使用生成AI增加对认知行为疗法 (CBT) 的参与:随机对照试验 (RCT)
Jessica McFadyen1, Johanna Habicht2, Larisa-Maria Dina2,3
1Limbic Limited, London, UK. drjessicajean@gmail.com.
Communications medicine
|January 16, 2026
概括
与数字工作簿相比,生成性AI (genAI) 心理健康应用程序显著提高了用户参与度. 虽然没有改善整体症状减轻,但genAI显示了个性化,可扩展的数字心理健康解决方案的前景.
科学领域:
- 数字心理健康数字心理健康
- 医疗保健中的人工智能
- 认知行为疗法是一种认知行为疗法.
背景情况:
- 精神卫生保健短缺造成了大量未满足的患者需求.
- 数字干预提供了可扩展的解决方案,但在患者参与方面遇到了困难.
- 生成性人工智能 (genAI) 为增强数字心理健康治疗的参与度和个性化提供了机会.
研究的目的:
- 为了评估是否一个genAI-enabled认知行为疗法 (CBT) 应用程序提高了参与度和减少症状与数字CBT工作簿相比.
- 评估genAI在自导数字心理健康干预中的安全性和有效性.
主要方法:
- 一项随机对照试验 (N=540) 将genAI应用程序与数字CBT工作簿进行了6周的比较.
- 在线招募了焦虑或抑郁症状较高的参与者.
- 主要结局包括参与频率/持续时间和GAD-7和PHQ-9分数的变化.
主要成果:
- 与工作簿相比,genAI应用程序增加了参与频率 (2.4倍) 和持续时间 (3.8倍).
- 两组之间没有观察到焦虑或抑郁症状减少的显著差异.
- 探索性分析表明,用genAI个性化特征来减少焦虑更强.
结论:
- 与静态数字材料相比,GenAI支持的疗法可以安全地提高用户参与自我指导的使用.
- 目前的研究结果并没有显示出对焦虑或抑郁症的症状减轻的整体改善.
- 基因人工智能具有可扩展,引人入胜的数字心理健康干预的潜力.
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