Automated quality assessment of cognitive behavioral therapy sessions through highly contextualized language representations.

During a psychotherapy session, the counselor typically adopts techniques which are codified along specific dimensions (e.g., 'displays warmth and confidence', or 'attempts to set up collaboration') to facilitate the evaluation of the session. Those constructs, traditionally scor...

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Autores principales: Nikolaos Flemotomos, Victor R Martinez, Zhuohao Chen, Torrey A Creed, David C Atkins, Shrikanth Narayanan
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Lenguaje:EN
Publicado: Public Library of Science (PLoS) 2021
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Acceso en línea:https://doaj.org/article/a11d41c49d464f78977237c20a54babe
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spelling oai:doaj.org-article:a11d41c49d464f78977237c20a54babe2021-12-02T20:16:36ZAutomated quality assessment of cognitive behavioral therapy sessions through highly contextualized language representations.1932-620310.1371/journal.pone.0258639https://doaj.org/article/a11d41c49d464f78977237c20a54babe2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0258639https://doaj.org/toc/1932-6203During a psychotherapy session, the counselor typically adopts techniques which are codified along specific dimensions (e.g., 'displays warmth and confidence', or 'attempts to set up collaboration') to facilitate the evaluation of the session. Those constructs, traditionally scored by trained human raters, reflect the complex nature of psychotherapy and highly depend on the context of the interaction. Recent advances in deep contextualized language models offer an avenue for accurate in-domain linguistic representations which can lead to robust recognition and scoring of such psychotherapy-relevant behavioral constructs, and support quality assurance and supervision. In this work, we propose a BERT-based model for automatic behavioral scoring of a specific type of psychotherapy, called Cognitive Behavioral Therapy (CBT), where prior work is limited to frequency-based language features and/or short text excerpts which do not capture the unique elements involved in a spontaneous long conversational interaction. The model focuses on the classification of therapy sessions with respect to the overall score achieved on the widely-used Cognitive Therapy Rating Scale (CTRS), but is trained in a multi-task manner in order to achieve higher interpretability. BERT-based representations are further augmented with available therapy metadata, providing relevant non-linguistic context and leading to consistent performance improvements. We train and evaluate our models on a set of 1,118 real-world therapy sessions, recorded and automatically transcribed. Our best model achieves an F1 score equal to 72.61% on the binary classification task of low vs. high total CTRS.Nikolaos FlemotomosVictor R MartinezZhuohao ChenTorrey A CreedDavid C AtkinsShrikanth NarayananPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0258639 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Nikolaos Flemotomos
Victor R Martinez
Zhuohao Chen
Torrey A Creed
David C Atkins
Shrikanth Narayanan
Automated quality assessment of cognitive behavioral therapy sessions through highly contextualized language representations.
description During a psychotherapy session, the counselor typically adopts techniques which are codified along specific dimensions (e.g., 'displays warmth and confidence', or 'attempts to set up collaboration') to facilitate the evaluation of the session. Those constructs, traditionally scored by trained human raters, reflect the complex nature of psychotherapy and highly depend on the context of the interaction. Recent advances in deep contextualized language models offer an avenue for accurate in-domain linguistic representations which can lead to robust recognition and scoring of such psychotherapy-relevant behavioral constructs, and support quality assurance and supervision. In this work, we propose a BERT-based model for automatic behavioral scoring of a specific type of psychotherapy, called Cognitive Behavioral Therapy (CBT), where prior work is limited to frequency-based language features and/or short text excerpts which do not capture the unique elements involved in a spontaneous long conversational interaction. The model focuses on the classification of therapy sessions with respect to the overall score achieved on the widely-used Cognitive Therapy Rating Scale (CTRS), but is trained in a multi-task manner in order to achieve higher interpretability. BERT-based representations are further augmented with available therapy metadata, providing relevant non-linguistic context and leading to consistent performance improvements. We train and evaluate our models on a set of 1,118 real-world therapy sessions, recorded and automatically transcribed. Our best model achieves an F1 score equal to 72.61% on the binary classification task of low vs. high total CTRS.
format article
author Nikolaos Flemotomos
Victor R Martinez
Zhuohao Chen
Torrey A Creed
David C Atkins
Shrikanth Narayanan
author_facet Nikolaos Flemotomos
Victor R Martinez
Zhuohao Chen
Torrey A Creed
David C Atkins
Shrikanth Narayanan
author_sort Nikolaos Flemotomos
title Automated quality assessment of cognitive behavioral therapy sessions through highly contextualized language representations.
title_short Automated quality assessment of cognitive behavioral therapy sessions through highly contextualized language representations.
title_full Automated quality assessment of cognitive behavioral therapy sessions through highly contextualized language representations.
title_fullStr Automated quality assessment of cognitive behavioral therapy sessions through highly contextualized language representations.
title_full_unstemmed Automated quality assessment of cognitive behavioral therapy sessions through highly contextualized language representations.
title_sort automated quality assessment of cognitive behavioral therapy sessions through highly contextualized language representations.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/a11d41c49d464f78977237c20a54babe
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