United States

Globally, the incidence of depression and anxiety continues to rise, and the importance of mental health assessment scales as diagnostic tools has grown accordingly. Researchers are increasingly employing generative AI to produce large volumes of items and entire scales, which in turn elevates the costs of validating their reliability and validity. In this study, we used four open-weight LLMs to complete the GAD-7 and PHQ-9, varying prompts, sampling temperature, and dynamic contextual scenarios to emulate realistic human response patterns. Using multi-group confirmatory factor analysis, differential item functioning analyses, and other psychometric methods, we evaluate the factor structure of LLM-generated responses and assess measurement invariance relative to human responses. Our findings reveal a critical paradox: although open-weight LLMs exhibit exceptionally high internal consistency, they demonstrate severe structural mismatch and fail to achieve scalar measurement invariance against human baselines. Furthermore, pervasive differential item functioning and extreme prompt fragility indicate that these models rely on superficial, stereotype-driven semantic matching rather than simulating stable latent psychological dynamics.

ACL 2026

The Reliability Illusion in Synthetic Patients: Psychometric Misalignment of Open-weight LLMs on PHQ-9 and GAD-7

llms

psychometrics

synthetic data

### Welcome to CogSci Conference 2025!

The 47th Annual Meeting of the Cognitive Science Society was a hybrid meeting held in San Francisco. 

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The Cognitive Science Society brings together researchers from around the world who hold a common goal: understanding the nature of the human mind. The mission of the Society is to promote Cognitive Science as a discipline, and to foster scientific interchange among researchers in various areas of study, including Artificial Intelligence, Linguistics, Anthropology, Psychology, Neuroscience, Philosophy, and Education.

The Society is a non-profit professional organization and its activities include sponsoring an annual conference and publishing the journals Cognitive Science and TopiCS.

#### Our History 

* **Society Creation**<br>
The Society was incorporated as a 501(c)(3) non-profit professional organization in Massachusetts in 1979. The organizing committee included Roger Schank, Allan Collins, Donald Norman, and a number of other scholars from psychology, linguistics, computer science, and philosophy. 
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* **Conference Creation**<br>
The first conference on cognitive science was held at La Jolla, California in August, 1979, and has occurred annually since then. The proceedings of each conference are published, and those from most years are available through Lawrence Erlbaum Associates, Inc. The annual proceedings of the Cognitive Science Conference represent a major source of information on new work and new ideas in the scientific study of thinking. In 1990, the Society, with help from an anonymous donor, established the David Marr Prize for the best student paper at each annual meeting.
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* **Journal Creation**<br>
The Journal, Cognitive Science, began publication in 1976, and is now published by Wiley-Blackwell. The Executive Editor is currently Richard P. Cooper of Birkbeck, University of London, and there are 18 Associate Editors and a 30-member editorial board. It serves as the premier outlet for research reports that intersect two or more disciplines. Copyrights for articles published in the journal are held by the Society. The Governing Board of the Cognitive Science Society voted in late 2006 to found a new journal, Topics in Cognitive Science (topiCS). The Editor in Chief is Wayne Gray, Cognitive Science Department, Rensselaer Polytechnic Institute. The journal seeks to fill a niche not occupied by Cognitive Science Journal or other cognitive science journals. Membership in the Society includes a subscription to Cognitive Science and TopiCS. Copyrights for articles published in the journal are held by the Society.
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The 47th Annual Meeting of the Cognitive Science Society presents the latest research across cognitive science and highlights the theme of Cognition in Context.

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It is my great pleasure and honor to welcome you to the 64th Annual Meeting of the Association for Computational Linguistics (ACL 2026), held in San Diego, California, USA, July 2–7, 2026. ACL 2026 continues our fields tradition of excellence in scholarship, innovation, and inclusivity, and I am deeply grateful to the many volunteers who have worked tirelessly to bring this event to life.

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The 64th Annual Meeting of the Association for Computational Linguistics (ACL 2026) will take place in San Diego, California, from July 2 - 7, 2026.

