Goto

Collaborating Authors

 stressor


What if It's Not the Phones?

The Atlantic - Technology

An evolutionary psychologist is challenging the popular understanding of kids and technology. W hen the 82-year-old psychologist Peter Gray describes the way he grew up, he punctuates the anecdotes by saying that modern parents would be arrested for letting a child have such fun. When he was 4 years old, he would walk to a store in Minneapolis to buy cigarettes for his grandmother. When he was 11, he would sometimes stay home from school in Hill City, Minnesota, to operate a newspaper printing press owned by his mother and stepfather. His parents were not arrested, and that's because the childhood they permitted him to have was basically normal at the time, even if his family did have a newspaper printing press in the house. As a boy, Peter was obsessed with fishing and baseball; neighborhood friends taught him how to ride his bike and catch grasshoppers. Although Gray's career as a scientist would begin with laboratory studies of rat hormones, he eventually found his way to writing about his childhood, in a fashion.




A Review of Statistical and Machine Learning Approaches for Coral Bleaching Assessment

arXiv.org Machine Learning

Coral bleaching is a major concern for marine ecosystems; more than half of the world's coral reefs have either bleached or died over the past three decades. Increasing sea surface temperatures, along with various spatiotemporal environmental factors, are considered the primary reasons behind coral bleaching. The statistical and machine learning communities have focused on multiple aspects of the environment in detail. However, the literature on various stochastic modeling approaches for assessing coral bleaching is extremely scarce. Data-driven strategies are crucial for effective reef management, and this review article provides an overview of existing statistical and machine learning methods for assessing coral bleaching. Statistical frameworks, including simple regression models, generalized linear models, generalized additive models, Bayesian regression models, spatiotemporal models, and resilience indicators, such as Fisher's Information and Variance Index, are commonly used to explore how different environmental stressors influence coral bleaching. On the other hand, machine learning methods, including random forests, decision trees, support vector machines, and spatial operators, are more popular for detecting nonlinear relationships, analyzing high-dimensional data, and allowing integration of heterogeneous data from diverse sources. In addition to summarizing these models, we also discuss potential data-driven future research directions, with a focus on constructing statistical and machine learning models in specific contexts related to coral bleaching.


Patient-Centered Summarization Framework for AI Clinical Summarization: A Mixed-Methods Design

arXiv.org Artificial Intelligence

Large Language Models (LLMs) are increasingly demonstrating the potential to reach human-level performance in generating clinical summaries from patient-clinician conversations. However, these summaries often focus on patients' biology rather than their preferences, values, wishes, and concerns. To achieve patient-centered care, we propose a new standard for Artificial Intelligence (AI) clinical summarization tasks: Patient-Centered Summaries (PCS). Our objective was to develop a framework to generate PCS that capture patient values and ensure clinical utility and to assess whether current open-source LLMs can achieve human-level performance in this task. We used a mixed-methods process. Two Patient and Public Involvement groups (10 patients and 8 clinicians) in the United Kingdom participated in semi-structured interviews exploring what personal and contextual information should be included in clinical summaries and how it should be structured for clinical use. Findings informed annotation guidelines used by eight clinicians to create gold-standard PCS from 88 atrial fibrillation consultations. Sixteen consultations were used to refine a prompt aligned with the guidelines. Five open-source LLMs (Llama-3.2-3B, Llama-3.1-8B, Mistral-8B, Gemma-3-4B, and Qwen3-8B) generated summaries for 72 consultations using zero-shot and few-shot prompting, evaluated with ROUGE-L, BERTScore, and qualitative metrics. Patients emphasized lifestyle routines, social support, recent stressors, and care values. Clinicians sought concise functional, psychosocial, and emotional context. The best zero-shot performance was achieved by Mistral-8B (ROUGE-L 0.189) and Llama-3.1-8B (BERTScore 0.673); the best few-shot by Llama-3.1-8B (ROUGE-L 0.206, BERTScore 0.683). Completeness and fluency were similar between experts and models, while correctness and patient-centeredness favored human PCS.


