Evaluating Document-Tuned Transformer Representations for Person-level Mental Health Assessment

Person-level psychological assessment requires aggregating meaning across many messages from the same individual, a task that document-level training objectives were not explicitly designed for. We present a systematic, empirical comparison between architecturally matched traditional (a) base-transformers and (b) document-tuned-transformers (further contrastively fine-tuned at the document-level, sometimes referred to as "sentence transformers") under otherwise identical conditions. Comparing layer-wise and overall performance across two longitudinal mental health and psychological datasets, we find document-tuned models demonstrated a consistent improvement over base representations (increase in Pearson r of 13.4%, p=.015). Robustness analyses revealed document-tuned models remained more accurate under perturbations to word deletion, synonym replacement, typo injection, and back translation. Further, hedged language (e.g., `usually') was more characteristic of outcomes in document-tuned embeddings while abundance (e.g., `lot') was more characteristic of base-transformers, suggesting document-tuned models may better capture uncertainty. These results suggest representation choice impacts mental health prediction, document-tuned models often being more adept.

Measuring Psychological States Through Semantic Projection: A Theory-Driven Approach to Language-Based Assessment

Recent advances in natural language processing have enabled increasingly accurate estimation of psychological traits from language. However, most existing approaches rely on supervised models trained to predict questionnaire scores, limiting interpretability and generalizability across contexts. The present study introduces a theory-driven and fully unsupervised framework for measuring psychological states directly from natural language using semantic projection. Psychological constructs were operationalized as interpretable semantic axes derived from lexical anchors and items from validated clinical scales assessing depression, anxiety, and worry. Participants textual responses were embedded using Sentence-BERT and projected onto these axes to generate continuous psychological scores across multiple response formats, including selected words, generated words, phrases, and free-text responses. Projection scores were evaluated through correlations with standardized clinical measures , split-half reliability analyses, attenuation corrections, distributional similarity using Wasserstein distance, and comparisons with lexicon-based sentiment analysis (VADER). Results showed strong associations between projection scores and clinical measures, particularly for structured formats such as selected words, written words, and phrases. Free-text responses produced weaker results when analyzed as whole texts, but performance improved substantially when sentence-level aggregation strategies were applied. These findings support semantic projection as an interpretable and scalable alternative to supervised language models for psychological assessment and highlight the importance of response format and text-processing strategies in language-based mental health measurement.