Exploring the ability of vocal biomarkers in distinguishing depression from bipolar disorder, schizophrenia, and healthy controls

BackgroundVocal features have been exploited to distinguish depression from healthy controls. While there have been some claims for success, the degree to which changes in vocal features are specific to depression has not been systematically studied. Hence, we examined the performances of vocal feat...

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Main Authors: Wei Pan, Fusong Deng, Xianbin Wang, Bowen Hang, Wenwei Zhou, Tingshao Zhu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-07-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1079448/full
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author Wei Pan
Wei Pan
Wei Pan
Fusong Deng
Xianbin Wang
Xianbin Wang
Xianbin Wang
Bowen Hang
Bowen Hang
Bowen Hang
Wenwei Zhou
Wenwei Zhou
Wenwei Zhou
Tingshao Zhu
Tingshao Zhu
author_facet Wei Pan
Wei Pan
Wei Pan
Fusong Deng
Xianbin Wang
Xianbin Wang
Xianbin Wang
Bowen Hang
Bowen Hang
Bowen Hang
Wenwei Zhou
Wenwei Zhou
Wenwei Zhou
Tingshao Zhu
Tingshao Zhu
author_sort Wei Pan
collection DOAJ
description BackgroundVocal features have been exploited to distinguish depression from healthy controls. While there have been some claims for success, the degree to which changes in vocal features are specific to depression has not been systematically studied. Hence, we examined the performances of vocal features in differentiating depression from bipolar disorder (BD), schizophrenia and healthy controls, as well as pairwise classifications for the three disorders.MethodsWe sampled 32 bipolar disorder patients, 106 depression patients, 114 healthy controls, and 20 schizophrenia patients. We extracted i-vectors from Mel-frequency cepstrum coefficients (MFCCs), and built logistic regression models with ridge regularization and 5-fold cross-validation on the training set, then applied models to the test set. There were seven classification tasks: any disorder versus healthy controls; depression versus healthy controls; BD versus healthy controls; schizophrenia versus healthy controls; depression versus BD; depression versus schizophrenia; BD versus schizophrenia.ResultsThe area under curve (AUC) score for classifying depression and bipolar disorder was 0.5 (F-score = 0.44). For other comparisons, the AUC scores ranged from 0.75 to 0.92, and the F-scores ranged from 0.73 to 0.91. The model performance (AUC) of classifying depression and bipolar disorder was significantly worse than that of classifying bipolar disorder and schizophrenia (corrected p < 0.05). While there were no significant differences in the remaining pairwise comparisons of the 7 classification tasks.ConclusionVocal features showed discriminatory potential in classifying depression and the healthy controls, as well as between depression and other mental disorders. Future research should systematically examine the mechanisms of voice features in distinguishing depression with other mental disorders and develop more sophisticated machine learning models so that voice can assist clinical diagnosis better.
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spelling doaj.art-d141de8bb0a54426b9904f5e0539b95f2023-07-28T03:14:50ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-07-011410.3389/fpsyt.2023.10794481079448Exploring the ability of vocal biomarkers in distinguishing depression from bipolar disorder, schizophrenia, and healthy controlsWei Pan0Wei Pan1Wei Pan2Fusong Deng3Xianbin Wang4Xianbin Wang5Xianbin Wang6Bowen Hang7Bowen Hang8Bowen Hang9Wenwei Zhou10Wenwei Zhou11Wenwei Zhou12Tingshao Zhu13Tingshao Zhu14Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan, ChinaSchool of Psychology, Central China Normal University, Wuhan, ChinaKey Laboratory of Human Development and Mental Health of Hubei Province, Wuhan, ChinaWuhan Wuchang Hospital, Wuchang Hospital Affiliated to Wuhan University of Science and Technology, Wuhan, ChinaKey Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan, ChinaSchool of Psychology, Central China Normal University, Wuhan, ChinaKey Laboratory of Human Development and Mental Health of Hubei Province, Wuhan, ChinaKey Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan, ChinaSchool of Psychology, Central China Normal University, Wuhan, ChinaKey Laboratory of Human Development and Mental Health of Hubei Province, Wuhan, ChinaKey Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan, ChinaSchool of Psychology, Central China Normal University, Wuhan, ChinaKey Laboratory of Human Development and Mental Health of Hubei Province, Wuhan, ChinaInstitute of Psychology, Chinese Academy of Sciences, Beijing, ChinaCAS Key Laboratory of Behavioral Science, Institute of Psychology, Chinese Academy of Sciences, Beijing, ChinaBackgroundVocal features have been exploited to distinguish depression from healthy controls. While there have been some claims for success, the degree to which changes in vocal features are specific to depression has not been systematically studied. Hence, we examined the performances of vocal features in differentiating depression from bipolar disorder (BD), schizophrenia and healthy controls, as well as pairwise classifications for the three disorders.MethodsWe sampled 32 bipolar disorder patients, 106 depression patients, 114 healthy controls, and 20 schizophrenia patients. We extracted i-vectors from Mel-frequency cepstrum coefficients (MFCCs), and built logistic regression models with ridge regularization and 5-fold cross-validation on the training set, then applied models to the test set. There were seven classification tasks: any disorder versus healthy controls; depression versus healthy controls; BD versus healthy controls; schizophrenia versus healthy controls; depression versus BD; depression versus schizophrenia; BD versus schizophrenia.ResultsThe area under curve (AUC) score for classifying depression and bipolar disorder was 0.5 (F-score = 0.44). For other comparisons, the AUC scores ranged from 0.75 to 0.92, and the F-scores ranged from 0.73 to 0.91. The model performance (AUC) of classifying depression and bipolar disorder was significantly worse than that of classifying bipolar disorder and schizophrenia (corrected p < 0.05). While there were no significant differences in the remaining pairwise comparisons of the 7 classification tasks.ConclusionVocal features showed discriminatory potential in classifying depression and the healthy controls, as well as between depression and other mental disorders. Future research should systematically examine the mechanisms of voice features in distinguishing depression with other mental disorders and develop more sophisticated machine learning models so that voice can assist clinical diagnosis better.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1079448/fulldepressionhealthy controlsschizophreniabipolar disorderi-vectorslogistic regression MFCCs
spellingShingle Wei Pan
Wei Pan
Wei Pan
Fusong Deng
Xianbin Wang
Xianbin Wang
Xianbin Wang
Bowen Hang
Bowen Hang
Bowen Hang
Wenwei Zhou
Wenwei Zhou
Wenwei Zhou
Tingshao Zhu
Tingshao Zhu
Exploring the ability of vocal biomarkers in distinguishing depression from bipolar disorder, schizophrenia, and healthy controls
Frontiers in Psychiatry
depression
healthy controls
schizophrenia
bipolar disorder
i-vectors
logistic regression MFCCs
title Exploring the ability of vocal biomarkers in distinguishing depression from bipolar disorder, schizophrenia, and healthy controls
title_full Exploring the ability of vocal biomarkers in distinguishing depression from bipolar disorder, schizophrenia, and healthy controls
title_fullStr Exploring the ability of vocal biomarkers in distinguishing depression from bipolar disorder, schizophrenia, and healthy controls
title_full_unstemmed Exploring the ability of vocal biomarkers in distinguishing depression from bipolar disorder, schizophrenia, and healthy controls
title_short Exploring the ability of vocal biomarkers in distinguishing depression from bipolar disorder, schizophrenia, and healthy controls
title_sort exploring the ability of vocal biomarkers in distinguishing depression from bipolar disorder schizophrenia and healthy controls
topic depression
healthy controls
schizophrenia
bipolar disorder
i-vectors
logistic regression MFCCs
url https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1079448/full
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