arXiv subjects

Sharath Chandra Guntuku

Publications and source records attributed to Sharath Chandra Guntuku.

At least 37 records · Page 2Linked to original sources

arXiv2025

Designing Mental-Health Chatbots for Indian Adolescents: Mixed-Methods Evidence, a Boundary-Object Lens, and a Design-Tensions Framework

Mental health challenges among Indian adolescents are shaped by unique cultural and systemic barriers, including high social stigma and limited professional support. We report a mixed-methods study of Indian adolescents (survey n=362; interviews n=14) examining how they navigate mental-health challenges and engage with digital tools. Quantitative results highlight low self-stigma but significant social stigma, a preference for text over voice interactions, and low utilization of mental health apps but high smartphone access. Our qualitative findings reveal that while adolescents value privacy, emotional support, and localized content in mental health tools, existing chatbots lack personalization and cultural relevance. We contribute (1) a Design-Tensions framework; (2) an artifact-level probe; and (3) a boundary-objects account that specifies how chatbots mediate adolescents, peers, families, and services. This work advances culturally sensitive chatbot design by centering on underrepresented populations, addressing critical gaps in accessibility and support for adolescents in India.

cs.HC↗

arXiv2025

Beyond the Strongest LLM: Multi-Turn Multi-Agent Orchestration vs. Single LLMs on Benchmarks

We study multi-turn multi-agent orchestration, where multiple large language model (LLM) agents interact over multiple turns by iteratively proposing answers or casting votes until reaching consensus. Using four LLMs (Gemini 2.5 Pro, GPT-5, Grok 4, and Claude Sonnet 4) on GPQA-Diamond, IFEval, and MuSR, we conduct two experiments: (i) benchmarking orchestration against single-LLM baselines; and (ii) ablations on GPQA-Diamond that vary whether agents see who authored answers and whether they can observe ongoing votes. Orchestration matches or exceeds the strongest single model and consistently outperforms the others. Analysis of best-achievable orchestration performance shows potential for further gains. The ablations show that revealing authorship increases self-voting and ties, and that showing ongoing votes amplifies herding, which speeds convergence but can sometimes yield premature consensus.

cs.AI↗

arXiv2025

PAL: Designing Conversational Agents as Scalable, Cooperative Patient Simulators for Palliative-Care Training

Effective communication in serious illness and palliative care is essential but often under-taught due to limited access to training resources like standardized patients. We present PAL (Palliative Assisted Learning-bot), a conversational system that simulates emotionally nuanced patient interactions and delivers structured feedback grounded in an existing empathy-based framework. PAL supports text and voice modalities and is designed to scaffold clinical skill-building through repeated, low-cost practice. Through a mixed-methods study with 17 U.S. medical trainees and clinicians, we explore user engagement with PAL, evaluate usability, and examine design tensions around modalities, emotional realism, and feedback delivery. Participants found PAL helpful for reflection and skill refinement, though some noted limitations in emotional authenticity and the adaptability of feedback. We contribute: (1) empirical evidence that large language models can support palliative communication training; (2) design insights for modality-aware, emotionally sensitive simulation tools; and (3) implications for systems that support emotional labor, cooperative learning, and AI-augmented training in high-stakes care settings.

cs.HC↗

arXiv2025

Herd Behavior: Investigating Peer Influence in LLM-based Multi-Agent Systems

Recent advancements in Large Language Models (LLMs) have enabled the emergence of multi-agent systems where LLMs interact, collaborate, and make decisions in shared environments. While individual model behavior has been extensively studied, the dynamics of peer influence in such systems remain underexplored. In this paper, we investigate herd behavior, the tendency of agents to align their outputs with those of their peers, within LLM-based multi-agent interactions. We present a series of controlled experiments that reveal how herd behaviors are shaped by multiple factors. First, we show that the gap between self-confidence and perceived confidence in peers significantly impacts an agent's likelihood to conform. Second, we find that the format in which peer information is presented plays a critical role in modulating the strength of herd behavior. Finally, we demonstrate that the degree of herd behavior can be systematically controlled, and that appropriately calibrated herd tendencies can enhance collaborative outcomes. These findings offer new insights into the social dynamics of LLM-based systems and open pathways for designing more effective and adaptive multi-agent collaboration frameworks.

cs.MA↗

arXiv2025

Exploring Socio-Cultural Challenges and Opportunities in Designing Mental Health Chatbots for Adolescents in India

