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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Depressive, Drug Abusive, or Informative: Knowledge-aware Study of News Exposure during COVID-19 Outbreak</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Amanuel Alambo</string-name>
          <email>amanuel@knoesis.org</email>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Manas Gaur</string-name>
          <email>mgaur@email.sc.edu</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Krishnaprasad Thirunarayan</string-name>
          <email>tkprasad@knoesis.org</email>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="editor">
          <string-name>COVID-19; Spatio-Temporal-Thematic; Depressiveness; Drug
Abuse; Informativeness; Transfer Learning</string-name>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>AI Institute, University of South</institution>
          ,
          <addr-line>Carolina, Columbia, South Carolina</addr-line>
          ,
          <country country="US">USA</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Knoesis Center</institution>
          ,
          <addr-line>Dayton, Ohio</addr-line>
          ,
          <country country="US">USA</country>
        </aff>
      </contrib-group>
      <abstract>
        <p>The COVID-19 pandemic is having a serious adverse impact on the lives of people across the world. COVID-19 has exacerbated community-wide depression, and has led to increased drug abuse brought about by isolation of individuals as a result of lockdown. Further, apart from providing informative content to the public, the incessant media coverage of COVID-19 crisis in terms of news broadcasts, published articles and sharing of information on social media have had the undesired snowballing efect on stress levels (further elevating depression and drug use) due to uncertain future. In this position paper, we propose a novel framework for assessing the spatio-temporal-thematic progression of depression, drug abuse, and informativeness of the underlying news content across the diferent states in the United States. Our framework employs an attention-based transfer learning technique to apply knowledge learned on a social media domain to a target domain of media exposure. To extract news articles that are related to COVID-19 communications from the streaming news content on the web, we use neural semantic parsing, and background knowledge bases in a sequence of steps called semantic filtering. We achieve promising preliminary results on three variations of Bidirectional Encoder Representations from Transformers (BERT) model. We compare our findings against a report from Mental Health America and the results show that our fine-tuned BERT models perform better than vanilla BERT. Our study can benefit epidemiologists by ofering actionable insights on COVID-19 and its regional impact. Further, our solution can be integrated into end-user applications to tailor news for users based on their emotional tone measured on the scale of depressiveness, drug abusiveness, and informativeness.</p>
      </abstract>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>-</title>
      <p>1</p>
    </sec>
    <sec id="sec-2">
      <title>INTRODUCTION</title>
      <p>
        COVID-19 pandemic has changed our societal dynamics in diferent
ways due to the varying impact of the news articles and broadcasts
on a diverse population in the society. Thus, it is important to
place the news articles in their spatio-temporal-thematic
        <xref ref-type="bibr" rid="ref1 ref11 ref7">(Nagarajan
et al., 2009; Andrienko et al., 2013; Harbelot et al., 2015)</xref>
        contexts to
ofer appropriate and timely response and intervention. In order
to limit the scope of this research agenda, we propose to focus
on identifying regions that are exposed to depressive and drug
abusive news articles and to determine/recommend ways for timely
interventions by epidemiologists.
      </p>
      <p>
        The impact of COVID-19 on mental health has been investigated
in recent studies
        <xref ref-type="bibr" rid="ref12 ref4 ref8">(Garfin et al ., 2020; Holmes et al., 2020; Qiu et al.,
2020)</xref>
        . [4] studied the impact of repeated media exposure on the
mental well-being of individuals and its ripple efects. [ 8] underscore
the importance of a multidisciplinary study to better understand
COVID-19. Specifically, the study explores its psychological, social,
and neuroscientific impacts. [ 12] studied the psychological impact
COVID-19 lockdown had on the Chinese population. These studies,
however, do not adequately explore a technique to computationally
analyze the regional repercussions associated with media exposure
to COVID-19 that may provide a better basis for local grassroots
level action.
      </p>
      <p>
        We propose an approach to measure depressiveness, drug
abusiveness, and informativeness as a result of media exposure for
various states in the US in the months from January 2020 to March
2020. Our study is focused on the first quarter of 2020 as this period
was critical in the spread of COVID-19 and its ominous impact;
this was a period when the public faced major changes to lifestyle
including lockdown, social distancing, closure of businesses,
unemployment, and broadly speaking, complete lack of control over the
unfolding situation precipitating in severe uncertainty about the
impending future. In consequence, this continued media exposure
progressively worsened the mental health of individuals across the
board. We analyze and score news content on three orthogonal
dimensions: spatial, temporal, and thematic. For spatial, we use
state boundaries. For temporal, we use monthly data analysis. For
thematic, we score news content on the category/dimension of
depression, drug abuse and informativeness (relevant to COVID-19
but not directly connected to either depression or drug-abuse).
