人类治疗师和基于大型语言模型的聊天机器人对治疗沟通的反应进行比较:混合方法研究
Till Scholich1, Maya Barr2, Shannon Wiltsey Stirman3,4
1Institute for Human-Centered AI, Stanford University, Stanford, CA, United States.
JMIR mental health
|May 21, 2025
概括
一般用途的聊天机器人不适合进行心理健康对话,尤其是在危机期间. 虽然它们提供了一些治疗要素,但它们缺乏调查和通用建议,这使得它们对心理健康支持不安全.
科学领域:
- 心理健康技术 心理健康技术
- 医疗保健中的人工智能
- 人与计算机的交互
背景情况:
- 越来越多的消费者使用基于大型语言模型 (LLM) 的聊天机器人进行心理健康咨询.
- 与专业治疗相比,聊天机器人的适用性和安全性的有限探索.
研究的目的:
- 在心理健康场景中评估通用聊天机器人的反应.
- 将聊天机器人的反应与持牌治疗师的反应进行比较.
- 识别聊天机器人的优势,局限性和心理健康护理的伦理考虑.
主要方法:
- 混合方法研究比较聊天机器人和治疗师对脚本场景的反应.
- 分析了3个聊天机器人和17名治疗师,使用主题分析和多理论治疗干预清单 (MLTI).
- 包括大声思考程序和半结构面试以获得主观见解.
主要成果:
- 与治疗师相比,聊天机器人在调查和反方面表现出局限性.
- 治疗师唤起了更多的阐述;聊天机器人使用了更肯定和放心的语言.
- 聊天机器人比治疗师更频繁地使用心理教育和建议.
结论:
- 通用聊天机器人不适合安全的心理健康对话,特别是在危机情况下.
- 过度依赖指令建议和通用干预措施而没有足够的调查限制了聊天机器人的治疗价值.
- 进一步的研究对于确定聊天机器人的影响和适当的心理健康用例至关重要.
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