HealBench: A Fine-Grained Benchmark for Evaluating Psychological Comfort in Text-to-Image Generation

Abstract

Despite advances in photorealism, semantic fidelity, and aesthetics, text-to-image generation and image editing remain understudied in a human-centered dimension: whether their outputs feel psychologically comforting. Grounded in cognitive evaluation theory, we define psychological comfort as an affective response shaped by viewers' appraisal of restorative and emotionally supportive visual cues. We introduce HealBench, a fine-grained benchmark of 30,000 high-quality image-text pairs spanning 19 categories and 92 subcategories, selected from 100,000 candidates through a human- and expert-in-the-loop pipeline combining vision-language model matching, human preference models, expert filtering, and exemplar-guided augmentation. We also construct HealBench-Eval, a feature-clustered evaluation set of 1,095 instances. Using HealBench-Eval, we conduct objective and subjective evaluations of 14 representative image generation models and prompt-rewriting strategies. Results reveal a gap between conventional visual quality and perceived comfort: strong semantic alignment and aesthetics do not guarantee emotionally restorative images. Reinforcement learning experiments further show that HealScorer can serve as a reward signal for assessing and improving the emotional and restorative quality of generated images. These findings establish psychological comfort as a distinct dimension of human-centered image generation and position HealBench as a foundation for affect-aware generative models.