Our study hinges on the use of domain-specific language
modeling and transfer learning to better understand how depressiveness,
drug abusiveness, and informativeness of news articles evolve in
response to media exposure by people. We conduct the transfer
of knowledge learned on a social media platform to the domain
of exposure to news using variations of the attention-based BERT
model
        <xref ref-type="bibr" rid="ref3">(Devlin et al., 2018)</xref>
        , also called Vanilla BERT. Thus, in
addition to vanilla BERT, we fine-tune BERT models on corpora that
are representative of depression and drug abuse. Then, we compare
results obtained using the three variants of the BERT model. For
scoring depressiveness, drug abusiveness, and informativeness of
news articles, we utilize entities from structured domain knowledge
from the Patient Health Questionnaire (PHQ-9) lexicon
        <xref ref-type="bibr" rid="ref15">(Yazdavar
et al., 2017)</xref>
        , Drug Abuse Ontology (DAO)
        <xref ref-type="bibr" rid="ref2">(Cameron et al., 2013)</xref>
        ,
and DBpedia
        <xref ref-type="bibr" rid="ref10">(Lehmann et al., 2015)</xref>
        . PHQ-9 lexicon is a
knowledge base developed specifically for assessing depression, and DAO
is built to study drug abuse. Similarly, we use DBpedia, which is
a generic and comprehensive knowledge base, for assessing the
informativeness of news content.
      </p>
      <p>Having determined the scores for depressiveness, drug
abusiveness, and informativeness of news articles for each state during
the three months, we computed the aggregate score for each
thematic category by summing up the scores for the news articles. We
ifnally assigned the category with the highest score as a label for
a state. For instance, if the aggregate score of depressiveness for
the state of Iowa in the month of January 2020 is the highest of
the three thematic categories, then the state of Iowa is assigned a
label of depression for that month, which means the state of Iowa
is most exposed to depressive news contents. Thus, identifying
which states are consistently exposed to depressive or drug abusive
news contents enables policy makers and epidemiologists to devise
appropriate intervention strategies.
2</p>
    </sec>
    <sec id="sec-3">
      <title>DATA COLLECTION</title>
      <p>
        We collected 1.2 Million news articles from the Web and GDELT1 (a
resource that stores world news on significant events from diferent
countries) using semantic filtering
        <xref ref-type="bibr" rid="ref13">(Sheth and Kapanipathi, 2016)</xref>
        and spanning the period from January 01, 2020, to March 29, 2020.
We filtered news articles that did not originate from within the US
and grouped the ones that are from the US based on their state
of origination. The state-level grouped news articles had a total
of over 150K entities identified using DBpedia spotlight service 2.
However, since using a coarse filtering service such as DBpedia
spotlight over the entire news articles is not eficient and brings
in irrelevant entities, and thus noisy news articles, we utilize (“i”)
a neural parsing approach with self-attention
        <xref ref-type="bibr" rid="ref14">(Wu et al., 2019)</xref>
        to
extract relevant entities. After extracting relevant entities and news
articles, we use (“ii”) DBpedia spotlight service to identify news
articles that are related to online communications about COVID-19.
      </p>
      <p>
        For this task, we explored 780 DBpedia categories that are
relevant to COVID-19 communications to create the most relevant
set of entities and news articles. Further, upon inspection of the
news articles, we discovered medical terms that were not available
in DBpedia. As a result, we used (“iii”) the MeSH terms hierarchy
in Unified Medical Language System (UMLS), the Diagnostic and
Statistical Manual for Mental Disorders (DSM-5) lexicon
        <xref ref-type="bibr" rid="ref5">(Gaur et al.,
2018)</xref>
        , and Drug Abuse Ontology (DAO), collectively referred to
as Mental Health and Drug Abuse Knowledgebase (MHDA-Kb) to
spot additional entities. Thus, from 700K unique news articles
(which are extracted from the total of 1.2 Million news articles by
removing duplicates), we created a set of 120K unique entities that
are described by the 780 DBpedia categories and 225 concepts in
MHDA-Kb. The figures below show two examples that illustrate
entities spotted during entity extraction on a sample news article.
A news article that has entities identified using this sequence of
steps is selected for our study.
