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| Main Authors: | , , , |
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| Format: | Preprint |
| Published: |
2026
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| Subjects: | |
| Online Access: | https://arxiv.org/abs/2601.09216 |
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| _version_ | 1866917203364806656 |
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| author | Zhang, Xinyuan Wang, Zijian Dao, Chang Zhou, Juexiao |
| author_facet | Zhang, Xinyuan Wang, Zijian Dao, Chang Zhou, Juexiao |
| contents | Data scarcity and unreliable self-reporting -- such as concealment or exaggeration -- pose fundamental challenges to psychiatric intake and assessment. We propose a multi-agent synthesis framework that explicitly models patient deception to generate high-fidelity, publicly releasable synthetic psychiatric intake records. Starting from DAIC-WOZ interviews, we construct enriched patient profiles and simulate a four-role workflow: a \emph{Patient} completes self-rated scales and participates in a semi-structured interview under a topic-dependent honesty state; an \emph{Assessor} selects instruments based on demographics and chief complaints; an \emph{Evaluator} conducts the interview grounded in rater-administered scales, tracks suspicion, and completes ratings; and a \emph{Diagnostician} integrates all evidence into a diagnostic summary. Each case links the patient profile, self-rated and rater-administered responses, interview transcript, diagnostic summary, and honesty state. We validate the framework through four complementary evaluations: diagnostic consistency and severity grading, chain-of-thought ablations, human evaluation of clinical realism and dishonesty modeling, and LLM-based comparative evaluation. The resulting corpus spans multiple disorders and severity levels, enabling controlled study of dishonesty-aware psychiatric assessment and the training and evaluation of adaptive dialogue agents. |
| format | Preprint |
| id |
arxiv_https___arxiv_org_abs_2601_09216 |
| institution | arXiv |
| publishDate | 2026 |
| record_format | arxiv |
| spellingShingle | Honesty-Aware Multi-Agent Framework for High-Fidelity Synthetic Data Generation in Digital Psychiatric Intake Doctor-Patient Interactions Zhang, Xinyuan Wang, Zijian Dao, Chang Zhou, Juexiao Databases Data scarcity and unreliable self-reporting -- such as concealment or exaggeration -- pose fundamental challenges to psychiatric intake and assessment. We propose a multi-agent synthesis framework that explicitly models patient deception to generate high-fidelity, publicly releasable synthetic psychiatric intake records. Starting from DAIC-WOZ interviews, we construct enriched patient profiles and simulate a four-role workflow: a \emph{Patient} completes self-rated scales and participates in a semi-structured interview under a topic-dependent honesty state; an \emph{Assessor} selects instruments based on demographics and chief complaints; an \emph{Evaluator} conducts the interview grounded in rater-administered scales, tracks suspicion, and completes ratings; and a \emph{Diagnostician} integrates all evidence into a diagnostic summary. Each case links the patient profile, self-rated and rater-administered responses, interview transcript, diagnostic summary, and honesty state. We validate the framework through four complementary evaluations: diagnostic consistency and severity grading, chain-of-thought ablations, human evaluation of clinical realism and dishonesty modeling, and LLM-based comparative evaluation. The resulting corpus spans multiple disorders and severity levels, enabling controlled study of dishonesty-aware psychiatric assessment and the training and evaluation of adaptive dialogue agents. |
| title | Honesty-Aware Multi-Agent Framework for High-Fidelity Synthetic Data Generation in Digital Psychiatric Intake Doctor-Patient Interactions |
| topic | Databases |
| url | https://arxiv.org/abs/2601.09216 |