Challenge: Cognitive distortions are negative thinking patterns that can lead to mental health issues in adolescents.
Approach: They propose a multi-Large Language Model negotiation method to refine distortion classification . they also use cognitive clarification and cognitive balancing to improve label consistency .
Outcome: The proposed dataset contains 108,717 instances of cognitive distortions in Korean adolescents.

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Deciphering Cognitive Distortions in Patient-Doctor Mental Health Conversations: A Multimodal LLM-Based Detection and Reasoning Framework (2024.emnlp-main)

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Challenge: Cognitive distortion research sheds light on pervasive errors in thinking patterns . authors present method for detecting and reasoning about cognitive distortions .
Approach: They propose a method for detecting and reasoning about cognitive distortions using Large Language Models.
Outcome: The proposed method improves accuracy and depth of detection and reasoning tasks in a zero-shot manner.
C2D2 Dataset: A Resource for the Cognitive Distortion Analysis and Its Impact on Mental Health (2023.findings-emnlp)

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Challenge: Cognitive distortions refer to patterns of irrational thinking that can lead to distorted perceptions of reality and mental health problems in individuals.
Approach: They propose to use the C2D2 dataset to detect cognitive distortions in everyday life scenes to improve existing models of mental health detection.
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Generalizable Cross-Lingual Cognitive Distortion Detection with Standardized Annotations and Multi-Task Learning (2025.findings-acl)

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Challenge: Existing studies on cognitive distortion have limited generalizability and performance of models in large-scale and cross-linguistic contexts.
Approach: They propose a multi-task learning model based on teacher student architecture solution which improves generalization performance.
Outcome: The proposed model improves generalizability and interpretability of the proposed model.
Multi-View Attention Multiple-Instance Learning Enhanced by LLM Reasoning for Cognitive Distortion Detection (2026.acl-long)

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Challenge: Cognitive distortions are systematic errors in thinking that occur when individuals perceive and interpret external information, leading to a negative conclusion that does not correspond to reality.
Approach: They propose a framework that combines Large Language Models with a Multiple-Instance Learning architecture to enhance interpretability and expression-level reasoning.
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KoSBI: A Dataset for Mitigating Social Bias Risks Towards Safer Large Language Model Applications (2023.acl-industry)

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Challenge: Existing research and resources are not readily applicable in South Korea due to the differences in language and culture, both of which significantly affect the biases and targeted demographic groups.
Approach: They propose a social bias dataset of 34k pairs of contexts and sentences in Korean covering 72 demographic groups in 15 categories.
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Cognitive Policy-Driven LLM for Diagnosis and Intervention of Cognitive Distortions in Emotional Support Conversation (2026.acl-long)

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Challenge: Existing models for ESC ignore cognitive distortions in help-seekers' expressions . current models provide basic emotional comfort, rather than helping help- seekers address psychological distress at a deeper cognitive level.
Approach: They propose a Large Language Model framework to enhance LLMs' ability to diagnose and intervene cognitive distortions in help-seekers.
Outcome: The proposed framework outperforms 15 state-of-the-art baselines in terms of distortion diagnosis accuracy, intervention strategy effectiveness, and safety risk control.
A Survey of Cognitive Distortion Detection and Classification in NLP (2025.findings-emnlp)

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Challenge: despite momentum in natural language processing, the field remains fragmented . inconsistencies in CD taxonomies, task formulations and evaluation practices limit comparability .
Approach: This review provides a comprehensive review of 38 studies spanning two decades . they map how CDs have been implemented in computational research and evaluate the methods applied.
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Exploring Inherent Biases in LLMs within Korean Social Context: A Comparative Analysis of ChatGPT and GPT-4 (2024.naacl-srw)

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Challenge: Large Language Models (LLMs) have been criticized for perpetuating stereotypes against diverse groups based on race, sexual orientation, and other attributes.
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Making Sense of Korean Sentences: A Comprehensive Evaluation of LLMs through KoSEnd Dataset (2025.acl-srw)

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Challenge: Despite advances in LLMs, there are still concerns about their effectiveness with low-resource agglutinative languages compared to English.
Approach: They evaluated 11 LLMs to assess their understanding of Korean sentence endings . they found that explicitly considering linguistic features improved performance .
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Crisp: Cognitive Restructuring of Negative Thoughts through Multi-turn Supportive Dialogues (2025.emnlp-main)

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Challenge: Existing approaches to cognitive restructuring (CR) are limited by entrenched cognitive distortions, emotional resistance, and individual differences.
Approach: They propose a framework that structures CR as theory-grounded multi-stage multi-turn dialogue and a multi-channel loop mechanism to account for diverse individual distortions.
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