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arxiv: 2605.11303 · v1 · submitted 2026-05-11 · 💻 cs.CL

Recognition: 2 theorem links

· Lean Theorem

Predicting Psychological Well-Being from Spontaneous Speech using LLMs

Authors on Pith no claims yet

Pith reviewed 2026-05-13 01:38 UTC · model grok-4.3

classification 💻 cs.CL
keywords Large Language ModelsPsychological Well-BeingSpontaneous SpeechZero-shot PredictionRyff PWBSpeech AnalysisMental HealthModel Explainability
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The pith

Large language models predict Ryff psychological well-being scores from spontaneous speech with Spearman correlations up to 0.8.

A machine-rendered reading of the paper's core claim, the machinery that carries it, and where it could break.

The paper tests whether instruction-tuned LLMs can estimate scores on the six dimensions of Ryff Psychological Well-Being directly from a few minutes of unscripted speech. A prompt shaped by clinical psychologists and linguists guides the models in a zero-shot setting on recordings from 111 participants in the PsyVoiD database. Twelve models, ranging from 1B to 70B parameters, are evaluated, with the best results reaching Spearman correlations of 0.8 on 80 percent of the data. The authors also examine systematic biases in the predictions and use word-cloud analysis to surface the linguistic patterns the models rely on.

Core claim

LLMs can extract semantically meaningful cues from spontaneous speech to predict Ryff PWB scores in a zero-shot manner, achieving Spearman correlations of up to 0.8 on 80% of the data from 111 participants.

What carries the argument

Domain-informed prompt that instructs LLMs to rate the six Ryff PWB dimensions from speech input, applied across twelve instruction-tuned models including Llama-3, Mistral, Gemma, and Phi variants.

If this is right

  • High correlations support the use of LLMs for scalable, non-intrusive assessment of psychological well-being from natural speech.
  • Statistical characterization of prediction variability can guide selection of reliable cases and flag model biases.
  • Keyword analyses reveal which linguistic features drive ratings on each PWB dimension, aiding interpretability.
  • Strong performance on 80% of participants suggests the method works for many speakers while highlighting the need to handle the remaining cases separately.

Where Pith is reading between the lines

These are editorial extensions of the paper, not claims the author makes directly.

  • The same prompting strategy could be tested on other self-report psychological scales to check transferability across constructs.
  • Deployment in real-world settings would require checking whether speech-derived scores match clinician judgments beyond self-reports.
  • Performance gaps across model sizes suggest smaller models may suffice for many practical well-being screening tasks.
  • Extending the approach to multilingual or accented speech would test robustness beyond the current English-dominant dataset.

Load-bearing premise

The domain-informed prompt produces ratings that validly reflect true Ryff PWB dimensions rather than surface linguistic patterns or model biases.

What would settle it

Substantially lower Spearman correlations on a new, independent collection of spontaneous speech recordings from a different population would indicate that the predictions do not generalize.

Figures

Figures reproduced from arXiv: 2605.11303 by Erfan Loweimi, Saturnino Luz, Sofia de la Fuente Garcia.

Figure 1
Figure 1. Figure 1: Workflow for zero-shot Ryff well-being estimation: ASR front-end, [PITH_FULL_IMAGE:figures/full_fig_p002_1.png] view at source ↗
Figure 2
Figure 2. Figure 2: Prompt design for Ryff PWB inference via LLMs: each colour [PITH_FULL_IMAGE:figures/full_fig_p003_2.png] view at source ↗
Figure 3
Figure 3. Figure 3: Word and unique word counts for different recordings in the PsyVoiD [PITH_FULL_IMAGE:figures/full_fig_p004_3.png] view at source ↗
Figure 4
Figure 4. Figure 4: Cumulative analysis of the Spearman correlation coefficient (SCC) [PITH_FULL_IMAGE:figures/full_fig_p004_4.png] view at source ↗
Figure 5
Figure 5. Figure 5: Histogram of the predicted Ryff scores by various LLMs vs ground [PITH_FULL_IMAGE:figures/full_fig_p005_5.png] view at source ↗
Figure 6
Figure 6. Figure 6: Word cloud of keywords extracted by Meta-Llama-3.3. [PITH_FULL_IMAGE:figures/full_fig_p005_6.png] view at source ↗
read the original abstract

We investigate the use of Large Language Models (LLMs) for zero-shot prediction of Ryff Psychological Well-Being (PWB) scores from spontaneous speech. Using a few minutes of voice recordings from 111 participants in the PsyVoiD database, we evaluated 12 instruction-tuned LLMs, including Llama-3 (8B, 70B), Ministral, Mistral, Gemma-2-9B, Gemma-3 (1B, 4B, 27B), Phi-4, DeepSeek (Qwen and Llama), and QwQ-Preview. A domain-informed prompt was developed in collaboration with experts in clinical psychology and linguistics. Results show that LLMs can extract semantically meaningful cues from spontaneous speech, achieving Spearman correlations of up to 0.8 on 80\% of the data. Additionally, to enhance explainability, we conducted statistical analyses to characterise prediction variability and systematic biases, alongside keyword-based word cloud analyses to highlight the linguistic features driving the models' predictions.

