用对话记录精准追踪抑郁程度,跨会话更准更稳。
EmoTrack: Robust Depression Tracking from Counseling Transcripts across Session Regimes

- 结合大模型提取临床信号与冻结的语义嵌入,构建多会话分析框架。
- 在单会话场景下相比最强基线降低13.5%的预测误差。
- 适合需要长期心理状态监测的AI助医系统使用。
基于文本的心理咨询是AI心理健康支持的重要接口,可利用对话记录监测抑郁严重程度并标记需人工干预的会话。然而,在不同会话模式下实现鲁棒的PHQ-8预测仍具挑战:微调方法虽能利用丰富监督信号但数据稀缺时泛化能力差;提示驱动的大语言模型方法数据效率高,但通常将每段对话整体处理,难以支持纵向上下文。本文研究了跨单会话与多会话场景的抑郁追踪问题。提出LongCounsel数据集,包含会话级PHQ-8标注,用于评估部分症状披露与跨会话连续性下的重复会话追踪性能。进一步提出EmoTrack框架,通过融合大模型提取的临床信号与冻结的逐轮语义嵌入,并在生成的对话表示上训练特定症状预测器;当存在历史会话时,可通过紧凑的跨会话记忆进一步增强。在LongCounsel和DAIC-WOZ上的实验表明,EmoTrack在真实单会话基准上显著优于现有方法,相较最强基线相对降低13.5%的MAE,且在长程追踪任务中保持与最强基线相当的竞争力。
原文摘要 · Abstract (English)
Text-based counseling is an important interface for AI mental-health support, where transcripts may be used to monitor depression severity and flag sessions requiring timely human review. However, robust PHQ-8 prediction across session regimes remains challenging: fine-tuning-based methods can exploit richer supervision but may generalize poorly under data scarcity, while prompt-based LLM methods are data-efficient but usually treat each transcript holistically and provide limited support for longitudinal context. We study robust depression tracking from counseling transcripts across single-session and multi-session regimes. We introduce LongCounsel, a multi-session counseling dataset with session-level PHQ-8 supervision for evaluating repeated-session tracking under partial symptom disclosure and cross-session continuity. We further propose EmoTrack, a PHQ-8 prediction framework that combines LLM-extracted clinical signals with frozen turn-level semantic embeddings and trains symptom-specific predictors over the resulting transcript representation. When prior sessions are available, EmoTrack can further incorporate them through compact cross-session memory. Experiments on LongCounsel and DAIC-WOZ show that EmoTrack achieves a clear gain on the real single-session benchmark, including a 13.5% relative MAE reduction over the strongest DAIC-WOZ baseline, and remains competitive with the strongest longitudinal baseline on LongCounsel.
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