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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>NUS-IDS@eRisk2024: Ranking Sentences for Depression Symptoms using Early Maladaptive Schemas and Ensembles</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Beng Heng Ang</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Sujatha Das Gollapalli</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>See-Kiong Ng</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Institute of Data Science, National University of</institution>
          <country country="SG">Singapore</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Integrative Sciences and Engineering Programme, National University of</institution>
          <country country="SG">Singapore</country>
        </aff>
      </contrib-group>
      <abstract>
        <p>In this paper, we describe the techniques developed by our team, NUS-IDS, for eRisk2024 Task 1. This task focuses on ranking and identifying sentences from social media that express symptoms of depression as outlined in the Beck's Depression Inventory-II (BDI) questionnaire. We developed five diferent configurations for this task using ensembles of unique sets of base predictors. The base predictors use sentence-transformer models fine-tuned with Contrastive Learning using the task's training data and expressive exemplars relevant to both the BDI symptoms and the features from the well-established taxonomy of Early Maladaptive Schemas (EMS) obtained by prompting GPT-4. Among our five submitted configurations, three of them outperformed competing runs in at least two metrics. Overall, our Configuration 5 is the best performing among all runs in three out of four competition metrics for both the Majority voting and Unanimity evaluations. We further analyzed our configurations and derive insights on the complexities of Ensemble Learning as well as the use of expressive exemplars for this task.</p>
      </abstract>
      <kwd-group>
        <kwd>eol&gt;Depression Symptoms</kwd>
        <kwd>Beck's Depression Inventory-II</kwd>
        <kwd>Early Maladaptive Schemas</kwd>
        <kwd>Ensemble Learning</kwd>
        <kwd>Large Language Models</kwd>
        <kwd>Contrastive Learning</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>1. Introduction</title>
      <p>
        Depression is one of the most common mental disorders afecting at least 10 % of the global population
[
        <xref ref-type="bibr" rid="ref1 ref2 ref3">1, 2, 3</xref>
        ]. Worryingly, most people do not address their depression due to limited access to professional
mental health services, lack of awareness, and the social stigma from publicly sharing their mental
disorder [
        <xref ref-type="bibr" rid="ref4 ref5 ref6">4, 5, 6</xref>
        ]. Rather, with the rising adoption of Social Media and the anonymity that these platforms
provide, more people with depression are seeking alleviation of their disorder by posting about their
personal experiences online [
        <xref ref-type="bibr" rid="ref10 ref7 ref8 ref9">7, 8, 9, 10</xref>
        ]. However, these people form only a subset of the users of
these online platforms as there are also people who use Social Media for other purposes like socializing
and entertainment [
        <xref ref-type="bibr" rid="ref11 ref12 ref13">11, 12, 13</xref>
        ]. Hence, it is essential to identify which users are more susceptible
to depression on these platforms. This crucial step enables timely support and better intervention
outcomes for the support seekers [
        <xref ref-type="bibr" rid="ref10 ref8">8, 10</xref>
        ].
      </p>
      <p>
        Recent advances in Natural Language Processing (NLP), especially Large Language Models (LLMs)
[
        <xref ref-type="bibr" rid="ref14">14</xref>
        ], have enabled the prediction of one’s susceptibility to depression from their online posts. Most
studies used LLMs to encode a user’s posts and used the representations to predict whether a user is
depressed [
        <xref ref-type="bibr" rid="ref15 ref16">15, 16, 17, 18, 19, 20</xref>
        ]. However, this approach lacks explainability. Depression is a complex
mental disorder with symptoms that can vary significantly from person to person [ 21, 22]. Consequently,
merely predicting whether someone is depressed from their online posts excludes valuable information
on the addressable symptoms that could otherwise explain the depression and guide personalized
support [23, 24].
      </p>
      <p>To address this limitation, recent studies have approached predicting depression from its symptoms.
