用AI自适应提问,大幅减少心理评估问题数量。
MAQuA: Adaptive Question-Asking for Multidimensional Mental Health Screening using Item Response Theory
- 基于心理测量学模型动态选问,兼顾多维度症状
- 抑郁与进食障碍评估问题数减少50%至87%
- 适合需要高效筛查的临床场景或研究应用
大型语言模型为可扩展、交互式心理健康评估带来新机遇,但过度提问会增加用户负担,影响跨诊断症状谱系的实际筛查效率。我们提出MAQuA,一种用于同时多维心理状态筛查的自适应提问框架。结合语言回答的多结果建模、项目反应理论(IRT)与因子分析,MAQuA在每轮中选择对多个维度最具信息量的问题,以优化诊断信息,提升准确率并降低响应负担。在新构建的数据集上实证显示,相较于随机排序,MAQuA使评分稳定所需问题数减少50%-87%(例如,抑郁评分仅需减少71%,进食障碍评分减少85%)。其在内化(抑郁、焦虑)与外化(物质使用、进食障碍)领域均表现稳健,早期停止策略进一步缩短患者耗时与负担。这些发现表明,MAQuA是可扩展、精细且交互式的高效心理筛查工具,推动了基于LLM的智能体在真实临床流程中的整合。
原文摘要 · Abstract (English)
Recent advances in large language models (LLMs) offer new opportunities for scalable, interactive mental health assessment, but excessive querying by LLMs burdens users and is inefficient for real-world screening across transdiagnostic symptom profiles. We introduce MAQuA, an adaptive question-asking framework for simultaneous, multidimensional mental health screening. Combining multi-outcome modeling on language responses with item response theory (IRT) and factor analysis, MAQuA selects the questions with most informative responses across multiple dimensions at each turn to optimize diagnostic information, improving accuracy and potentially reducing response burden. Empirical results on a novel dataset reveal that MAQuA reduces the number of assessment questions required for score stabilization by 50-87% compared to random ordering (e.g., achieving stable depression scores with 71% fewer questions and eating disorder scores with 85% fewer questions). MAQuA demonstrates robust performance across both internalizing (depression, anxiety) and externalizing (substance use, eating disorder) domains, with early stopping strategies further reducing patient time and burden. These findings position MAQuA as a powerful and efficient tool for scalable, nuanced, and interactive mental health screening, advancing the integration of LLM-based agents into real-world clinical workflows.
Thank you to arXiv for use of its open access interoperability. PaperDance 不是 arXiv 官方产品;中文卡片由大模型生成,请以原文为准。