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Main Authors: Chiappone, Francesco, Marocco, Davide, Milano, Nicola
Format: Preprint
Published: 2026
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Online Access:https://arxiv.org/abs/2601.15319
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author Chiappone, Francesco
Marocco, Davide
Milano, Nicola
author_facet Chiappone, Francesco
Marocco, Davide
Milano, Nicola
contents Adult neurodivergence, including Attention-Deficit/Hyperactivity Disorder (ADHD), high-functioning Autism Spectrum Disorder (ASD), and Cognitive Disengagement Syndrome (CDS), is marked by substantial symptom overlap that limits the discriminant sensitivity of standard psychometric instruments. While recent work suggests that Large Language Models (LLMs) can simulate human psychometric responses from qualitative data, it remains unclear whether they can accurately and stably model neurodevelopmental traits rather than broad personality characteristics. This study examines whether LLMs can generate psychometric responses that approximate those of real individuals when grounded in a structured qualitative interview, and whether such simulations are sensitive to variations in trait intensity. Twenty-six adults completed a 29-item open-ended interview and four standardized self-report measures (ASRS, BAARS-IV, AQ, RAADS-R). Two LLMs (GPT-4o and Qwen3-235B-A22B) were prompted to infer an individual psychological profile from interview content and then respond to each questionnaire in-role. Accuracy, reliability, and sensitivity were assessed using group-level comparisons, error metrics, exact-match scoring, and a randomized baseline. Both models outperformed random responses across instruments, with GPT-4o showing higher accuracy and reproducibility. Simulated responses closely matched human data for ASRS, BAARS-IV, and RAADS-R, while the AQ revealed subscale-specific limitations, particularly in Attention to Detail. Overall, the findings indicate that interview-grounded LLMs can produce coherent and above-chance simulations of neurodevelopmental traits, supporting their potential use as synthetic participants in early-stage psychometric research, while highlighting clear domain-specific constraints.
format Preprint
id arxiv_https___arxiv_org_abs_2601_15319
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Large Language Models as Simulative Agents for Neurodivergent Adult Psychometric Profiles
Chiappone, Francesco
Marocco, Davide
Milano, Nicola
Neurons and Cognition
Artificial Intelligence
Adult neurodivergence, including Attention-Deficit/Hyperactivity Disorder (ADHD), high-functioning Autism Spectrum Disorder (ASD), and Cognitive Disengagement Syndrome (CDS), is marked by substantial symptom overlap that limits the discriminant sensitivity of standard psychometric instruments. While recent work suggests that Large Language Models (LLMs) can simulate human psychometric responses from qualitative data, it remains unclear whether they can accurately and stably model neurodevelopmental traits rather than broad personality characteristics. This study examines whether LLMs can generate psychometric responses that approximate those of real individuals when grounded in a structured qualitative interview, and whether such simulations are sensitive to variations in trait intensity. Twenty-six adults completed a 29-item open-ended interview and four standardized self-report measures (ASRS, BAARS-IV, AQ, RAADS-R). Two LLMs (GPT-4o and Qwen3-235B-A22B) were prompted to infer an individual psychological profile from interview content and then respond to each questionnaire in-role. Accuracy, reliability, and sensitivity were assessed using group-level comparisons, error metrics, exact-match scoring, and a randomized baseline. Both models outperformed random responses across instruments, with GPT-4o showing higher accuracy and reproducibility. Simulated responses closely matched human data for ASRS, BAARS-IV, and RAADS-R, while the AQ revealed subscale-specific limitations, particularly in Attention to Detail. Overall, the findings indicate that interview-grounded LLMs can produce coherent and above-chance simulations of neurodevelopmental traits, supporting their potential use as synthetic participants in early-stage psychometric research, while highlighting clear domain-specific constraints.
title Large Language Models as Simulative Agents for Neurodivergent Adult Psychometric Profiles
topic Neurons and Cognition
Artificial Intelligence
url https://arxiv.org/abs/2601.15319