Mental health challenges among Indian adolescents are shaped by unique cultural and systemic barriers, including high social stigma and limited professional support. Through a mixed-methods study involving a survey of 278 adolescents and follow-up interviews with 12 participants, we explore how adolescents perceive mental health challenges and interact with digital tools. Quantitative results highlight low self-stigma but significant social stigma, a preference for text over voice interactions, and low utilization of mental health apps but high smartphone access. Our qualitative findings reveal that while adolescents value privacy, emotional support, and localized content in mental health tools, existing chatbots lack personalization and cultural relevance. These findings inform recommendations for culturally sensitive chatbot design that prioritizes anonymity, tailored support, and localized resources to better meet the needs of adolescents in India. This work advances culturally sensitive chatbot design by centering underrepresented populations, addressing critical gaps in accessibility and support for adolescents in India.

cs.CY↗

arXiv2025

Social Norms in Cinema: A Cross-Cultural Analysis of Shame, Pride and Prejudice

Shame and pride are social emotions expressed across cultures to motivate and regulate people's thoughts, feelings, and behaviors. In this paper, we introduce the first cross-cultural dataset of over 10k shame/pride-related expressions, with underlying social expectations from ~5.4K Bollywood and Hollywood movies. We examine how and why shame and pride are expressed across cultures using a blend of psychology-informed language analysis combined with large language models. We find significant cross-cultural differences in shame and pride expression aligning with known cultural tendencies of the USA and India -- e.g., in Hollywood, shame-expressions predominantly discuss self whereas shame is expressed toward others in Bollywood. Women are more sanctioned across cultures and for violating similar social expectations.

cs.CY↗

arXiv2025

Cross-Cultural Differences in Mental Health Expressions on Social Media

Culture moderates the way individuals perceive and express mental distress. Current understandings of mental health expressions on social media, however, are predominantly derived from WEIRD (Western, Educated, Industrialized, Rich, and Democratic) contexts. To address this gap, we examine mental health posts on Reddit made by individuals geolocated in India, to identify variations in social media language specific to the Indian context compared to users from Western nations. Our experiments reveal significant psychosocial variations in emotions and temporal orientation. This study demonstrates the potential of social media platforms for identifying cross-cultural differences in mental health expressions (e.g. seeking advice in India vs seeking support by Western users). Significant linguistic variations in online mental health-related language emphasize the importance of developing precision-targeted interventions that are culturally appropriate.

cs.CY↗

arXiv2025

Language-based Valence and Arousal Expressions between the United States and China: a Cross-Cultural Examination

While affective expressions on social media have been extensively studied, most research has focused on the Western context. This paper explores cultural differences in affective expressions by comparing valence and arousal on Twitter/X (geolocated to the US) and Sina Weibo (in Mainland China). Using the NRC-VAD lexicon to measure valence and arousal, we identify distinct patterns of emotional expression across both platforms. Our analysis reveals a functional representation between valence and arousal, showing a negative offset in contrast to traditional lab-based findings which suggest a positive offset. Furthermore, we uncover significant cross-cultural differences in arousal, with US users displaying higher emotional intensity than Chinese users, regardless of the valence of the content. Finally, we conduct a comprehensive language analysis correlating n-grams and LDA topics with affective dimensions to deepen our understanding of how language and culture shape emotional expression. These findings contribute to a more nuanced understanding of affective communication across cultural and linguistic contexts on social media.

cs.CY↗

arXiv2024

Building Knowledge-Guided Lexica to Model Cultural Variation

Cultural variation exists between nations (e.g., the United States vs. China), but also within regions (e.g., California vs. Texas, Los Angeles vs. San Francisco). Measuring this regional cultural variation can illuminate how and why people think and behave differently. Historically, it has been difficult to computationally model cultural variation due to a lack of training data and scalability constraints. In this work, we introduce a new research problem for the NLP community: How do we measure variation in cultural constructs across regions using language? We then provide a scalable solution: building knowledge-guided lexica to model cultural variation, encouraging future work at the intersection of NLP and cultural understanding. We also highlight modern LLMs' failure to measure cultural variation or generate culturally varied language.

cs.CL↗

arXiv2024

Multiscale Encoder and Omni-Dimensional Dynamic Convolution Enrichment in nnU-Net for Brain Tumor Segmentation

