Underneath the Numbers: Quantitative and Qualitative Gender Fairness in LLMs for Depression Prediction
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Abstract (arXiv)
Recent studies show bias in many machine learning models for depression detection, but bias in LLMs for this task remains unexplored. This work presents the first attempt to investigate the degree of gender bias present in existing LLMs (ChatGPT, LLaMA 2, and Bard) using both quantitative and qualitative approaches. From our quantitative evaluation, we found that ChatGPT performs the best across various performance metrics and LLaMA 2 outperforms other LLMs in terms of group fairness metrics. As qualitative fairness evaluation remains an open research question we propose several strategies (e.g., word count, thematic analysis) to investigate whether and how a qualitative evaluation can provide valuable insights for bias analysis beyond what is possible with quantitative evaluation. We found that ChatGPT consistently provides a more comprehensive, well-reasoned explanation for its prediction compared to LLaMA 2. We have also identified several themes adopted by LLMs to qualitatively evaluate gender fairness. We hope our results can be used as a stepping stone towards future attempts at improving qualitative evaluation of fairness for LLMs especially for high-stakes tasks such as depression detection.
Key facts. Cited by 6 papers in the map (data through 7 Oct 2026). Builds on 18 of its 59 references that are in the map. First posted on arXiv 12 Jun 2024.
Builds on
18 of 59 references.
References · 18
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- 2023Bias and Fairness in Large Language Models: A Surveycited by 626
- 2023"Kelly is a Warm Person, Joseph is a Role Model": Gender Biases in LLM-Generated Reference Letterscited by 196
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- 2019AVEC 2019 Workshop and Challenge: State-of-Mind, Detecting Depression with AI, and Cross-Cultural Affect Recognitioncited by 87
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- 2023Principled Instructions Are All You Need for Questioning LLaMA-1/2, GPT-3.5/4cited by 48
- 2024Disclosure and Mitigation of Gender Bias in LLMscited by 47
6 more
- 2022Connecting Algorithmic Research and Usage Contexts: A Perspective of Contextualized Evaluation for Explainable AIcited by 40
- 2023Probing Explicit and Implicit Gender Bias through LLM Conditional Text Generationcited by 31
- 2023Unveiling Gender Bias in Terms of Profession Across LLMs: Analyzing and Addressing Sociological Implicationscited by 29
- 2020Gender Bias in Depression Detection Using Audio Featurescited by 21
- 2022Bias Reducing Multitask Learning on Mental Health Predictioncited by 9
- 2022Robots as Mental Well-being Coaches: Design and Ethical Recommendationscited by 3
Built on by
Citing papers per year: 2024: 1; 2025: 4; 2026: 1.
6 papers.
- 2025U-Fair: Uncertainty-based Multimodal Multitask Learning for Fairer Depression Detectioncited by 12
- 2024Multimodal Gender Fairness in Depression Prediction: Insights on Data from the USA & Chinacited by 7
- 2025Gender Fairness of Machine Learning Algorithms for Pain Detectioncited by 3
- 2025PinLanding: Content-First Keyword Landing Page Generation via Multi-Modal AI for Web-Scale Discoverycited by 1
- 2025Who Owns The Robot?: Four Ethical and Socio-technical Questions about Wellbeing Robots in the Real World through Community Engagementcited by 0
- 2026FAIR_XAI: Improving Multimodal Foundation Model Fairness via Explainability for Wellbeing Assessmentcited by 0
- 2026FAIR_XAI: Improving Multimodal Foundation Model Fairness via Explainability for Wellbeing Assessment26 Apr 2026
- 2025Who Owns The Robot?: Four Ethical and Socio-technical Questions about Wellbeing Robots in the Real World through Community Engagement1 Sep 2025
- 2025Gender Fairness of Machine Learning Algorithms for Pain Detection10 Jun 2025
- 2025PinLanding: Content-First Keyword Landing Page Generation via Multi-Modal AI for Web-Scale Discovery1 Mar 2025
- 2025U-Fair: Uncertainty-based Multimodal Multitask Learning for Fairer Depression Detection16 Jan 2025
- 2024Multimodal Gender Fairness in Depression Prediction: Insights on Data from the USA & China7 Aug 2024