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Using AI-Based Virtual Simulated Patients for Training in Psychopathological Interviewing: Cross-Sectional
Daniel García-Torres1, César Fernández1, José Joaquín Mira1,2
1Departamento de Psicología de la Salud, Universidad Miguel Hernández, Elche, Spain.
JMIR Medical Education
|December 23, 2025
Summary
Generative artificial intelligence (GAI) virtual simulated patients (VSPs) are well-received by psychology students for clinical interviewing skills training. Student gender, GAI temperature, and connection stability influenced perceptions, though objective performance did not significantly improve.
Area of Science:
- Medical Education
- Artificial Intelligence in Healthcare
- Psychology Training
Background:
- Generative artificial intelligence (GAI) virtual simulated patients (VSPs) show potential for training clinical interviewing skills.
- Little is known about how system and user variables affect student perceptions of GAI-driven VSP interactions.
Purpose of the Study:
- To investigate psychology students' perceptions of GAI-driven VSPs.
- To examine the influence of demographic factors, system parameters, and interaction characteristics on these perceptions.
Main Methods:
- 1832 interactions between 156 psychology students and 13 GAI VSPs with varied temperature settings (0.1, 0.5, 0.9).
- Data collected included student demographics, interview length, connectivity failures, VSP used, and temperature setting.
- Student ratings, comments, and perceived diagnostic ability were recorded; sentiment analysis assessed clinical realism.
Main Results:
- Female students rated VSPs higher (9.25/10) than male students (8.94/10).
- Higher ratings correlated with fewer connectivity failures and higher GAI temperature settings (0.9 vs. 0.1).
- 94% of students perceived improved diagnostic ability, but objective scores did not significantly differ from a non-VSP cohort.
Conclusions:
- GAI-driven VSPs are positively received by psychology students, with gender and system variables influencing evaluations.
- While students felt training improved diagnostic skills, objective outcomes showed no significant gains.
- Further research is needed due to limitations in randomization and generalization.
Keywords:
artificial intelligenceclinical reasoningeducational technologynatural language processingpatient simulationpsychopathologysimulation training
