Evaluating Psychological Competency via Chinese Q&A in Large Language Models
Source abstract
Abstract
Recently, the application of large language models (LLMs) in psychology has gained increasing attention. However, their psychological competence still requires further investigation. This study explores this issue through the lens of Chinese psychological knowledge question answering (QA). Specifically, we constructed a dedicated dataset based on Chinese qualification examinations for psychological counselors and psychotherapists. Subsequently, we evaluated dense, Mixture-of-Expert, and reasoning LLMs with varying parameter sizes and evaluation modes in the Chinese context, measuring answer accuracy in both closed-ended and open-ended settings. The experimental results showed that the larger and more recent LLMs achieved higher accuracy in psychological QA. While few-shot learning led to improvements in accuracy, Chain-of-Thought prompting and reasoning LLMs provided only limited gains. Notably, LLMs achieved higher accuracy in closed-ended settings than in open-ended ones. Furthermore, error analysis indicated that LLMs can produce incorrect or hallucinated responses, primarily due to insufficient psychological knowledge and conceptual confusion. Although current LLMs show promise in psychological QA tasks, users should remain cautious about over-reliance on their responses. A complementary, human-AI collaborative approach is recommended for practical use.
Source: crossref · Quality: baseline
Research context
OpenAlex topics: Expert finding and Q&A systems · Topic Modeling
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
Affiliations
Lab of Artificial Intelligence for Education, East China Normal University, Shanghai 200062, China
Shanghai Institute for AI Education, East China Normal University, Shanghai 200062, China
School of Computer Science and Technology, East China Normal University, Shanghai 200062, China
School of Psychology, Shanghai Jiao Tong University, Shanghai 200030, China
References (88)
Show source-provided references
1. OpenAI (2025, July 27). Introducing ChatGPT. Available online: https://openai.com/blog/chatgpt.10.1007/979-8-8688-0885-2_3 ↗
2. OpenAI (2025, July 27). Hello GPT-4o. Available online: https://openai.com/index/hello-gpt-4o.
3. Yang, A., Yang, B., Zhang, B., Hui, B., Zheng, B., Yu, B., Li, C., Liu, D., Huang, F., and Wei, H. (2025). Qwen2.5 Technical Report. arXiv.
4. Yang, A., Li, A., Yang, B., Zhang, B., Hui, B., Zheng, B., Yu, B., Gao, C., Huang, C., and Lv, C. (2025). Qwen3 Technical Report. arXiv.
5. Comparing Large Language Models and Human Programmers for Generating Programming Code10.1002/advs.202412279 ↗
6. Automatic Programming: Large Language Models and Beyond10.1145/3664599 ↗
7. Large language models for code completion: A systematic literature review10.1016/j.csi.2024.103917 ↗
8. Toward Expert-Level Medical Question Answering with Large Language Models10.1038/s41591-024-03423-7 ↗
9. Louis, A., van Dijck, G., and Spanakis, G. (2024, January 20–27). Interpretable Long-Form Legal Question Answering with Retrieval-Augmented Large Language Models. Proceedings of the 38th AAAI Conference on Artificial Intelligence, Vancouver, BC, Canada.10.1609/aaai.v38i20.30232 ↗
10. Li, X., Zhou, Y., and Dou, Z. (2024, January 20–27). UniGen: A Unified Generative Framework for Retrieval and Question Answering with Large Language Models. Proceedings of the 38th AAAI Conference on Artificial Intelligence, Vancouver, BC, Canada.10.1609/aaai.v38i8.28714 ↗
11. Chen, Y., Xing, X., Lin, J., Zheng, H., Wang, Z., Liu, Q., and Xu, X. (2023, January 6–10). SoulChat: Improving LLMs’ Empathy, Listening, and Comfort Abilities through Fine-Tuning with Multi-Turn Empathy Conversations. Proceedings of the Findings of the Association for Computational Linguistics: EMNLP 2023, Singapore.10.18653/v1/2023.findings-emnlp.83 ↗
12. Blanco-Cuaresma, S. (2024, January 21). Psychological Assessments with Large Language Models: A Privacy-Focused and Cost-Effective Approach. Proceedings of the 9th Workshop on Computational Linguistics and Clinical Psychology, St. Julians, Malta.