AI and large language models (LLMs) have emerged as promising tools to address global mental health challenges. Despite the global nature of these challenges, there remains a critical shortage of high-quality datasets for training and evaluating such systems. To mitigate this gap, researchers increasingly generate synthetic clinical personas to simulate user data and test digital mental health support systems. However, most validated personas rely on English-centric contexts. This paper investigates whether similar persona-based methods can be used to generate multilingual mental health datasets. We modified nationality and language parameters in personas to generate clinical dialogues in Mandarin, Bengali, and Hindi. We then examined how different LLMs perform when evaluating the depression severity of these generated multilingual datasets against the baseline in English. Our findings indicate that just adding nationality and language parameters in personas might not be adequate, as it can introduce clinical inconsistency across languages. LLM judge models often exhibit inaccuracies in assessing depression severity in non-English texts, with performance varying across different models. This exposes the systemic limitations of applying English-centric personas to multilingual contexts. Ultimately, our work highlights the urgent need for culturally responsive data generation to ensure equitable mental health systems globally.

Creating Multilingual Mental Health Dialogue Datasets: Limits of Persona-Based Localization via Nationality and Language

Cognitive distortions (CDs) are systematically biased patterns of thinking associated with the onset and maintenance of mental health conditions such as depression and anxiety. Computational research on CDs has primarily focused on detection and classification, while the linguistic characterization of distorted language; what psycholinguistic features distinguish distorted from non-distorted text, and whether individual distortion types carry distinct language patterns, remains largely unexplored. Using a Reddit dataset, we apply a Generalized Linear Model (GLM) with bootstrap sampling to LIWC-derived features and find that CD language is psycholinguistically distinct from non-distorted language. We further characterize type-specific psycholinguistic profiles for each CD, and through hierarchical clustering show that CD types are not fully separable, with certain distortions sharing stable linguistic signatures. Together, these findings contribute to the linguistic characterization of CDs, offering an empirically grounded account of the psycholinguistic properties that distinguish distorted language at the level of CDs as a whole and across specific distortion types.

Psycholinguistic Profiles of Cognitive Distortions in Reddit Data

Speech monologues recorded in naturalistic settings provide opportunities to characterize mental illness phenomenology and detect symptom exacerbation. Large language models (LLMs) offer new possibilities for automating this process, as they require annotated data primarily for evaluation rather than training. In this paper, we present a novel automated, multi-agent LLM pipeline for the fine-grained, multi-label extraction of language suggestive of delusional beliefs, associated affective responses, and behavioral responses from transcripts of naturalistic audio diaries collected from people with moderate persecutory ideation. Evaluating an ensemble of three foundation models, we demonstrate that detailed diagnostic prompt instructions successfully reduce false positives for delusional theme classification, but also constrain the interpretation of affective or behavioral responses. Furthermore, comparing multi-agent adjudication frameworks shows that complex conversational debate between agents diminishes accuracy on clinically ambiguous text by inducing premature consensus. Instead, majority voting establishes robust performance (Micro F1 of 0.872 and 0.779 for delusion detection and classification respectively). This work provides a validated and scalable pipeline for the automated detection and characterization of content suggesting delusional beliefs in naturalistic speech.

Automated Detection and Classification of Delusion-related Content in Naturalistic Audio Diaries Using Multi-Agent Language Models

Large language models (LLMs) show promise in generating supportive responses for mental health and counseling applications. However, their responses often lack cultural sensitivity, contextual grounding, and clinically appropriate guidance. This work addresses the gap of how to systematically incorporate domain-specific, clinically validated knowledge into LLMs to improve counseling quality. We utilize and compare two approaches, retrieval-augmented generation (RAG) and a knowledge graph (KG)–based method, designed to support para-counselors. Our KG is constructed manually and clinically validated, capturing causal relationships between stressors, interventions, and outcomes, with contributions from multidisciplinary people. We evaluated multiple LLMs in both settings using BERTScore F1 and SBERT cosine similarity, as well as human evaluation across five metrics, which is designed to directly measure the effectiveness of counseling beyond similarity at the surface level. The results show that KG-based approaches consistently improve contextual relevance, clinical appropriateness, and practical usability compared to RAG alone, demonstrating that structured, expert-validated knowledge plays a critical role in addressing LLMs limitations in counseling tasks.

