聊天GPT作为治疗:一个定性和基于网络的主题概况的共享经验,态度和信念在Reddit上的态度和信念
Amanda C Collins1, Damien Lekkas2, Michael V Heinz3
1Department of Psychiatry, Massachusetts General Hospital, Boston, MA, United States; Department of Psychiatry, Harvard Medical School, Boston, MA, United States.
Journal of psychiatric research
|October 2, 2025
概括
用户发现ChatGPT对心理健康支持有帮助,并指出了积极的经验和个人利益. 然而,他们也报告了一些缺点,包括有害的限制,特别是在严重的条件下.
科学领域:
- 人工智能的人工智能
- 心理健康技术 心理健康技术
- 计算社会科学 计算社会科学
背景情况:
- 像ChatGPT这样的大型语言模型 (LLM) 显示出由于可访问性而带来心理健康支持的希望.
- 传统心理健康服务的障碍突出了需要替代解决方案的需要.
- 对于心理健康问题的LLM用户体验的理解有限.
研究的目的:
- 调查使用ChatGPT用于心理健康的个人的积极和消极经验.
- 确定用户体验和心理健康状况之间的专题关联.
主要方法:
- 对1594个Reddit帖子进行了定性分析,这些帖子来自讨论ChatGPT对心理健康的用户.
- 应用33项编码方案来对用户体验进行分类.
- 使用Ising网络模型来分析编码数据中的主题关联.
主要成果:
- 积极的情绪,情感体验和个人利益经常被报告.
- 积极经验 (同情心,超越人类治疗师) 和负面经验 (有害的限制) 之间出现了关键关联.
- 作为一名治疗师,ChatGPT的良好运作是一个核心主题,但限制对焦虑和压力的用户产生了负面影响.
结论:
- 作为一种心理健康工具,ChatGPT提供了好处,特别是对于那些缺乏标准护理的人来说.
- 用户报告了重大缺点,包括可能加剧症状的限制.
- 有效性可能会有所不同,对于患有严重精神健康病理的人来说,存在潜在的局限性.
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