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MM-LLM for Depression: Towards an Augmented Intelligent Diagnosis and Intervention by Fusing Multimodal Data and Large Language Models

  • Jian Shen
  • , Yu Ma
  • , Haoran Gao
  • , Chenyang Lu
  • , Ruirui Ma
  • , Xinnan Zhou
  • , Wentian Xu
  • , Jiayue Wang
  • , Changlong Li
  • , Yiwen Ding
  • , Ran Wang
  • , Cuixia An*
  • , Yanan Zhang
  • , Chen Xu
  • , Bin Hu
  • *Corresponding author for this work
  • Beijing Institute of Technology
  • Hebei Medical University

Research output: Contribution to journalArticlepeer-review

Abstract

Depression is a highly prevalent mental disorder that remains difficult to assess and manage using traditional questionnaire- or interview-based approaches due to subjectivity and limited real-time adaptability. Existing support approaches further lack personalized interaction and adaptive feedback, limiting timely and individualized mental health support. To address these challenges, we propose MM-LLM, an augmented intelligent screening, assessment-support, and intervention-oriented response-generation framework by fusing multimodal data and Large Language Models (LLM). First, a cross-modal guidance module integrates EEG with speech and text representations using pretrained models to enhance neural discriminability. Second, a cross-domain knowledge transfer strategy aligns semantic spaces across subjects and task paradigms, enabling personalized yet generalizable modeling of depression-related features. Third, an LLM-based response-support module leverages state tracking, knowledge-graph retrieval, and retrieval-augmented generation to generate individualized supportive responses within a turn-level feedback cycle. Experimental results provide a proof-of-concept for MM-LLM's ability to enhance recognition accuracy and support response generation, while the small pilot pre-post evaluation provides only a preliminary short-term symptom-change signal that requires validation in larger controlled studies.

Original languageEnglish
JournalIEEE Transactions on Affective Computing
DOIs
Publication statusAccepted/In press - 2026
Externally publishedYes

Keywords

  • Cross-domain knowledge transfer
  • Depression recognition
  • Large language models (LLM)
  • Multimodal fusion
  • Personalized response support

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