One of them proposed using the nine symptoms in the Patient Health Questionnaire-9 to substantiate
the prediction of depression [25]. The study found that grounding their predictions in the symptoms
not only improved their models’ generalizability across out-of-distribution data but also ofered better
explainability of the predictions. In another study, the authors augmented the explainability of their
depression prediction model by building a disease-symptom knowledge graph with the symptoms
described in clinical manuals (e.g. DSM-5) and using the graph to predict depression [26]. A later
study curated linguistic features corresponding to 13 expert-validated depression symptoms from 43
subreddit communities and used these features to predict depression [27]. Their results highlighted the
importance of symptom-specific features in improving depression prediction accuracy and reliability.</p>
      <p>Placing similar importance on depression symptoms, the eRisk2024 Task 1 “Search for Symptoms of
Depression” aims to retrieve sentences exemplifying depression symptoms from Social Media posts
[28, 29]. Unlike previous studies, this task focuses on the 21 symptoms outlined in the Beck’s Depression
Inventory-II (BDI) [30]. The BDI is a questionnaire commonly used by mental health professionals
to screen people for depression through symptoms such as “Sadness”, “Pessimism”, “Guilty Feelings”,
and “Changes in Appetite”. For this eRisk2024 task, participating teams are required to rank sentences
from a given dataset of Social Media posts according to their relevance to each symptom [28, 29].
The subsequent sections of this paper outline the contributions of our team (NUS-IDS) to this task,
detailing the techniques we developed and the performance of our configurations. We also discuss the
insights acquired from analyzing the performance of our configurations, highlighting our challenges
and exciting opportunities for future work.</p>
    </sec>
    <sec id="sec-2">
      <title>2. Related Work</title>
      <p>Recent popularity of Zero-Shot LLMs like ChatGPT1 have introduced a novel method of generating
synthetic data for data augmentation [31, 32, 33]. Models using these synthetic data typically exhibit
improved task performance, particularly in low-resource settings. However, for tasks requiring specialized
domain knowledge, performance can decline if the synthetic data are not well-aligned with the ground
truths [33]. For instance, a study in eRisk2023 Task 1 [34] used ChatGPT to synthesize Reddit posts
that exemplify specific BDI symptoms and used these posts as exemplars when scoring a sentence in
the task. However, the system from the study underperformed. Upon further investigation, the author
attributed this underperformance to the inclusion of extraneous details (e.g., “I just got back from a
great vacation ...”) in the synthesized exemplars and recommended that subsequent studies minimize
introducing irrelevant information during the synthesis. Inspired by this study, we also made use of
synthetic data in this competition. Unlike the previous study, we based our synthetic data not only
on the BDI symptoms but also on Early Maladaptive Schemas (EMS), a well-established taxonomy in
Schema Therapy. EMS are deeply ingrained, dysfunctional belief patterns formed in childhood, which
negatively influence behavior and relationships throughout one’s life [ 35]. As existing studies have
identified associations between EMS and depression [ 36, 37], we leveraged EMS to synthesize more
diverse and expressive exemplars that are relevant to the task.</p>
      <p>We also experimented with Ensemble Learning in this study. Ensemble learning is a powerful machine
learning technique that aggregates the predictions of multiple base predictors to produce a more accurate
and robust output than any single predictor could achieve independently [38, 39, 40, 38]. Previous
studies [41, 42, 43, 34, 44, 45, 46] have focused on using a single pair of a model and exemplars to score
and rank the sentences. In contrast, each of our ensembles consists of a set of base predictors, with
each base predictor being a unique pair of a model and exemplars. To increase the selection of models
available for our ensembles, we also experimented fine-tuning several pretrained sentence-transformer
