Generative learning has advanced network neuroscience, enabling tasks like graph super-resolution, temporal graph prediction, and multimodal brain graph fusion. However, current methods, mainly based on graph neural networks (GNNs), focus solely on structural and topological properties, neglecting cognitive traits. To address this, we introduce the first cognified generative model, CogGNN, which endows GNNs with cognitive capabilities (e.g., visual memory) to generate brain networks that preserve cognitive features. While broadly applicable, we present CogGNN, a specific variant designed to integrate visual input, a key factor in brain functions like pattern recognition and memory recall. As a proof of concept, we use our model to learn connectional brain templates (CBTs), population-level fingerprints from multi-view brain networks. Unlike prior work that overlooks cognitive properties, CogGNN generates CBTs that are both cognitively and structurally meaningful. Our contributions are: (i) a novel cognition-aware generative model with a visual-memory-based loss; (ii) a CBT-learning framework with a co-optimization strategy to yield well-centered, discriminative, cognitively enhanced templates. Extensive experiments show that CogGNN outperforms state-of-the-art methods, establishing a strong foundation for cognitively grounded brain network modeling.

The generation of connectional brain templates (CBTs) has recently garnered significant attention for its potential to identify unique connectivity patterns shared across individuals. However, existing methods for CBT learning such as conventional machine learning and graph neural networks (GNNs) are hindered by several limitations. These include: (i) poor interpretability due to their black-box nature, (ii) high computational cost, and (iii) an exclusive focus on structure and topology, overlooking the cognitive capacity of the generated CBT. To address these challenges, we introduce mCOCO (multi-sensory COgnitive COmputing), a novel framework that leverages Reservoir Computing (RC) to learn population-level functional CBT from BOLD (Blood-Oxygen-level-Dependent) signals. RC's dynamic system properties allow for tracking state changes over time, enhancing interpretability and enabling the modeling of brain-like dynamics, as demonstrated in prior literature. By integrating multi-sensory inputs (e.g., text, audio, and visual data), mCOCO captures not only structure and topology but also how brain regions process information and adapt to cognitive tasks such as sensory processing, all in a computationally efficient manner. Our mCOCO framework consists of two phases: (1) mapping BOLD signals into the reservoir to derive individual functional connectomes, which are then aggregated into a group-level CBT - an approach, to the best of our knowledge, not previously explored in functional connectivity studies - and (2) incorporating multi-sensory inputs through a cognitive reservoir, endowing the CBT with cognitive traits. Extensive evaluations show that our mCOCO-based template significantly outperforms GNN-based CBT in terms of centeredness, discriminativeness, topological soundness, and multi-sensory memory retention. Our source code is available at https://github.com/basiralab/mCOCO.

Cognitive Behavioral Therapy (CBT) is a proven approach for addressing the irrational thought patterns associated with mental health disorders, but its effectiveness relies on accurately identifying cognitive pathways to provide targeted treatment. In today's digital age, individuals often express negative emotions on social media, where they may reveal cognitive distortions, and in severe cases, exhibit suicidal tendencies. However, there is a significant gap in methodologies designed to analyze these cognitive pathways, which could be critical for psychotherapists aiming to deliver timely and effective interventions in online environments. Cognitive Behavioral Therapy (CBT) framework leveraging acceptance, commitment and data augmentation to categorize and address both textual and visual content as positive or negative. Specifically, the system employs BERT, RoBERTa for Sentiment Analysis and T5, PEGASUS for Text Summarization, mT5 for Text Translation in Multiple Languages focusing on detecting negative emotions and cognitive distortions within social media data. While existing models are primarily designed to identify negative thoughts, the proposed system goes beyond this by predicting additional negative side effects and other potential mental health disorders likes Phobias, Eating Disorders. This enhancement allows for a more comprehensive understanding and intervention strategy, offering psychotherapists a powerful tool for early detection and treatment of various psychological issues.

Wider access to therapeutic care is one of the biggest challenges in mental health treatment. Due to institutional barriers, some people seeking mental health support have turned to large language models (LLMs) for personalized therapy, even though these models are largely unsanctioned and untested. We investigate the potential and limitations of using LLMs as providers of evidence-based therapy by using mixed methods clinical metrics. Using HELPERT, a prompt run on a large language model using the same process and training as a comparative group of peer counselors, we replicated publicly accessible mental health conversations rooted in Cognitive Behavioral Therapy (CBT) to compare session dynamics and counselor's CBT-based behaviors between original peer support sessions and their reconstructed HELPERT sessions. Two licensed, CBT-trained clinical psychologists evaluated the sessions using the Cognitive Therapy Rating Scale and provided qualitative feedback. Our findings show that the peer sessions are characterized by empathy, small talk, therapeutic alliance, and shared experiences but often exhibit therapist drift. Conversely, HELPERT reconstructed sessions exhibit minimal therapist drift and higher adherence to CBT methods but display a lack of collaboration, empathy, and cultural understanding. Through CTRS ratings and psychologists' feedback, we highlight the importance of human-AI collaboration for scalable mental health. Our work outlines the ethical implication of imparting human-like subjective qualities to LLMs in therapeutic settings, particularly the risk of deceptive empathy, which may lead to unrealistic patient expectations and potential harm.

