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March 4, 2026Tsinghua Science & Technology0 citationsOpen Access

Cross-Modal Knowledge Distillation for Depression Recognition: An Explainability Method with EEG and Pupil Area Signals

YLYizhou LiYCYu ChengXLXiaowei Li

Key Result

Cross-modal knowledge distillation from an EEG and PA-based multimodal teacher model improved pupil area unimodal model performance, achieving higher classification accuracy and F1 score in depression recognition compared to baselines.

Key Points

  • This research aims to improve depression detection by combining EEG and pupil area signals using a cross-modal knowledge distillation method.
  • Developed a multimodal teacher model using EEG and pupil area signals.
  • Created a unimodal student model based solely on pupil area signals.
  • Implemented knowledge distillation to transfer complex multimodal features to the student model.
  • Introduced Entropy-GradCAM for enhanced explainability of model performance.
  • Knowledge-distilled student models performed better by encoding more useful information.
  • The proposed method achieved optimal performance on two datasets.
  • The approach reduced reliance on difficult-to-acquire multimodal data.

Structured PICO

Does a cross-modal knowledge distillation method improve depression recognition performance in a PA-based unimodal model compared to standard unimodal training?

P
Population
Two datasets for depression recognition (specific patient demographics and sample sizes not provided in the text)
I
Intervention
Cross-modal knowledge distillation method transferring features from an electroencephalography (EEG) and pupil area (PA)-based multimodal teacher model to a PA-based unimodal student model, combined with Entropy-GradCAM explainability method
C
Comparator
PA-based unimodal model without knowledge distillation
O
Outcome
Depression recognition performance

Cross-modal knowledge distillation from an EEG/PA multimodal teacher to a PA unimodal student improves depression recognition while reducing data acquisition challenges, with mechanisms clarified by a novel Entropy-GradCAM explainability method.

Limitations

  • Datasets are relatively small and private, limiting external validation.
  • Lack of detailed demographic data and clinical characteristics of participants.
  • No randomized controlled trial design, limiting causal inference.
  • Performance metrics such as exact accuracy and p-values are not fully disclosed in the provided text.

Abstract

Multimodal physiological signals provide a more reliable data source for depression detection. For instance, combining electroencephalography (EEG) and pupil area (PA) signals can enhance depression recognition. However, EEG acquisition is challenging, limiting the practical use of EEG-based multimodal approaches, while PA signals are more accessible. Additionally, while existing explainability methods for time series models can quantify the contribution of each feature, they often fail to provide a comprehensive understanding of how these contributions drive performance improvements, limiting insights into the underlying mechanisms. To address these limitations and enhance the generalizability of PA-based depression detection models, this paper proposes a cross-modal knowledge distillation method, using an EEG and PA-based multimodal teacher model and a PA-based unimodal student model. Through knowledge distillation, complex multimodal features are transferred to the PA-based model, enhancing its performance. We also introduce Entropy-GradCAM (E-GCAM), an explainability method combining information entropy and gradient-weighted class activation mapping (Grad-CAM), to clarify mechanisms behind the student model’s performance gains. Quantitative results show that knowledge-distilled time series models encode more useful information, consistent with observed student model improvements. Experimental results demonstrate that the proposed method achieves optimal performance on two datasets, effectively reducing reliance on multimodal data and increasing the practicality of depression recognition models.

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Cite This Study

Li et al. (2026) studied Patients with depression and healthy controls assessed by EEG and pupil area signals for depression recognition (n=140). PA-based unimodal student model with cross-modal knowledge distillation from EEG and PA-based multimodal teacher model vs. Baseline PA-based unimodal model and other unimodal baseline methods was evaluated on Depression recognition classification accuracy and F1 score on pupil area data. Cross-modal knowledge distillation from an EEG and PA-based multimodal teacher model improved pupil area unimodal model performance, achieving higher classification accuracy and F1 score in depression recognition compared to baselines.

synapsesocial.com/papers/69a7cd3dd48f933b5eed972bhttps://doi.org/10.26599/tst.2025.9010147
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