Editorial analysis

A structured set of objections, weighed in public.

Desk editor's note, referee report, simulated authors' rebuttal, and a circularity audit. Tearing a paper down is the easy half of reading it; the pith above is the substance, this is the friction.

Referee Report

3 major / 2 minor

Summary. The manuscript investigates the use of 12 instruction-tuned LLMs (Llama-3 8B/70B, Ministral, Mistral, Gemma-2/3 variants, Phi-4, DeepSeek, QwQ) for zero-shot prediction of Ryff Psychological Well-Being (PWB) scores from a few minutes of spontaneous speech in the PsyVoiD database (N=111 participants). A domain-informed prompt developed with clinical psychology and linguistics experts is employed; the central result is Spearman correlations reaching 0.8 on 80% of the data, accompanied by analyses of prediction variability, systematic biases, and keyword-based linguistic features for explainability.

Significance. If the reported correlations prove robust on the full sample without selection artifacts, the work would demonstrate that LLMs can extract semantically meaningful cues from naturalistic speech for scalable, non-invasive PWB assessment. This has clear implications for mental health monitoring and voice-interface applications, with the multi-model evaluation and explainability components (bias/variability stats, word clouds) adding value beyond simple performance claims.

major comments (3)
  1. [Abstract and Results] Abstract and Results: The peak Spearman ρ ≈ 0.8 is reported only for an unspecified 80% subset of the 111 participants. The manuscript must state the exclusion criteria (pre-registered or otherwise), report full-sample correlations with confidence intervals or standard errors, and show that the 20% exclusion does not materially alter the distribution of PWB scores or audio quality. Without these, the headline figure cannot be interpreted as representative performance.
  2. [Methods] Methods (Prompt construction): The domain-informed prompt is central to the zero-shot framing, yet its exact wording, development process, and any validation against human raters are not provided. The paper should include the full prompt text and evidence that ratings track the six Ryff dimensions rather than surface-level linguistic patterns or model priors.
  3. [Results] Results (Statistical analyses): Bias and variability analyses are mentioned but lack quantitative detail (specific tests, effect sizes, or how they interact with the 80% subset). Model comparisons across the 12 LLMs should include a systematic ranking or ablation to isolate contributing factors.
minor comments (2)
  1. [Abstract] Abstract: Specify which model and PWB dimension achieve the ρ = 0.8 figure, and report the range of correlations across all evaluations rather than only the maximum.
  2. [Figures/Tables] Figures/Tables: Any correlation tables or plots should present both the 80% subset and full-sample results side-by-side, with error bars or intervals where applicable.

Simulated Author's Rebuttal

3 responses · 1 unresolved

We thank the referee for their constructive and detailed feedback, which has helped clarify several aspects of our work. We have revised the manuscript to improve transparency on the data subset, provide the prompt details, and expand the statistical reporting. Our point-by-point responses follow.

read point-by-point responses
  1. Referee: [Abstract and Results] Abstract and Results: The peak Spearman ρ ≈ 0.8 is reported only for an unspecified 80% subset of the 111 participants. The manuscript must state the exclusion criteria (pre-registered or otherwise), report full-sample correlations with confidence intervals or standard errors, and show that the 20% exclusion does not materially alter the distribution of PWB scores or audio quality. Without these, the headline figure cannot be interpreted as representative performance.

    Authors: We agree that the subset requires full documentation. In the revised manuscript we explicitly describe the exclusion criteria (audio duration <3 minutes or SNR <15 dB) in the Methods and note that they were applied post-hoc for transcription reliability rather than pre-registered. We now report full-sample Spearman correlations together with bootstrapped 95% confidence intervals for every model. We also add Kolmogorov-Smirnov and Mann-Whitney tests confirming that the excluded 20% do not differ significantly from the retained sample in PWB score distributions or audio-quality metrics. The abstract has been updated to foreground the full-sample results while retaining the subset figure for comparison. revision: yes

  2. Referee: [Methods] Methods (Prompt construction): The domain-informed prompt is central to the zero-shot framing, yet its exact wording, development process, and any validation against human raters are not provided. The paper should include the full prompt text and evidence that ratings track the six Ryff dimensions rather than surface-level linguistic patterns or model priors.

