on a large longitudinal dataset of shift workers (N=1,185, 10,286 recordings), predicting time since sleep from speech as a function of fatigue, a symptom commonly associated with ill-health. Our results demonstrate that all meta-learning approaches tested outperformed both cross-sectional and conventional mixed-effects models, with a transformer-based method achieving the strongest performance.