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Auteurs principaux: Kim, Hyeoneui, Kim, Jeongha, Xu, Huijing, Jung, Jinsun, Kang, Sunghoon, Jang, Sun Joo
Format: Preprint
Publié: 2025
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Accès en ligne:https://arxiv.org/abs/2510.01244
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author Kim, Hyeoneui
Kim, Jeongha
Xu, Huijing
Jung, Jinsun
Kang, Sunghoon
Jang, Sun Joo
author_facet Kim, Hyeoneui
Kim, Jeongha
Xu, Huijing
Jung, Jinsun
Kang, Sunghoon
Jang, Sun Joo
contents 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.
format Preprint
id arxiv_https___arxiv_org_abs_2510_01244
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Feasibility of Structuring Stress Documentation Using an Ontology-Guided Large Language Model
Kim, Hyeoneui
Kim, Jeongha
Xu, Huijing
Jung, Jinsun
Kang, Sunghoon
Jang, Sun Joo
Computation and Language
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.
title Feasibility of Structuring Stress Documentation Using an Ontology-Guided Large Language Model
topic Computation and Language
url https://arxiv.org/abs/2510.01244