Table 2.

Correct answers by GPT-4 (Generative Pre-trained Transformer 4) to the question described in Table 1 for the detailed and short prompts.

Prompt version	Correct answer
Detailed prompt	Explanation: After careful consideration of the various answer options and taking into account all the knowledge of psychosomatic medicine, answer E: Depression is the most plausible. In this case, the 49-year-old teacher shows clear signs of emotional impairment after an anterior wall infarction. These include disinterest in therapy appointments, lack of interest in his wife’s visits, hopelessness about his recovery, and no sense of fear of another heart attack – on the contrary, he sees the prospect of an end to his “misery” as a positive thing. All these signs point to a possible depressive episode. Answer A: Nonspecific somatization disorder can be ruled out because the patient does not have a multitude of physical symptoms without a demonstrable organic cause. Answer B: Post-traumatic stress disorder could be considered due to the event of the infarction, but the typical symptoms such as memories or flashbacks of the traumatic event, avoidance behaviour, and increased irritability are missing in the description of the case. Answer C: Pseudodementia refers to cognitive impairment caused by depressive symptoms rather than actual dementia. Although this would be possible in the case of depression, the question does not provide enough information about cognitive impairment to support this diagnosis. Answer D: Generalized Anxiety Disorder does not fit the case as the patient states that he is not afraid of having another heart attack and overall does not show excessive fear or anxiety. Therefore, answer E: Depression is the most plausible tentative diagnosis in the psychosomatic field in this case.
Short prompt	Answer E: Depression The symptoms described, such as lack of interest in further treatment, lack of hope for improvement, dejection and even death wishes, most likely indicate depression. The patient shows signs of anhedonia (inability to feel pleasure or interest in activities) and negative thought patterns. In such cases, psychosomatic assessment and appropriate treatment is important to aid the patient’s recovery.