MC-TRCM: Observation-Aware Recursive Fusion for Incomplete Mobile and Wearable Mental-Health Feature Views

Wentao Wang, Lifeng Han, Zining Ren, Hengyu Zhong, Guangyu Zou

Public mobile and wearable mental-health datasets often provide summarized feature tables rather than synchronized raw sensor streams. In these releases, each anchor corresponds to a survey or label time and may combine phone or wearable summaries, prior symptom scores, demographics, clinical variables, and source-availability indicators. We propose the Modality-Conditioned Temporal Recursive Context Model (MC-TRCM), which preserves each feature source as a separate token and incorporates missingness as part of the input context. Observed sources are encoded with values and missingness summaries, absent sources use learned absence tokens, dataset and task embeddings condition fusion, and a recursive prediction head refines each output over validation-selected steps. We evaluated MC-TRCM on six predefined endpoints from DepreST-CAT and Prediction of Severity Change-Depression (PSYCHE-D) using participant-level splits and validation-only model selection. MC-TRCM achieved the lowest mean absolute error on DepreST-CAT Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) severity, improving over the best tabular reference by 0.181 and 0.217 scale points.…