Evaluating an evidence-guided reinforcement learning framework in aligning light-parameter large language models with decision-making cognition in psychiatric clinical reasoning

Large language models (LLMs) hold transformative potential for medical decision support yet their application in psychiatry remains constrained by hallucinations and superficial reasoning. This limitation is particularly acute in light-parameter LLMs which are essential for privacy-preserving and efficient clinical deployment. Existing training paradigms prioritize linguistic fluency over structured clinical logic and result in a fundamental misalignment with professional diagnostic cognition. Here we introduce ClinMPO, a reinforcement learning framework designed to align the internal reasoning of LLMs with professional psychiatric practice. The framework employs a specialized reward model trained independently on a dataset derived from 4,474 psychiatry journal articles and structured according to evidence-based medicine principles. We evaluated ClinMPO on a unseen subset of the benchmark designed to isolate reasoning capabilities from rote memorization. This test set comprises items where leading large-parameter LLMs consistently fail. We compared the ClinMPO-aligned light LLM performance against a cohort of 300 medical students. The ClinMPO-tuned Qwen3-8B model achieved a diagnostic accuracy of 31.4% and surpassed the human benchmark of 30.8% on these complex cases. These results demonstrate that medical evidence-guided optimization enables light-parameter LLMs to master complex reasoning tasks. Our findings suggest that explicit cognitive alignment offers a scalable pathway to reliable and safe psychiatric decision support.

Data-Efficient Model for Psychological Resilience Prediction based on Neurological Data

Psychological resilience, defined as the ability to rebound from adversity, is crucial for mental health. Compared with traditional resilience assessments through self-reported questionnaires, resilience assessments based on neurological data offer more objective results with biological markers, hence significantly enhancing credibility. This paper proposes a novel data-efficient model to address the scarcity of neurological data. We employ Neuro Kolmogorov-Arnold Networks as the structure of the prediction model. In the training stage, a new trait-informed multimodal representation algorithm with a smart chunk technique is proposed to learn the shared latent space with limited data. In the test stage, a new noise-informed inference algorithm is proposed to address the low signal-to-noise ratio of the neurological data. The proposed model not only shows impressive performance on both public datasets and self-constructed datasets but also provides some valuable psychological hypotheses for future research.