Cognitive Behavioral Therapy (CBT) is a well-established intervention for mitigating psychological issues by modifying maladaptive cognitive and behavioral patterns. However, delivery of CBT is often constrained by resource limitations and barriers to access. Advancements in artificial intelligence (AI) have provided technical support for the digital transformation of CBT. Particularly, the emergence of pre-training models (PTMs) and large language models (LLMs) holds immense potential to support, augment, optimize and automate CBT delivery. This paper reviews the literature on integrating AI into CBT interventions. We begin with an overview of CBT. Then, we introduce the integration of AI into CBT across various stages: pre-treatment, therapeutic process, and post-treatment. Next, we summarized the datasets relevant to some CBT-related tasks. Finally, we discuss the benefits and current limitations of applying AI to CBT. We suggest key areas for future research, highlighting the need for further exploration and validation of the long-term efficacy and clinical utility of AI-enhanced CBT. The transformative potential of AI in reshaping the practice of CBT heralds a new era of more accessible, efficient, and personalized mental health interventions.

The challenges of collecting medical data on neurological disorder diagnosis problems paved the way for learning methods with scarce number of samples. Due to this reason, one-shot learning still remains one of the most challenging and trending concepts of deep learning as it proposes to simulate the human-like learning approach in classification problems. Previous studies have focused on generating more accurate fingerprints of the population using graph neural networks (GNNs) with connectomic brain graph data. Thereby, generated population fingerprints named connectional brain template (CBTs) enabled detecting discriminative bio-markers of the population on classification tasks. However, the reverse problem of data augmentation from single graph data representing brain connectivity has never been tackled before. In this paper, we propose an augmentation pipeline in order to provide improved metrics on our binary classification problem. Divergently from the previous studies, we examine augmentation from a single population template by utilizing graph-based generative adversarial network (gGAN) architecture for a classification problem. We benchmarked our proposed solution on AD/LMCI dataset consisting of brain connectomes with Alzheimer's Disease (AD) and Late Mild Cognitive Impairment (LMCI). In order to evaluate our model's generalizability, we used cross-validation strategy and randomly sampled the folds multiple times. Our results on classification not only provided better accuracy when augmented data generated from one sample is introduced, but yields more balanced results on other metrics as well.

We propose Class Based Thresholding (CBT) to reduce the computational cost of early exit semantic segmentation models while preserving the mean intersection over union (mIoU) performance. A key idea of CBT is to exploit the naturally-occurring neural collapse phenomenon. Specifically, by calculating the mean prediction probabilities of each class in the training set, CBT assigns different masking threshold values to each class, so that the computation can be terminated sooner for pixels belonging to easy-to-predict classes. We show the effectiveness of CBT on Cityscapes and ADE20K datasets. CBT can reduce the computational cost by $23\%$ compared to the previous state-of-the-art early exit models.

A central challenge in training one-shot learning models is the limited representativeness of the available shots of the data space. Particularly in the field of network neuroscience where the brain is represented as a graph, such models may lead to low performance when classifying brain states (e.g., typical vs. autistic). To cope with this, most of the existing works involve a data augmentation step to increase the size of the training set, its diversity and representativeness. Though effective, such augmentation methods are limited to generating samples with the same size as the input shots (e.g., generating brain connectivity matrices from a single shot matrix). To the best of our knowledge, the problem of generating brain multigraphs capturing multiple types of connectivity between pairs of nodes (i.e., anatomical regions) from a single brain graph remains unsolved. In this paper, we unprecedentedly propose a hybrid graph neural network (GNN) architecture, namely Multigraph Generator Network or briefly MultigraphGNet, comprising two subnetworks: (1) a many-to-one GNN which integrates an input population of brain multigraphs into a single template graph, namely a connectional brain temple (CBT), and (2) a reverse one-to-many U-Net network which takes the learned CBT in each training step and outputs the reconstructed input multigraph population. Both networks are trained in an end-to-end way using a cyclic loss. Experimental results demonstrate that our MultigraphGNet boosts the performance of an independent classifier when trained on the augmented brain multigraphs in comparison with training on a single CBT from each class. We hope that our framework can shed some light on the future research of multigraph augmentation from a single graph.

The connectional brain template (CBT) captures the shared traits across all individuals of a given population of brain connectomes, thereby acting as a fingerprint. Estimating a CBT from a population where brain graphs are derived from diverse neuroimaging modalities (e.g., functional and structural) and at different resolutions (i.e., number of nodes) remains a formidable challenge to solve. Such network integration task allows for learning a rich and universal representation of the brain connectivity across varying modalities and resolutions. The resulting CBT can be substantially used to generate entirely new multimodal brain connectomes, which can boost the learning of the downs-stream tasks such as brain state classification. Here, we propose the Multimodal Multiresolution Brain Graph Integrator Network (i.e., M2GraphIntegrator), the first multimodal multiresolution graph integration framework that maps a given connectomic population into a well centered CBT. M2GraphIntegrator first unifies brain graph resolutions by utilizing resolution-specific graph autoencoders. Next, it integrates the resulting fixed-size brain graphs into a universal CBT lying at the center of its population. To preserve the population diversity, we further design a novel clustering-based training sample selection strategy which leverages the most heterogeneous training samples. To ensure the biological soundness of the learned CBT, we propose a topological loss that minimizes the topological gap between the ground-truth brain graphs and the learned CBT. Our experiments show that from a single CBT, one can generate realistic connectomic datasets including brain graphs of varying resolutions and modalities. We further demonstrate that our framework significantly outperforms benchmarks in reconstruction quality, augmentation task, centeredness and topological soundness.

You are free to share this article under the Attribution 4.0 International license. Cognitive behavioral therapy for chronic pain supported by artificial intelligence can yield the same results as programs delivered by therapists, a new study shows. Cognitive behavioral therapy (CBT) is an effective alternative to opioid painkillers for managing chronic pain. But getting patients to complete those programs is challenging, especially because psychotherapy often requires multiple sessions and mental health specialists are scarce. AI-supported therapy requires substantially less clinician time, making it more accessible to patients, the researchers report.