Multimodal Gender Fairness in Depression Prediction: Insights on Data from the USA & China
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Abstract (arXiv)
Social agents and robots are increasingly being used in wellbeing settings. However, a key challenge is that these agents and robots typically rely on machine learning (ML) algorithms to detect and analyse an individual's mental wellbeing. The problem of bias and fairness in ML algorithms is becoming an increasingly greater source of concern. In concurrence, existing literature has also indicated that mental health conditions can manifest differently across genders and cultures. We hypothesise that the representation of features (acoustic, textual, and visual) and their inter-modal relations would vary among subjects from different cultures and genders, thus impacting the performance and fairness of various ML models. We present the very first evaluation of multimodal gender fairness in depression manifestation by undertaking a study on two different datasets from the USA and China. We undertake thorough statistical and ML experimentation and repeat the experiments for several different algorithms to ensure that the results are not algorithm-dependent. Our findings indicate that though there are differences between both datasets, it is not conclusive whether this is due to the difference in depression manifestation as hypothesised or other external factors such as differences in data collection methodology. Our findings further motivate a call for a more consistent and culturally aware data collection process in order to address the problem of ML bias in depression detection and to promote the development of fairer agents and robots for wellbeing.
Key facts. Cited by 7 papers in the map (data through 7 Oct 2026). Builds on 17 of its 67 references that are in the map. First posted on arXiv 7 Aug 2024.
Builds on
17 of 67 references.
References · 17
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- 2021Data Collection and Quality Challenges in Deep Learning: A Data-Centric AI Perspectivecited by 116
- 2019AVEC 2019 Workshop and Challenge: State-of-Mind, Detecting Depression with AI, and Cross-Cultural Affect Recognitioncited by 87
- 2020Investigating Bias and Fairness in Facial Expression Recognitioncited by 87
- 2021Deep Learning for Depression Recognition with Audiovisual Cues: A Reviewcited by 24
- 2020Gender Bias in Depression Detection Using Audio Featurescited by 21
- 2022Multi-modal Depression Estimation based on Sub-attentional Fusioncited by 15
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- 2023VITA: A Multi-modal LLM-based System for Longitudinal, Autonomous, and Adaptive Robotic Mental Well-being Coachingcited by 13
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- 2022Bias Reducing Multitask Learning on Mental Health Predictioncited by 9
5 more
- 2021Modeling User Empathy Elicited by a Robot Storytellercited by 7
- 2024Underneath the Numbers: Quantitative and Qualitative Gender Fairness in LLMs for Depression Predictioncited by 6
- 2024Appropriateness of LLM-equipped Robotic Well-being Coach Language in the Workplace: A Qualitative Evaluationcited by 5
- 2022Robots as Mental Well-being Coaches: Design and Ethical Recommendationscited by 3
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Built on by
Citing papers per year: 2025: 6; 2026: 1.
7 papers.
- 2025U-Fair: Uncertainty-based Multimodal Multitask Learning for Fairer Depression Detectioncited by 12
- 2025Gender Fairness of Machine Learning Algorithms for Pain Detectioncited by 3
- 2025Automatic Depression Assessment using Machine Learning: A Comprehensive Surveycited by 1
- 2025FairSSL: Fair Multimodal Self-Supervised Learningcited by 1
- 2025Who Owns The Robot?: Four Ethical and Socio-technical Questions about Wellbeing Robots in the Real World through Community Engagementcited by 0
- 2025Set to Be Fair: Demographic Parity Constraints for Set-Valued Classificationcited 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
- 2025Set to Be Fair: Demographic Parity Constraints for Set-Valued Classification6 Oct 2025
- 2025Who Owns The Robot?: Four Ethical and Socio-technical Questions about Wellbeing Robots in the Real World through Community Engagement1 Sep 2025
- 2025FairSSL: Fair Multimodal Self-Supervised Learning22 Aug 2025
- 2025Gender Fairness of Machine Learning Algorithms for Pain Detection10 Jun 2025
- 2025Automatic Depression Assessment using Machine Learning: A Comprehensive Survey9 Jun 2025
- 2025U-Fair: Uncertainty-based Multimodal Multitask Learning for Fairer Depression Detection16 Jan 2025