EEG-HealthLLM: Hierarchical Adaptation of Large Language Models for Unified Heterogeneous EEG Health Assessment

Abstract

Electroencephalography (EEG) provides a non-invasive means for neurological and mental health assessment, yet existing EEG models are typically developed for individual tasks and are difficult to unify across heterogeneous signal configurations and assessment objectives. Large language models (LLMs) offer a common interface for multiple tasks, but adapting heterogeneous EEG signals to a shared LLM raises a key challenge: how to preserve task-specific signal characteristics while enabling effective language-side parameter sharing. To address this problem, we propose EEG-HealthLLM, a unified and parameter-efficient framework for heterogeneous EEG health assessment. We introduce an Asymmetric Hierarchical Adaptation Strategy: task-specific EEG adapters preserve heterogeneous spatio-temporal dynamics, while a unified shared LoRA is injected into the LLM backbone (e.g., Phi-3) to capture shared high-level assessment semantics across tasks. We further establish EEG-HealthBench by reorganizing five existing EEG resources into paradigms covering epileptic seizure detection, major depressive disorder assessment, anxiety risk assessment, depressive symptom risk assessment, and emotional state assessment under a unified subject-independent protocol. Extensive experiments show that EEG-HealthLLM achieves an average balanced accuracy (BAC) of 69.58%, ranking first among the evaluated methods in both average BAC and macro-F1. Compared with independent single-task LoRA adaptation, it improves average BAC from 67.70% to 69.58% while reducing the aggregate language-side adapter footprint by 80.0%. Further analyses reveal task-dependent cross-task interactions and trade-offs, supporting the proposed hierarchical adaptation strategy. The implementation is publicly available at https://github.com/Marui-88/EEG-HealthLLM.