      </p>
    </sec>
    <sec id="sec-4">
      <title>METHODS</title>
      <p>
        We propose to use three variations of the BERT model for
representing news articles. In its basic form, we use vanilla BERT for encoding
news articles. For the remaining two variations, we fine-tune BERT
on a binary sequence classification task by independently training
on two corpora using masked language modeling (MLM) and next
sentence prediction (NSP) objectives. The two corpora used are: 1)
Subreddit Depression
        <xref ref-type="bibr" rid="ref15 ref5 ref6">(Gkotsis et al., 2017; Gaur et al., 2018)</xref>
        ; 2) A
combination of subreddits: Crippling Alcoholism, Opiates, Opiates
Recovery, and Addiction (abbreviated COOA), each consisting of
Reddit posts about drug abuse. Subreddit Depression has 760049
posts across 121795 Redditors, and COOA has 1416765 posts from
46183 users, both consisting of posts from the years 2005 - 2016.
Reddit posts belonging to subreddits depression or COOA are
considered positive classes and the 380444 posts from control group
(∼10K subreddits unrelated to mental health) as negative classes.
We use the following settings for training our BERT model for
sequence classification: training batch size of 16, maximum sequence
length of 256, Adam optimizer with learning rate of 2e-5, number of
training epochs set to 10, and a warmup proportion of 0.1. We used
40%-60% split for training and testing sets for creating the BERT
models and achieved a test accuracy of 89% for Depression-BERT
and 78% for Drug Abuse-BERT. We set the size of the training set
smaller than the testing set for generalizability of our models. In
this manuscript, we refer to the BERT model fine tuned on subreddit
depression as Depression-BERT or DPR-BERT, while the one nfie
tuned on subreddit COOA as Drug Abuse-BERT or DA-BERT.
      </p>
      <p>In addition to using BERT for encoding news contents, we also
use it for representing the entities in the background knowledge
bases (i.e., PHQ-9, DAO, and DBpedia). Once we have encoded the
news articles and the entities in the knowledge bases using vanilla
BERT or fine-tuned BERT model, we generated depressiveness
score, drug abusiveness score, and informativeness score
corresponding to the entities in PHQ-9, DAO, and DBpedia respectively.
The equation below gives the score of a news article for a category
given one of the BERT models:
1</p>
      <p>|EÕ |
|E | =1
 ( ) =
 (news, )
(1)
where,
m ∈ {vanilla-BERT, DPR-BERT, DA-BERT}
c ∈ {informativeness, depressiveness, drug abuse}
cossim (news, e): cosine similarity between a news content and
an entity in KB</p>
      <p>KB - a collection of entities present in PHQ-9, DBpedia, or DAO
We used the base variant of the BERT model with 12 layers, 768
hidden units, and 12 attention heads. We use PyTorch 1.5.0+cu101
for fine-tuning our BERT models. All our programs were run on
Google Colab’s NVIDIA Tesla P100 PCI-E GPU.
4</p>
    </sec>
    <sec id="sec-5">
      <title>PRELIMINARY RESULTS AND DISCUSSION</title>
      <p>In this section, we report the state-wise labels (i.e., depressive, drug
abusive, informative) for each month obtained after summing the
scores of news articles as described. The category with the highest
cumulative score is set as the label for a state.</p>
      <p>Using vanilla-BERT (Figure 5), we can see that no state shows
exposure to news content on drug abuse in January. Going from
February to March, we see depressive news content move from
inner-most states such as Missouri, Kansas, and Colorado to border
states such as California, Montana, North Dakota, and Louisiana,
making way for informative news content. Further, there are fewer
states exposed to drug-related news content than those exposed
to depressive or informative news content in February or March.
