CBT-Audio (Audio Only): leaderboard

Rating the distress intensity (1 to 5) of a patient turn in public role-play and case-study CBT session recordings, given the three preceding turns as text; CBT-Audio (Hu et al., 2026). The model hears the turn's audio but gets no transcript of it. Mean absolute error in scale points against reference labels built from GPT-audio-1.5 descriptions and checked on an expert-annotated subset; lower is better.

Metric: Mean absolute error on the 1-5 distress-intensity scale against SSR reference labels (1,802 patient turns; lower is better); patient audio and text context, no transcript of the turn. Source: arxiv.org. Saturation forecast: Around February 2027. 10 models tracked.

Top models

#ModelScoreOverall rank
1gemma-4-E4B-it0.82#1462
2Qwen2.5-Omni-7B0.96#1797
3Voxtral-Mini-3B-25071.11#3702

No result here: #1 Claude Fable 5.2, #2 Gemini 4 Carbon, #5 Claude Opus 5.5.

Interactive version: theaggregate.ai/benchmark?slug=cbt-audio-audio-only · How It Works · Data refreshed daily, snapshot 2026-11-12.