<i>DoRA: D</i> ual-encoder Dem <i>o</i> nstration <i>R</i> etriever <i>A</i> rchitecture to Transfer Large Language Models for Depressive Symptom Detection

Instruction prompt tuning (IPT) uses crafted prompts and in-context demonstrations (ICD) to guide large language models (LLMs) in performing previously unseen tasks, transferring knowledge while keeping the LLM mostly frozen. Social media multi-party conversation (MPC) analysis, on the other hand, has achieved remarkable performance on in-domain tasks including exact speaker identification. However, due to several challenges such as the lack of contextual generalization, absence of adequate ICD, and biases in LLMs, significant work remains to be done for quantifying mental health on social media MPC data using out-of-domain (OOD) knowledge transfer. In this article we propose DoRA , a novel dual-encoder demonstration retriever architecture designed to transfer an LLM’s knowledge about MPC modeling for previously unseen depression screening tasks. Our method pairs soft embeddings of MPC prompts with top-ranked ICD claims for depression screening, leveraging IPT-based OOD cross-task transfer using DoRA for the first time. Experiments conducted in zero-shot and few-shot settings across benchmark datasets using multiple LLMs demonstrate significant downstream performance with DoRA . Specifically, there is a 21.54% increase in recall for depressed utterance classification and a 21.11% increase in F 1 score for depressed speaker identification. These results highlight DoRA ’s potential as a screening tool for digital mental health applications.

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Publication Details

Journal
ACM Transactions on Computing for Healthcare
Published
2025-12-04
DOI
https://doi.org/10.1145/3779213
Primary Topic
Mental Health via Writing
Type
article
Field-Weighted Citation Impact
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article

DoRA: D ual-encoder Dem o nstration R etriever A rchitecture to Transfer Large Language Models for Depressive Symptom Detection

Prasan Yapa, Zilu Liang, Ian Piumarta
ACM Transactions on Computing for Healthcare
Mental Health via Writing
article

DoRA: D ual-encoder Dem o nstration R etriever A rchitecture to Transfer Large Language Models for Depressive Symptom Detection

Prasan Yapa, Zilu Liang, Ian Piumarta
article en

Abstract

Instruction prompt tuning (IPT) uses crafted prompts and in-context demonstrations (ICD) to guide large language models (LLMs) in performing previously unseen tasks, transferring knowledge while keeping the LLM mostly frozen. Social media multi-party conversation (MPC) analysis, on the other hand, has achieved remarkable performance on in-domain tasks including exact speaker identification. However, due to several challenges such as the lack of contextual generalization, absence of adequate ICD, and biases in LLMs, significant work remains to be done for quantifying mental health on social media MPC data using out-of-domain (OOD) knowledge transfer. In this article we propose DoRA , a novel dual-encoder demonstration retriever architecture designed to transfer an LLM’s knowledge about MPC modeling for previously unseen depression screening tasks. Our method pairs soft embeddings of MPC prompts with top-ranked ICD claims for depression screening, leveraging IPT-based OOD cross-task transfer using DoRA for the first time. Experiments conducted in zero-shot and few-shot settings across benchmark datasets using multiple LLMs demonstrate significant downstream performance with DoRA . Specifically, there is a 21.54% increase in recall for depressed utterance classification and a 21.11% increase in F 1 score for depressed speaker identification. These results highlight DoRA ’s potential as a screening tool for digital mental health applications.

ACM Transactions on Computing for HealthcareVol. 7(1)
Kyoto University (JP), Ubiquitous Energy (United States) (US), Kyoto University of Advanced Science (JP)
Openalex Percentile: Top 57%
Mental Health via Writing
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