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测试使用大型语言模型从治疗会话转录文本创建个性化网络的效用:一项概念验证研究
该 arXiv 论文开发了一条端到端流水线,用 LLM 从治疗会话转录文本自动生成来访者个性化网络,以支持个案概念化与治疗规划。研究标注了 77 份治疗转录(N=6)中的 8028 条话语,先识别临床相关过程(二分类)及其维度(多标签分类),再通过两步法将过程聚类为有临床意义的簇并生成标签,最后生成簇间连接。评估结果总体支持模型可用性,但评分者间一致性从差到较好不等;定性检查显示生成的网络与原始研究数据一致。作者认为基于 LLM 从治疗转录构建网络具有可行性,但尚需研究其能否改善治疗结果,以及与统计估计网络等其他个性化方法的比较。
AI推荐理由 arXiv 概念验证研究,提出从治疗会话转录文本自动生成来访者个性化网络的端到端流水线:标注 77 份转录、8028 条话语,先做临床相关过程的二分类与维度多标签分类,再用两步法聚类并生成标签,最后生成簇间连接。作者自述评估总体支持模型可用性,但评分者间一致性从差到较好不等,且明确表示尚需研究这些网络能否改善治疗结果、与统计估计网络相比如何,因此属于可行性验证而非疗效证据。对 LLM 在心理健康与结构化临床信息抽取方向有参考价值,但样本仅 6 名来访者、结论不确定,产业落地价值有限。
62
正文
Computer Science > Artificial Intelligence
arXiv:2512.05836 (cs)
[Submitted on 5 Dec 2025 (v1), last revised 25 Sep 2026 (this version, v2)]
Title:Testing the Utility of Using Large Language Models to Create Personalized Networks From Therapy Session Transcripts: A Proof of Concept Study
Authors:Clarissa W. Ong, Hiba Arnaout, Kate Sheehan, Estella Fox, Eugen Owtscharow, Iryna Gurevych
View a PDF of the paper titled Testing the Utility of Using Large Language Models to Create Personalized Networks From Therapy Session Transcripts: A Proof of Concept Study, by Clarissa W. Ong and 5 other authors
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Abstract:Recent advances in psychotherapy have focused on treatment personalization, such as by selecting treatment modules based on individual networks. However, estimating personalized networks typically requires intensive longitudinal data, which is not always feasible to collect. A solution to increase scalability of network-driven treatment personalization is leveraging large language models (LLMs). In this study, we developed an end-to-end pipeline for automatically generating client networks to support case conceptualization and treatment planning. We annotated 8,028 utterances from 77 therapy transcripts (N = 6). In the first stage of the pipeline, we identified clinically relevant processes (binary classification) and their corresponding dimensions (multi-label classification). Then, we introduced a two-step method that grouped the processes into clinically meaningful clusters and generated labels for the clusters. Finally, we generated connections between clusters. Evaluation results generally supported model utility, however, interrater agreement on model performance metrics was inconsistent, ranging from poor to substantial. Qualitative examination of the networks indicated consistency with original study data. Given coherence and interpretability of the generated networks, developing networks from therapy transcripts using LLMs appears to be feasible. Nonetheless, more research is needed to examine whether these networks improve treatment outcomes, including relative to other methods of treatment personalization, such as statistically estimated networks. Potential use cases and limitations of our pipeline are discussed.
Subjects:
Artificial Intelligence (cs.AI)
Cite as:
arXiv:2512.05836 [cs.AI]
(or
arXiv:2512.05836v2 [cs.AI] for this version)
https://doi.org/10.48550/arXiv.2512.05836
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arXiv-issued DOI via DataCite
Submission history
From: Hiba Arnaout [view email]
[v1]
Fri, 5 Dec 2025 16:12:12 UTC (416 KB)
[v2]
Fri, 25 Sep 2026 15:24:54 UTC (1,797 KB)
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View a PDF of the paper titled Testing the Utility of Using Large Language Models to Create Personalized Networks From Therapy Session Transcripts: A Proof of Concept Study, by Clarissa W. Ong and 5 other authors
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