Evidence map›Paper›PMID 41545479›Full record

ArticleCommunications medicine2026

Deep learning for detecting depression in individuals with and without alexithymia.

Calvin Lam, Longdi Xian, Rong Huang, Jie Chen, Kit Ying Chan, Joey W Y Chan, Steven W H Chau, Ngan Yin Chan, Shirley Xin Li, Yun-Kwok Wing and 1 more

Abstract read
In one paragraph

Article in Communications medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Calvin LamLi Chiu Kong Family Sleep Assessment Unit, Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong, China.ORCID http://orcid.org/0000-0002-8022-1633
Longdi XianLi Chiu Kong Family Sleep Assessment Unit, Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong, China.
Rong HuangLi Chiu Kong Family Sleep Assessment Unit, Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong, China.
Jie ChenLi Chiu Kong Family Sleep Assessment Unit, Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong, China.
Kit Ying ChanLi Chiu Kong Family Sleep Assessment Unit, Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong, China.ORCID http://orcid.org/0009-0009-9244-0612
Joey W Y ChanLi Chiu Kong Family Sleep Assessment Unit, Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong, China.
Steven W H ChauLi Chiu Kong Family Sleep Assessment Unit, Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong, China.
Ngan Yin ChanLi Chiu Kong Family Sleep Assessment Unit, Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong, China.
Shirley Xin LiDepartment of Psychology, The University of Hong Kong, Hong Kong, China.
Yun-Kwok WingLi Chiu Kong Family Sleep Assessment Unit, Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong, China.ORCID http://orcid.org/0000-0002-5745-5474
Tim M H LiLi Chiu Kong Family Sleep Assessment Unit, Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong, China. manholi@cuhk.edu.hk.ORCID http://orcid.org/0000-0002-6328-0105

Funding

Food and Health Bureau of the Government of the Hong Kong Special Administrative Region | Health and Medical Research Fund (HMRF) 09203066Food and Health Bureau of the Government of the Hong Kong Special Administrative Region | Health and Medical Research Fund (HMRF) 21220821
6 · The paper itself

Abstract

backgroundTo accurately detect individuals' mental health issues using artificial intelligence and self-report scales, it is crucial to recognize how personal characteristics can affect the detection. This study focuses on the role of alexithymia-a condition where individuals struggle to recognize and articulate emotions and symptoms-in the detection of depression. We aimed to determine whether deep learning models could enhance the accuracy of depression detection in people with alexithymia compared to self-report scales.

methodsWe analyzed data from 194 patients with major depressive disorder and 105 community controls, employing eight large language models (LLMs) trained on transcript text from clinician-administered structured interviews using the Hamilton Depression Rating Scale (HAMD).

resultsHere we show that generalized logistic regression analysis indicates a positive relationship between alexithymia and depression. Using the HAMD as the gold standard, individuals with alexithymia show poorer performance on the self-reported Hospital Anxiety and Depression Scale-Depression Subscale (HADS-D) in identifying depression (b = -0.37, p = .002). Four of the eight LLMs (AUCs=0.87-0.89) significantly outperform the HADS-D (AUC = 0.79) in depression detection (p <0.05). Subgroup analysis demonstrates that while LLMs achieve AUCs ranging from 0.79 to 0.96, the HADS-D only reaches an AUC of 0.35 for individuals with alexithymia.

conclusionsOur findings reveal that LLMs can potentially outperform self-report scales in detecting depression, particularly in those with alexithymia. These results highlight the importance of considering patient characteristics, such as alexithymia, when detecting depression. Deep learning analyses can enhance the accuracy of clinical assessments for depression and potentially for other mental health disorders.

Identifiers

PMID41545479
PMCPMC12917275

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.