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Generative AI versus human conversational agent for reducing procrastination: A randomized pilot trial
Severin Hennemann1,2, Julia M Fähnrich1, Cornelius Tietze1
1Department of Clinical Psychology, Psychotherapy and Experimental Psychopathology, University of Mainz, Mainz, Germany.
Generative AI chatbots and human agents showed similar effectiveness for procrastination micro-interventions. Both approaches had comparable, high rates of unwanted effects, necessitating further research on AI mental health tool safety and efficacy.
Area of Science:
- Psychology
- Computer Science
- Mental Health
Background:
- Generative artificial intelligence (AI) chatbots are increasingly used in mental health, but evidence on their efficacy and safety is limited.
- This study explores AI chatbots as a cognitive behavioral micro-intervention for procrastination.
Purpose of the Study:
- To investigate the feasibility, efficacy, mechanisms, and adverse effects of a generative AI chatbot (ChatGPT-4) compared to a human conversational agent for procrastination.
- To assess the impact on procrastination, depression, anxiety, worry, and rumination.
Main Methods:
- A randomized pilot trial involving 62 university students.
- Participants received a three-session chat-based intervention with either ChatGPT-4 or a human agent.
- Outcomes were measured via questionnaires at baseline, post-intervention, and 6-month follow-up.
Main Results:
- No significant difference in procrastination reduction between the AI chatbot and human agent groups.
- Approximately 43.1% of participants reported unwanted negative effects, with no significant group difference.
- Common therapeutic factors were similar across groups and did not mediate procrastination changes.
Conclusions:
- Neither conversational agent demonstrated superiority, with comparable efficacy and high rates of adverse effects.
- Further research with larger, clinically relevant samples is required to establish the safety and efficacy of AI-based micro-interventions in mental health.
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