Eye movement analysis for depression detection

Depression is a common and disabling mental health disorder, which impacts not only on the sufferer but also on their families, friends and the economy overall. Despite its high prevalence, current diagnosis relies almost exclusively on patient self-report and clinical opinion, leading to a number of subjective biases. Our aim is to develop an objective affective sensing system that supports clinicians in their diagnosis and monitoring of clinical depression. In this paper, we analyse the performance of eye movement features extracted from face videos using Active Appearance Models for a binary classification task (depressed vs. non-depressed). We find that eye movement low-level features gave 70% accuracy using a hybrid classifier of Gaussian Mixture Models and Support Vector Machines, and 75% accuracy when using statistical measures with SVM classifiers over the entire interview. We also investigate differences while expressing positive and negative emotions, as well as the classification performance in gender-dependent versus gender-independent modes. Interestingly, even though the blinking rate was not significantly different between depressed and healthy controls, we find that the average distance between the eyelids (`eye opening') was significantly smaller and the average duration of blinks significantly longer in depressed subjects, which might be an indication of fatigue or eye contact avoidance.

[1]  Roland Göcke,et al.  Iterative Error Bound Minimisation for AAM Alignment , 2006, 18th International Conference on Pattern Recognition (ICPR'06).

[2]  Michael Wagner,et al.  From Joyous to Clinically Depressed: Mood Detection Using Spontaneous Speech , 2012, FLAIRS.

[3]  D. Kupfer,et al.  Interval between onset of sleep and rapid-eye-movement sleep as an indicator of depression. , 1972, Lancet.

[4]  J H Mackintosh,et al.  Blink Rate in Psychiatric Illness , 1983, British Journal of Psychiatry.

[5]  N. Niedermaier,et al.  Prevention and treatment of poststroke depression with mirtazapine in patients with acute stroke. , 2004, The Journal of clinical psychiatry.

[6]  S. Nolen-Hoeksema,et al.  Sex Differences in Unipolar Depression: Evidence and Theory Background on the Affective Disorders , 1987 .

[7]  J. John Mann,et al.  Prefrontal and Cerebellar Abnormalities in Major Depression: Evidence from Oculomotor Studies , 1998, Biological Psychiatry.

[8]  Dongheng Li,et al.  Starburst: A hybrid algorithm for video-based eye tracking combining feature-based and model-based approaches , 2005, 2005 IEEE Computer Society Conference on Computer Vision and Pattern Recognition (CVPR'05) - Workshops.

[9]  L. A. Abel,et al.  Quantitative assessment of smooth pursuit gain and catch-up saccades in schizophrenia and affective disorders , 1991, Biological Psychiatry.

[10]  J. Mundt,et al.  Voice acoustic measures of depression severity and treatment response collected via interactive voice response (IVR) technology , 2007, Journal of Neurolinguistics.

[11]  Peter M. Corcoran,et al.  Statistical models of appearance for eye tracking and eye-blink detection and measurement , 2008, IEEE Transactions on Consumer Electronics.

[12]  Norbert Kathmann,et al.  Deficits in gain of smooth pursuit eye movements in schizophrenia and affective disorder patients and their unaffected relatives. , 2003, The American journal of psychiatry.

[13]  G. Andrews,et al.  The Long-Term Outcome of Depressive Illness , 1988, British Journal of Psychiatry.

[14]  W. Cullen,et al.  Research confuses me: what is the difference between case-control and cohort studies in quantitative research? , 2013, Irish medical journal.

[15]  Philip S. Holzman,et al.  Horizontal and vertical pursuit eye movements, the oculocephalic reflex, and the functional psychoses , 1980, Psychiatry Research.

[16]  L. Young,et al.  Survey of eye movement recording methods , 1975 .

[17]  S. Guze,et al.  Suicide and Primary Affective Disorders , 1970, British Journal of Psychiatry.

[18]  Paul A. Viola,et al.  Rapid object detection using a boosted cascade of simple features , 2001, Proceedings of the 2001 IEEE Computer Society Conference on Computer Vision and Pattern Recognition. CVPR 2001.

[19]  L. Henderson,et al.  Saccadic abnormalities in psychotic patients. I. Neuroleptic-free psychotic patients , 1995, Psychological Medicine.

[20]  J. Barendregt,et al.  Global burden of disease , 1997, The Lancet.

[21]  L. Matza,et al.  Misdiagnosed patients with bipolar disorder: comorbidities, treatment patterns, and direct treatment costs. , 2005, The Journal of clinical psychiatry.

[22]  N. Ambady,et al.  Thin slices of expressive behavior as predictors of interpersonal consequences: A meta-analysis. , 1992 .

[23]  F. E. Grubbs Procedures for Detecting Outlying Observations in Samples , 1969 .