Objective: The growing use of large language models (LLMs) stimulates a need for a comprehensive review of their applications and outcomes in mental health care contexts. This scoping review aims to critically analyze the existing development and applications of LLMs in mental health care, highlighting their successes and identifying their challenges and limitations in these specialized fields. Materials and Methods: A broad literature search was conducted in November 2023 using six databases (PubMed, Web of Science, Google Scholar, arXiv, medRxiv, and PsyArXiv) following the 2020 version of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A total of 313 publications were initially identified, and after applying the study inclusion criteria, 34 publications were selected for the final review. Results: We identified diverse applications of LLMs in mental health care, including diagnosis, therapy, patient engagement enhancement, etc. Key challenges include data availability and reliability, nuanced handling of mental states, and effective evaluation methods. Despite successes in accuracy and accessibility improvement, gaps in clinical applicability and ethical considerations were evident, pointing to the need for robust data, standardized evaluations, and interdisciplinary collaboration. Conclusion: LLMs show promising potential in advancing mental health care, with applications in diagnostics, and patient support. Continued advancements depend on collaborative, multidisciplinary efforts focused on framework enhancement, rigorous dataset development, technological refinement, and ethical integration to ensure the effective and safe application of LLMs in mental health care.

Large Language Models (LLMs) have become valuable assets in mental health, showing promise in both classification tasks and counseling applications. This paper offers a perspective on using LLMs in mental health applications. It discusses the instability of generative models for prediction and the potential for generating hallucinatory outputs, underscoring the need for ongoing audits and evaluations to maintain their reliability and dependability. The paper also distinguishes between the often interchangeable terms ``explainability'' and ``interpretability'', advocating for developing inherently interpretable methods instead of relying on potentially hallucinated self-explanations generated by LLMs. Despite the advancements in LLMs, human counselors' empathetic understanding, nuanced interpretation, and contextual awareness remain irreplaceable in the sensitive and complex realm of mental health counseling. The use of LLMs should be approached with a judicious and considerate mindset, viewing them as tools that complement human expertise rather than seeking to replace it.

With the advent of social media, an increasing number of netizens are sharing and reading posts and news online. However, the huge volumes of misinformation (e.g., fake news and rumors) that flood the internet can adversely affect people's lives, and have resulted in the emergence of rumor and fake news detection as a hot research topic. The emotions and sentiments of netizens, as expressed in social media posts and news, constitute important factors that can help to distinguish fake news from genuine news and to understand the spread of rumors. This article comprehensively reviews emotion-based methods for misinformation detection. We begin by explaining the strong links between emotions and misinformation. We subsequently provide a detailed analysis of a range of misinformation detection methods that employ a variety of emotion, sentiment and stance-based features, and describe their strengths and weaknesses. Finally, we discuss a number of ongoing challenges in emotion-based misinformation detection based on large language models and suggest future research directions, including data collection (multi-platform, multilingual), annotation, benchmark, multimodality, and interpretability.

The latest large language models (LLMs) such as ChatGPT, exhibit strong capabilities in automated mental health analysis. However, existing relevant studies bear several limitations, including inadequate evaluations, lack of prompting strategies, and ignorance of exploring LLMs for explainability. To bridge these gaps, we comprehensively evaluate the mental health analysis and emotional reasoning ability of LLMs on 11 datasets across 5 tasks. We explore the effects of different prompting strategies with unsupervised and distantly supervised emotional information. Based on these prompts, we explore LLMs for interpretable mental health analysis by instructing them to generate explanations for each of their decisions. We convey strict human evaluations to assess the quality of the generated explanations, leading to a novel dataset with 163 human-assessed explanations. We benchmark existing automatic evaluation metrics on this dataset to guide future related works. According to the results, ChatGPT shows strong in-context learning ability but still has a significant gap with advanced task-specific methods. Careful prompt engineering with emotional cues and expert-written few-shot examples can also effectively improve performance on mental health analysis. In addition, ChatGPT generates explanations that approach human performance, showing its great potential in explainable mental health analysis.

