Philosophical Psychology,
Год журнала:
2024,
Номер
unknown, С. 1 - 27
Опубликована: Сен. 3, 2024
Conversational
agents
(CA)
are
thought
to
be
promising
for
psychotherapy
because
they
give
the
impression
of
being
able
engage
in
conversations
with
human
users.
However,
given
high
risk
therapy
patients
who
already
a
vulnerable
situation,
there
is
need
investigate
extent
which
CA
contribute
goals
and
discuss
CA's
limitations,
especially
complex
cases.
In
this
paper,
we
understand
as
way
dealing
existential
situations
position
CAs
context
therapeutic
experience
patients.
This
determined
by
patient's
unique
personal
specific
goals.
We
suggest
that
fundamentally
dialogical
activity,
it
crucially
involves
work
on
self
one's
self-narrative.
brings
us
our
central
question:
possible
productive
dialogue,
their
limitations
epistemic
agents?
will
several
those
show
how
these
undermine
possibility
engaging
illustrate
through
discussions
cases
grief
abuse.
BACKGROUND
The
introduction
of
Natural
Language
Processing
(NLP)
technologies
has
significantly
enhanced
the
potential
self-directed
interventions
for
treating
anxiety
and
depression
by
improving
human-computer
interactions.
Despite
these
advancements,
particularly
in
AI
Large
Models
(LLMs),
robust
evidence
validating
their
effectiveness
remains
sparse.
OBJECTIVE
To
determine
whether
based
on
NLP
models
can
reduce
depressive
symptoms.
METHODS
Our
study
was
a
systematic
review,
protocol
registered
PROSPERO
(CRD42023472120).
databases
we
used
review
are
Web
Science,
SCOPUS,
MEDLINE
(via
PubMed),
PsycINFO
EBSCO),
IEEE
Xplore,
EMBASE
Cochrane
Library.
quality
included
studies
assessed
using
JBI
Critical
Appraisal
Tools.
RESULTS
21
articles
were
selected
16
meta-analysis
each
outcome.
overall
showed
that
self-administered
more
effective
reducing
symptoms
(SMD=0.819;
95%CI:
0.389-1.250;
p<0.001)
(SMD=0.272;
95%
CI:
0.116-0.428;
p=0.001)
compared
with
various
control
conditions.
In
subgroup
analysis,
AI-based
shown
to
be
(SMD=1.059
[0.520
1.597];
(SMD=0.302
[0.073
0.532];
p=0.010)
pooled
Also,
NLP-based
outperform
psychoeducation
bibliotherapy
both
(SMD=1.481
[0.368
2.594];
p=0.009)
(SMD=0.561
[0.195
0.927];
p=0.003).
addition,
than
waitlist
or
no
intervention
anxious
(SMD=0.196
[0.042
0.351];
p=0.013).
CONCLUSIONS
findings
support
usefulness
self-applied
alleviating
widely
prevalent
mental
health
problems
such
as
CLINICALTRIAL
Protocol
(CRD42023472120)
BACKGROUND
Conversational
Agents
(CAs,
chatbots)
are
systems
enabled
with
the
ability
to
interact
users
using
natural
human
dialogue.
They
increasingly
used
support
interactive
knowledge
discovery
of
sensitive
topics
such
as
mental
health
topics.
While
much
research
on
CAs
for
has
focused
adult
populations,
insights
from
may
not
apply
youth.
OBJECTIVE
The
aim
study
was
comprehensively
evaluate
state-of-the-art
METHODS
Following
Preferred
Reporting
Items
Systematic
Reviews
and
Meta-Analyses
(PRISMA)
guidelines,
we
synthesized
39
peer-reviewed
studies
specific
designed
We
conducted
a
scoping
review
literature
characteristics
youth,
design/computational
considerations
evaluation
outcomes
reported
in
RESULTS
found
that
most
were
older
peers
provide
therapeutic
and/or
educational
content
promote
youth
well-being.
Most
based
expert
knowledge,
few
incorporated
inputs
technical
maturity
its
infancy,
focusing
building
prototypes
rule-based
models
deliver
pre-written
content,
limited
safety
features
respond
imminent
risk.
Research
findings
suggest
while
appreciate
24/7
availability
friendly/empathetic
conversation
CAs,
they
provided
by
be
limited.
Finally,
concerning
trend
reviewed
did
address
ethical
aspects
concerned
about
privacy
confidentiality
their
data.
CONCLUSIONS
Our
highlights
need
researchers
continue
work
together
align
evidence-based
lessons
learned
how
best
these
technologies
brings
light
needing
further
development
evaluation.
new
large
language
(LLMs)
can
make
more
feasible.
Yet,
should
prioritized.
Although
preliminary
evidence
shows
positive
trends
long-term
evaluative
larger
sample
sizes
robust
designs
is
needed
validate
efficacy.
More
importantly,
collaborative
efforts
clinical
experts
early
design
phases
summative
stages
build
safe,
effective,
youth-centered
CAs.
practices
risk
mitigation
CLINICALTRIAL
N/A
JMIR Formative Research,
Год журнала:
2024,
Номер
8, С. e55234 - e55234
Опубликована: Авг. 14, 2024
Cognitive
behavioral
therapy
(CBT)
is
a
valuable
treatment
for
mood
disorders
and
anxiety.
CBT
methods,
such
as
cognitive
restructuring,
are
employed
to
change
automatic
negative
thoughts
more
realistic
ones.
Philosophical Psychology,
Год журнала:
2024,
Номер
unknown, С. 1 - 27
Опубликована: Сен. 3, 2024
Conversational
agents
(CA)
are
thought
to
be
promising
for
psychotherapy
because
they
give
the
impression
of
being
able
engage
in
conversations
with
human
users.
However,
given
high
risk
therapy
patients
who
already
a
vulnerable
situation,
there
is
need
investigate
extent
which
CA
contribute
goals
and
discuss
CA's
limitations,
especially
complex
cases.
In
this
paper,
we
understand
as
way
dealing
existential
situations
position
CAs
context
therapeutic
experience
patients.
This
determined
by
patient's
unique
personal
specific
goals.
We
suggest
that
fundamentally
dialogical
activity,
it
crucially
involves
work
on
self
one's
self-narrative.
brings
us
our
central
question:
possible
productive
dialogue,
their
limitations
epistemic
agents?
will
several
those
show
how
these
undermine
possibility
engaging
illustrate
through
discussions
cases
grief
abuse.