13. Zheng, D., Lapata, M., and Pan, J.Z. (2024). How Reliable are LLMs as Knowledge Bases? Re-thinking Facutality and Consistency. arXiv.
14. Using Large Language Models in Psychology
15. GPT-4 passes the bar exam10.1098/rsta.2023.0254 ↗
16. Performance of ChatGPT and GPT-4 on Neurosurgery Written Board Examinations10.1227/neu.0000000000002632 ↗
17. Large Language Models in Worldwide Medical Exams: Platform Development and Comprehensive Analysis10.2196/66114 ↗
18. ChatGPT for Good? On Opportunities and Challenges of Large Language Models for Education10.1016/j.lindif.2023.102274 ↗
19. The Use of Large Language Models in Education10.1007/s40593-025-00457-x ↗
20. A Survey on Hallucination in Large Language Models: Principles, Taxonomy, Challenges, and Open Questions
21. Hao, G., Wu, J., Pan, Q., and Morello, R. (2024). Quantifying the Uncertainty of LLM Hallucination Spreading in Complex Adaptive Social Networks. Sci. Rep., 14.10.1038/s41598-024-66708-4 ↗
22. Tang, W., Cao, Y., Deng, Y., Ying, J., Wang, B., Yang, Y., Zhao, Y., Zhang, Q., Huang, X., and Jiang, Y. (2024). EvoWiki: Evaluating LLMs on Evolving Knowledge. arXiv.10.18653/v1/2025.acl-long.47 ↗
23. Wang, W., Shi, J., Tu, Z., Yuan, Y., Huang, J., Jiao, W., and Lyu, M.R. (2024). The Earth is Flat? Unveiling Factual Errors in Large Language Models. arXiv.
24. Yoshida, L. (2024). The Impact of Example Selection in Few-Shot Prompting on Automated Essay Scoring Using GPT Models. Artificial Intelligence in Education. Posters and Late Breaking Results, Workshops and Tutorials, Industry and Innovation Tracks, Practitioners, Doctoral Consortium and Blue Sky, Proceedings of the 25th International Conference, AIED 2024, Recife, Brazil, 8–12 July 2024, Springer.10.1007/978-3-031-64315-6_5 ↗
25. What Large Language Models Know and What People Think They Know10.1038/s42256-024-00976-7 ↗
26. Echterhoff, J.M., Liu, Y., Alessa, A., McAuley, J., and He, Z. (2024, January 12–16). Cognitive Bias in Decision-Making with LLMs. Proceedings of the Findings of the Association for Computational Linguistics: EMNLP 2024, Miami, FL, USA.10.18653/v1/2024.findings-emnlp.739 ↗
27. Xie, H., Chen, Y., Xing, X., Lin, J., and Xu, X. (2024). PsyDT: Using LLMs to Construct the Digital Twin of Psychological Counselor with Personalized Counseling Style for Psychological Counseling. arXiv.10.18653/v1/2025.acl-long.55 ↗
28. QAIE: LLM-based Quantity Augmentation and Information Enhancement for few-shot Aspect-Based Sentiment Analysis10.1016/j.ipm.2024.103917 ↗
29. Exploring large language models for the generation of synthetic training samples for aspect-based sentiment analysis in low resource settings10.1016/j.eswa.2024.125514 ↗
30. Mental-LLM: Leveraging Large Language Models for Mental Health Prediction via Online Text Data
31. Zhang, J., He, H., Song, N., Zhou, Z., He, S., Zhang, S., Qiu, H., Li, A., Dai, Y., and Ma, L. (2024). ConceptPsy:A Benchmark Suite with Conceptual Comprehensiveness in Psychology. arXiv.
32. PsycoLLM: Enhancing LLM for Psychological Understanding and Evaluation10.1109/TCSS.2024.3497725 ↗
33. Rambow, O., Wanner, L., Apidianaki, M., Al-Khalifa, H., Eugenio, B.D., and Schockaert, S. (2025, January 19–24). CPsyExam: A Chinese Benchmark for Evaluating Psychology using Examinations. Proceedings of the 31st International Conference on Computational Linguistics, Abu Dhabi, United Arab Emirates.