The context-aware emotional reasoning ability of AI systems, especially in conversations, is of vital importance in applications such as online opinion mining from social media and empathetic dialogue systems. Due to the implicit nature of conveying emotions in many scenarios, commonsense knowledge is widely utilized to enrich utterance semantics and enhance conversation modeling. However, most previous knowledge infusion methods perform empirical knowledge filtering and design highly customized architectures for knowledge interaction with the utterances, which can discard useful knowledge aspects and limit their generalizability to different knowledge sources. Based on these observations, we propose a Bipartite Heterogeneous Graph (BHG) method for enhancing emotional reasoning with commonsense knowledge. In BHG, the extracted context-aware utterance representations and knowledge representations are modeled as heterogeneous nodes. Two more knowledge aggregation node types are proposed to perform automatic knowledge filtering and interaction. BHG-based knowledge infusion can be directly generalized to multi-type and multi-grained knowledge sources. In addition, we propose a Multi-dimensional Heterogeneous Graph Transformer (MHGT) to perform graph reasoning, which can retain unchanged feature spaces and unequal dimensions for heterogeneous node types during inference to prevent unnecessary loss of information. Experiments show that BHG-based methods significantly outperform state-of-the-art knowledge infusion methods and show generalized knowledge infusion ability with higher efficiency. Further analysis proves that previous empirical knowledge filtering methods do not guarantee to provide the most useful knowledge information. Our code is available at: https://github.com/SteveKGYang/BHG.

In Emotion Recognition in Conversations (ERC), the emotions of target utterances are closely dependent on their context. Therefore, existing works train the model to generate the response of the target utterance, which aims to recognise emotions leveraging contextual information. However, adjacent response generation ignores long-range dependencies and provides limited affective information in many cases. In addition, most ERC models learn a unified distributed representation for each utterance, which lacks interpretability and robustness. To address these issues, we propose a VAD-disentangled Variational AutoEncoder (VAD-VAE), which first introduces a target utterance reconstruction task based on Variational Autoencoder, then disentangles three affect representations Valence-Arousal-Dominance (VAD) from the latent space. We also enhance the disentangled representations by introducing VAD supervision signals from a sentiment lexicon and minimising the mutual information between VAD distributions. Experiments show that VAD-VAE outperforms the state-of-the-art model on two datasets. Further analysis proves the effectiveness of each proposed module and the quality of disentangled VAD representations. The code is available at https://github.com/SteveKGYang/VAD-VAE.

Pretrained language models have been used in various natural language processing applications. In the mental health domain, domain-specific language models are pretrained and released, which facilitates the early detection of mental health conditions. Social posts, e.g., on Reddit, are usually long documents. However, there are no domain-specific pretrained models for long-sequence modeling in the mental health domain. This paper conducts domain-specific continued pretraining to capture the long context for mental health. Specifically, we train and release MentalXLNet and MentalLongformer based on XLNet and Longformer. We evaluate the mental health classification performance and the long-range ability of these two domain-specific pretrained models. Our models are released in HuggingFace.

Mental illnesses are one of the most prevalent public health problems worldwide, which negatively influence people's lives and society's health. With the increasing popularity of social media, there has been a growing research interest in the early detection of mental illness by analysing user-generated posts on social media. According to the correlation between emotions and mental illness, leveraging and fusing emotion information has developed into a valuable research topic. In this article, we provide a comprehensive survey of approaches to mental illness detection in social media that incorporate emotion fusion. We begin by reviewing different fusion strategies, along with their advantages and disadvantages. Subsequently, we discuss the major challenges faced by researchers working in this area, including issues surrounding the availability and quality of datasets, the performance of algorithms and interpretability. We additionally suggest some potential directions for future research.

A key challenge for Emotion Recognition in Conversations (ERC) is to distinguish semantically similar emotions. Some works utilise Supervised Contrastive Learning (SCL) which uses categorical emotion labels as supervision signals and contrasts in high-dimensional semantic space. However, categorical labels fail to provide quantitative information between emotions. ERC is also not equally dependent on all embedded features in the semantic space, which makes the high-dimensional SCL inefficient. To address these issues, we propose a novel low-dimensional Supervised Cluster-level Contrastive Learning (SCCL) method, which first reduces the high-dimensional SCL space to a three-dimensional affect representation space Valence-Arousal-Dominance (VAD), then performs cluster-level contrastive learning to incorporate measurable emotion prototypes. To help modelling the dialogue and enriching the context, we leverage the pre-trained knowledge adapters to infuse linguistic and factual knowledge. Experiments show that our method achieves new state-of-the-art results with 69.81% on IEMOCAP, 65.7% on MELD, and 62.51% on DailyDialog datasets. The analysis also proves that the VAD space is not only suitable for ERC but also interpretable, with VAD prototypes enhancing its performance and stabilising the training of SCCL. In addition, the pre-trained knowledge adapters benefit the performance of the utterance encoder and SCCL. Our code is available at: https://github.com/SteveKGYang/SCCL