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Research Article | Open Access

TREAT: Facial Depression Recognition by Learning Joint Depression Score and Level Distribution

The First Affiliated Hospital of Jinzhou Medical University, Jinzhou 121012, China
School of Electrical Engineering, Liaoning University of Technology, Jinzhou 121001, China
School of AI Engineering, Sookmyung Women’s University, Seoul 04310, Republic of Korea
School of Computer Science and Engineering, Southeast University, Nanjing 210018, China
School of Computer Science, State University of New York, New Paltz, NY 12561, USA
Department of Mathematics, Chaudhary Charan Singh University, Meerut 250001, India
The First Affiliated Hospital of Jinzhou Medical University, Jinzhou 121012, China, also with Peng Cheng Laboratory, Shenzhen 518057, China, and also with Tsinghua Shenzhen International Graduate School, Shenzhen 518055, China

Fan Zhang and Liang Dong contribute equally to this paper.

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Abstract

Automatic depression recognition is essential to depression diagnosis. In this paper, we investigate the problem of depression recognition from facial images, each of which is labeled with one Beck Depression Inventory (BDI-II) score. Because of the ambiguity between one facial image and the depression score, the annotators may not present the accurate score but tend to give those around the ground-truth one. To solve the problem, this paper adopts label distribution to annotate each image, in which each (score) label has a relevance degree. First, we apply the Gaussian distribution to generate the depression score distributions, in which the ground-truth score attains the highest degree, while the neighborhood scores also have degrees to some extent. Thus, each image can contribute to not only its ground-truth score but also neighborhood scores. Second, we generate the depression severity level distributions from the score distributions according to the mapping relationship between BDI-II score and severity level. Finally, we propose a novel method to learn joinT depression scoRE And level distribuTion, termed as TREAT. In the experiments, we compare TREAT with several state-of-the-art methods on three publicly released datasets AVEC 2013, AVEC 2014, and AVEC 2019, and the experimental results justified that TREAT achieves the best performance.

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Tsinghua Science and Technology
Pages 2135-2148

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Cite this article:
Zhang F, Dong L, Kim B-G, et al. TREAT: Facial Depression Recognition by Learning Joint Depression Score and Level Distribution. Tsinghua Science and Technology, 2026, 31(4): 2135-2148. https://doi.org/10.26599/TST.2024.9010246

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Received: 21 May 2024
Revised: 11 October 2024
Accepted: 04 December 2024
Published: 23 December 2025
© The author(s) 2026.

The articles published in this open access journal are distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/).