Enhancing Mental Health Counseling Support in Bangladesh using Culturally-grounded Knowledge

Attention Deficit Hyperactivity Disorder (ADHD) is one of the most common neurodevelopmental disorders in childhood, and its diagnosis relies on assessments combining clinician judgment with standardized rating scales and reports from parents and teachers. While structured instruments such as the Conners' Teacher Rating Scale–Revised Short Form (CTRS-R:S) quantify ADHD-related behaviors, teachers also provide open-ended narratives that may contain complementary signals not captured by structured assessments. However, it remains unclear to what extent teacher narratives encode signals overlooked by rating scales. In this study, we analyze de-identified Turkish teacher evaluation forms collected during clinical ADHD assessments, including both CTRS-R:S scores and open-ended teacher narratives. We compare predictive signals from structured scores and narrative text and identify cases where structured assessments fail to clearly distinguish ADHD from non-ADHD students while narrative-based models capture distinct behavioral patterns. Notably, these cases show minimal overlap with those missed by the narrative model, suggesting that structured and narrative information encode complementary signals. To interpret these differences, we apply a large language model (LLM)-assisted theme discovery pipeline that reveals distinct attention, behavioral, and family-related patterns, highlighting the potential of natural language processing (NLP) to uncover clinically relevant signals from teacher narratives and to complement traditional ADHD screening tools.

When Rating Scales Fall Short: LLM-Assisted Discovery of ADHD Signals in Turkish Teacher Narratives

Social media research on mental health has focused predominantly on detecting and diagnosing conditions at the individual level. In this work, we shift attention to intergroup behavior, examining how two prominent neurodivergent communities, ADHD and autism, adjust their language when engaging with each other on Reddit. Grounded in Communication Accommodation Theory (CAT), we first establish that each community maintains a distinct linguistic profile as measured by the Linguistic Inquiry and Word Count (LIWC) dictionary. We then show that these profiles shift in opposite directions when users cross community boundaries: features that are elevated in one group's home community decrease when its members post in the other group's space, and vice versa, consistent with convergent accommodation. We further demonstrate the practical stakes of this accommodation: classifiers trained to distinguish the two communities from their in-group language lose roughly 30 percentage points of accuracy, falling below chance, when applied to the same users' cross-community posts, confirming that accommodation, not just diagnosis, drives their predictions. Finally, in an exploratory longitudinal analysis around the moment of public diagnosis disclosure, we find that its effects on linguistic style are small and, in some cases, directionally opposite to cross-community accommodation, providing initial evidence that situational audience adaptation and longer-term identity processes may involve
different mechanisms. Our findings contribute to understanding intergroup communication dynamics among neurodivergent populations online and carry implications for community moderation and clinical perspectives on these conditions.

Mirroring Minds: Asymmetric Linguistic Accommodation and Diagnostic Identity in ADHD and Autism Reddit Communities

As Large Language Models (LLMs) demonstrate strong performance on clinical benchmarks, it remains unclear whether this reflects true patient-specific reasoning or reliance on generalized symptom patterns. To address this question, we evaluate LLMs on a counseling competency benchmark to assess their use of patient-specific contextual information. Through controlled experiments with contextual ablations, role framing, Thread-of-Thought (ThoT) prompting, and input perturbations, we find that removing contextual details results in only modest performance drops, and predictions remain relatively stable under input variations. Error analysis further reveals systematic patterns where models favor general clinical associations over context-specific cues, even when such cues are correctly identified during intermediate reasoning. Our findings suggest that achieving passing-level performance may not reflect robust context-sensitive decision-making, revealing a potential gap between benchmark-level clinical competence and reliable utilization of patient-specific contextual information. These results highlight the need for evaluation frameworks that more directly assess context integration in mental health applications.