34. Wang, C., Luo, W., Dong, S., Xuan, X., Li, Z., Ma, L., and Gao, S. (March, January 26). MLLM-Tool: A Multimodal Large Language Model for Tool Agent Learning. Proceedings of the 2025 IEEE/CVF Winter Conference on Applications of Computer Vision (WACV), Tucson, AZ, USA.10.1109/WACV61041.2025.00650 ↗
35. Bai, S., Chen, K., Liu, X., Wang, J., Ge, W., Song, S., Dang, K., Wang, P., Wang, S., and Tang, J. (2025). Qwen2.5-VL Technical Report. arXiv.
36. Radford, A., Narasimhan, K., Salimans, T., and Sutskever, I. (2025, July 27). Improving Language Understanding by Generative Pre-Training. Available online: https://cdn.openai.com/research-covers/language-unsupervised/language_understanding_paper.pdf.
37. Prompting large language models for user simulation in task-oriented dialogue systems10.1016/j.csl.2024.101697 ↗
38. Seo, H., Hwang, T., Jung, J., Kang, H., Namgoong, H., Lee, Y., and Jung, S. (2025). Large Language Models as Evaluators in Education: Verification of Feedback Consistency and Accuracy. Appl. Sci., 15.10.3390/app15020671 ↗
39. Dang, T.K., Küng, J., and Chung, T.M. (2024). MedQAS: A Medical Question Answering System Based on Finetuning Large Language Models. Future Data and Security Engineering, Big Data, Security and Privacy, Smart City and Industry 4.0 Applications, Proceedings of the 11th International Conference on Future Data and Security Engineering, FDSE 2024, Binh Duong, Vietnam, 27–29 November 2024, Springer.10.1007/978-981-96-0437-1 ↗
40. Polignano, M., Musto, C., Pellungrini, R., Purificato, E., Semeraro, G., and Setzu, M. (2024, January 25–28). XAI.it 2024: An Overview on the Future of AI in the era of Large Language Models. Proceedings of the 5th Italian Workshop on Explainable Artificial Intelligence, Co-Located with the 23rd International Conference of the Italian Association for Artificial Intelligence, Bolzano, Italy.
41. DeepSeek-AI, Liu, A., Feng, B., Xue, B., Wang, B., Wu, B., Lu, C., Zhao, C., Deng, C., and Zhang, C. (2025). DeepSeek-V3 Technical Report. arXiv.
42. THUDM (2025, July 27). GLM-4-0414—A THUDM Collection. Available online: https://huggingface.co/collections/THUDM/glm-4-0414-67f3cbcb34dd9d252707cb2e.
43. Qwen (2025, July 27). Qwen—A Qwen Collection. Available online: https://huggingface.co/collections/Qwen/qwen-65c0e50c3f1ab89cb8704144.
44. Qwen (2025, July 27). Qwen2.5—A Qwen Collection. Available online: https://huggingface.co/collections/Qwen/qwen25-66e81a666513e518adb90d9e.
45. Yang, A., Xiao, B., Wang, B., Zhang, B., Bian, C., Yin, C., Lv, C., Pan, D., Wang, D., and Yan, D. (2025). Baichuan 2: Open Large-scale Language Models. arXiv.
46. DeepSeek-AI, Guo, D., Yang, D., Zhang, H., Song, J., Zhang, R., Xu, R., Zhu, Q., Ma, S., and Wang, P. (2025). DeepSeek-R1: Incentivizing Reasoning Capability in LLMs via Reinforcement Learning. arXiv.
47. OpenAI (2025, July 27). Introducing OpenAI o3 and o4-mini. Available online: https://openai.com/index/introducing-o3-and-o4-mini.
