arXiv:2603.05016cs.AI2026-03

融合认知模型与大模型,模拟精神疾病决策行为并可解释。

BioLLMAgent: A Hybrid Framework with Enhanced Structural Interpretability for Simulating Human Decision-Making in Computational Psychiatry

  • 用强化学习内核+大模型外壳,结合行为生成与可解释性。
  • 在6个数据集上复现人类行为模式,参数相关性超0.67。
  • 适合研究精神疾病机制与心理干预策略的科研人员。

计算精神病学面临根本权衡:传统强化学习模型可解释但行为不真实,大语言模型代理行为逼真却缺乏结构可解释性。我们提出BioLLMAgent,一种新混合框架,将验证过的认知模型与大模型生成能力结合。包含三个核心组件:(i) 内部强化学习引擎,实现基于经验的价值学习;(ii) 外部大模型壳层,负责高层认知策略与治疗干预;(iii) 决策融合机制,通过加权效用整合各组件。在六个临床与健康人群的Iowa赌博任务(IGT)数据集上,实验表明BioLLMAgent能准确重现人类行为模式,同时保持优秀参数可识别性(相关性>0.67)。此外,该框架成功模拟认知行为疗法(CBT)原理,并通过多智能体动态揭示:群体教育干预可能优于个体治疗。在奖惩学习与时间折扣任务中亦经验证,为精神疾病研究提供可解释的“计算沙盒”,用于测试机制假说与干预策略。

原文摘要 · Abstract (English)

Computational psychiatry faces a fundamental trade-off: traditional reinforcement learning (RL) models offer interpretability but lack behavioral realism, while large language model (LLM) agents generate realistic behaviors but lack structural interpretability. We introduce BioLLMAgent, a novel hybrid framework that combines validated cognitive models with the generative capabilities of LLMs. The framework comprises three core components: (i) an Internal RL Engine for experience-driven value learning; (ii) an External LLM Shell for high-level cognitive strategies and therapeutic interventions; and (iii) a Decision Fusion Mechanism for integrating components via weighted utility. Comprehensive experiments on the Iowa Gambling Task (IGT) across six clinical and healthy datasets demonstrate that BioLLMAgent accurately reproduces human behavioral patterns while maintaining excellent parameter identifiability (correlations $>0.67$). Furthermore, the framework successfully simulates cognitive behavioral therapy (CBT) principles and reveals, through multi-agent dynamics, that community-wide educational interventions may outperform individual treatments. Validated across reward-punishment learning and temporal discounting tasks, BioLLMAgent provides a structurally interpretable "computational sandbox" for testing mechanistic hypotheses and intervention strategies in psychiatric research.

计算精神病学大模型认知建模决策模拟

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