1. Introduction
Currently, approximately 970 million people suffer from mental disorders, which usually lead to varying degrees of impairment in cognitive, emotional, and behavioral mental activities [
1]. Typical mental disorders include schizophrenia, epilepsy, depression, and so on. Schizophrenia is a severe mental disorder marked by symptoms such as hallucinations, delusions, disordered thinking, erratic behavior, and agitation. Particularly, more devastating than other mental disorders, acute schizophrenia significantly reduces the life expectancy of those affected by nearly 20 years compared to the general population [
2]. Second, epilepsy, a neurological condition caused by abnormal electrical discharges in the brain, results in episodes characterized by loss of consciousness and prolonged seizures, affecting about 50 million people globally [
3]. Lastly, depression is a profoundly debilitating mental health disorder characterized by persistent sadness, self-doubt, and even severe suicidal tendencies [
4]. Based on statistics from the World Health Organization (WHO), an estimated 4.4% of the global population, which equates to approximately 322 million people, are currently living with depression [
5]. During the first year of the Coronavirus Disease 2019 (COVID-19) pandemic, the incidence of depression saw a significant rise of 25%. This increase translates to approximately 80 million additional cases of depression. Despite continuous updates to diagnostic instruments and treatment methods, the scarcity of medical equipment and outdated healthcare standards means that few patients are identified early and receive timely treatment. Hence, mental disorders are spreading progressively worldwide [
6].
Undoubtedly, early detection of mental disorders is vital. However, their diagnosis relies heavily on the doctor’s experience of the patient’s symptoms and medical expertise, making it highly subjective. For example, in the diagnosis of depression, in addition to the use of self-rating scales from the
International Classification of Diseases, 11th Edition (ICD-11) [
7] and the
Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) [
8], there are also traditional psychometric questionnaires, such as the Beck Depression Inventory (BDI) [
9] and the Hamilton Depression Rating Scale (HDRS) [
10]. According to a meta-analysis of 50,731 patients from 118 studies by Mitchell et al. [
11], the accuracy of depression diagnosis was found to be only 47.3%. Depending on questionnaire self-assessment is a time-consuming and inaccurate approach, especially in populations with a weak sense of self-judgment (e.g., children and the elderly), and its accuracy plummets. Therefore, a reliable and objective detection way is preferred and desired in this field.
Electroencephalography (EEG) records electrophysiological signals of neuronal activity in the brain, providing an objective response to brain activity and playing a vital role in diagnosing mental disorders [
12]. Specifically, it is a non-invasive method that only requires attaching electrodes to the scalp for collecting electrical signals, making it a safer option. In addition, it is capable of resolving the electrical activity of the brain at the millisecond level, offering the possibility of studying rapid changes in the brain. Thus, this technique is widely used not only in clinical diagnoses such as epilepsy, depression, schizophrenia, and so on but also in neuroscience, psychology, and cognitive science. For example, Movahed et al. [
13] designed a classification framework for depression by extracting the statistical, frequency domain, and brain region association features of EEG, which can accomplish a classification accuracy of 99%. Qiao et al. [
14] introduced a TanhReLU-based Convolutional Neural Network (CNN) for EEG-based classification of Major Depression Disorder (MMD), offering a promising accuracy of 98.59%. Gupta et al. [
15] developed a privacy-preserving federated learning-based multimodal system utilizing Bidirectional Long Short-term Memory (BiLSTM) through audio and EEG data, reaching an accuracy of 99.9% for the MMD detection task. Hu et al. [
16] presented an Iterative Gated Graph Convolutional Network (IGGCN) for epileptic seizure detection with an average F1-score and recall of 91.5%, and 91.8%, respectively. Nithya et al. [
17] used a majority rule-based Local Binary Pattern (LBP) approach to achieve the highest accuracy of 95.18% on the Freiburg dataset for epileptic seizure detection. Baygin et al. [
18] developed a hybrid deep learning network to extract the features of EEG to conduct autism spectrum disorder detection with an accuracy of 96.44%. Kumar et al. [
19] extracted both Histogram of Local Variance (HLV) and Symmetrical Weighted Local Binary Pattern (SLBP) features from EEG signals for detecting schizophrenia, realizing an accuracy of 92.85%. Mardini et al. [
20] adopted a Genetic Algorithm (GA) in conjunction with four models for EEG signal analysis for epilepsy detection. They found that an Artificial Neural Network (ANN) achieves a higher accuracy. Chen et al. [
21] offered a short-time sequence model based on a CNN to extract features from EEG signals for building a detection framework for depression with an accuracy of 99.15%. In other fields, Wang et al. [
22] combined time-frequency and non-linear features of EEG to classify bruxism using a fine-tree classifier. Similarly, Bardak et al. [
23] proposed a model consisting of Adaptively Designed Neuro-fuzzy Inference System (ANFIS) classifiers in parallel, obtaining great results in emotion recognition utilizing EEG signals. These aforementioned studies demonstrate that EEG is an effective input data source for mental disorders detection and other related fields, whether employing traditional machine learning methods or deep learning models.
