基于跨模态注意力机制的可解释睡眠分期及抑郁症筛查
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Explainable Sleep Staging and Depression Screening via Cross-modal Attention Mechanism
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    摘要:

    抑郁症是一种高患病率、高复发率的精神障碍, 其早期筛查在临床实践中面临重大挑战, 现有基于生理信号的筛查方法普遍存在多模态信息利用不充分、决策过程不可解释、准确性与泛化能力有限的问题. 本文提出一种基于跨模态注意力机制的可解释睡眠分期筛查抑郁症方法. 通过构建时段与序列跨模态转换器, 融合脑电(EEG)和眼动(EOG)信号, 利用跨模态与模态内注意力机制, 实现高精度睡眠分期, 并获得可视化的分期依据. 随后, 从分期结果中提取7项睡眠结构特征, 引入具备特征选择能力的抑郁症筛查模型, 实现抑郁症筛查及关键特征解释. 在公开数据集Sleep-EDF上, 睡眠分期模型准确率达到83.57%, Macro F1 score为79.07%; 在自建数据集的抑郁症筛查任务中, 筛查模型准确率高达94.29%. 本文构建了从原始PSG信号到抑郁症筛查的端到端可解释分析路径, 为抑郁症的客观、可解释辅助筛查提供了新的技术方案.

    Abstract:

    Depression is a highly prevalent and recurrent mental disorder, and early screening remains challenging in clinical practice. Existing screening methods based on physiological signals often suffer from underutilization of multimodal information, a lack of interpretability in the decision-making process, and limited accuracy and generalization. This study proposes an interpretable sleep staging method for depression screening based on cross-modal attention mechanisms. The proposed method constructs epoch- and sequence-level cross-modal Transformers, integrates EEG and EOG signals, and leverages both cross-modal and intramodal attention to achieve high-precision sleep staging and obtain visualized staging criteria. Subsequently, seven sleep architecture features are extracted from the staging results and fed into a depression screening model with feature selection capabilities to achieve depression screening and explanation of key features. On the publicly available dataset Sleep-EDF, the sleep staging model achieves an accuracy of 83.57% and a Macro F1 score of 79.07%. In a depression screening task on a self-built dataset, the screening model achieves an accuracy of 94.29%. This study constructs an end-to-end interpretable analysis path from raw PSG signals to depression screening, providing a new technical solution for objective and explainable auxiliary screening of depression.

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黄开堃,潘伟豪,李逸滔,吴昊,潘家辉.基于跨模态注意力机制的可解释睡眠分期及抑郁症筛查.计算机系统应用,2026,35(8):163-174

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  • 收稿日期:2025-12-19
  • 最后修改日期:2026-01-09
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  • 在线发布日期: 2026-06-08
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