Isaac R. Galatzer-Levy

Zhe Sage Chen, Prathamesh, Kulkarni et al.

In light of the NIMH's Research Domain Criteria (RDoC), the advent of functional neuroimaging, novel technologies and methods provide new opportunities to develop precise and personalized prognosis and diagnosis of mental disorders. Machine learning (ML) and artificial intelligence (AI) technologies are playing an increasingly critical role in the new era of precision psychiatry. Combining ML/AI with neuromodulation technologies can potentially provide explainable solutions in clinical practice and effective therapeutic treatment. Advanced wearable and mobile technologies also call for the new role of ML/AI for digital phenotyping in mobile mental health. In this review, we provide a comprehensive review of the ML methodologies and applications by combining neuroimaging, neuromodulation, and advanced mobile technologies in psychiatry practice. Additionally, we review the role of ML in molecular phenotyping and cross-species biomarker identification in precision psychiatry. We further discuss explainable AI (XAI) and causality testing in a closed-human-in-the-loop manner, and highlight the ML potential in multimedia information extraction and multimodal data fusion. Finally, we discuss conceptual and practical challenges in precision psychiatry and highlight ML opportunities in future research.

Isaac R. Galatzer-Levy, Daniel McDuff, Vivek Natarajan et al.

The current work investigates the capability of Large language models (LLMs) that are explicitly trained on large corpuses of medical knowledge (Med-PaLM 2) to predict psychiatric functioning from patient interviews and clinical descriptions without being trained to do so. To assess this, n = 145 depression and n =115 PTSD assessments and n = 46 clinical case studies across high prevalence/high comorbidity disorders (Depressive, Anxiety, Psychotic, trauma and stress, Addictive disorders) were analyzed using prompts to extract estimated clinical scores and diagnoses. Results demonstrate that Med-PaLM 2 is capable of assessing psychiatric functioning across a range of psychiatric conditions with the strongest performance being the prediction of depression scores based on standardized assessments (Accuracy range= 0.80 - 0.84) which were statistically indistinguishable from human clinical raters t(1,144) = 1.20; p = 0.23. Results show the potential for general clinical language models to flexibly predict psychiatric risk based on free descriptions of functioning from both patients and clinicians.

Ryan Burnell, Yumeya Yamamori, Orhan Firat et al.

Despite widespread discussion of AGI, there is no clear framework for measuring progress toward it. This ambiguity fuels subjective claims, makes it difficult to track progress, and risks hindering responsible governance. As a starting point to address this gap, we present a framework for understanding system capabilities in relation to human cognitive abilities. Drawing from decades of research in psychology, neuroscience, and cognitive science, we introduce a Cognitive Taxonomy that deconstructs general intelligence into 10 key cognitive faculties. We then propose a rigorous evaluation protocol in which a system's performance is measured across a suite of targeted, held-out cognitive tasks, generating a 'cognitive profile' that can be used to understand a system's strengths and weaknesses. We hope this framework will provide a practical roadmap and an initial step toward more rigorous, empirical evaluation of AGI.

A. Ali Heydari, Ken Gu, Vidya Srinivas et al. · stanford

Health is a fundamental pillar of human wellness, and the rapid advancements in large language models (LLMs) have driven the development of a new generation of health agents. However, the application of health agents to fulfill the diverse needs of individuals in daily non-clinical settings is underexplored. In this work, we aim to build a comprehensive personal health agent that is able to reason about multimodal data from everyday consumer wellness devices and common personal health records, and provide personalized health recommendations. To understand end-users' needs when interacting with such an assistant, we conducted an in-depth analysis of web search and health forum queries, alongside qualitative insights from users and health experts gathered through a user-centered design process. Based on these findings, we identified three major categories of consumer health needs, each of which is supported by a specialist sub-agent: (1) a data science agent that analyzes personal time-series wearable and health record data, (2) a health domain expert agent that integrates users' health and contextual data to generate accurate, personalized insights, and (3) a health coach agent that synthesizes data insights, guiding users using a specified psychological strategy and tracking users' progress. Furthermore, we propose and develop the Personal Health Agent (PHA), a multi-agent framework that enables dynamic, personalized interactions to address individual health needs. To evaluate each sub-agent and the multi-agent system, we conducted automated and human evaluations across 10 benchmark tasks, involving more than 7,000 annotations and 1,100 hours of effort from health experts and end-users. Our work represents the most comprehensive evaluation of a health agent to date and establishes a strong foundation towards the futuristic vision of a personal health agent accessible to everyone.

Jiyeong Kim, Stephen P. Ma, Michael L. Chen et al.

Patients with diabetes are at increased risk of comorbid depression or anxiety, complicating their management. This study evaluated the performance of large language models (LLMs) in detecting these symptoms from secure patient messages. We applied multiple approaches, including engineered prompts, systemic persona, temperature adjustments, and zero-shot and few-shot learning, to identify the best-performing model and enhance performance. Three out of five LLMs demonstrated excellent performance (over 90% of F-1 and accuracy), with Llama 3.1 405B achieving 93% in both F-1 and accuracy using a zero-shot approach. While LLMs showed promise in binary classification and handling complex metrics like Patient Health Questionnaire-4, inconsistencies in challenging cases warrant further real-life assessment. The findings highlight the potential of LLMs to assist in timely screening and referrals, providing valuable empirical knowledge for real-world triage systems that could improve mental health care for patients with chronic diseases.

Isaac R. Galatzer-Levy, Jed McGiffin, David Munday et al.

Generative AI's rapid advancement sparks interest in its cognitive abilities, especially given its capacity for tasks like language understanding and code generation. This study explores how several recent GenAI models perform on the Clock Drawing Test (CDT), a neuropsychological assessment of visuospatial planning and organization. While models create clock-like drawings, they struggle with accurate time representation, showing deficits similar to mild-severe cognitive impairment (Wechsler, 2009). Errors include numerical sequencing issues, incorrect clock times, and irrelevant additions, despite accurate rendering of clock features. Only GPT 4 Turbo and Gemini Pro 1.5 produced the correct time, scoring like healthy individuals (4/4). A follow-up clock-reading test revealed only Sonnet 3.5 succeeded, suggesting drawing deficits stem from difficulty with numerical concepts. These findings may reflect weaknesses in visual-spatial understanding, working memory, or calculation, highlighting strengths in learned knowledge but weaknesses in reasoning. Comparing human and machine performance is crucial for understanding AI's cognitive capabilities and guiding development toward human-like cognitive functions.