models [47] with the Contrastive Learning approach [48].</p>
    </sec>
    <sec id="sec-3">
      <title>3. Methodology</title>
      <sec id="sec-3-1">
        <title>3.1. Dataset Description</title>
        <p>The organizers provided participants with TREC-formatted sentence-tagged eRisk2024 T1 test and train
datasets [28, 29]. For each set, we compiled the sentences along with their respective unique “DOCNO”
identifiers. The test dataset comprises ∼ 15M sentences from about 500k users, with an average sentence
length of ∼ 18 words. The train dataset, comprising competition data for the same task last year, includes
∼ 4M sentences from about 3k users, with an average sentence length of ∼ 14 words. Accompanying
the train dataset are gold labels for ∼ 21k sentences, each denoting relevance (0 for irrelevant; 1 for
relevant) of a sentence to a BDI symptom. Of these, 4,552 sentences are labeled relevant, while 17,028
are labeled irrelevant to some symptom. The following are some examples that are relevant to their
respective symptoms:
• I feel this emotional pain straight to my soul. (Sadness symptom)
• So basically, it feels like I’m stuck in a prison, unable to do anything but work. (Punishment</p>
        <p>Feelings symptom)
• I’m constantly fidgeting, pacing back and forth across the room, getting up from my computer
chair, sitting back down, getting back up, rinse repeat. (Agitation symptom)
• Allowing myself to become addicted to food. (Changes in Appetite symptom)</p>
        <p>From the examination of the gold labels, we discovered that most symptom-relevant sentences contain
ifrst-person personal pronouns (e.g. I, I’m, my, me, mine, myself). In contrast, symptom-irrelevant
sentences generally lack first-person personal pronouns. While also considering the task definition
that a sentence is relevant to a symptom if it conveys information about the user’s state [28, 29], we
excluded sentences that do not contain first-person personal pronouns from the datasets. After filtering
the data, we have ∼ 10M sentences in our test dataset and ∼ 1M sentences in our train dataset.</p>
      </sec>
      <sec id="sec-3-2">
        <title>3.2. Scoring, Ranking, and Retrieving Symptom-related Sentences</title>
        <p>In this study, we provided each sentence a score that indicates their relevance to a BDI symptom. This
score can be formalized as follows. Let  be any sentence from the dataset ,  an exemplar from
a set  and is related to a symptom  ∈ ℬ, and  ∈ ℳ a candidate model with which we acquire
representations. We compute the score ℛ for  with respect to , , and  as:
ℛ( | , ,  ) =
1</p>
        <p>∑︁ ((), ())
|| ∈
where  denotes the cosine similarity function, () and () represent the representations of
the sentence  and exemplar statement  from model .</p>
        <p>The score ℛ enabled us to rank sentences on their relevance to a symptom . For each , we
retrieved the top 1,000 ranked sentences and the collection over ℬ formed our submission set:
 = ⋃︁ { ∈  | (ℛ( | , ,  ) ≤ 1.0 × 103}</p>
        <p>∈ℬ</p>
      </sec>
      <sec id="sec-3-3">
        <title>3.3. Features based on Early Maladaptive Schemas</title>
        <p>EMS are entrenched patterns of thought, emotion, and behavior that often originate in childhood and
endure into adulthood, often leading to self-defeating outcomes. Young et al. [35] have delineated
18 distinct types of EMS (see Table A), which frequently underlie prevalent mental disorders like
Depression. In our on-going work [49], we curated posts from users of online mental health community
forums such as 7Cups,2 annotated these posts with EMS labels [50], clustered these posts according to</p>
        <sec id="sec-3-3-1">
          <title>2https://www.7cups.com/forum/depression/</title>
          <p>their EMS annotations, and extracted the characteristic features of each EMS from their cluster with
GPT-4.3 Following previous studies which demonstrated associations between EMS and depression
[37, 51, 52, 53], we used EMS-based features relevant to Depression to curate exemplars that are more
expressive, to augment those provided in the BDI.
3.4. Curating the Exemplars  , _ , and _+
In this study, we used three sets of exemplars4 in our configurations to score and rank each sentence.
