ArticleSensors (Basel, Switzerland)2026
Subject-Wise Depression Screening from Eight-Channel Resting-State EEG Using Asymmetry-Aware Spectral Features and Connectivity Ablation.
Article in Sensors (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Major depressive disorder remains difficult to diagnose objectively, as routine assessment is still largely dependent on clinical interview and rating scales. Resting-state electroencephalography (EEG) is an attractive complementary modality because it is non-invasive, low-cost, and compatible with wearable sensing, but many reported EEG classification results are weakened by segment-level leakage and unclear subject identity handling. This study evaluates whether depression can be distinguished from healthy controls using a compact eight-channel resting-state EEG configuration under a strictly leakage-free subject-wise protocol. Using a widely used public EEG dataset, we first corrected a previously overlooked subject-identity ambiguity by constructing a class-aware composite key, yielding 56 valid unique participants. We then applied ten repeated subject-wise holdout splits and compared five compact baselines spanning Extra Trees and a multi-layer perceptron on asymmetry-aware spectral features and three convolutional networks on raw signals, including the EEG-specific EEGNet and ShallowConvNet architectures. Uncertainty was quantified through 95% bootstrap confidence intervals of the mean across repeats. The best model, an Extra Trees classifier using eight-channel spectral and asymmetry features, achieved a mean balanced accuracy of 93.5% with a 95% bootstrap confidence interval of 89.6% to 96.8% and a mean area under the receiver operating characteristic curve of 98.6% with a 95% bootstrap confidence interval of 96.2% to 100.0%. A connectivity ablation showed that inter-channel coherence was informative in isolation but did not improve performance when naively fused with spectral features. A feature-selection ablation did not show evidence that the 90-dimensional spectral representation was dominated by noisy or uninformative dimensions under this evaluation protocol. These results support compact, subject-wise evaluated EEG screening pipelines while highlighting the importance of rigorous leakage control.
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