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Cognitive Behavioral Therapy (CBT) is an effective technique for addressing the irrational thoughts stemming from mental illnesses, but it necessitates precise identification of cognitive pathways to be successfully implemented in patient care. In current society, individuals frequently express negative emotions on social media on specific topics, often exhibiting cognitive distortions, including suicidal behaviors in extreme cases. Yet, there is a notable absence of methodologies for analyzing cognitive pathways that could aid psychotherapists in conducting effective interventions online. In this study, we gathered data from social media and established the task of extracting cognitive pathways, annotating the data based on a cognitive theoretical framework. We initially categorized the task of extracting cognitive pathways as a hierarchical text classification with four main categories and nineteen subcategories. Following this, we structured a text summarization task to help psychotherapists quickly grasp the essential information. Our experiments evaluate the performance of deep learning and large language models (LLMs) on these tasks. The results demonstrate that our deep learning method achieved a micro-F1 score of 62.34% in the hierarchical text classification task. Meanwhile, in the text summarization task, GPT-4 attained a Rouge-1 score of 54.92 and a Rouge-2 score of 30.86, surpassing the experimental deep learning model's performance. However, it may suffer from an issue of hallucination. We have made all models and codes publicly available to support further research in this field.

On social media, users often express their personal feelings, which may exhibit cognitive distortions or even suicidal tendencies on certain specific topics. Early recognition of these signs is critical for effective psychological intervention. In this paper, we introduce two novel datasets from Chinese social media: SOS-HL-1K for suicidal risk classification and SocialCD-3K for cognitive distortions detection. The SOS-HL-1K dataset contained 1,249 posts and SocialCD-3K dataset was a multi-label classification dataset that containing 3,407 posts. We propose a comprehensive evaluation using two supervised learning methods and eight large language models (LLMs) on the proposed datasets. From the prompt engineering perspective, we experimented with two types of prompt strategies, including four zero-shot and five few-shot strategies. We also evaluated the performance of the LLMs after fine-tuning on the proposed tasks. The experimental results show that there is still a huge gap between LLMs relying only on prompt engineering and supervised learning. In the suicide classification task, this gap is 6.95% points in F1-score, while in the cognitive distortion task, the gap is even more pronounced, reaching 31.53% points in F1-score. However, after fine-tuning, this difference is significantly reduced. In the suicide and cognitive distortion classification tasks, the gap decreases to 4.31% and 3.14%, respectively. This research highlights the potential of LLMs in psychological contexts, but supervised learning remains necessary for more challenging tasks. All datasets and code are made available., Comment: 10 pages