Psycholinguistic Analysis of AI-Generated Psychiatric Texts: A Feasibility Study in Major Depressive Disorder and Generalized Anxiety Disorder
Çukurova Ruh Sağlığı Dergisi
PDF

Keywords

Artificial intelligence
psycholinguistic analysis
major depressive disorder
generalized anxiety disorder

How to Cite

Psycholinguistic Analysis of AI-Generated Psychiatric Texts: A Feasibility Study in Major Depressive Disorder and Generalized Anxiety Disorder. (2026). Çukurova Journal of Mental Health, 2(1), 1-9. https://journals.cursad.org/index.php/cursad/article/view/16

Abstract

Objective: The aim of this feasibility study is to evaluate whether simulated texts generated by artificial intelligence (AI) that correspond to diagnoses of Major Depressive Disorder (MDD) and Generalized Anxiety Disorder (GAD) can be distinguished by psycholinguistic features, and to assess the feasibility of this approach.

Method: Fifteen simulated texts each of MDD and GAD generated by the DeepSeek-R1 AI model were included in the study. The texts were quantitatively evaluated in terms of emotion, causality, uncertainty, first-person pronouns, somatic and abstract word usage.

Results: AI-generated texts corresponding to MDD demonstrated significantly higher use of abstract words (p < 0.001), whereas texts corresponding to GAD showed significantly greater use of uncertainty-related and somatic words (both p < 0.001). No statistically significant difference was observed between the groups in terms of first-person singular pronoun usage (p = 0.450) or negative emotion expression (p = 0.272).

Conclusion: The findings indicate that AI-generated texts exhibited linguistic patterns consistent with previously reported psycholinguistic features of MDD and GAD, suggesting the methodological feasibility of using AI-generated texts for exploratory psycholinguistic analysis and training-oriented simulations. Findings apply solely to simulated texts and do not imply any diagnostic or clinical utility.

PDF

References

Andreasen, N. C. (1979). Thought, language, and communication disorders: I. Clinical assessment, definition of terms, and evaluation of their reliability. Archives of General Psychiatry, 36(12), 1315–1321. https://doi.org/10.1001/archpsyc.1979.01780120045006

Bandelow, B. (2015). Generalized anxiety disorder and pain. Modern Trends in Pharmacopsychiatry, 30, 153–165. https://doi.org/10.1159/000435939

Bauer, B., Norel, R., Leow, A., Rached, Z. A., Wen, B., & Cecchi, G. (2024). Using large language models to understand suicidality in a social media-based taxonomy of mental health disorders: Linguistic analysis of Reddit posts. JMIR Mental Health, 11, e57234. https://doi.org/10.2196/57234

Dugas, M. J., Gagnon, F., Ladouceur, R., & Freeston, M. H. (1998). Generalized anxiety disorder: A preliminary test of a conceptual model. Behaviour Research and Therapy, 36(2), 215–226. https://doi.org/10.1016/S0005-7967(97)00070-3

Dugas, M. J., Gosselin, P., & Ladouceur, R. (2001). Intolerance of uncertainty and worry: Investigating specificity in a nonclinical sample. Cognitive Therapy and Research, 25, 551–558. https://doi.org/10.1023/A:1005553414688

Field, J. (2003). Introduction: Key concepts in psycholinguistics. In J. Field (Ed.), Psycholinguistics: A resource book for students (pp. 2–9). Routledge.

Hirsh, J. B., & Peterson, J. B. (2009). Personality and language use in self-narratives. Journal of Research in Personality, 43(3), 524–527. https://doi.org/10.1016/j.jrp.2009.01.006

Ingram, R. E. (1990). Self-focused attention in clinical disorders: Review and a conceptual model. Psychological Bulletin, 107(2), 156–176. https://doi.org/10.1037/0033-2909.107.2.156

Ive, J., Viani, N., Kam, J., et al. (2020). Generation and evaluation of artificial mental health records for natural language processing. NPJ Digital Medicine, 3(1), 69. https://doi.org/10.1038/s41746-020-0267-x

Kéri, S. (2025). Existential thinking and religious/spiritual struggles in patients with major depressive disorder receiving cognitive-behavioral therapy. Scientific Reports, 15, 42205. https://doi.org/10.1038/s41598-025-26014-z

Leung, P., Li, S. H., & Graham, B. M. (2022). The relationship between repetitive negative thinking, sleep disturbance, and subjective fatigue in women with generalized anxiety disorder. British Journal of Clinical Psychology, 61(3), 666–679. https://doi.org/10.1111/bjc.12356

Newman, M. G., & Llera, S. J. (2011). A novel theory of experiential avoidance in generalized anxiety disorder: A review and synthesis of research supporting a contrast avoidance model of worry. Clinical Psychology Review, 31(3), 371–382. https://doi.org/10.1016/j.cpr.2011.01.008

Orrù, G., Melis, G., & Sartori, G. (2025). Large language models and psychiatry. International Journal of Law and Psychiatry, 101, 102086. https://doi.org/10.1016/j.ijlp.2025.102086

Papadimitriou, G. N., & Linkowski, P. (2005). Sleep disturbance in anxiety disorders. International Review of Psychiatry, 17(4), 229–236. https://doi.org/10.1080/09540260500104524

Pennebaker, J. W., Boyd, R. L., Jordan, K., & Blackburn, K. (2015). The development and psychometric properties of LIWC2015. University of Texas at Austin.

Pennebaker, J. W., Mehl, M. R., & Niederhoffer, K. G. (2003). Psychological aspects of natural language use: Our words, our selves. Annual Review of Psychology, 54, 547–577. https://doi.org/10.1146/annurev.psych.54.101601.145041

Rude, S., Gortner, E.-M., & Pennebaker, J. W. (2004). Language use of depressed and depression-vulnerable college students. Cognition & Emotion, 18(8), 1121–1133. https://doi.org/10.1080/02699930441000030

Staner, L. (2003). Sleep and anxiety disorders. Dialogues in Clinical Neuroscience, 5(3), 249–258. https://doi.org/10.31887/DCNS.2003.5.3/lstaner

Tausczik, Y. R., & Pennebaker, J. W. (2010). The psychological meaning of words: LIWC and computerized text analysis methods. Journal of Language and Social Psychology, 29(1), 24–54. https://doi.org/10.1177/0261927X09351676

Watson, D., Clark, L. A., & Carey, G. (1988). Positive and negative affectivity and their relation to anxiety and depressive disorders. Journal of Abnormal Psychology, 97(3), 346–353. https://doi.org/10.1037/0021-843X.97.3.346

Yünden, S. (2022). Psikiyatrik hastalıklarda ses analizi. Current Research and Reviews in Psychology and Psychiatry, 2(2), 201–21

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2026 Çukurova Journal of Mental Health

Downloads

Download data is not yet available.