@inproceedings{gupta-etal-2022-learning,
title = "Learning to Automate Follow-up Question Generation using Process Knowledge for Depression Triage on {R}eddit Posts",
author = "Gupta, Shrey and
Agarwal, Anmol and
Gaur, Manas and
Roy, Kaushik and
Narayanan, Vignesh and
Kumaraguru, Ponnurangam and
Sheth, Amit",
editor = "Zirikly, Ayah and
Atzil-Slonim, Dana and
Liakata, Maria and
Bedrick, Steven and
Desmet, Bart and
Ireland, Molly and
Lee, Andrew and
MacAvaney, Sean and
Purver, Matthew and
Resnik, Rebecca and
Yates, Andrew",
booktitle = "Proceedings of the Eighth Workshop on Computational Linguistics and Clinical Psychology",
month = jul,
year = "2022",
address = "Seattle, USA",
publisher = "Association for Computational Linguistics",
url = "https://aclanthology.org/2022.clpsych-1.12",
doi = "10.18653/v1/2022.clpsych-1.12",
pages = "137--147",
abstract = "Conversational Agents (CAs) powered with deep language models (DLMs) have shown tremendous promise in the domain of mental health. Prominently, the CAs have been used to provide informational or therapeutic services (e.g., cognitive behavioral therapy) to patients. However, the utility of CAs to assist in mental health triaging has not been explored in the existing work as it requires a controlled generation of follow-up questions (FQs), which are often initiated and guided by the mental health professionals (MHPs) in clinical settings. In the context of {`}depression{'}, our experiments show that DLMs coupled with process knowledge in a mental health questionnaire generate 12.54{\%} and 9.37{\%} better FQs based on similarity and longest common subsequence matches to questions in the PHQ-9 dataset respectively, when compared with DLMs without process knowledge support. Despite coupling with process knowledge, we find that DLMs are still prone to hallucination, i.e., generating redundant, irrelevant, and unsafe FQs. We demonstrate the challenge of using existing datasets to train a DLM for generating FQs that adhere to clinical process knowledge. To address this limitation, we prepared an extended PHQ-9 based dataset, PRIMATE, in collaboration with MHPs. PRIMATE contains annotations regarding whether a particular question in the PHQ-9 dataset has already been answered in the user{'}s initial description of the mental health condition. We used PRIMATE to train a DLM in a supervised setting to identify which of the PHQ-9 questions can be answered directly from the user{'}s post and which ones would require more information from the user. Using performance analysis based on MCC scores, we show that PRIMATE is appropriate for identifying questions in PHQ-9 that could guide generative DLMs towards controlled FQ generation (with minimal hallucination) suitable for aiding triaging. The dataset created as a part of this research can be obtained from \url{https://github.com/primate-mh/Primate2022}",
}
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<abstract>Conversational Agents (CAs) powered with deep language models (DLMs) have shown tremendous promise in the domain of mental health. Prominently, the CAs have been used to provide informational or therapeutic services (e.g., cognitive behavioral therapy) to patients. However, the utility of CAs to assist in mental health triaging has not been explored in the existing work as it requires a controlled generation of follow-up questions (FQs), which are often initiated and guided by the mental health professionals (MHPs) in clinical settings. In the context of ‘depression’, our experiments show that DLMs coupled with process knowledge in a mental health questionnaire generate 12.54% and 9.37% better FQs based on similarity and longest common subsequence matches to questions in the PHQ-9 dataset respectively, when compared with DLMs without process knowledge support. Despite coupling with process knowledge, we find that DLMs are still prone to hallucination, i.e., generating redundant, irrelevant, and unsafe FQs. We demonstrate the challenge of using existing datasets to train a DLM for generating FQs that adhere to clinical process knowledge. To address this limitation, we prepared an extended PHQ-9 based dataset, PRIMATE, in collaboration with MHPs. PRIMATE contains annotations regarding whether a particular question in the PHQ-9 dataset has already been answered in the user’s initial description of the mental health condition. We used PRIMATE to train a DLM in a supervised setting to identify which of the PHQ-9 questions can be answered directly from the user’s post and which ones would require more information from the user. Using performance analysis based on MCC scores, we show that PRIMATE is appropriate for identifying questions in PHQ-9 that could guide generative DLMs towards controlled FQ generation (with minimal hallucination) suitable for aiding triaging. The dataset created as a part of this research can be obtained from https://github.com/primate-mh/Primate2022</abstract>
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%0 Conference Proceedings
%T Learning to Automate Follow-up Question Generation using Process Knowledge for Depression Triage on Reddit Posts
%A Gupta, Shrey
%A Agarwal, Anmol
%A Gaur, Manas
%A Roy, Kaushik
%A Narayanan, Vignesh
%A Kumaraguru, Ponnurangam
%A Sheth, Amit
%Y Zirikly, Ayah
%Y Atzil-Slonim, Dana
%Y Liakata, Maria
%Y Bedrick, Steven
%Y Desmet, Bart
%Y Ireland, Molly
%Y Lee, Andrew
%Y MacAvaney, Sean
%Y Purver, Matthew
%Y Resnik, Rebecca
%Y Yates, Andrew
%S Proceedings of the Eighth Workshop on Computational Linguistics and Clinical Psychology
%D 2022
%8 July
%I Association for Computational Linguistics
%C Seattle, USA
%F gupta-etal-2022-learning
%X Conversational Agents (CAs) powered with deep language models (DLMs) have shown tremendous promise in the domain of mental health. Prominently, the CAs have been used to provide informational or therapeutic services (e.g., cognitive behavioral therapy) to patients. However, the utility of CAs to assist in mental health triaging has not been explored in the existing work as it requires a controlled generation of follow-up questions (FQs), which are often initiated and guided by the mental health professionals (MHPs) in clinical settings. In the context of ‘depression’, our experiments show that DLMs coupled with process knowledge in a mental health questionnaire generate 12.54% and 9.37% better FQs based on similarity and longest common subsequence matches to questions in the PHQ-9 dataset respectively, when compared with DLMs without process knowledge support. Despite coupling with process knowledge, we find that DLMs are still prone to hallucination, i.e., generating redundant, irrelevant, and unsafe FQs. We demonstrate the challenge of using existing datasets to train a DLM for generating FQs that adhere to clinical process knowledge. To address this limitation, we prepared an extended PHQ-9 based dataset, PRIMATE, in collaboration with MHPs. PRIMATE contains annotations regarding whether a particular question in the PHQ-9 dataset has already been answered in the user’s initial description of the mental health condition. We used PRIMATE to train a DLM in a supervised setting to identify which of the PHQ-9 questions can be answered directly from the user’s post and which ones would require more information from the user. Using performance analysis based on MCC scores, we show that PRIMATE is appropriate for identifying questions in PHQ-9 that could guide generative DLMs towards controlled FQ generation (with minimal hallucination) suitable for aiding triaging. The dataset created as a part of this research can be obtained from https://github.com/primate-mh/Primate2022
%R 10.18653/v1/2022.clpsych-1.12
%U https://aclanthology.org/2022.clpsych-1.12
%U https://doi.org/10.18653/v1/2022.clpsych-1.12
%P 137-147
Markdown (Informal)
[Learning to Automate Follow-up Question Generation using Process Knowledge for Depression Triage on Reddit Posts](https://aclanthology.org/2022.clpsych-1.12) (Gupta et al., CLPsych 2022)
ACL