Quantum Versus Classical Machine Learning for Neuropsychiatric Disorders: A Feature-Matched Multi-Cohort Evaluation

Utsav Poudel, Anuj Nepal, Vyas Viswanath, Subramaniyaswamy Vairavasundaram

Resting-state functional connectivity is widely used in machine learning-based classification of neuropsychiatric disorders. Quantum machine learning models have been proposed for functional connectivity data, but few studies have evaluated them under leave-site-out validation or against matched classical models. We compared six quantum model families with classical ones using identical correlation-derived features across four public cohorts (4,308 subjects). Leave-site-out validation was used for the Autism Brain Imaging Data Exchange (ABIDE I), ADHD-200 (attention-deficit/hyperactivity disorder), and REST-meta-MDD (major depressive disorder) cohorts, while the UCLA Consortium for Neuropsychiatric Phenomics (UCLA-CNP) was evaluated using stratified 10-fold cross-validation. The quantum kernel was statistically indistinguishable from a matched classical kernel across all four cohorts, with the average accuracy difference within 1.4 percentage points at 95% confidence. On ABIDE I, a hybrid quantum convolutional network achieved similar accuracy to its classical counterpart (0.645 vs. 0.641), while a trainable quantum kernel exceeded its classical counterpart by 0.064 in area under…