The Pursuit of Empathy: Evaluating Small Language Models for PTSD Dialogue Support

Fuente: arXiv
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Hauptverfasser: BN, Suhas, Mahajan, Yash, Mattioli, Dominik, Sherrill, Andrew M., Arriaga, Rosa I., Wiese, Chris W., Abdullah, Saeed
Format: Preprint
Veröffentlicht: 2025
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author BN, Suhas
Mahajan, Yash
Mattioli, Dominik
Sherrill, Andrew M.
Arriaga, Rosa I.
Wiese, Chris W.
Abdullah, Saeed
author_facet BN, Suhas
Mahajan, Yash
Mattioli, Dominik
Sherrill, Andrew M.
Arriaga, Rosa I.
Wiese, Chris W.
Abdullah, Saeed
contents This paper investigates the capacity of small language models (0.5B-5B parameters) to generate empathetic responses for individuals with PTSD. We introduce Trauma-Informed Dialogue for Empathy (TIDE), a novel dataset comprising 10,000 two-turn conversations across 500 diverse, clinically-grounded PTSD personas (https://huggingface.co/datasets/yenopoya/TIDE). Using frontier model outputs as ground truth, we evaluate eight small LLMs in zero-shot settings and after fine-tuning. Fine-tuning enhances empathetic capabilities, improving cosine similarity and perceived empathy, although gains vary across emotional scenarios and smaller models exhibit a "knowledge transfer ceiling." As expected, Claude Sonnet 3.5 consistently outperforms all models, but surprisingly, the smaller models often approach human-rated empathy levels. Demographic analyses showed that older adults favored responses that validated distress before offering support (p = .004), while graduate-educated users preferred emotionally layered replies in specific scenarios. Gender-based differences were minimal (p > 0.15), suggesting the feasibility of broadly empathetic model designs. This work offers insights into building resource-efficient, emotionally intelligent systems for mental health support.
format Preprint
id arxiv_https___arxiv_org_abs_2505_15065
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle The Pursuit of Empathy: Evaluating Small Language Models for PTSD Dialogue Support
BN, Suhas
Mahajan, Yash
Mattioli, Dominik
Sherrill, Andrew M.
Arriaga, Rosa I.
Wiese, Chris W.
Abdullah, Saeed
Computation and Language
Artificial Intelligence
Computers and Society
68T50, 68T05
I.2.7; I.2.1; H.5.2
This paper investigates the capacity of small language models (0.5B-5B parameters) to generate empathetic responses for individuals with PTSD. We introduce Trauma-Informed Dialogue for Empathy (TIDE), a novel dataset comprising 10,000 two-turn conversations across 500 diverse, clinically-grounded PTSD personas (https://huggingface.co/datasets/yenopoya/TIDE). Using frontier model outputs as ground truth, we evaluate eight small LLMs in zero-shot settings and after fine-tuning. Fine-tuning enhances empathetic capabilities, improving cosine similarity and perceived empathy, although gains vary across emotional scenarios and smaller models exhibit a "knowledge transfer ceiling." As expected, Claude Sonnet 3.5 consistently outperforms all models, but surprisingly, the smaller models often approach human-rated empathy levels. Demographic analyses showed that older adults favored responses that validated distress before offering support (p = .004), while graduate-educated users preferred emotionally layered replies in specific scenarios. Gender-based differences were minimal (p > 0.15), suggesting the feasibility of broadly empathetic model designs. This work offers insights into building resource-efficient, emotionally intelligent systems for mental health support.
title The Pursuit of Empathy: Evaluating Small Language Models for PTSD Dialogue Support
topic Computation and Language
Artificial Intelligence
Computers and Society
68T50, 68T05
I.2.7; I.2.1; H.5.2
url https://arxiv.org/abs/2505.15065