The first set  consists of the original exemplars for each symptom in the BDI (e.g. “I feel sad much
of the time” for “Sadness”).</p>
          <p>The second set _ consists of exemplars synthesized using the features of EMS and the
BDI symptoms. Specifically, we computed the semantic similarity scores between each pair of EMS
feature and BDI symptom using a sentence-transformer model5 and retained feature-symptom pairs
that have a semantic similarity score of ≥ 0.5. We conducted a manual review of the pairs to verify
that they are logically sound. For example, the pair between the feature “Feeling angry or frustrated
towards oneself” of the Punitiveness EMS and the symptom “Suicidal Thoughts or Wishes” have been
previously reported in human subject research [54]. For each feature-symptom pair, we synthesized the
corresponding exemplars using GPT-46 and our prompt (see Table 1). As illustrated in the table, the
synthesized exemplars are more expressive about the “Suicidal Thoughts or Wishes” symptom than the
original exemplar in the BDI.</p>
          <p>For the final set of exemplars _+, we adhered to the task definition that a sentence remains
relevant even if it suggests that the user is okay with the symptom. Since most exemplars in the
preceding sets imply a negative user state, we prompted GPT-4 to generate corresponding variations of
the exemplars that could satisfy this task definition. As illustrated in Table 2, the exemplars generated
by GPT-4 with our prompt indeed adhere to the task definition.</p>
        </sec>
      </sec>
      <sec id="sec-3-4">
        <title>3.5. Ensemble Learning</title>
        <p>Ensemble learning is a machine learning technique that combines multiple base predictors to create a
more powerful and robust predictor with improved overall performance, accuracy, and generalization</p>
        <sec id="sec-3-4-1">
          <title>3We used the variant “gpt-4-1106-preview” 4The resources will be available in https://github.com/NUS-IDS/ems_mentalhealth/tree/eRisk2024T1 5https://huggingface.co/sentence-transformers/all-mpnet-base-v2 6Following our other study, we also used the variant “gpt-4-1106-preview”</title>
          <p>Output Exemplars: I keep wishing I could just disappear, frustrated that I can never live up to my
own expectations
Given the Beck’s Depression Inventory (BDI) symptom and Early
Maladaptive Schema (EMS) feature below, generate a list of example sentences, each
sentence expressing the BDI symptom and the EMS feature in first person to
reflect the state of the person.</p>
          <p>BDI symptom: Suicidal Thoughts or Wishes
EMS feature: Feeling angry or frustrated towards oneself
I can’t escape the desire to end my pain, and it’s fueled by this relentless anger</p>
          <p>I have towards myself for not being stronger</p>
          <p>A sentence will be deemed relevant to a Beck’s Depression Inventory symptom
when it conveys information about the user’s state concerning the symptom.</p>
          <p>That is, it may be relevant even when it indicates that the user is ok with the
symptom. For each sentence from the given list, generate a corresponding
sentence that indicates that the user is ok with the symptom. For example,
given the sentence “I am so sad or unhappy that I can’t stand it”, the
corresponding sentence is “I do not feel sad”.</p>
          <p>Given sentences: I just can’t shake the feeling that I’ve let myself down, and
it’s led to a profound sense of self-dislike that I can’t escape. [. . .]
Output Exemplar:</p>
          <p>I’ve learned to appreciate my eforts and I no longer feel a profound sense of
self-dislike that I can’t escape. [. . .]
compared to any individual base predictors [38, 39]. In this study, each base predictor is a unique pair of
a model  ∈ ℳ and exemplars  ∈ , with a scoring function equivalent to that described
in Section 3.2. Formally, an ensemble containing ≥ 2 base predictors can be formally described as:
ℰ = {(, ) |  ∈ ℳ,  ∈ , and  = 2, 3, . . . , }
For ensembles, ℛ is obtained from averaging the ℛ scores across all the base predictors:
ℛ( | , ℰ ) =</p>
          <p>1
1</p>
          <p>∑︁ ( ∑︁ ((), ()))
|ℰ | (, )∈ℰ || ∈</p>
          <p>For the base predictors of our ensembles, we experimented with various pretrained
sentencetransformer models and also their fine-tuned variants. 7 The fine-tuned models were obtained by
training the pretrained models using Contrastive Learning. Contrastive learning involves training a
model to learn new representations by bringing positive examples closer in the representation space
while pushing negative ones further apart [48]. This method enhances the model’s ability to diferentiate
between positive (similar) and negative (dissimilar) pairs of data and has proven efective in
information retrieval [55, 56], which is advantageous to the current task of ranking sentences for depression
symptoms.</p>
          <p>Let  ∈ ℳ represent a pretrained sentence-transformer model. We fine-tuned  via contrastive
learning using a dataset of positive and negative pairs of sentences   . The contrastive loss ℒ
can be formally defined as:
ℒ =
1</p>
          <p>∑︁
|  | (,,)∈ 
{︃‖() − ( )‖2
max(0,  − ‖ () − ( )‖)2 if  = 0
if  = 1</p>
          <p>Here,  and  are pairs of input data points from   ,  is a binary label that indicates whether
the pair is positive (1) or negative (0), and () denotes the representation of  by the model . The
margin  specifies the minimum desired distance between the representations of the negative pairs.</p>
          <p>To prepare   for contrastive learning, we made use of the given gold labels in the train dataset.
