arXiv:2609.01833cs.CL2026-09

分两阶段识别抑郁症状,先生成候选再用诊断定义验证。

Candidate Generation and Definition-Guided Verification for Sentence-Level Depression Symptom Recognition

论文配图:Candidate Generation and Definition-Guided Verification for Sentence-Level Depression Symptom Recognition
图 1 · 摘自论文原文
  • 先用对比学习生成症状候选,再用诊断定义验证其是否存在
  • 在多个基准上达到最优准确率与F1值,且解释符合专家标注
  • 适合临床辅助诊断系统开发,尤其关注诊断定义的可解释性

句子级抑郁症状识别面临挑战:相似表达可能具有不同症状相关性,且语言模型推理缺乏诊断定义支撑。本文提出两阶段框架,将症状候选生成与定义驱动验证分离。通过对比微调的句向量编码器为每句话生成一个症状候选,再利用微调的语言模型结合上下文和特定候选的诊断定义,判断该症状是否存在,并在回答前对照定义进行校验。在编码器、基于推理的模型、医疗及通用大模型基线,以及单阶段监督分类器的对比中,该方法在所有指标上表现最佳,且生成的解释与专家标注高度一致。初步临床审计显示,解释与诊断定义存在中等程度对齐,解释质量强烈依赖于预测正确性。结果支持将症状识别分解为候选生成与定义验证,但罕见类别性能仍受限。

原文摘要 · Abstract (English)

Sentence-level recognition of depression symptoms is challenging because similar expressions can differ in symptom relevance, and language-model inference is insufficiently grounded in diagnostic definitions. This study proposes a two-stage framework separating symptom-candidate generation from definition-grounded verification. A contrastively fine-tuned sentence encoder generates a symptom candidate per sentence, and a fine-tuned language model verifies whether the candidate is present or absent using the sentence, its context, and a candidate-specific diagnostic definition, checking its judgment against that definition before answering. Evaluated against encoder, inference-based, medical, and general LLM baselines and a matched single-stage supervised classifier, the proposed pipeline attains the best accuracy and F1 scores of all methods, with rationales matching expert-authored annotations. A preliminary clinical audit indicates moderate alignment with diagnostic definitions, with explanation quality strongly dependent on prediction correctness. The results support decomposing symptom recognition into candidate generation and definition-grounded verification, though performance remains limited for rare categories.

抑郁识别可解释性两阶段诊断定义

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