通过苏格拉底2.0进行人工智能促进的认知重新评估:混合方法可行性研究
Philip Held1, Sarah A Pridgen1, Daniel R Szoke1
1Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, 1645 West Jackson Boulevard, Suite 602, Chicago, IL, 60612, United States.
JMIR mental health
|December 5, 2025
概括
苏格拉底2.0,一个人工智能工具,显示了自我引导认知重新评估的可行性和可接受性,提供潜在的心理健康支持. 它显示了抑郁症和焦虑症的适度减轻症状,作为治疗的可能辅助.
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
- 数字治疗学数字治疗学
背景情况:
- 创新的心理健康工具对于克服提供者短缺和可访问性问题至关重要.
- 基于大型语言模型 (LLM) 的工具可以为认知重新评估提供实时的个性化反.
- 苏格拉底2.0是一个人工智能工具,旨在引导用户通过苏格拉底式对话进行心理健康支持.
研究的目的:
- 评估苏格拉底2.0.0的可行性和可接受性.
- 评估苏格拉底2.0在减少心理症状方面的潜力.
- 用人工智能驱动的心理健康工具来探索用户体验.
主要方法:
- 一项为期4周的混合方法临床前可行性研究,涉及61名成年参与者.
- 参与者根据需要使用Socrates 2.0,完成了抑郁,焦虑,PTSD和强迫症症状的自我报告措施.
- 可行性,可接受性,可用性和工作联盟使用验证的措施和半结构面试进行了评估.
主要成果:
- 在可行性 (4.26/5),可接受性 (4.16/5) 和可用性方面报告了高评级.
- 参与者在抑郁症 (d=0.30),社会焦虑 (d=0.25),强迫症 (d=0.33) 和PTSD (d=0.28) 中显示出小到中度的症状减少.
- 质量反强调了该工具的非判断性,按需的性质,同时指出了对话深度和重复性问询的限制.
结论:
- 苏格拉底2.0被认为是可行的,可以接受的,适度有助于自我引导的认知重新评估.
- 人工智能工具显示出作为传统心理健康疗法的辅助工具的潜力.
- 需要进一步的研究,包括随机对照试验,以确认有效性和优化个性化.
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