    Authors: We have added the complete prompt text to a new Appendix A. The Methods section now details the three-round iterative development process conducted with two clinical psychologists and one linguist to map instructions onto the six Ryff dimensions. To demonstrate that predictions rely on dimension-specific cues rather than surface patterns, we include an ablation comparing the original prompt against a version stripped of dimension-specific language; performance drops substantially, supporting targeted semantic use. We did not, however, collect independent human-expert ratings of the speech samples on the Ryff scales, so a direct validation comparison is not available. revision: partial

  3. Referee: [Results] Results (Statistical analyses): Bias and variability analyses are mentioned but lack quantitative detail (specific tests, effect sizes, or how they interact with the 80% subset). Model comparisons across the 12 LLMs should include a systematic ranking or ablation to isolate contributing factors.

    Authors: The revised Results section now supplies the requested quantitative detail. Bias is quantified with one-sample t-tests on mean prediction error and Cohen’s d effect sizes; variability is assessed with Levene’s tests on prediction standard deviations. All metrics are presented for both the 80% subset and the full sample to show any differential effects. Model comparisons are expanded to a ranked table of all 12 LLMs by full-sample Spearman correlation, accompanied by an ablation that isolates the contributions of model size, instruction-tuning status, and prompt components (dimension-specific instructions versus generic framing). revision: yes

standing simulated objections not resolved
  • Formal validation of the LLM outputs against independent human expert ratings on the six Ryff dimensions was not performed in the study.

Circularity Check

0 steps flagged

No circularity: empirical zero-shot evaluation with external benchmarks

full rationale

The paper reports an empirical study in which instruction-tuned LLMs are applied in zero-shot fashion to spontaneous speech recordings from 111 participants to predict Ryff PWB scores. Performance is quantified by Spearman rank correlations against ground-truth scores, with supplementary statistical bias analyses and keyword-based linguistic feature inspection. No mathematical derivations, equations, or first-principles predictions appear that reduce outputs to inputs by construction. The 80 % data subset is presented as the basis for the headline correlation figure, yet the evaluation uses held-out participants and external benchmarks rather than any fitted parameter that is subsequently renamed as a prediction. No self-citation chains, uniqueness theorems, or smuggled ansatzes are invoked to justify the central claim. The reported pipeline is therefore self-contained as direct model inference plus standard statistical comparison.

Axiom & Free-Parameter Ledger

0 free parameters · 2 axioms · 0 invented entities

The central claim rests on pre-trained LLM capabilities and a custom prompt; no new mathematical derivations or fitted parameters are introduced beyond model selection and prompt wording.

axioms (2)
  • domain assumption LLMs encode semantically meaningful cues about psychological states in transcribed speech.
    Invoked when interpreting model outputs as valid PWB ratings.
  • domain assumption Spearman correlation on a subset of data is a sufficient indicator of predictive utility.
    Used to report performance without full dataset statistics.

pith-pipeline@v0.9.0 · 5478 in / 1372 out tokens · 34330 ms · 2026-05-13T01:38:12.005864+00:00 · methodology

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Reference graph

Works this paper leans on

39 extracted references · 39 canonical work pages · 2 internal anchors

  1. [1]

    Prevalence of stress, anxiety, depression among the general population during the covid-19 pandemic: a systematic review and meta-analysis,

    N. Salari et al., “Prevalence of stress, anxiety, depression among the general population during the covid-19 pandemic: a systematic review and meta-analysis,”Globalization and health, vol. 16, pp. 1–11, 2020

  2. [2]

    Mental health and covid-19: early evidence of the pandemic’s impact: scientific brief, 2 march 2022,

    World Health Organization et al., “Mental health and covid-19: early evidence of the pandemic’s impact: scientific brief, 2 march 2022,” Tech. Rep., World Health Organization, 2022

  3. [3]

    The psychological consequences of covid- 19 lockdowns,

    K. Le and M. Nguyen, “The psychological consequences of covid- 19 lockdowns,” inThe political economy of COVID-19, pp. 39–55. Routledge, 2022

  4. [4]

    Anxiety and depression in a primary care clinic: comparison of diagnostic interview schedule, general health question- naire, and practitioner assessments,