Particularly, Arizona and Virginia show consistent exposure to
drug-related news content in February and March.</p>
      <p>Using depression-BERT, as shown in Figure 6, we see that states
such as Texas, and Kansas are exposed to depressive news content
for the month of January and February while states such as
California, Montana, Alaska, and Michigan show higher consumption
of depressive news content in February and March. With regard to
informativeness, we see an overall even distribution of informative
news content across the nation in February and March. Further,
we see a few midwest states showing relatively higher instances of
news content that are informative than depressive in February and
March. It’s interesting to see a few southern states such as
Oklahoma, Texas, and Arkansas transition from exposure to depressive
news content in the month of February to drug use related news
content in the month of March.</p>
      <p>Using Drug Abuse-BERT model (Figure 7), states such as Texas,
and Wisconsin shift from exposure of depressive news content in
January to exposure of drug-related news content in February, while
states such as California, and Oklahoma transition from exposure to
depressive news content in February to drug-related news content
in March. Further, we see the informativeness of news content
sweeping from the east to the midwest, to parts of the south, and
to some parts of the west from February to March.</p>
      <p>Our results show that a fine-tuned BERT model cleanly separates
the thematic categorical scores to a state. For instance, using
DABERT for the month of March, the drug abuse score for the state
of California is much higher than the score of depressiveness or
informativeness for the same state. However, with the vanilla BERT
model, the three scores computed for the various states and months
are marginally diferent. Moreover, the results using DPR-BERT or
DA-BERT capture the state-level ranking of mental disorders by
Mental Health America 3 better than vanilla-BERT; for a few states,
the fine-tuned BERT models identify more months to have media
exposure to depression or drug abuse news content.</p>
      <p>As indicated in Table 1, we report months showing predominant
media exposure to either depressive or drug abuse news articles
using the three variants of BERT model. We use 10 of the 13 states
recognized as showing high prevalence of mental disorders
according to a report by Mental Health America on overall mental disorder
ranking. The 3 states not included in this table are Washington,
Wyoming, and Idaho. We did not consider these 3 states as these
states were not in our dataset cohort. For the Mental Health
America (MHA) report, we make a practical assumption that each of the
three months is either depressive or drug abusive for each state.
Thus, our objective is to maximize the number of months with
3https://www.mhanational.org/issues/ranking-states
exposure to depressive/drug abuse news content for each of the
10 states. We can see in Table 1 that fine-tuned BERT models help
identify more months to having exposure to depressive or drug
abuse news content than vanilla BERT does for the 10 states. For
example, using DA-BERT, five states are identified to have at least two
months showing exposure to depressive/drug abuse news content
while DPR-BERT identifies six states to having been exposed to
depressive/drug abuse news content for two months. On the other
hand, vanilla-BERT identifies only two states with depressive/drug
abuse news content for two months. To compare models with one
another and against the report by Mental Health America (MHA),
we compute a Jaccard Index between each pair of models and each
model against the report from MHA. The equation below computes
Jaccard similarity between the results of two models or a model’s
results with an MHA report.</p>
      <p>(1, 2) =
Õ| | 1 ∩ 2
 ∈  1 ∪ 2
(2)
where,
1, 2 ∈ {vanilla-BERT, DPR-BERT, DA-BERT, MHA}
 - Set of States in the US (Table 1)
1 , 2 : Number of depressive, drug abusive, or informative
months for a state “i”</p>
      <p>We report inter-model and model-to-MHA Jaccard similarity
scores computed using equation (2) in Figure 8.</p>
      <p>As shown in Figure 8, DA-BERT gives the best results against
MHA report in Jaccard similarity (0.53), which means DA-BERT
identifies over half of the state-to-month instances in MHA. On the
other hand, vanilla-BERT has a Jaccard similarity of 0.37 with MHA,
which can be interpreted as vanilla-BERT identifies a little over
one-third of the state-to-month instances in MHA. The best Jaccard
similarity is achieved between DPR-BERT and vanilla-BERT (0.7);
thus, 70% of state-to-month mappings are shared between
DPRBERT and vanilla-BERT based on Jaccard index. It’s interesting to
see DA-BERT has the same Jaccard similarity with vanilla-BERT
MHA States
with high
DPR and DA
and DPR-BERT, subsuming the former and being subsumed by the
latter in terms of depressive/drug abusive months.
5</p>
    </sec>
    <sec id="sec-6">
      <title>CONCLUSION</title>
      <p>
        In this paper, we model depressiveness, drug abusiveness, and
informativeness of news articles to assess the dominant category
characterizing each US state during each of the three months ( Jan
2020 to Mar 2020). We demonstrate the power of transfer learning
by fine-tuning an attention-based deep learning model on a
different domain and use the domain-tuned model for gleaning the
nature of media exposure. Specifically, we use background
knowledge bases for measuring depressiveness, drug abusiveness, and
informativeness of news articles. We found out DA-BERT identifies
the most number of state-to-month instances as being exposed
to depressive or drug abuse news content according to the report
from Mental Health America. In the future, we plan to incorporate
background knowledge bases in our attention-based transfer
learning framework to further investigate knowledge-infused learning
        <xref ref-type="bibr" rid="ref9">(Kursuncu et al., 2019)</xref>
        .
      </p>
    </sec>
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