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Unlocking LLMs: Addressing Scarce Data and Bias Challenges in Mental Health (2412.12981v1)

Published 17 Dec 2024 in cs.CL

Abstract: LLMs have shown promising capabilities in healthcare analysis but face several challenges like hallucinations, parroting, and bias manifestation. These challenges are exacerbated in complex, sensitive, and low-resource domains. Therefore, in this work we introduce IC-AnnoMI, an expert-annotated motivational interviewing (MI) dataset built upon AnnoMI by generating in-context conversational dialogues leveraging LLMs, particularly ChatGPT. IC-AnnoMI employs targeted prompts accurately engineered through cues and tailored information, taking into account therapy style (empathy, reflection), contextual relevance, and false semantic change. Subsequently, the dialogues are annotated by experts, strictly adhering to the Motivational Interviewing Skills Code (MISC), focusing on both the psychological and linguistic dimensions of MI dialogues. We comprehensively evaluate the IC-AnnoMI dataset and ChatGPT's emotional reasoning ability and understanding of domain intricacies by modeling novel classification tasks employing several classical machine learning and current state-of-the-art transformer approaches. Finally, we discuss the effects of progressive prompting strategies and the impact of augmented data in mitigating the biases manifested in IC-AnnoM. Our contributions provide the MI community with not only a comprehensive dataset but also valuable insights for using LLMs in empathetic text generation for conversational therapy in supervised settings.

Summary

  • The paper introduces IC-AnnoMI, an expert-annotated dataset created using LLMs and progressive prompting to generate synthetic motivational interviewing dialogues addressing data scarcity and bias.
  • Empirical evaluations show that training transformer models like DistilBERT on the augmented IC-AnnoMI dataset improves performance and reduces bias in classifying motivational interviewing dialogues.
  • The findings suggest the strategic use of LLMs for data augmentation in sensitive domains like mental health requires expert oversight to ensure ethical conduct and contextual appropriateness.

Unlocking LLMs: Addressing Scarce Data and Bias Challenges in Mental Health

The article "Unlocking LLMs: Addressing Scarce Data and Bias Challenges in Mental Health" proposes noteworthy advancements in the application of LLMs for the domain of mental health, particularly focusing on motivational interviewing (MI). The paper underscores the potential and limitations of LLMs in domains characterized by complex language and low-resource availability, such as healthcare, where hallucinations, parroting, and bias are prominent challenges.

Motivational Interviewing (MI) is a well-established conversational counseling method aimed at resolving ambivalence and catalyzing intrinsic motivation for behavioral change. Despite its efficacy, the accessibility of MI is limited by various socio-economic and awareness constraints. This paper seeks to bridge this accessibility gap using data augmentation via LLMs, specifically ChatGPT, to generate synthetic MI dialogs that are expert-annotated.

Key Contributions and Methodology

The authors introduce IC-AnnoMI, an expert-annotated dataset developed by augmenting the existing AnnoMI dataset through advanced LLMs. Key methodological advancements include the employment of progressive prompting strategies to ensure the generation of real-like MI dialogues. This ensures that the generated dialogues consider essential MI characteristics, such as empathy and ethical conduct, while maintaining linguistic integrity.

  1. Data Augmentation: The research emphasizes data augmentation through targeted prompts, aiming to mitigate bias and enhance data quality in small-scale, specialized datasets. The approach involves refining prompts via a feedback loop to align generated content with the original dataset's quality and context.
  2. Annotation Scheme: The paper delineates a comprehensive annotation scheme adherent to the Motivational Interviewing Skills Code (MISC), encompassing psychological and linguistic dimensions. Attributes such as empathy, non-judgmental attitude, and ethical conduct are quantitatively evaluated through a five-point Likert scale, ensuring robust assessment standards.
  3. Empirical Evaluation: A variety of machine learning models, including classical ML and transformer-based models, are leveraged to assess the quality of the IC-AnnoMI dataset. The results indicate improved model performance and a reduction in bias when trained on augmented data, highlighting the successful application of LLMs in generating synthetic yet plausible conversational data.

Results and Implications

The results reflect positively on the IC-AnnoMI’s quality, with a noticeable increase in balanced accuracy among transformer-based models, suggesting effective context preservation in the augmentation process. Empirical evaluations show that advanced LLMs, particularly DistilBERT, achieve the highest performance metrics, demonstrating improved generalization across domain-specific content.

From a practical standpoint, the findings advocate for the strategic use of LLMs and highlight the importance of expert involvement in generating contextually appropriate dialogue models. Although promising, the research acknowledges the ongoing risks and ethical concerns associated with unsupervised LLMs in sensitive domains, underscoring the necessity for human oversight to prevent ethical lapses.

Future Directions

The paper paves the way for further exploration of diverse LLMs like Mistral and LLama, aiming to extend reliable data generation capabilities to various domains within healthcare. A future trajectory includes enhancing model performance by infusing domain-specific knowledge and tackling MI dialogue classification at a higher granularity level.

In summary, this work illustrates the careful application of LLMs in mental health settings, providing substantial advancements in addressing data scarcity and the nuanced handling of bias. As LLMs continue to evolve, their integration into healthcare must prioritize ethical guidelines and collaborative frameworks to ensure their contributions augment, rather than replace, human expertise.

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