根据检测到的心理困扰,调整问题数量,用于用嵌入式对话代理进行认知行为治疗:比较研究
Kazuhiro Shidara1, Hiroki Tanaka1, Hiroyoshi Adachi2
1Nara Institute of Science and Technology, Ikoma, Japan.
JMIR formative research
|March 14, 2024
概括
这项研究开发了一种用于认知行为疗法 (CBT) 的自适应体内对话代理 (ECA). 与非适应性ECA相比,适应性ECA根据用户的痛苦调整苏格拉底式问题,显著减少了心理痛苦并改善了认知变化.
科学领域:
- 数字健康和心理健康技术
- 人与计算机在治疗环境中的交互.
- 人工智能在心理学中的应用
背景情况:
- 精神疾病的高患病率和对心理健康服务的有限接入需要创新的解决方案.
- 嵌入式对话代理 (ECA) 提供可扩展的认知行为疗法 (CBT) 交付,无需地点或时间限制.
- 目前的ECA缺乏适应治疗技术的能力,例如苏格拉底式质疑,以适应用户的情绪状态.
研究的目的:
- 开发和评估一种方法,使ECA可以根据检测到的心理困扰自动调整索克拉底式问题的数量.
- 测试适应性问询减轻心理痛苦并增强认知变化与随机问询相比的假设.
- 通过个性化治疗相互作用来提高通过ECA提供的CBT的疗效.
主要方法:
- 招募了18-65岁的参与者进行一项比较两个条件的研究:基于困境检测的ECA调整问题与随机询问的ECA.
- 参与者接受了一个单一的CBT课程,与被分配的ECA.
- 心理困扰和认知变化使用会议前和后的问卷进行评估.
主要成果:
- 与随机询问条件相比,适应性ECA条件在会后显著降低了心理痛苦.
- 当问题数量根据检测到的困境水平进行调整时,观察到认知变化的显著差异.
- 对于检测到的痛苦水平来说,问题比适当的少,导致认知变化较少.
结论:
- 根据检测到的危险级别来调整苏格拉底式问题的数量,提高了ECA提供的CBT的有效性.
- 适应性问询比随机问询导致更大的痛苦减轻和更实质性的认知变化.
- 这种方法支持通过ECA开发更为定制和有效的精神卫生保健解决方案.
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