48. Chain-of-Thought Prompting Elicits Reasoning in Large Language Models
49. Language Models are Few-Shot Learners
50. Peeperkorn, M., Kouwenhoven, T., Brown, D., and Jordanous, A. (2024, January 17–21). Is Temperature the Creativity Parameter of Large Language Models?. Proceedings of the 15th International Conference on Computational Creativity, ICCC 2024, Jönköping, Sweden.
51. Xiao, Z., Deng, W.H., Lam, M.S., Eslami, M., Kim, J., Lee, M., and Liao, Q.V. (2024, January 11–16). Human-Centered Evaluation and Auditing of Language Models. Proceedings of the Extended Abstracts of the CHI Conference on Human Factors in Computing Systems, Honolulu, HI, USA. CHI EA ’24.10.1145/3613905.3636302 ↗
52. Duh, K., Gomez, H., and Bethard, S. (2024, January 16–21). GPT-Fathom: Benchmarking Large Language Models to Decipher the Evolutionary Path towards GPT-4 and Beyond. Proceedings of the Findings of the Association for Computational Linguistics: NAACL 2024, Mexico City, Mexico.
53. A Survey on Evaluation of Large Language Models10.1145/3641289 ↗
54. C-Eval: A Multi-Level Multi-Discipline Chinese Evaluation Suite for Foundation Models
55. Hu, Y., Goktas, Y., Yellamati, D.D., and De Tassigny, C. (2024, January 22–25). The Use and Misuse of Pre-Trained Generative Large Language Models in Reliability Engineering. Proceedings of the 2024 Annual Reliability and Maintainability Symposium (RAMS), Albuquerque, NM, USA.10.1109/RAMS51492.2024.10457630 ↗
56. Fu, X., Wu, G., Chen, X., Liu, Y., Wang, Y., and Lin, C. (2018, January 2). Professional Qualification Certification for Psychological Counselors. Proceedings of the 21st National Conference on Psychology, Beijing, China.
57. Certification Methods for Professional Qualification of Psychological Counselors and Therapists in China
58. A Review of Competency Assessment Research for Psychotherapists in China
59. THUDM (2025, July 27). GLM-4-9B-Chat. Available online: https://huggingface.co/THUDM/glm-4-9b-chat.
60. THUDM (2025, July 27). ChatGLM3-6B. Available online: https://huggingface.co/THUDM/chatglm3-6b.
61. THUDM (2025, July 27). ChatGLM2-6B. Available online: https://huggingface.co/THUDM/chatglm2-6b.
62. THUDM (2025, July 27). ChatGLM-6B. Available online: https://huggingface.co/THUDM/chatglm-6b.
63. Baidu (2025, July 27). ERNIE-4.5. Available online: https://yiyan.baidu.com.
64. Baidu (2025, July 27). ERNIE-4. Available online: https://yiyan.baidu.com.
65. Qwen Team (2025, July 27). QwQ-32B: Embracing the Power of Reinforcement Learning. Available online: https://qwenlm.github.io/blog/qwq-32b/.
66. deepseek-ai (2025, July 27). DeepSeek-R1. Available online: https://huggingface.co/deepseek-ai/DeepSeek-R1.
67. Shao, Z., Wang, P., Zhu, Q., Xu, R., Song, J., Bi, X., Zhang, H., Zhang, M., Li, Y.K., and Wu, Y. (2024). DeepSeekMath: Pushing the Limits of Mathematical Reasoning in Open Language Models. arXiv.
