Aug 2026· Computers· Vol 15, pp. 562· 0 citations· 33 references
Abstract
Large language models (LLMs) are increasingly used to generate synthetic, human-like data for research and applied decision-making, including synthetic responses to self-report instruments such as surveys and questionnaires. As these synthetic datasets are folded into pipelines that inform scientific inference and downstream decision support, their trustworthiness becomes a practical concern. In human data, careless responding is a well-documented source of bias in self-report measures, yet no research has examined whether LLMs reproduce similar patterns of carelessness when generating synthetic responses. This study addresses that gap by comparing a large synthetic dataset generated by GPT-3.5-Turbo on a mental health questionnaire to a large human dataset, examining response diversity and multiple indicators of careless responding. GPT-generated scale responses were less variable than human responses, showing limited use of extreme response options, higher repetition, and reduced multivariate dispersion relative to a human-derived reference distribution. In contrast, the textual explanations accompanying the synthetic responses exhibited greater lexical variation, indicating that GPT’s linguistic ability did not translate into an ability to reproduce the heterogeneity of human psychometric response behavior. Carelessness-like patterns were also observed in the synthetic data, although conventional indices behaved differently across datasets and could not always be interpreted as direct evidence of human-like careless responding. These findings raise questions about the reliability of LLM-generated data for research and decision-making applications and point to the need for quality-assurance checks before trusting such data in downstream intelligent systems.
Emergency department (ED) triage is a high-stakes prioritization task in which demographic, socioeconomic, and system-context information may improperly influence acuity assignment. Although open-source large language models (LLMs) are increasingly considered for local and privacy-preserving clinical decision support,...
Manar Aljohani, Brandon Ho, Kenneth W. McKinley et al.· 0 citations
Large Language Models (LLMs) are increasingly used as primary information sources, raising critical concerns about their safety and reliability across languages. While prior work has established the importance of harmless yet non-evasive responses, these guarantees are largely evaluated in high-resource languages. In t...
L. Gunawardana, Ayantha Randika, Dushani Perera et al.· Proceedings of the 28th Inte...· 0 citations
With people increasingly turning to AI chatbots for mental health support, the need to evaluate these tools is becoming more pressing. Recent benchmarks attempt to mimic a realistic setting by simulating multi-turn interactions with synthetic patients and evaluating them with an LLM-as-a-judge. However, the usefulness...
John Mendonça, Daniel Tschernutter, José Pombal et al.· 0 citations
Background/Objectives: This study examined naturally occurring Reddit posts describing health-related generative artificial intelligence (GenAI) use in relation to professional care. Methods: Of 1822 posts retrieved from two Reddit communities, r/AskDocs and r/ChatGPT (1 November 2024 to 30 October 2025), 291 met the i...
Joomi Kim, Alex R. Parkhouse, Ricky Leung· Healthcare· 0 citations
Open-weight large language models are increasingly used in
education, hiring, and information-seeking contexts that
touch neurodivergent people, yet we lack a clear empirical
map of how their portrayals of neurodiversity shift under
everyday prompt variation. We present a multi-condition,
multi-model audit of LLM portr...
Carlos Toxtli, M. Delaflor· Proceedings of the AAAI/ACM...· 0 citations
Existing evaluation methods for healthcare LLMs primarily assess factual correctness,safety, and fluency, while providing limited insight into whether generated interactions reflect culturally situated healthcare reasoning. This limitation is particularly important in maternal health, where care decisions are shaped by...