Dimensional Structure of BERT-Estimated Emotion Representations in Adolescents With Autism Spectrum Disorder: An Exploratory Analysis of Clinical Narratives.

backgroundAutism spectrum disorder (ASD) is characterized by impairments in emotion recognition and regulation. While natural language processing (NLP) offers a systematic approach to estimating emotions from clinical narratives, the latent dimensional structure of these estimated emotions in ASD remains insufficiently characterized using methodologically rigorous frameworks.

objectiveThis exploratory study aimed to characterize the dimensional structure of model-estimated emotions in adolescents with ASD using a fine-tuned Japanese BERT model, while explicitly accounting for domain shift and compositional data constraints.

methodsA Japanese BERT model (

resultsThe model achieved 81.3% accuracy on the out-of-domain test set, though in-domain validation revealed performance variability across emotion categories (e.g., higher reliability for sadness than for trust). PCA identified two primary dimensions: PC1 (57.8% variance), characterized by a dominant sadness-driven internalizing axis, and PC2 (14.2% variance), representing a contrast between anticipation and aversive emotions (disgust/anger). These dimensions remained stable across bootstrap resampling.

conclusionsThis study demonstrates that transformer-based NLP, when combined with rigorous compositional data analysis, can elucidate latent emotional structures within clinical narratives. However, these patterns reflect a model-mediated representation space influenced by clinical documentation practices and domain-specific model characteristics. While providing a novel quantitative framework for psychiatric NLP, our findings emphasize the necessity of in-domain validation and cautious clinical interpretation.