Generally, an EEG-based mental disorders detection framework consists of signal processing, feature extraction, and classification model establishment. First, because EEG signal acquisition is susceptible to noise from sources such as eye movements, blinking, cardiac activity, and muscle movements, it is necessary to filter them for obtaining pure EEG data. To this end, a bandpass filter and a fourth-order Butterworth filter can eliminate both the high-frequency noise and low-frequency artifacts [
24]. In another study by Wirsich et al. [
25], filters were used not only to control the frequency contents between 0.5 Hz and 70 Hz but also to eliminate the power supply frequency noise generated during the acquisition process. Then, to further analyze the specificity of the EEG signals and provide quality inputs to the classifier, trustworthy features need to be extracted, which are typically categorized into the statistical domain (e.g., mean, skewness, kurtosis, maximum, minimum, empirical distribution function percentile, empirical distribution function slope, etc.), spectral domain (e.g., Fast Fourier Transform (FFT), Wavelet Transform (WT), spectral fundamental frequency, spectral maximal peak, etc.), and temporal domain (e.g., auto-correlation, differential mean, curve coverage area, cross-collar rate, etc.) [
26]. In addition, deep learning models such as CNN can be utilized to implement extractors for extracting valuable features automatically [
27]. Finally, conventional machine learning classifiers, such as Support Vector Machine (SVM), k-Nearest Neighbors (kNN), Naive Bayes (NB), Generalized Additive Model (GAM), Linear Discriminant Analysis (LDA), Decision Tree (DT), etc., are employed to categorize EEG signals based on applied features [
28]. Moreover, diverse neural network models, such as LSTM, ANN, Recurrent Neural Network (RNN), and Temporal Convolutional Network (TCN), are also available [
29]. Meanwhile, multiple classifiers can be integrated using ensemble learning methods, such as bagging, boosting, and random subspace, to further enhance the performance of hybrid classification models [
30]. As seen, the previous mental disorders detection contributes to the field of brain science. Nonetheless, most of them are only specific to one kind of disorder (e.g., schizophrenia, epilepsy, depression, or others), and an approach that is well-suited for various mental disorders is limited.