68. Baidu (2025, July 27). ERNIE-X1. Available online: https://yiyan.baidu.com.
69. OpenAI (2025, July 27). OpenAI o3-mini. Available online: https://openai.com/index/openai-o3-mini.
70. Fung, S.C.E., Wong, M.F., and Tan, C.W. (2023, January 6–8). Chain-of-Thoughts Prompting with Language Models for Accurate Math Problem-Solving. Proceedings of the 2023 IEEE MIT Undergraduate Research Technology Conference (URTC), Cambridge, MA, USA.10.1109/URTC60662.2023.10534945 ↗
71. Learning to Love LLMs for Answer Interpretation: Chain-of-Thought Prompting and the AMMORE Dataset10.18608/jla.2025.8621 ↗
72. Chain-of-Thought in Neural Code Generation: From and for Lightweight Language Models10.1109/TSE.2024.3440503 ↗
73. Tian, Z., Chen, J., and Zhang, X. (May, January 27). Fixing Large Language Models’ Specification Misunderstanding for Better Code Generation. Proceedings of the 2025 IEEE/ACM 47th International Conference on Software Engineering (ICSE), Ottawa, ON, Canada.10.1109/ICSE55347.2025.00108 ↗
74. Parikh, S., Tiwari, M., Tumbade, P., and Vohra, Q. (2023, January 9–14). Exploring Zero and Few-shot Techniques for Intent Classification. Proceedings of the 61st Annual Meeting of the Association for Computational Linguistics (Volume 5: Industry Track), Toronto, ON, Canada.10.18653/v1/2023.acl-industry.71 ↗
75. Li, Q., Chen, Z., Ji, C., Jiang, S., and Li, J. (2024, January 3–9). LLM-based Multi-Level Knowledge Generation for Few-shot Knowledge Graph Completion. Proceedings of the Thirty-Third International Joint Conference on Artificial Intelligence, IJCAI-24, Jeju, Republic of Korea. Main Track.10.24963/ijcai.2024/236 ↗
76. Bi, J., Zhu, W., He, J., Zhang, X., and Xian, C. (2024, January 15–18). Large Model Fine-tuning for Suicide Risk Detection Using Iterative Dual-LLM Few-Shot Learning with Adaptive Prompt Refinement for Dataset Expansion. Proceedings of the 2024 IEEE International Conference on Big Data (BigData), Washington, DC, USA.10.1109/BigData62323.2024.10825974 ↗
77. Renze, M. (2024, January 12–16). The Effect of Sampling Temperature on Problem Solving in Large Language Models. Proceedings of the Findings of the Association for Computational Linguistics: EMNLP 2024, Miami, FL, USA.10.18653/v1/2024.findings-emnlp.432 ↗
78. Patel, D., Timsina, P., Raut, G., Freeman, R., Levin, M.A., Nadkarni, G.N., Glicksberg, B.S., and Klang, E. (2024). Exploring Temperature Effects on Large Language Models Across Various Clinical Tasks. medRxiv.10.1101/2024.07.22.24310824 ↗
79. Anderson, J. (2012). Cognitive Psychology and Its Implications, Post & Telecom Press.
80. Dai, X. (2010). Handbook of Common Psychological Assessment Scales, People’s Military Medical Press.
81. A Preliminary Analysis of SCL-90 Scores in the Chinese Normal Population
82. Wang, X., Wang, X., and Ma, H. (1999). Manual of Mental Health Rating Scales, Chinese Journal of Mental Health Press.
83. Shao, Z. (2024). Psychological Statistics, China Light Industry Press.
84. McCarty, R. (2016). The Alarm Phase and the General Adaptation Syndrome: Two Aspects of Selye’s Inconsistent Legacy. Stress: Concepts, Cognition, Emotion, and Behavior, Academic Press.10.1016/B978-0-12-800951-2.00002-9 ↗
85. Loizzo, A., Campana, G., Loizzo, S., and Spampinato, S. (2012). Postnatal Stress Procedures Induce Long-Term Endocrine and Metabolic Alterations Involving Different Proopiomelanocortin-Derived Peptides. Neuropeptides in Neuroprotection and Neuroregeneration, CRC Press.
86. Structure-oriented psychotherapy; [Strukturbezogene Psychotherapie]10.1007/s00278-012-0915-y ↗
87. Corey, G. (2016). Theory and Practice of Counseling and Psychotherapy, Cengage Learning. [10th ed.].
88. Amianto, F., Ferrero, A., Pierò, A., Cairo, E., Rocca, G., Simonelli, B., Fassina, S., Abbate-Daga, G., and Fassino, S. (2011). Supervised Team Management, with or without Structured Psychotherapy, in Heavy Users of a Mental Health Service with Borderline Personality Disorder: A Two-Year Follow-up Preliminary Randomized Study. BMC Psychiatry, 11.10.1186/1471-244X-11-181 ↗