ChatThero: An LLM-Supported Chatbot for Behavior Change and Therapeutic Support in Addiction Recovery

arXiv.org Artificial Intelligence

Substance use disorders (SUDs) affect millions of people, and relapses are common, requiring multi-session treatments. Access to care is limited, which contributes to the challenge of recovery support. We present \textbf{ChatThero}, an innovative low-cost, multi-session, stressor-aware, and memory-persistent autonomous \emph{language agent} designed to facilitate long-term behavior change and therapeutic support in addiction recovery. Unlike existing work that mostly finetuned large language models (LLMs) on patient-therapist conversation data, ChatThero was trained in a multi-agent simulated environment that mirrors real therapy. We created anonymized patient profiles from recovery communities (e.g., Reddit). We classify patients as \texttt{easy}, \texttt{medium}, and \texttt{difficult}, three scales representing their resistance to recovery. We created an external environment by introducing stressors (e.g., social determinants of health) to simulate real-world situations. We dynamically inject clinically-grounded therapeutic strategies (motivational interview and cognitive behavioral therapy). Our evaluation, conducted by both human (blinded clinicians) and LLM-as-Judge, shows that ChatThero is superior in empathy and clinical relevance. We show that stressor simulation improves robustness of ChatThero. Explicit stressors increase relapse-like setbacks, matching real-world patterns. We evaluate ChatThero with behavioral change metrics. On a 1--5 scale, ChatThero raises \texttt{motivation} by $+1.71$ points (from $2.39$ to $4.10$) and \texttt{confidence} by $+1.67$ points (from $1.52$ to $3.19$), substantially outperforming GPT-5. On \texttt{difficult} patients, ChatThero reaches the success milestone with $26\%$ fewer turns than GPT-5.


StressID: a Multimodal Dataset for Stress Identification

Neural Information Processing Systems

Total size 5.29GB Physiological total duration across subjects and across tasks 1119 min Video total duration across subjects and across tasks 918 min Audio total duration across subjects and across tasks 385 minFigure 1: A dataset summary card for StressID, constructed based on [2, 5]. 3 Figure 2: Organisation of the



Feasibility of Structuring Stress Documentation Using an Ontology-Guided Large Language Model

arXiv.org Artificial Intelligence

Stress, arising from the dynamic interaction between external stressors, individual appraisals, and physiological or psychological responses, significantly impacts health yet is often underreported and inconsistently documented, typically captured as unstructured free-text in electronic health records. Ambient AI technologies offer promise in reducing documentation burden, but predominantly generate unstructured narratives, limiting downstream clinical utility. This study aimed to develop an ontology for mental stress and evaluate the feasibility of using a Large Language Model (LLM) to extract ontology-guided stress-related information from narrative text. The Mental Stress Ontology (MeSO) was developed by integrating theoretical models like the Transactional Model of Stress with concepts from 11 validated stress assessment tools. MeSO's structure and content were refined using Ontology Pitfall Scanner! and expert validation. Using MeSO, six categories of stress-related information--stressor, stress response, coping strategy, duration, onset, and temporal profile--were extracted from 35 Reddit posts using Claude Sonnet 4. Human reviewers evaluated accuracy and ontology coverage. The final ontology included 181 concepts across eight top-level classes. Of 220 extractable stress-related items, the LLM correctly identified 172 (78.2%), misclassified 27 (12.3%), and missed 21 (9.5%). All correctly extracted items were accurately mapped to MeSO, although 24 relevant concepts were not yet represented in the ontology. This study demonstrates the feasibility of using an ontology-guided LLM for structured extraction of stress-related information, offering potential to enhance the consistency and utility of stress documentation in ambient AI systems. Future work should involve clinical dialogue data and comparison across LLMs.


Democracy-in-Silico: Institutional Design as Alignment in AI-Governed Polities

arXiv.org Artificial Intelligence

This paper introduces Democracy-in-Silico, an agent-based simulation where societies of advanced AI agents, imbued with complex psychological personas, govern themselves under different institutional frameworks. We explore what it means to be human in an age of AI by tasking Large Language Models (LLMs) to embody agents with traumatic memories, hidden agendas, and psychological triggers. These agents engage in deliberation, legislation, and elections under various stressors, such as budget crises and resource scarcity. We present a novel metric, the Power-Preservation Index (PPI), to quantify misaligned behavior where agents prioritize their own power over public welfare. Our findings demonstrate that institutional design, specifically the combination of a Constitutional AI (CAI) charter and a mediated deliberation protocol, serves as a potent alignment mechanism. These structures significantly reduce corrupt power-seeking behavior, improve policy stability, and enhance citizen welfare compared to less constrained democratic models. The simulation reveals that an institutional design may offer a framework for aligning the complex, emergent behaviors of future artificial agent societies, forcing us to reconsider what human rituals and responsibilities are essential in an age of shared authorship with non-human entities.