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Artificial Intelligence
arXiv (cs.AI) · July 16, 2026

Self-Evolving Human-Centered Framework for Explainable Depression Symptom Annotation

Hoang-Loc Cao, Van Pham, Truong Thanh Hung Nguyen +4 more

Datasets used to train mental-health AI often carry bare labels: this text signals depression, this one doesn't, with no record of why. That makes the label hard to trust and makes it hard to build a model that can explain itself. The authors want annotations that show their work, tied explicitly to the clinical criteria in the DSM-5-TR.

Their framework pairs a language model with a human expert in a loop, moving through three steps: pulling candidate evidence from the text, checking it against each diagnostic criterion, then synthesizing a label with a severity rating. A two-part memory stores worked examples and reflections on expert corrections, so the system improves without retraining, and it exports the evidence, reasoning, and edit history so a person can audit it. They frame this as a tool for building better datasets, not for diagnosing anyone.

One honest caveat: the abstract reports only a pilot and leaves fuller evaluation to future work, so read the paper before drawing conclusions.

From the arXiv (cs.AI) abstract

Annotation quality is a major bottleneck in building reliable and explainable artificial intelligence (XAI) systems for mental health research. In depression-related datasets, labels are often assigned without structured evidence, symptom-level justification, or traceable alignment with the criteria of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR), limiting both transparency and downstream model interpretability. We…


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