On the Role of Context in LLM Alignment to Mental Health Counseling Competencies

When large language models simulate patients or clients, they tend to produce cooperative dialogue, premature emotional insight, and rapid resolution. These defaults undermine clinical training, where the pedagogical value lies in sustained difficulty. We describe Clinical Prompt Engineering (CPE), a methodology developed by a multidisciplinary team of clinician-researchers and prompt engineering experts within the [ProjectName] project. CPE encodes clinical knowledge directly into prompt design: each simulated character is constructed through layered psychological profiles, explicit contingency rules linking interactional events to internal states, and enforced non-linear emotional trajectories that resist the model's pull toward resolution. The methodology has been applied across several clinical training simulations involving over 300 participants in formal studies and iterative pilot phases. Each simulated character is embedded within a multi-agent training environment that provides real-time reflective guidance during the interaction and structured, clinically informed feedback afterward. We illustrate the approach through Talking with Lia, a Hebrew-language simulation in which parents practice responding to a seven-year-old child during repeated missile alerts and forced sheltering. The simulation was deployed within the first week of an acute security crisis in Israel in Winter 2026. Of 132 sessions initiated organically through professional networks, 42 were completed; qualitative feedback emphasized the simulation's difficulty as pedagogically meaningful. Because CPE operates at the level of prompt design, it can be developed by clinician-researcher teams and adapted to new populations, developmental stages, and crisis contexts, potentially extending access to expert-informed training beyond the settings where such expertise is typically available. Where much computational work in clinical psychology has focused on classifying mental health states from text, CPE addresses a complementary task: whether clinicians can respond effectively to those states as they shift in real time. The next step is testing whether the skills practiced in simulation transfer to real interactions.

Clinical Prompt Engineering: Encoding Clinical Knowledge into AI Training Simulations - A Crisis Deployment Case Study

Large language models (LLMs) are increasingly applied to automatic personality assessment, yet most prior work relies on coarse binary labels and direct domain-level predictions, limiting interpretability and ignoring the hierarchical facet structure of personality. In this study, we implement a structured prompting approach with three complementary objectives: direct domain-level prediction, fine-grained facet-level prediction, and domain-level prediction informed by facet outputs. All predictions use a five-level ordinal label scheme, capturing a continuum from very low to very high trait expression. Across all prompt types, we adopt an error-guided self-refinement procedure using in-context learning (ICL) to guide the model toward more accurate predictions. Zero-shot prompts assess baseline performance, while one-shot prompts incorporate a single demonstration example selected through the refinement procedure. Our framework evaluates both domain- and facet-level predictions, enabling examination of how prediction granularity and targeted exemplar selection influence LLM inference. By combining hierarchical domain-facet relationships with structured prompting and refinement, this work aims to provide a systematic approach for interpretable and principled LLM-based personality assessment from long-form life narratives.

Facet-Informed Prompting for LLM-Based Personality Assessment: Error-Guided Exemplar Selection and Hierarchical Prediction

Language-based assessments have demonstrated high convergent validity with corresponding mental and physical health constructs, however often fail to address discriminant validity - the measure's ability to distinguish the target construct from related ones. This is a common phenomenon within the domain of mental health, as well as comorbidity with physical health conditions. Identifying key features of individual dimensions of mental and physical health present in language can unlock new avenues of research for natural language processing and psychology. We propose two augmentations to the objective function of the Ridge model, deriving closed-form solutions compatible with Singular Value Decomposition-based solvers, to enforce discriminant validity of off-target constructs using Mean Squared Error (MSE) and Squared Cosine Similarity (SCS,) both having widespread use in contrastive learning. By varying the discrimination strength, we find that a decrease in 0.005 Pearson correlation points can result in a Pearson correlation point increase upwards of 0.132 in discriminant validity for mental and physical health constructs derived from self-reported questionnaires. We see similar improvements across multiple fundamental psychopathology dimensions simultaneously, increasing discriminant validity by 0.012 with stronger increases coming from more noisy, less reliable constructs. Our contributions provide a theoretically grounded path towards improving confidence in language-based assessments in the clinical sector, improving specificity of said assessments to various areas of health.

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