BALMS: Benchmarking Agentic LLMs for Longitudinal Mental Health Sensing

Personalized lifestyle health analysis requires long-horizon, multi-dimensional reasoning over heterogeneous lifestyle signals, and recent advances in mobile sensing and large language models (LLMs) make such support increasingly feasible. However, the capabilities of current LLMs in this setting remain insufficiently understood due to the lack of systematic benchmarks. In this paper, we introduce LifeAgentBench, a large-scale QA benchmark for long-horizon, cross-dimensional, and multi-user lifestyle health reasoning, containing 22,573 questions spanning from basic retrieval to complex reasoning. We release an extensible benchmark construction pipeline and a standardized evaluation protocol, deriving verifiable answers through executable queries and programs to support reliable assessment. We then systematically evaluate 13 representative LLMs on LifeAgentBench and identify key bottlenecks in long-horizon aggregation and cross-dimensional reasoning. Motivated by these findings, we propose LifeAgent, a tool-augmented reasoning baseline that decomposes complex queries, performs multi-step evidence retrieval, and invokes tools for deterministic aggregation. LifeAgent substantially enhances LLMs' capabilities on challenging reasoning tasks, achieving clear improvements over widely used baselines and showing potential for health reasoning in everyday scenarios. The benchmark is publicly available.

Large Language Models (LLMs) are increasingly used as autonomous agents in complex, long-horizon applications, where effective memory is critical for sustained performance. Yet existing memory benchmarks are largely dialogue-centric, while real agent memory consists of continuous agent-environment interaction trajectories composed of states, actions, observations, and tool outputs. To address this gap, we introduce AMA-Bench (Agent Memory with Any length), a benchmark for evaluating long-horizon memory in realistic agentic settings. AMA-Bench combines real-world agent trajectories from representative applications with expert-curated QA, as well as synthetic trajectories that scale to arbitrary horizons with rule-based QA. Our study shows that existing memory systems underperform because they fail to capture causal and objective information and rely heavily on lossy similarity-based retrieval. We further propose AMA-Agent, a memory system based on causality-graph construction and tool-augmented retrieval. AMA-Agent achieves 57.22% accuracy on AMA-Bench, outperforming the strongest baseline by 11.16%. Resources are available at: https://ama-bench.github.io/.

Longitudinal passive sensing enables continuous health prediction, yet models often fail under cross-dataset distribution shifts. Traditional ML overfits cohort-specific artifacts, while Large Language Models (LLMs) struggle to reason reliably over long, heterogeneous time-series. We introduce TimeSRL, a two-stage LLM framework that routes predictions through an explicit semantic bottleneck. The model first abstracts raw signals into high-level natural language, then predicts behavioral outcomes from these abstractions alone. This forces the model to reason over semantic concepts that we argue generalize better than raw numbers. We optimize this process end-to-end using Group Relative Policy Optimization (GRPO) with Reinforcement Learning from Verifiable Rewards (RLVR), learning outcome-aligned abstractions without gold intermediate annotations. Instantiated on mental-health prediction, TimeSRL achieves state-of-the-art performance on a benchmark designed to stress-test cross-cohort generalization under a rigorous leave-one-dataset-out (LOSO) protocol, reducing mean absolute error (MAE) over strong non-LLM ML and LLM baselines by 3.1--10.1% and 9.5--44.1% for anxiety, and 3.2--9.6% and 27.4--57.6% for depression (all $p$s<0.05). TimeSRL significantly outperforms prior methods in cross-benchmark transfer across different sensing pipelines, rivaling its own within-domain performance without target-domain fine-tuning. These results demonstrate that semantic abstractions are reusable and point to a new direction for generalizable behavior modeling via RL-tuned LLMs.