基于便携式脑电和心电的双层级融合抑郁症智能检测方法
作者:
作者单位:

1浙江中医药大学第一临床医学院,杭州310053;2浙江省中医院(浙江中医药大学附属第一医院),杭州310006;3浙江大学生物医学工程与仪器科学学院,杭州310027;4浙江大学教育部脑与脑机融合前沿科学中心,杭州310058

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基金项目:

脑科学与类脑研究国家科技重大专项(2022ZD0212400);大学生创新创业训练项目(202510344031)。


A Hierarchical Fusion Method for Intelligent Depression Detection Based on Portable EEG and ECG
Author:
Affiliation:

1The First Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou 310053, China;2Zhejiang Provincial Hospital of Traditional Chinese Medicine (The First Affiliated Hospital of Zhejiang Chinese Medical University), Hangzhou 310006, China;3College of Biomedical Engineering & Instrument Science, Zhejiang University, Hangzhou 310027, China;4MOE Frontier Science Center for Brain Science and Brain-Machine Integration, Zhejiang University, Hangzhou 310058, China

Fund Project:

Brain Science and Brain-like Intelligence Technology—National Science and Technology Major Project (No.2022ZD0212400); College Students’ Innovative Entrepreneurial Training Plan Program (No.202510344031).

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    摘要:

    重度抑郁障碍(Major depressive disorder,MDD)的传统筛查与诊断主要依赖结构化访谈和量表评估,易受主观性与场景可及性限制,难以满足基层与社区场景下的早期识别需求。为此,本文面向真实世界可扩展筛查场景,构建并验证一种基于便携式单通道脑电(Electroencephalography, EEG)与可穿戴心电(Electrocardiography, ECG)的多模态抑郁识别框架P-MFCNet(Portable multimodal fusion with CLS network)。在数据层面,设计了包含睁眼静息、负性情绪诱发、闭眼静息和半结构化访谈的多任务实验范式,并在两家医疗机构完成同步多模态采集;方法层面,提出基于Transformer与分类标记(Classification token, CLS)的双层级融合策略,分别从模态维度与任务态维度学习互补信息与条件差异,再通过层次化CLS生成样本级融合表示,并结合ResNet分类头实现MDD与HC判别。结果表明,P-MFCNet在单中心五折交叉验证中取得ACC=0.842 4、AUC=0.796 7,在跨中心外部测试中取得ACC=0.810 0、AUC=0.875 0。整体结果显示,P-MFCNet在准确率、灵敏度及综合表现方面优于单模态模型,并与对比方法相比表现出较好的性能平衡。进一步结合置零消融与注意力可视化开展事后可解释性分析,结果显示模型整体上更关注ECG/HRV相关信息,而EEG在负性诱发和静息条件下提供补充判别证据。上述结果表明,便携式EEG-ECG多模态方案在抑郁快速筛查中具有良好的应用潜力,并具备一定的跨中心泛化能力和可解释性。

    Abstract:

    Major depressive disorder (MDD) is a prevalent psychiatric disorder. Conventional screening and diagnosis mainly rely on structured interviews and rating scales, whose subjectivity and limited accessibility hinder early identification in primary care and community settings. To address this problem, this study develops and validates P-MFCNet, a portable multimodal framework for depression recognition based on single-channel electroencephalography (EEG) and wearable electrocardiography (ECG). A multi-task protocol comprising eyes-open rest, negative emotion elicitation, eyes-closed rest, and a semi-structured clinical interview was designed, and synchronized multimodal data were collected at two medical centers. P-MFCNet employs a hierarchical fusion strategy based on Transformer encoders and classification tokens (CLS) to model complementary information across modalities and differences among task states. Modality-level and task-level representations are learned separately and integrated through hierarchical CLS aggregation to generate a subject-level representation for MDD-versus-HC classification using a ResNet head. In single-center five-fold cross-validation, P-MFCNet achieves an accuracy of 0.842 4 and an AUC of 0.796 7. In cross-center external testing, it achieves an accuracy of 0.810 0 and an AUC of 0.875 0. The model outperforms unimodal EEG and ECG models in accuracy, sensitivity, and overall performance, while maintaining a favorable balance between sensitivity and specificity compared with baseline methods. Post-hoc analyses using zero-out ablation and attention visualization show that ECG/HRV features provide discriminative evidence, whereas EEG contributes complementary information under negative emotion elicitation and resting conditions. These findings demonstrate the feasibility of portable EEG-ECG fusion for depression screening and indicate cross-center generalizability and interpretability.Highlights:1. A portable single-channel EEG and wearable ECG framework is developed for scalable and accessible MDD screening.2. Hierarchical CLS-based fusion effectively integrates complementary modality information and task-specific physiological responses.3. P-MFCNet achieves strong cross-center performance and provides interpretable evidence from ECG/HRV and EEG features.

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应仡扬,裘生梁,陈熙昂,江海腾.基于便携式脑电和心电的双层级融合抑郁症智能检测方法[J].数据采集与处理,2026,(4):966-980

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  • 收稿日期:2026-02-06
  • 最后修改日期:2026-07-06
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  • 在线发布日期: 2026-08-13