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DeepGAM: An interpretable deep neural network using generalized additive model for depression diagnosis: Data from
Chiyoung Lee1, Yeri Kim2, Seoyoung Kim2
1The University of Arizona College of Nursing, Tucson, Arizona, United States of America.
Plos One
|September 5, 2025
Summary
We developed DeepGAM, a novel deep learning model for interpretable depression diagnosis. It accurately predicts depression status using fewer features, outperforming existing methods.
Area of Science:
- Artificial Intelligence
- Machine Learning
- Computational Psychiatry
Background:
- Deep neural networks excel in various tasks but often lack interpretability, hindering clinical applications.
- Estimating depression status from personal medical data is gaining traction, yet understanding model decisions remains challenging.
- Existing black-box models make it difficult to discern the individual impact of input features on depression diagnosis.
Purpose of the Study:
- To introduce DeepGAM, a deep learning-based generalized additive model, enhancing interpretability in depression diagnosis.
- To develop a model that can identify the positive and negative impacts of individual components on depression status.
- To improve feature selection and model interpretability in the context of mental health prediction.
Main Methods:
- Proposed DeepGAM, a deep learning generalized additive model incorporating neural network-based additive functions.
- Designed network architecture and objective function for constrained, regularized, and interpretable outputs.
- Utilized a direct-through estimator (STE) for feature selection via gradient descent, enabling performance with fewer features.
Main Results:
- DeepGAM achieved the highest AUC (0.600) and F1-score (0.387), surpassing traditional neural networks and IGANN.
- STE selected five key features that performed comparably to 99 features, outperforming Lasso and Boruta.
- Demonstrated DeepGAM's interpretability and robust performance on public datasets.
Conclusions:
- DeepGAM with STE offers an accurate and interpretable approach for depression prediction.
- The model provides insights into individual feature contributions, addressing the black-box nature of deep learning.
- This method advances machine learning applications in mental health by combining predictive power with explainability.
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