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This research introduces SMOTE-VAR, an uncertainty-aware oversampling technique designed to mitigate class imbalance in machine learning models predicting depression remission. By leveraging Gaussian process variance to filter invalid synthetic samples, the method aims to reduce false positives and improve risk stratification for clinical interventions. While the application addresses a critical need in mental health care, the core contribution remains a novel algorithmic advancement in handling data scarcity within supervised learning frameworks.
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SMOTE-VAR: An Uncertainty-Aware Oversampling Method for Predicting Depression Remission in University Students

arXiv3 min read

arXiv:2608.30102v1 Announce Type: new Abstract: University students experience disproportionately high rates of common mental health conditions, such as depression, which can impair learning, social functioning, and overall well-being. Although lifestyle interventions such as mindfulness and physical activity can reduce the symptoms, many do not achieve symptomatic remission. Developing new approaches to identify students with poor outcomes could enable earlier and more targeted intervention. Machine learning (ML) methods have increasingly been used to predict remission in depressive patients. However, these ML models often suffer from class imbalance, where there may be an unequal proportion of people in the remitted group relative to the non-remitted group. This imbalance can reduce model accuracy and bias predictions. To address this, studies commonly employ the popular oversampling strategy SMOTE. However, SMOTE has a notable limitation: it may generate invalid synthetic minority samples. In a clinical context, these false positives can lead to incorrect risk stratification, potentially delaying necessary escalated care for patients unlikely to remit. In this paper, we introduce a novel and effective oversampling method that addresses this shortcoming. Our approach leverages the variance function of a Gaussian process to estimate the uncertainty of generated minority samples to reduce false positives. We validate our method on a depression dataset collected from university students and demonstrate that it is better than existing oversampling approaches in predicting remission (i.e., treatment outcome). By improving the reliable identification of non-responders, our method provides a robust computational tool to help clinicians rapidly pivot to adjunctive therapies, thereby personalizing and optimizing mental health care pathways.

Authors:Dang Nguyen, Arun Kumar A V, Taylor A. Braund, Wu Yi Zheng, Debopriyo Bal, Leonard Hoon, Jill Newby, Helen Christensen, Svetha Venkatesh, Alexis Whitton, Sunil Gupta

Abstract:University students experience disproportionately high rates of common mental health conditions, such as depression, which can impair learning, social functioning, and overall well-being. Although lifestyle interventions such as mindfulness and physical activity can reduce the symptoms, many do not achieve symptomatic remission. Developing new approaches to identify students with poor outcomes could enable earlier and more targeted intervention. Machine learning (ML) methods have increasingly been used to predict remission in depressive patients. However, these ML models often suffer from class imbalance, where there may be an unequal proportion of people in the remitted group relative to the non-remitted group. This imbalance can reduce model accuracy and bias predictions. To address this, studies commonly employ the popular oversampling strategy SMOTE. However, SMOTE has a notable limitation: it may generate invalid synthetic minority samples. In a clinical context, these false positives can lead to incorrect risk stratification, potentially delaying necessary escalated care for patients unlikely to remit. In this paper, we introduce a novel and effective oversampling method that addresses this shortcoming. Our approach leverages the variance function of a Gaussian process to estimate the uncertainty of generated minority samples to reduce false positives. We validate our method on a depression dataset collected from university students and demonstrate that it is better than existing oversampling approaches in predicting remission (i.e., treatment outcome). By improving the reliable identification of non-responders, our method provides a robust computational tool to help clinicians rapidly pivot to adjunctive therapies, thereby personalizing and optimizing mental health care pathways.

Machine Learning (cs.LG)

arXiv:2608.30102 [cs.LG]

(or arXiv:2608.30102v1 [cs.LG] for this version)

https://doi.org/10.48550/arXiv.2608.30102 arXiv-issued DOI via DataCite (pending registration)

Full text under the publisher's open licence · 294 words

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