To address this drawback, this paper proposes a lightweight detection method for multi-mental disorders employing the entropy-based matrix derived from single-channel EEG signals, which offer non-invasive and real-time monitoring of brain activity. This paper aims to address the critical need for objective and effective early detection methods for mental disorders, particularly in light of the limitations of traditional subjective diagnostic tools. Thus, the significance of this paper lies in its potential to enhance diagnostic accuracy with fewer data sources, making the approach not only more accessible but also portable, enabling broad applicability in healthcare cases. To achieve this, first, it is necessary to filter the interference of noisy signals, and a fifth-order Butterworth filter is applied to obtain the information within the frequency range of 0.5–70 Hz of the EEG recording. Second, since the abnormal activities of Delta (δ), Theta (θ), Alpha (α), Beta (β), and Gamma (γ) waves are related to mental disorders, the Discrete Wavelet Transform (DWT) is applied to decompose the EEG signals into those aforementioned waves that represent the frequency ranges of 0.5–4 Hz, 4–8 Hz, 8–16 Hz, 16–32 Hz, and 32–64 Hz, respectively, which are also known as brain rhythms. Next, to better quantify the abnormal activities of five brain rhythms, the approximate entropy (AE), fuzzy entropy (FE), sample entropy (SE), and permutation entropy (PE) are extracted from single-channel EEG signals, so 20 features in total for one channel. Such entropy features describe the signal instability, where AE evaluates the irregularity of the signal, FE measures noise and uncertainty better, improving recognition of complex signals, SE quantifies the complexity and randomness of the signal, and PE captures the non-linear characteristics of the signal. Subsequently, to characterize the signal comprehensively, these 20 features are applied to generate an entropy-based matrix, providing quality inputs for the machine learning classifiers. Finally, six conventional classifiers, including SVM, kNN, NB, GAM, LDA, and DT, are employed for the entropy-based matrix to investigate the detection tasks for three public datasets of schizophrenia [
31], epilepsy [
32], and depression [
33]. In addition, to avoid overfitting in the limited experimental samples in the datasets, leave-one-out cross-validation (LOOCV) is used to evaluate classification performance. After the analysis of the results from three datasets, the representative single-channel signals, as well as the optimal classifiers, can be identified. Such findings reliably assess the validity of the proposed method and ensure that its results maintain robustness for individuals with various mental disorders. For better illustration, the overall framework is depicted in
Figure 1.
Particularly, this paper provides the following contributions:
A multi-mental disorders detection method based on the entropy-based matrix is proposed, which not only increases the interpretability of entropy features to detect the abnormal activity of brain rhythms but also offers a reliable solution for various mental disorders;
From the experimental results, both the optimal classifier with high generalizability and the representative channel with impressive classification performance are selected. Such a lightweight way provides the proper classifiers and channels that are beneficial for developing portable mental disorder detection devices through few data sources;
The method validation employs three mental disorders datasets (schizophrenia, epilepsy, and depression), helping to advance insights into the underlying mechanisms and pathological states of these disorders with great detail.
The rest of this paper is organized as follows:
Section 2 presents the experimental datasets. Then, the details about the proposed multi-mental disorders detection method are described in
Section 3.
Section 4 shows the results and discussion. Finally, the conclusion is drawn in
Section 5.
5. Conclusions
In this paper, a lightweight EEG-based multi-mental disorders detection method is proposed. It first applies DTW to decompose EEG signals into five brain rhythms, followed by extracting entropy features from these rhythms, which are then gathered into an entropy-based matrix. After that, conventional machine learning classifiers are employed to train and test the entropy-based matrix. The method validation demonstrates the impressive performances using three public EEG datasets in schizophrenia, epilepsy, and depression, achieving satisfying accuracies of 88.10%, 75.47%, and 89.92%, respectively. In addition, the results not only confirm the robustness of Polynomial-SVM in detecting multi-mental disorders but also help entropy features that characterize such conditions, enhancing the interpretability of the EEG signals. Furthermore, the selected representative channel can support the detection through the single-channel solution, which provides insights into the underlying mechanisms and pathological states of brain functions in terms of mental disorders. Consequently, the proposed method holds the potential for embedding into portable devices that assist in the early detection of mental disorders, which help in timely intervention and prevent the adverse consequences of delayed diagnosis and treatment.
However, there are several limitations to this approach. First, the reliance on EEG as a single modality may limit the richness of information compared to multimodal approaches, which can integrate diverse data types such as audio and facial expression, potentially limiting the method’s ability to capture a wider range of brain activities. Second, while the proposed method achieves reasonable classification accuracy, the recognition rates are relatively lower compared to certain deep learning models, which can process more complex data inputs. Therefore, several related data compression and feature fusion methods [
57,
58,
59,
60] will be investigated in the future. In addition, the EEG cases of other mental disorders, such as autism, anxiety, dementia, etc., will be analyzed, facilitating the diagnosis in more healthcare applications through this lightweight single-channel solution.