Automated methods have been widely used to identify and analyze mental health conditions (e.g., depression) from various sources of information, including social media. Yet, deployment of such models in real-world healthcare applications faces challenges including poor out-of-domain generalization and lack of trust in black box models. In this work, we propose approaches for depression detection that are constrained to different degrees by the presence of symptoms described in PHQ9, a questionnaire used by clinicians in the depression screening process. In dataset-transfer experiments on three social media datasets, we find that grounding the model in PHQ9’s symptoms substantially improves its ability to generalize to out-of-distribution data compared to a standard BERT-based approach. Furthermore, this approach can still perform competitively on in-domain data. These results and our qualitative analyses suggest that grounding model predictions in clinically-relevant symptoms can improve generalizability while producing a model that is easier to inspect.

Recently, Transformer-based models have been proven effective in the abstractive summarization task by creating fluent and informative summaries. Nevertheless, these models still suffer from the short-range dependency problem, causing them to produce summaries that miss the key points of document. In this paper, we attempt to address this issue by introducing a neural topic model empowered with normalizing flow to capture the global semantics of the document, which are then integrated into the summarization model. In addition, to avoid the overwhelming effect of global semantics on contextualized representation, we introduce a mechanism to control the amount of global semantics supplied to the text generation module. Our method outperforms state-of-the-art summarization models on five common text summarization datasets, namely CNN/DailyMail, XSum, Reddit TIFU, arXiv, and PubMed.