Let  be a sentence in , the gold subset of the train dataset. Each  is either related or unrelated to
a symptom , where  ∈  and  is the set of all possible symptoms covered by the BDI. To identify
positive pairs of sentences, we considered sentences  and  that are both related to the same symptom
7In this study, we use the top three pretrained sentence-transformer models for their performant sentence embeddings [47],
“all-mpnet-base-v2” (), “all-MiniLM-L12-v2” () and “all-distilroberta-v1” (). Their fine-tuned versions
are correspondingly labelled   ,   and  
. Conversely, we identified negative pairs between sentences that are not related to the same symptom.
Formally, they can be represented as:
 = {(,  , 1) |  ∈  ∧  ∈  ∧ (, ) ∧ ( , )}
 = {(,  , 0) |  ∈  ∧  ∈  ∧ (, ) ∧ ¬( , )}</p>
          <p>Collectively, ∼ 4M pairs of sentences from  and  were obtained from the gold labels in the
train dataset to form   . With this and ℒ,  is iteratively fine-tuned to improve its ability
in diferentiating between semantically similar and dissimilar sentences, which should provide better
task performance in this competition.</p>
        </sec>
      </sec>
      <sec id="sec-3-5">
        <title>3.6. Submitted Configurations</title>
        <p>This section describes our top five configurations, which we have found to achieve competitive validation
performance on the data shared as part of the eRisk 2024 competition.
3.6.1. Configuration 1
This configuration uses only the fine-tuned model
sentences.</p>
        <p>and the exemplars  to score the
1</p>
        <p>∑︁
|,| ∈,
ℛ1( | ,   ,  ) =
(  (),   ())
3.6.2. Configuration 2
Configuration 2 extends from the previous configuration by using an ensemble involving   ,
  , and   . Following the previous, this configuration uses the exemplars  when
scoring the sentences.</p>
        <p>ℰ2 = {(  ,  ), (  ,  ), (  ,  )}
ℛ2( | , ℰ2) =</p>
        <p>1
1</p>
        <p>∑︁ ( ∑︁ ((), ()))
|ℰ2| (, )∈ℰ2 || ∈
3.6.3. Configuration 3
Configuration 3 is also an ensemble involving the same models as Configuration 2. Unlike the latter,
Configuration 3 involved augmenting  with the other exemplar sets _ and _+.
Formally, this ensemble can be expressed as:
ℰ3 = {(  ,  ∪ _ ), (  ,  ∪ _ ),
(  ,  ∪ _ )}
ℰ3 = {(  ,  ∪ _ ∪ _+)
(  ,  ∪ _ ∪ _+),
(  ,  ∪ _ ∪ _+)}</p>
        <p>ℰ3 = ℰ3 ∪ ℰ3
3.6.4. Configuration 4
3.6.5. Configuration 5
Configuration 4 is an ensemble that combines the base predictors used in the ensembles of both
Configuration 2 and 3, specifically:</p>
        <p>ℰ4 = ℰ2 ∪ ℰ3
Configuration 5 is a variant of Configuration 4. Instead of using the fine-tuned models in
their pretrained versions.
