arXiv AI

Depression Symptoms and Relational Patterns in 187k ChatGPT Histories

arXiv:2607. 05685v1 Announce Type: cross Abstract: Large language models are increasingly used as private, always-available conversational systems, but little is known about how people with depressive symptoms use them.

arXiv Computation and Language
Oct 23

X-pressing Intimacy: Mental Health Disclosure After Twitter Acquisition

The study analyzes how mental health self‑disclosure on Twitter changed after Elon Musk’s 2022 acquisition, examining 824K tweets related to anxiety, depression, bipolar disorder, borderline personality disorder, and suicidal ideation. Using LIWC and an LLM‑based intimacy classifier, researchers found a post‑acquisition decline in affective and social language, a rise in first‑person singular pronouns and future‑focused expressions, and varied intimacy patterns across conditions—low‑intimacy disclosures increased for anxiety, depression, and BPD, while high‑intimacy disclosures rose for suicide‑related posts. Only the moderate‑versus‑low intimacy decline for BPD remained statistically significant compared to broader Twitter discourse.

By Olivia Pal, Yunhao Yuan, Meghana Mandava, Talayeh Aledavood, Eshwar Chandrasekharan, Koustuv Saha
arXiv AI
Sep 30

Right Words, Wrong Moment: A Clinician-Grounded Analysis of Distress in 19,930 Conversations between Young People and ChatGPT

arXiv:2609.35953v1 Announce Type: new Abstract: Young people increasingly turn to General-Purpose Conversational Agents (GPCAs), such as ChatGPT, in moments of distress. We examine young adults' (age...

By Marx Wang, Ella Zhang, Cameron Tan, Andrea Mock, Songling Ngo, Zijing Wang, Robert Wolfe, Shirin Amouei, Rachel A. Hanebutt, Desmond C. Ong, Caroline Figueroa, Katie Davis, Anind K. Dey, Alexis Hiniker
arXiv AI
Sep 21

Aligning with Lived Experience: Heterogeneous Benefits of Fine Tuning in Mental Health Support Generation

The paper introduces the COmmunity-centered Peer Engaged Support (COPES) dataset and a three‑axis evaluation framework to gauge how well Large Language Models (LLMs) align with community perspectives on mental‑health support queries. Experiments show that fine‑tuning LLMs on COPES improves strategy alignment and emotion‑tone alignment by over 50% for general‑purpose models, yet these gains are uneven across subreddits and coping strategies. The study also finds that post‑training shifts the model’s recommendations toward problem‑focused advice while reducing emotion‑focused responses, indicating persistent disparities in performance across different communities and needs.

By Mohit Chandra, Nabin Kim, Eli Min, Aamogh Sawant, Tanmay Sutar, Munmun De Choudhury
arXiv Computation and Language
Sep 11

"Mirror" Large Language Model Evaluations of Depression are Criterion Contaminated

The study examines how large language models (LLMs) predict depression scores from language responses. In a "Mirror" setup, participants answered structured diagnostic interviews that the LLMs used to predict scores, yielding near-perfect predictions. In a "Non-Mirror" setup, participants gave life history interviews; the LLMs still achieved outstanding prediction accuracy, and both conditions correlated similarly with PHQ-9 scores, indicating that the Mirror advantage disappears when predicting an independent measure. Topic modeling showed different depression themes across interview types, suggesting Mirror evaluations are more about reliability than validity and that Non-Mirror approaches may enhance clinical relevance.

By Tong Li, Rasiq Hussain, Mehak Gupta, Joshua R. Oltmanns
arXiv Computation and Language
Oct 19

Secondhand Stress: How Stressful Disclosures Affect Psychosocial Wellbeing in Online Graduate Admissions Communities

The study examines how exposure to distress disclosures in online graduate admissions communities affects users’ psychosocial wellbeing. Analyzing over 1.1 million comments across two Reddit communities, the authors find that users who engage with peer distress during application preparation show higher levels of anxiety, depression, and stress expression, as well as increased commenting activity and lexical redundancy. These effects persist across admissions cycles, but downstream respondents who interact with previously exposed users do not show similar psychosocial changes.

By Veda Duddu, Agam Goyal, Sabelle Huang, Ayush Umashankar Prasad, Mingquan Yi, Koustuv Saha
arXiv Machine Learning
Aug 31

Multilingual Lexical Feature Analysis of Spoken Language for Predicting Major Depression Symptom Severity

arXiv:2511.07011v2 Announce Type: replace-cross Abstract: Background: Remotely captured spoken language could provide objective, regular indicators of depression symptom severity. However, research t...

By Anastasiia Tokareva, Judith Dineley, Zoe Firth, Pauline Conde, Faith Matcham, Sara Siddi, Femke Lamers, Ewan Carr, Carolin Oetzmann, Daniel Leightley, Yuezhou Zhang, Amos A. Folarin, Josep Maria Haro, Brenda W. J. H. Penninx, Raquel Bailon, Srinivasan Vairavan, Til Wykes, Richard J. B. Dobson, Vaibhav A. Narayan, Matthew Hotopf, Nicholas Cummins, The RADAR-CNS Consortium
arXiv AI
Sep 4

LongCounsel-8: A Benchmark Suite for Longitudinal Depression Tracking from Multi-Session Counseling Dialogues

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