人工智能聊天机器人对焦虑和抑郁的有效性和风险:对最近的临床研究进行叙述性审查
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Rebekah Bodner1, Katherine Lim1, Renee Schneider1,2
1Beth Israel Deaconess Medical Center, Division of Digital Psychiatry, Harvard Medical School.
Current opinion in psychiatry
|November 6, 2025
概括
人工智能 (AI) 聊天机器人对心理健康护理有希望,但目前的证据不足以证实它们在临床实践中治疗焦虑和抑郁症的有效性或安全性.
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
- 数字精神病学数字精神病学
背景情况:
- 人工智能对医疗保健效率和有效性越来越感兴趣.
- 特别关注人工智能在治疗焦虑和抑郁症的心理健康护理中的作用.
- 关于人工智能聊天机器人的有效性和安全性的现有证据是否足够的不确定性.
研究的目的:
- 审查最近的文献 (2024年2月至2025年7月) 关于人工智能在治疗焦虑和抑郁症方面的有效性.
- 评估人工智能聊天机器人在精神卫生保健中的当前证据基础.
- 确定目前的证据是否足以确定疗效和安全性.
主要方法:
- 关于人工智能聊天机器人治疗焦虑和抑郁症的研究文献综述.
- 报告的症状减轻和方法限制的分析.
- 检查不良事件报告和潜在风险.
主要成果:
- 大多数研究报告了焦虑和抑郁症指标上的症状减少.
- 大多数研究缺乏活性对照条件,样本小/狭窄,使用不一致的指标.
- 很少报告不良事件;像情绪依赖这样的风险没有被检查.
结论:
- 人工智能聊天机器人对于心理健康护理用户来说似乎是可行的和可以接受的.
- 目前的证据不足以确定人工智能聊天机器人对焦虑和抑郁症的临床疗效.
- 需要进一步的严格研究来确定安全性和有效性.
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