ℰ2, we used
ℰ2_ = {(,  ), (,  ), (,  )}</p>
        <p>ℰ5 = ℰ3 ∪ ℰ2_</p>
      </sec>
    </sec>
    <sec id="sec-4">
      <title>4. Results</title>
      <p>A total of 29 systems were submitted by all participating teams for this task. Table 3 and 4 present the
performance of our configurations. In these tables, we highlighted the best performance for each of the
evalution metric in bold for the top-2 runs shared by the competition organizers [28, 29]. Performance
of our configurations was evaluated along the metrics of Average Precision (AP), R-Precision (R-PREC),
Precision at 10 (P@10), and Normalized Discounted Cumulative Gain at 1000 (NDCG). The performance
in Table 3 were computed by comparing the output from a configuration against the organizer’s
majority-voted ground truths of the test dataset. On the other hand, Table 4 reflected the performance
with respect to the unanimity ground truths of the test dataset.</p>
      <p>NDCG
0.591
0.795
0.752
0.771
0.786
0.757</p>
      <p>NDCG
0.551
0.630</p>
      <p>Across all runs, Configuration 5 is the best performing along the metrics AP, R-PREC, and NDCG
in both Majority voting and Unanimity evaluations. For these metrics, Configuration 5 yielded 0.375,
0.434, and 0.631 respectively in the Majority voting evaluation, and 0.392, 0.436, and 0.692 in the
Unanimity evaluation. Similar to Configuration 5 but only for Unanimity evaluation, Configuration 2
and 4 also performed better than the best run from the other teams in terms of AP, R-PREC, and NDCG.
For Majority voting evaluation, however, both configurations only performed better in R-PREC and
NDCG. Although Configuration 1 and 3 did not surpass the best run from the other teams in most
metrics, the performance of these configurations are still marginally competitive. Likewise, although
our configurations didn’t attain the best score for P@10, they still achieved P@10 performance that
closely approached the best performance from the other teams. Our best performing Configuration 5
yielded P@10 of 0.924 for Majority voting and 0.795 for Unanimity evaluation. In comparison, the best
run from the other teams obtained the corresponding scores of 0.986 and 0.833. Overall, the performance
of our configurations highlights their efectiveness in ranking and identifying sentences relevant to the
symptoms of depression.</p>
      <p>We noted that Configuration 5 performed best amongst all our configurations on the competition
test dataset, as evaluated by the organizers. Configuration 4 though comprising of an ensemble of
ifned-tuned models for all base predictors obtained lower performance than Configuration 5 which is
a mix of fine-tuned as well as pretrained sentence transformers. We hypothesize that this outcome,
contrary to our expectation, signals the underlying complexities among and within each base predictor
of an ensemble (e.g. model  and exemplars  compatibility) that could have a greater influence
on the overall performance than just solely the use of fine-tuned models. Certainly, this is something
interesting to investigate further in subsequent studies.</p>
      <p>Similarly, though Configuration 3 which supplemented  with more expressive exemplars from
_ and _+, its performance is lower than Configuration 2 which uses  alone.
We posit that this discrepancy might be due to the task’s inherent bias for shorter sentences and
those with explicit keywords. As an example, for the BDI symptom “Sadness”, compare between the
sentence “I am always sad” and a more expressive one “Today I feel more depressed and miserable
than I felt in a very long time (I am generally a happy guy)”. The first is a short sentence that explicitly
mentioned “sad”, a phrase which forms part of the symptom’s name. In contrast, the latter sentence
while expressing a semantic that is relevant to “Sadness” provides greater elaboration and does not
contain any explicit mentions of the symptom. Since the ground truths for the test dataset were derived
from the top-k sentences pooled from all participating teams [28, 29] and given that most runs likely
ranked short-explicit sentences in the top-k, configurations that favored more expressive sentences in
the rankings (e.g. Configuration 3) could have been undervalued. This might explain the overall lower
performance of Configuration 3 with respect to Configuration 2. Still, the latter sentence in the example
above shows that expressive sentences could provide greater detail and practical value to a therapy
than the short explicit ones. Therefore, future work could consider evaluation methods that more fairly
address these expressive sentences in the rankings.</p>
    </sec>
    <sec id="sec-5">
      <title>5. Conclusion</title>
      <p>This paper summarizes our team’s (NUS-IDS) contributions and methods developed for the “eRisk2024
Task 1: Search for Symptoms of Depression” competition. Configuration 5, an ensemble consisting of
unique base predictors of model and exemplars, performed best in three out of four evaluation metrics
among all 29 submitted runs in both Majority voting and Unanimity evaluations. Additionally, our
Configuration 2 and 4 outperformed the best run from the other teams along three metrics in Unanimity
evaluation and two metrics in Majority voting evaluation. These results highlight the efectiveness of
our configurations in ranking and identifying symptoms of depression from online texts. However,
there are still unresolved questions when comparing the performance amongst our configurations,
indicating opportunities for future research. Firstly, further investigation is needed to unravel the
complexities among the base predictors of an ensemble and their influence over the overall performance.
