ELPG-DTFS: Prior-Guided Adaptive Time-Frequency Graph Neural Network for EEG Depression Diagnosis

Abstract: Timely and objective screening of major depressive disorder (MDD) is vital, yet diagnosis still relies on subjective scales. Electroencephalography (EEG) provides a low-cost biomarker, but existing deep models treat spectra as static images, fix inter-channel graphs, and ignore prior knowledge, limiting accuracy and interpretability. We propose ELPG-DTFS, a prior-guided adaptive time-frequency graph neural network that introduces: (1) channel-band attention with cross-band mutual information, (2) a learnable adjacency matrix for dynamic functional links, and (3) a residual knowledge-graph pathway injecting neuroscience priors. On the 128-channel MODMA dataset (53 subjects), ELPG-DTFS achieves 97.63% accuracy and 97.33% F1, surpassing the 2025 state-of-the-art ACM-GNN. Ablation shows that removing any module lowers F1 by up to 4.35, confirming their complementary value. ELPG-DTFS thus offers a robust and interpretable framework for next-generation EEG-based MDD diagnostics.