Brain tumor segmentation plays a crucial role in computer-aided diagnosis. This study introduces a novel segmentation algorithm utilizing a modified nnU-Net architecture. Within the nnU-Net architecture's encoder section, we enhance conventional convolution layers by incorporating omni-dimensional dynamic convolution layers, resulting in improved feature representation. Simultaneously, we propose a multi-scale attention strategy that harnesses contemporary insights from various scales. Our model's efficacy is demonstrated on diverse datasets from the BraTS-2023 challenge. Integrating omni-dimensional dynamic convolution (ODConv) layers and multi-scale features yields substantial improvement in the nnU-Net architecture's performance across multiple tumor segmentation datasets. Remarkably, our proposed model attains good accuracy during validation for the BraTS Africa dataset. The ODconv source code along with full training code is available on GitHub.

eess.IV↗

arXiv2024

Uncertainty-Aware Crime Prediction With Spatial Temporal Multivariate Graph Neural Networks

Crime forecasting is a critical component of urban analysis and essential for stabilizing society today. Unlike other time series forecasting problems, crime incidents are sparse, particularly in small regions and within specific time periods. Traditional spatial-temporal deep learning models often struggle with this sparsity, as they typically cannot effectively handle the non-Gaussian nature of crime data, which is characterized by numerous zeros and over-dispersed patterns. To address these challenges, we introduce a novel approach termed Spatial Temporal Multivariate Zero-Inflated Negative Binomial Graph Neural Networks (STMGNN-ZINB). This framework leverages diffusion and convolution networks to analyze spatial, temporal, and multivariate correlations, enabling the parameterization of probabilistic distributions of crime incidents. By incorporating a Zero-Inflated Negative Binomial model, STMGNN-ZINB effectively manages the sparse nature of crime data, enhancing prediction accuracy and the precision of confidence intervals. Our evaluation on real-world datasets confirms that STMGNN-ZINB outperforms existing models, providing a more reliable tool for predicting and understanding crime dynamics.

cs.LG↗

arXiv2023

An Integrative Survey on Mental Health Conversational Agents to Bridge Computer Science and Medical Perspectives

Mental health conversational agents (a.k.a. chatbots) are widely studied for their potential to offer accessible support to those experiencing mental health challenges. Previous surveys on the topic primarily consider papers published in either computer science or medicine, leading to a divide in understanding and hindering the sharing of beneficial knowledge between both domains. To bridge this gap, we conduct a comprehensive literature review using the PRISMA framework, reviewing 534 papers published in both computer science and medicine. Our systematic review reveals 136 key papers on building mental health-related conversational agents with diverse characteristics of modeling and experimental design techniques. We find that computer science papers focus on LLM techniques and evaluating response quality using automated metrics with little attention to the application while medical papers use rule-based conversational agents and outcome metrics to measure the health outcomes of participants. Based on our findings on transparency, ethics, and cultural heterogeneity in this review, we provide a few recommendations to help bridge the disciplinary divide and enable the cross-disciplinary development of mental health conversational agents.

cs.CL↗

arXiv2023

Historical patterns of rice farming explain modern-day language use in China and Japan more than modernization and urbanization

We used natural language processing to analyze a billion words to study cultural differences on Weibo, one of China's largest social media platforms. We compared predictions from two common explanations about cultural differences in China (economic development and urban-rural differences) against the less-obvious legacy of rice versus wheat farming. Rice farmers had to coordinate shared irrigation networks and exchange labor to cope with higher labor requirements. In contrast, wheat relied on rainfall and required half as much labor. We test whether this legacy made southern China more interdependent. Across all word categories, rice explained twice as much variance as economic development and urbanization. Rice areas used more words reflecting tight social ties, holistic thought, and a cautious, prevention orientation. We then used Twitter data comparing prefectures in Japan, which largely replicated the results from China. This provides crucial evidence of the rice theory in a different nation, language, and platform.

cs.CL↗

arXiv2023

Generative Adversarial Networks based Skin Lesion Segmentation

Skin cancer is a serious condition that requires accurate diagnosis and treatment. One way to assist clinicians in this task is using computer-aided diagnosis (CAD) tools that automatically segment skin lesions from dermoscopic images. We propose a novel adversarial learning-based framework called Efficient-GAN (EGAN) that uses an unsupervised generative network to generate accurate lesion masks. It consists of a generator module with a top-down squeeze excitation-based compound scaled path, an asymmetric lateral connection-based bottom-up path, and a discriminator module that distinguishes between original and synthetic masks. A morphology-based smoothing loss is also implemented to encourage the network to create smooth semantic boundaries of lesions. The framework is evaluated on the International Skin Imaging Collaboration (ISIC) Lesion Dataset 2018. It outperforms the current state-of-the-art skin lesion segmentation approaches with a Dice coefficient, Jaccard similarity, and Accuracy of 90.1%, 83.6%, and 94.5%, respectively. We also design a lightweight segmentation framework (MGAN) that achieves comparable performance as EGAN but with an order of magnitude lower number of training parameters, thus resulting in faster inference times for low compute resource settings.

