Annotation quality is a major bottleneck in building reliable and explainable artificial intelligence (XAI) systems for mental health research. In depression-related datasets, labels are often assigned without structured evidence, symptom-level justification, or traceable alignment with the criteria of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR), limiting both transparency and downstream model interpretability.
The paper introduces a two‑stage framework for recognizing depression symptoms at the sentence level. First, a contrastively fine‑tuned sentence encoder generates a symptom candidate for each sentence. Then, a fine‑tuned language model verifies the candidate’s presence or absence by comparing the sentence, its context, and a diagnostic definition, ensuring the model’s judgment aligns with that definition before responding.
By Weiming Li, Catarina Barata, Miguel Constante, Joao Sanches
arXiv:2607. 25681v1 Announce Type: new Abstract: Cognitive distortion amplifies negative emotions and contributes to mental health disorders.
By Qi Chen, Siria Xiyueyao Luo, Jian Wang, Yuan Shi, Haocong Rao, Xuejiao Zhao
arXiv:2606. 10796v1 Announce Type: cross Abstract: Automatic Depression Detection (ADD) from clinical interviews is a pivotal task in computational mental health, yet it remains challenging due to two critical obstacles: 1) difficulty in modeling complex but sparsely distributed depression clues within lengthy, multi-topic clinical interviews, leading to superficial and unreliable reasoning; 2) scarcity of labeled data due to clinical privacy, together with high cost of training and fine-tuning, limiting the deployment of supervised ADD systems.
By Yiqing Lyu, Xianbing Zhao, Buzhou Tang, Ronghuan Jiang
arXiv:2501. 16106v2 Announce Type: replace Abstract: Recent advances in multimodal depression recognition for clinical interviews (MDRC) have demonstrated the potential of AI systems by integrating textual, acoustic, and facial cues.
By Wenjie Zheng, Qiming Xie, Jianfei Yu, Yang Wang, Lei Cao, Fei Wang, Shijin Wang, Rui Xia, Chengqing Zong
The study investigates how a large language model, Gemma-3-27B-PT, internally represents depressive symptoms. By applying mechanistic interpretability methods to the model’s residual stream, researchers found that symptom groups are geometrically distinct at layer 21, and that projected symptom vectors align with clinician-annotated rankings across mood, somatic, and suicidality dimensions. Additionally, a single depression vector at this layer can differentiate depressive from non-depressive text with an AUC of 0.789, suggesting a potential emotional valence gate for symptom projection.
By Fangyi Zhu, Ajay Subramanian, Allison Constant, Camille Wang, Ravish Gupta, Corey J. Keller
arXiv:2605.22286v2 Announce Type: replace-cross
Abstract: Text-based counseling provides a valuable source of information for assessing depression severity. We study prediction of the total score on...
By Zhaomin Wu, Jiayi Li, Bingsheng He
LongCounsel-8 is a new benchmark suite comprising three datasets with 7,749 five‑session counseling dialogues, each grounded in real client profiles, depression trajectories, symptom compositions, and counseling patterns. The benchmark addresses challenges of longitudinal consistency, empirical grounding of symptom progression, and natural expression of controlled depression states without exposing labels. Experiments show that lower single‑session error does not ensure accurate trend detection, methods perform worse on worsening trajectories, and adding more session history can reduce trend prediction accuracy.
By Jiayi Li, Zhaomin Wu, Bingsheng He
arXiv:2605.20292v2 Announce Type: replace
Abstract: Numerical time-series models effectively process irregular electronic health record (EHR) trajectories, but do not expose which temporal patterns s...
By Kwanhyung Lee, Juhwan Choi, Jongheon Kim, Joohyung Lee, Hyeongwon Jang, Jeonguk Lee, Jisoo Jung, Eunho Yang
arXiv:2512. 06227v3 Announce Type: replace-cross Abstract: Real-world indicators play an important role in many Natural Language Processing (NLP) applications, such as life events for mental health analysis and risky behaviours for online safety, yet labelling such information is often costly and/or difficult due to its multi-label and dynamic nature.
By Junyu Mao, Anthony Hills, Talia Tseriotou, Maria Liakata, Aya Shamir, Dan Sayda, Dana Atzil-Slonim, Natalie Djohari, Pamela Ugwudike, Mahesan Niranjan, Stuart E. Middleton
LongCounsel-8 is a benchmark suite comprising three independently generated datasets with 7,749 five‑session counseling trajectories, designed to evaluate longitudinal depression tracking. The datasets are grounded in real‑world client profiles, depression trajectories, symptom compositions, and counseling patterns, and they address challenges of longitudinal consistency, empirical grounding, and natural expression of controlled depression states. Experiments show that lower single‑session error does not guarantee accurate trend identification, that methods perform worse on worsening trajectories, and that adding more session history can reduce trend prediction accuracy.
arXiv:2607. 13036v1 Announce Type: cross Abstract: Large language models (LLMs) are increasingly used for decision support in healthcare, but clinical evidence is often incomplete or evolving.
By Oriana Presacan, Andreea Grama, Larisa Irimin\u{a}, Alireza Nik, Jaya Ojha, Vajira Thambawita, Ciprian I. B\u{a}cil\u{a}, Bogdan Ionescu, Michael A. Riegler