arXiv:2602.11684cs.CLcs.AI2026-02被引 4

统一患者模拟框架,让LLM扮演病人训练心理咨询更高效。

PatientHub: A Unified Framework for Patient Simulation

  • 构建16个标准化患者模拟器,支持多轮多会话交互
  • 内置评分器可按不同标准评估对话质量
  • 开源工具链降低研究门槛,适合临床训练与评估

随着大语言模型在角色扮演应用中的普及,基于LLM的患者模拟已成为训练咨询师和扩展心理评估的重要工具。然而,现有方法存在碎片化问题:患者档案、提示词和评估指标不统一,导致复现困难、对比失公允、难以复用。我们提出PatientHub,一个统一且模块化的框架,标准化了基于LLM的患者创建、模拟与评估流程。该框架包含16个患者模拟器、基于图结构的多轮多会话交互编排器,以及可配置的LLM作为评判者评估器,支持多种评分量表。通过命令行界面,用户可生成患者档案、运行模拟,并在回合与会话层面进行量表驱动评估。为验证其有效性,我们在统一交互协议下对比多个模拟器,并展示仅需少量代码即可原型化新模拟器变体。该框架将现有工作整合为可复现的流水线,显著减少研究基础设施开销,加速新方法开发。代码与数据已公开于https://github.com/Sahandfer/PatientHub。

原文摘要 · Abstract (English)

As Large Language Models increasingly power role-playing applications, simulating patients has become a valuable tool for training counselors and scaling therapeutic assessment. However, prior work remains fragmented: existing approaches rely on incompatible, non-standardized profiles, prompts, and evaluation metrics, hindering reproducibility, fair comparison, and reuse. We introduce PatientHub, a unified and modular framework that standardizes the creation, simulation, and evaluation of LLM-based patients. Our framework provides 16 patient simulators, a graph-based orchestrator for multi-turn, multi-session interactions, and a configurable LLM-as-a-judge evaluator that supports multiple rubric types. Via our command-line interface, users can generate patient profiles, run simulations, and apply rubric-driven evaluation at the turn and session level. To demonstrate PatientHub's utility, we compare several supported simulators under a shared interaction protocol and showcase its extensibility by prototyping a new simulator variant with minimal additional code. By consolidating existing work into a single reproducible pipeline, our framework eliminates much of the infrastructure overhead that currently fragments this research and accelerates the development of new methods. Our code and data are publicly available via https://github.com/Sahandfer/PatientHub.

患者模拟大模型应用心理咨询评估框架

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