eess.IV↗

arXiv2023

Multilingual Language Models are not Multicultural: A Case Study in Emotion

Emotions are experienced and expressed differently across the world. In order to use Large Language Models (LMs) for multilingual tasks that require emotional sensitivity, LMs must reflect this cultural variation in emotion. In this study, we investigate whether the widely-used multilingual LMs in 2023 reflect differences in emotional expressions across cultures and languages. We find that embeddings obtained from LMs (e.g., XLM-RoBERTa) are Anglocentric, and generative LMs (e.g., ChatGPT) reflect Western norms, even when responding to prompts in other languages. Our results show that multilingual LMs do not successfully learn the culturally appropriate nuances of emotion and we highlight possible research directions towards correcting this.

cs.CL↗

arXiv2023

Different Affordances on Facebook and SMS Text Messaging Do Not Impede Generalization of Language-Based Predictive Models

Adaptive mobile device-based health interventions often use machine learning models trained on non-mobile device data, such as social media text, due to the difficulty and high expense of collecting large text message (SMS) data. Therefore, understanding the differences and generalization of models between these platforms is crucial for proper deployment. We examined the psycho-linguistic differences between Facebook and text messages, and their impact on out-of-domain model performance, using a sample of 120 users who shared both. We found that users use Facebook for sharing experiences (e.g., leisure) and SMS for task-oriented and conversational purposes (e.g., plan confirmations), reflecting the differences in the affordances. To examine the downstream effects of these differences, we used pre-trained Facebook-based language models to estimate age, gender, depression, life satisfaction, and stress on both Facebook and SMS. We found no significant differences in correlations between the estimates and self-reports across 6 of 8 models. These results suggest using pre-trained Facebook language models to achieve better accuracy with just-in-time interventions.

cs.CL↗

arXiv2023

Detecting Histologic & Clinical Glioblastoma Patterns of Prognostic Relevance

Glioblastoma is the most common and aggressive malignant adult tumor of the central nervous system, with a grim prognosis and heterogeneous morphologic and molecular profiles. Since adopting the current standard-of-care treatment 18 years ago, no substantial prognostic improvement has been noticed. Accurate prediction of patient overall survival (OS) from histopathology whole slide images (WSI) integrated with clinical data using advanced computational methods could optimize clinical decision-making and patient management. Here, we focus on identifying prognostically relevant glioblastoma characteristics from H&E stained WSI & clinical data relating to OS. The exact approach for WSI capitalizes on the comprehensive curation of apparent artifactual content and an interpretability mechanism via a weakly supervised attention-based multiple-instance learning algorithm that further utilizes clustering to constrain the search space. The automatically placed patterns of high diagnostic value classify each WSI as representative of short or long-survivors. Further assessment of the prognostic relevance of the associated clinical patient data is performed both in isolation and in an integrated manner, using XGBoost and SHapley Additive exPlanations (SHAP). Identifying tumor morphological & clinical patterns associated with short and long OS will enable the clinical neuropathologist to provide additional relevant prognostic information to the treating team and suggest avenues of biological investigation for understanding and potentially treating glioblastoma.

eess.IV↗

arXiv2022

Twitter Corpus of the #BlackLivesMatter Movement And Counter Protests: 2013 to 2021

Black Lives Matter (BLM) is a decentralized social movement protesting violence against Black individuals and communities, with a focus on police brutality. The movement gained significant attention following the killings of Ahmaud Arbery, Breonna Taylor, and George Floyd in 2020. The #BlackLivesMatter social media hashtag has come to represent the grassroots movement, with similar hashtags counter protesting the BLM movement, such as #AllLivesMatter, and #BlueLivesMatter. We introduce a data set of 63.9 million tweets from 13.0 million users from over 100 countries which contain one of the following keywords: BlackLivesMatter, AllLivesMatter, and BlueLivesMatter. This data set contains all currently available tweets from the beginning of the BLM movement in 2013 to 2021. We summarize the data set and show temporal trends in use of both the BlackLivesMatter keyword and keywords associated with counter movements. Additionally, for each keyword, we create and release a set of Latent Dirichlet Allocation (LDA) topics (i.e., automatically clustered groups of semantically co-occuring words) to aid researchers in identifying linguistic patterns across the three keywords.

cs.SI↗