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"Mirror" Large Language Model Evaluations of Depression are Criterion Contaminated

arxiv.org/abs/2508.05830

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Updated 2 h ago · first seen 11 Sept 2026

paper_01M294G5FG894SGZDBTWEWXV6Q

Published
11 Sept 2026
T1 · 2 h ago
arXiv
2508.05830
T1 · 2 h ago
Category
cs.CL
T1 · 2 h ago

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https://arxiv.org/abs/2508.05830currentcurrentarXiv (Atom API + RSS)T1highdeterministic

Abstractabstract1

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Large Language Model (LLM) studies that use language responses elicited from depression assessments to predict scores on those same assessments often report near-perfect prediction of depression. We refer to these as "Mirror" evaluations and demonstrate an applied case of criterion contamination. N = 110 participants completed both structured diagnostic depression interviews (Mirror condition) and life history interviews ("Non-Mirror" condition). LLMs were prompted to predict depression scores in each condition. As expected, Mirror evaluations were near-perfect. However, Non-Mirror evaluations also displayed prediction sizes considered outstanding in psychology. Further, both Mirror and Non-Mirror predictions correlated with Patient Health Questionnaire-9 scores at similar sizes, suggesting the Mirror condition's advantage collapses when predicting an independent depression measurement. Topic modeling revealed differing depression-related themes across interview types. Mirror evaluations are better considered as reliability evaluations than as validity evaluations. Incorporating Non-Mirror approaches in LLM depression assessment may support more valid and clinically-relevant applications. Keywords: large language models, psychological assessment, psychopathology, depression, reliability, validity, criterion contaminationcurrentcurrentarXiv (Atom API + RSS)T1highdeterministic

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replacecurrentcurrentarXiv (Atom API + RSS)T1highdeterministic

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2508.05830currentcurrentarXiv (Atom API + RSS)T1highdeterministic

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Tong Li, Rasiq Hussain, Mehak Gupta, Joshua R. OltmannscurrentcurrentarXiv (Atom API + RSS)T1highdeterministic

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cs.CL, cs.CYcurrentcurrentarXiv (Atom API + RSS)T1highdeterministic

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https://arxiv.org/pdf/2508.05830currentcurrentarXiv (Atom API + RSS)T1highdeterministic

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cs.CLcurrentcurrentarXiv (Atom API + RSS)T1highdeterministic

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11 Sept 2026currentcurrentarXiv (Atom API + RSS)T1highdeterministic

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