# Depictions of Depression in Generative AI Video Models: A Preliminary Study of OpenAI's Sora 2

arXiv: https://arxiv.org/abs/2603.19527 · HTML: https://mlsanity.com/paper/2603.19527/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 10 of its 54 references that are in the map.
- First posted on arXiv 19 Mar 2026.

## Builds on (most cited first, 10 of 10)

- [Denoising Diffusion Probabilistic Models](https://mlsanity.com/paper/2006.11239/) (2020)
- [Deep Unsupervised Learning using Nonequilibrium Thermodynamics](https://mlsanity.com/paper/1503.03585/) (2015)
- [Robust Speech Recognition via Large-Scale Weak Supervision](https://mlsanity.com/paper/2212.04356/) (2022)
- [Video Diffusion Models](https://mlsanity.com/paper/2204.03458/) (2022)
- [Make-A-Video: Text-to-Video Generation without Text-Video Data](https://mlsanity.com/paper/2209.14792/) (2022)
- [Semantics derived automatically from language corpora contain human-like biases](https://mlsanity.com/paper/1608.07187/) (2016)
- [Seedance 1.0: Exploring the Boundaries of Video Generation Models](https://mlsanity.com/paper/2506.09113/) (2025)
- [Expressing stigma and inappropriate responses prevents LLMs from safely replacing mental health providers](https://mlsanity.com/paper/2504.18412/) (2025)
- [AI-generated stories favour stability over change: homogeneity and cultural stereotyping in narratives generated by gpt-4o-mini](https://mlsanity.com/paper/2507.22445/) (2025)
- [VideoASMR-Bench: Can AI-Generated ASMR Videos Fool VLMs and Humans?](https://mlsanity.com/paper/2512.13281/) (2025)

## Abstract (arXiv)

Generative video models are increasingly capable of producing complex depictions of mental health experiences, yet little is known about how these systems represent conditions like depression. This study characterizes how OpenAI's Sora 2 generative video model depicts depression and examines whether depictions differ between the consumer App and developer API access points. We generated 100 videos using the single-word prompt "Depression" across two access points: the consumer App (n=50) and developer API (n=50). Two trained coders independently coded narrative structure, visual environments, objects, figure demographics, and figure states. Computational features across visual aesthetics, audio, semantic content, and temporal dynamics were extracted and compared between modalities. App-generated videos exhibited a pronounced recovery bias: 78% (39/50) featured narrative arcs progressing from depressive states toward resolution, compared with 14% (7/50) of API outputs. App videos brightened over time (slope = 2.90 brightness units/second vs. -0.18 for API; d = 1.59, q < .001) and contained three times more motion (d = 2.07, q < .001). Across both modalities, videos converged on a narrow visual vocabulary and featured recurring objects including hoodies (n=194), windows (n=148), and rain (n=83). Figures were predominantly young adults (88% aged 20-30) and nearly always alone (98%). Gender varied by access point: App outputs skewed male (68%), API outputs skewed female (59%). Sora 2 does not invent new visual grammars for depression but compresses and recombines cultural iconographies, while platform-level constraints substantially shape which narratives reach users. Clinicians should be aware that AI-generated mental health video content reflects training data and platform design rather than clinical knowledge, and that patients may encounter such content during vulnerable periods.