arXiv subjects

Zhijun Guo

Publications and source records attributed to Zhijun Guo.

4 recordsLinked to original sources

arXiv2026

Blinded Multi-Rater Comparative Evaluation of a Large Language Model and Clinician-Authored Responses in CGM-Informed Diabetes Counseling

Continuous glucose monitoring (CGM) is central to diabetes care, but explaining CGM patterns clearly and empathetically remains time-intensive. Evidence for retrieval-grounded large language model (LLM) systems in CGM-informed counseling remains limited. To evaluate whether a retrieval-grounded LLM-based conversational agent (CA) could support patient understanding of CGM data and preparation for routine diabetes consultations. We developed a retrieval-grounded LLM-based CA for CGM interpretation and diabetes counseling support. The system generated plain-language responses while avoiding individualized therapeutic advice. Twelve CGM-informed cases were constructed from publicly available datasets. Between Oct 2025 and Feb 2026, 6 senior UK diabetes clinicians each reviewed 2 assigned cases and answered 24 questions. In a blinded multi-rater evaluation, each CA-generated and clinician-authored response was independently rated by 3 clinicians on 6 quality dimensions. Safety flags and perceived source labels were also recorded. Primary analyses used linear mixed-effects models. A total of 288 unique responses (144 CA and 144 clinician) generated 864 ratings. The CA received higher quality scores than clinician responses (mean 4.37 vs 3.58), with an estimated mean difference of 0.782 points (95% CI 0.692-0.872; P<.001). The largest differences were for empathy (1.062, 95% CI 0.948-1.177) and actionability (0.992, 95% CI 0.877-1.106). Safety flag distributions were similar, with major concerns rare in both groups (3/432, 0.7% each). Retrieval-grounded LLM systems may have value as adjunct tools for CGM review, patient education, and preconsultation preparation. However, these findings do not support autonomous therapeutic decision-making or unsupervised real-world use.

cs.CL↗

arXiv2026

Development and Evaluation of HopeBot: an LLM-based chatbot for structured and interactive PHQ-9 depression screening

Static tools like the Patient Health Questionnaire-9 (PHQ-9) effectively screen depression but lack interactivity and adaptability. We developed HopeBot, a chatbot powered by a large language model (LLM) that administers the PHQ-9 using retrieval-augmented generation and real-time clarification. In a within-subject study, 132 adults in the United Kingdom and China completed both self-administered and chatbot versions. Scores demonstrated strong agreement (ICC = 0.91; 45% identical). Among 75 participants providing comparative feedback, 71% reported greater trust in the chatbot, highlighting clearer structure, interpretive guidance, and a supportive tone. Mean ratings (0-10) were 8.4 for comfort, 7.7 for voice clarity, 7.6 for handling sensitive topics, and 7.4 for recommendation helpfulness; the latter varied significantly by employment status and prior mental-health service use (p < 0.05). Overall, 87.1% expressed willingness to reuse or recommend HopeBot. These findings demonstrate voice-based LLM chatbots can feasibly serve as scalable, low-burden adjuncts for routine depression screening.

cs.AI↗

arXiv2024

Large Language Model for Mental Health: A Systematic Review

Large language models (LLMs) have attracted significant attention for potential applications in digital health, while their application in mental health is subject to ongoing debate. This systematic review aims to evaluate the usage of LLMs in mental health, focusing on their strengths and limitations in early screening, digital interventions, and clinical applications. Adhering to PRISMA guidelines, we searched PubMed, IEEE Xplore, Scopus, JMIR, and ACM using keywords: 'mental health OR mental illness OR mental disorder OR psychiatry' AND 'large language models'. We included articles published between January 1, 2017, and April 30, 2024, excluding non-English articles. 30 articles were evaluated, which included research on mental health conditions and suicidal ideation detection through text (n=15), usage of LLMs for mental health conversational agents (CAs) (n=7), and other applications and evaluations of LLMs in mental health (n=18). LLMs exhibit substantial effectiveness in detecting mental health issues and providing accessible, de-stigmatized eHealth services. However, the current risks associated with the clinical use might surpass their benefits. The study identifies several significant issues: the lack of multilingual datasets annotated by experts, concerns about the accuracy and reliability of the content generated, challenges in interpretability due to the 'black box' nature of LLMs, and persistent ethical dilemmas. These include the lack of a clear ethical framework, concerns about data privacy, and the potential for over-reliance on LLMs by both therapists and patients, which could compromise traditional medical practice. Despite these issues, the rapid development of LLMs underscores their potential as new clinical aids, emphasizing the need for continued research and development in this area.

cs.CY↗

arXiv2023

Tunable nonlinear optical bistability based on Dirac semimetal in photonic crystal Fabry-Perot cavity

In this paper, we study the nonlinear optical bistability (OB) in a symmetrical multilayer structure. This structure is constructed by embedding a nonlinear three-dimensional Dirac semimetal (3D DSM) into a solution filled one-dimensional photonic crystal Fabry-Perot cavity. OB stems from the third order nonlinear conductivity of 3D DSM and the local field of resonance mode could enhance the nonlinearity and reduce the thresholds of OB. This structure achieves the tunability of OB due to that the transmittance could be modulated by the Fermi energy. OB threshold and threshold width could be remarkably reduced by increasing the Fermi energy. Besides, it is found that the OB curve depends heavily on the angle of incidence of the incoming light, the structural parameters of the Fabry-Perot cavity, and the position of 3D DSM inside the cavity. After parameter optimization, we obtained OB with a threshold of 106 V/m. We believe this simple structure provides a reference idea for realizing low threshold and tunable all optical switching devices. Keywords: Optical bistability, Dirac semimetal, Fabry-Perot cavity.

physics.optics↗