Secondly, future studies could explore evaluation methods that more fairly address expressive yet less
explicit sentences in the rankings for a BDI symptom.</p>
    </sec>
    <sec id="sec-6">
      <title>Acknowledgments</title>
      <p>This research/project is supported by the National Research Foundation, Singapore under its AI
Singapore Programme (AISG Award No: AISG-GC-2019-001-2B).
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    </sec>
    <sec id="sec-7">
      <title>A. Early Maladaptive Schemas (EMS)</title>
      <p>Entitlement/Grandiosity
Failure to Achieve
Insuficient Self-Control/
Self-Discipline
Mistrust/Abuse
Negativity/Pessimism
Punitiveness
Self-Sacrifice
Social Isolation/Alienation
Subjugation
Unrelenting
Standards/Hypercriticalness
Vulnerability to Harm or
Illness
Description
The perception that others will not be reliable to provide
emotional support or connection, leading to a sense of
instability and insecurity.</p>
      <p>A constant desire for approval, recognition, or
acceptance from others to the extent that one compromises
their authentic self.</p>
      <p>A deep-seated belief that one is flawed, unlovable, or
inferior, leading to feelings of shame and inadequacy.
A belief in one’s inability to handle daily responsibilities
or make appropriate decisions independently.
The belief that one’s emotional needs will not be
adequately met by others.</p>
      <p>The suppression or inhibition of emotions, often due
to a fear of losing control or being overwhelmed by
intense feelings.</p>
      <p>An overly intense emotional attachment and proximity
to one or more important individuals (typically parents),
which hinders the process of becoming an independent
individual and impedes normal social development.
An exaggerated sense of self-importance and a belief
that one deserves special treatment.</p>
      <p>The belief that one has failed or will inevitably fail in
achieving personal and practitioner goals, leading to a
sense of underachievement.</p>
      <p>An inability to control impulses, leading to dificulty in
achieving long-term goals.</p>
      <p>A belief that others are likely to deceive, take advantage
of, or harm the person emotionally or physically.
A pervasive focus on the negative aspects of life, while
neglecting the positive aspects.</p>
      <p>The belief that harsh punishment is deserved for
perceived mistakes or failures.</p>
      <p>The belief that one must meet the needs of others at
the expense of one’s own needs and desires.
The belief that one is diferent from others, leading to a
sense of isolation and dificulty connecting with others.
A tendency to prioritize others’ needs and desires over
one’s own because one feels coerced.</p>
      <p>The belief that one must meet high standards of
performance, usually to avoid criticism.</p>
      <p>The belief that catastrophic events are imminent,
leading to excessive worry and Anxiety about potential
harm or illness.</p>
      <p>Example
I worry that people I feel close
to will leave me or abandon me.</p>
      <p>Unless I get a lot of attention
from others, I feel less
important.</p>
      <p>I cannot understand how
anyone could love me.</p>
      <p>I feel that I need someone I can
rely on to give me advice about
practical issues.</p>
      <p>For much of my life, I haven’t
felt that I am special to
someone.</p>
      <p>People see me as uptight
emotionally.</p>
      <p>I often found myself constantly
turning to my parents for
approval in every decision I made.</p>
      <p>I get very irritated when people
won’t do what I ask of them.</p>
      <p>I am humiliated by my failures
and inadequacies in the work
(or school) sphere.</p>
      <p>I often do things impulsively
that I later regret.</p>
      <p>I have been physically,
emotionally, or sexually abused by
important people in my life.</p>
      <p>People close to me consider me
a worrier.</p>
      <p>I’m a bad person who deserves
to be punished.</p>
      <p>No matter how much I give, I
feel it is never enough.</p>
      <p>I always feel on the outside of
groups.</p>
      <p>I let other people have their
way, because I fear the
consequences.</p>
      <p>I can’t let myself of the hook
easily or make excuses for my
mistakes.</p>
      <p>I feel that the world is a
dangerous place.</p>
    </sec>
  </body>
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