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From Likert Scales to Large Language Models: Validating a Computational Approach to Psychological Assessment of
Yosef Sokol1,2, Marianne Goodman1,3
1VISN 2 Mental Illness Research, Education and Clinical Center (MIRECC), James J. Peters Veterans Affairs Medical Center.
Large Language Models (LLMs) provide a new way to assess psychological concepts like Future Self-Continuity (FSC). This novel natural language processing (NLP) method shows promise for research and clinical practice.
Area of Science:
- Psychological assessment
- Artificial intelligence in behavioral science
- Natural Language Processing (NLP)
Background:
- Traditional Likert scales have limitations in measuring complex psychological constructs.
- Large Language Models (LLMs) present novel opportunities for advanced assessment methods.
- Future Self-Continuity (FSC) is a key construct related to perceived connections between present and future selves.
Purpose of the Study:
- To introduce and validate a new LLM-based methodology for psychological assessment.
- To apply this novel NLP approach to measure Future Self-Continuity (FSC).
- To explore the clinical utility of LLM-based FSC assessment, particularly in relation to suicide ideation.
Main Methods:
- An LLM (Claude 3.5 Sonnet) was used for NLP on interview transcripts from 164 participants.
- Quantitative NLP-FSC scores were derived and compared with the Future Self-Continuity Questionnaire (FSCQ).
- LLM robustness was confirmed through replication with different model versions; clinical utility was explored using the Suicidal Behaviors Questionnaire-Revised (SBQR).
Main Results:
- NLP-FSC scores demonstrated significant convergent validity with the FSCQ (r = 0.57) and acceptable agreement via Bland-Altman analysis.
- Replication studies confirmed the robustness of the LLM-based method across different model versions (inter-model r = 0.84–0.91).
- The NLP assessment captured unique variance in suicide attempt likelihood beyond the FSCQ, indicating potential clinical relevance.
Conclusions:
- The validated LLM-based NLP approach offers a nuanced and robust method for assessing Future Self-Continuity (FSC).
- This methodology advances psychological measurement, with potential applications in both research and clinical settings.
- The approach shows promise for identifying individuals at risk, particularly concerning suicide ideation.
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