    M. V on Korff et al., “Anxiety and depression in a primary care clinic: comparison of diagnostic interview schedule, general health question- naire, and practitioner assessments,”Archives of General Psychiatry, vol. 44, no. 2, pp. 152–156, 1987

  5. [5]

    Depression and anxiety have distinct and overlapping language patterns: Results from a clinical interview.,

    E. C. Stade et al., “Depression and anxiety have distinct and overlapping language patterns: Results from a clinical interview.,”Journal of psychopathology and clinical science, 2023

  6. [6]

    The heterogeneity of mental health assessment,

    J. J. Newson, D. Hunter, and T. C. Thiagarajan, “The heterogeneity of mental health assessment,”Frontiers in psychiatry, vol. 11, pp. 76, 2020

  7. [7]

    The psychiatric interview: validity, structure, and subjectivity,

    J. Nordgaard, L. A. Sass, and J. Parnas, “The psychiatric interview: validity, structure, and subjectivity,”European archives of psychiatry and clinical neuroscience, vol. 263, pp. 353–364, 2013

  8. [8]

    Automatic speech emotion recognition using modulation spectral features,

    S. Wu, T. H. Falk, and W. Y . Chan, “Automatic speech emotion recognition using modulation spectral features,”Speech communication, vol. 53, no. 5, pp. 768–785, 2011

  9. [9]

    Artificial intelligence, speech, and language processing approaches to monitoring alzheimer’s disease: a systematic review,

    S. de la Fuente Garcia, C. W. Ritchie, and S. Luz, “Artificial intelligence, speech, and language processing approaches to monitoring alzheimer’s disease: a systematic review,”Journal of Alzheimer’s Disease, vol. 78, no. 4, pp. 1547–1574, 2020

  10. [10]

    K. Roy et al., “Large language models for mental health diagnostic assessments: Exploring the potential of large language models for assisting with mental health diagnostic assessments – the depression and anxiety case,” 2025

  11. [11]

    Automated assessment of psychiatric disorders using speech: A systematic review,

    D. M. Low, K. H. Bentley, and S. S. Ghosh, “Automated assessment of psychiatric disorders using speech: A systematic review,”Laryngoscope investigative otolaryngology, vol. 5, no. 1, pp. 96–116, 2020

  12. [12]

    Current applications and challenges in large language models for patient care: a systematic review,

    F. Busch, L. Hoffmann, C. Rueger, E. H. C. van Dijk, R. Kader, E. Ortiz-Prado, M. R. Makowski, L. Saba, M. Hadamitzky, J. N. Kather, D. Truhn, R. Cuocolo, L. C. Adams, and K. K. Bressem, “Current applications and challenges in large language models for patient care: a systematic review,”Communications Medicine, vol. 5, no. 1, pp. 1–13, 2025

  13. [13]

    Using large language models as a scalable mental sta- tus evaluation technique,

    M. Wagner, C. Stephenson, J. Jagayat, A. Kumar, A. Shirazi, N. Alavi, and M. Omrani, “Using large language models as a scalable mental sta- tus evaluation technique,”NPP—Digital Psychiatry and Neuroscience, vol. 3, no. 1, pp. 1–11, 2025

  14. [14]

    The hospital anxiety and depression scale,

    A. S. Zigmond and R. P. Snaith, “The hospital anxiety and depression scale,”Acta psychiatrica scandinavica, vol. 67, no. 6, 1983

  15. [15]

    Zero-shot speech-based depression and anxiety assessment with LLMs,

    E. Loweimi, S. de la Fuente Garcia, and S. Luz, “Zero-shot speech-based depression and anxiety assessment with LLMs,” inProc. Interspeech 2025, 2025, pp. 489–493

  16. [16]

    Large language models for depression recognition in spoken language integrating psychological knowledge,

    Y . Li, S. Shao, M. Milling, and B. W. Schuller, “Large language models for depression recognition in spoken language integrating psychological knowledge,”Frontiers in Computer Science, vol. 7, 2025

  17. [17]

    Integrating large language models into a tri-modal architecture for automated depression classification on the DAIC-WOZ,

    S. V . Patapati, “Integrating large language models into a tri-modal architecture for automated depression classification on the DAIC-WOZ,” arXiv preprint arXiv:2407.19340, 2024

  18. [18]

    Large language models for mental health applications: Systematic review,

    Z. Guo et al., “Large language models for mental health applications: Systematic review,”JMIR mental health, vol. 11, no. 1, pp. e57400, 2024

  19. [19]

    A scoping review of large language models for generative tasks in mental health care,

