AI-Enhanced Cognitive Behavioral Therapy: Deep Learning and Large Language Models for Extracting Cognitive Pathways from Social Media Texts

Cognitive Behavioral Therapy (CBT) is an effective technique for addressing the irrational thoughts stemming from mental illnesses, but it necessitates precise identification of cognitive pathways to be successfully implemented in patient care. In current society, individuals frequently express negative emotions on social media on specific topics, often exhibiting cognitive distortions, including suicidal behaviors in extreme cases. Yet, there is a notable absence of methodologies for analyzing cognitive pathways that could aid psychotherapists in conducting effective interventions online. In this study, we gathered data from social media and established the task of extracting cognitive pathways, annotating the data based on a cognitive theoretical framework. We initially categorized the task of extracting cognitive pathways as a hierarchical text classification with four main categories and nineteen subcategories. Following this, we structured a text summarization task to help psychotherapists quickly grasp the essential information. Our experiments evaluate the performance of deep learning and large language models (LLMs) on these tasks. The results demonstrate that our deep learning method achieved a micro-F1 score of 62.34% in the hierarchical text classification task. Meanwhile, in the text summarization task, GPT-4 attained a Rouge-1 score of 54.92 and a Rouge-2 score of 30.86, surpassing the experimental deep learning model's performance. However, it may suffer from an issue of hallucination. We have made all models and codes publicly available to support further research in this field.

Evaluating the Efficacy of Supervised Learning vs Large Language Models for Identifying Cognitive Distortions and Suicidal Risks in Chinese Social Media

Large language models, particularly those akin to the rapidly progressing GPT series, are gaining traction for their expansive influence. While there is keen interest in their applicability within medical domains such as psychology, tangible explorations on real-world data remain scant. Concurrently, users on social media platforms are increasingly vocalizing personal sentiments; under specific thematic umbrellas, these sentiments often manifest as negative emotions, sometimes escalating to suicidal inclinations. Timely discernment of such cognitive distortions and suicidal risks is crucial to effectively intervene and potentially avert dire circumstances. Our study ventured into this realm by experimenting on two pivotal tasks: suicidal risk and cognitive distortion identification on Chinese social media platforms. Using supervised learning as a baseline, we examined and contrasted the efficacy of large language models via three distinct strategies: zero-shot, few-shot, and fine-tuning. Our findings revealed a discernible performance gap between the large language models and traditional supervised learning approaches, primarily attributed to the models' inability to fully grasp subtle categories. Notably, while GPT-4 outperforms its counterparts in multiple scenarios, GPT-3.5 shows significant enhancement in suicide risk classification after fine-tuning. To our knowledge, this investigation stands as the maiden attempt at gauging large language models on Chinese social media tasks. This study underscores the forward-looking and transformative implications of using large language models in the field of psychology. It lays the groundwork for future applications in psychological research and practice.