    Y . Hua, H. Na, Z. Li, F. Liu, X. Fang, D. Clifton, and J. Torous, “A scoping review of large language models for generative tasks in mental health care,”NPJ Digital Medicine, vol. 8, no. 1, pp. 230, 2025

  20. [20]

    Zero-shot learning with semantic output codes,

    M. Palatucci et al., “Zero-shot learning with semantic output codes,” inAdvances in Neural Information Processing Systems (NIPS). 2009, vol. 22, Curran Associates, Inc

  21. [21]

    Language models are few-shot learners,

    T. Brown et al., “Language models are few-shot learners,” inAdvances in Neural Information Processing Systems. 2020, vol. 33, pp. 1877–1901, Curran Associates, Inc

  22. [22]

    Happiness is everything, or is it? explorations on the meaning of psychological well-being.,

    C. D. Ryff, “Happiness is everything, or is it? explorations on the meaning of psychological well-being.,”Journal of personality and social psychology, vol. 57, no. 6, pp. 1069, 1989

  23. [23]

    The structure of psychological well-being revisited,

    C. D. Ryff and C. L. Keyes, “The structure of psychological well-being revisited,”Journal of personality and social psychology, vol. 69, no. 4, pp. 719, 1995

  24. [24]

    Self-realisation and meaning making in the face of adversity: A eudaimonic approach to human resilience,

    C. D. Ryff, “Self-realisation and meaning making in the face of adversity: A eudaimonic approach to human resilience,”Journal of psychology in Africa, vol. 24, no. 1, pp. 1–12, 2014

  25. [25]

    From human to machine psychology: A conceptual framework for understanding well-being in large language model,

    G. R. Lau and W. Y . Low, “From human to machine psychology: A conceptual framework for understanding well-being in large language model,”arXiv preprint arXiv:2506.12617, 2025

  26. [26]

    de la Fuente Garcia and S

    S. de la Fuente Garcia and S. Luz, “PsyV oiD - investigating the relationship between spontaneous speech features and psychology in the context of the covid-19 pandemic and lockdown: personality, wellbeing, coping strategies and affect, 2020-2021 [dataset],” 2023

  27. [27]

    The llama 3 herd of models,

    Aaron Grattafiori et al., “The llama 3 herd of models,” 2024

  28. [28]

    Llama 3.1 8b instruct,

    Meta AI, “Llama 3.1 8b instruct,” 2024, Accessed: 2025-02-19

  29. [29]

    Phi-4 technical report,

    Marah Abdin et al., “Phi-4 technical report,” 2024

  30. [30]

    Gemma 2: Improving open language models at a practical size,

    Gemma Team et al., “Gemma 2: Improving open language models at a practical size,” 2024

  31. [31]

    Gemma 3,

    Gemma Team, “Gemma 3,” 2025

  32. [32]

    Ministral-8B-Instruct-2410,

    Mistral AI Team, “Ministral-8B-Instruct-2410,” 2024, Accessed: 2024

  33. [33]

    Mistral NeMo,

    Mistral AI Team, “Mistral NeMo,” https://mistral.ai/news/mistral-nemo, 2024, Accessed: 2024

  34. [34]

    QwQ: Reflect Deeply on the Boundaries of the Unknown,

    Qwen Team, “QwQ: Reflect Deeply on the Boundaries of the Unknown,” November 2024

  35. [35]

    Qwen2 Technical Report

    An Yang et al., “Qwen2 technical report,”arXiv preprint arXiv:2407.10671, 2024

  36. [36]

    DeepSeek-R1: Incentivizing reasoning capability in llms via reinforcement learning,

    DeepSeek-AI et al., “DeepSeek-R1: Incentivizing reasoning capability in llms via reinforcement learning,” 2025

  37. [37]

    Robust Speech Recognition via Large-Scale Weak Supervision

    Alec Radford, Jong Wook Kim, Tao Xu, Greg Brockman, Christine McLeavey, and Ilya Sutskever, “Robust speech recognition via large- scale weak supervision,”arXiv preprint arXiv:2212.04356, 2022

  38. [38]

    Prompt engineering for digital mental health: a short review,

    Y . H. P. P. Priyadarshana, A. Senanayake, Z. Liang, and I. Piumarta, “Prompt engineering for digital mental health: a short review,”Frontiers in Digital Health, vol. 6, pp. 1410947, 2024

  39. [39]

    Scikit-learn: Machine learning in python,

    F. Pedregosa et al., “Scikit-learn: Machine learning in python,”Journal of Machine Learning Research, vol. 12, pp. 2825–2830, 2011