1/11/2024 0 Comments Adult chatbot 4![]() Cognitive behavioral therapy (CBT) has been continuously developed and is currently recognized as a widespread and effective evidence-based psychotherapy for depression, serving as one of the crucial theoretical frameworks for chatbot interventions. However, the use of health services for depressive disorders in China has been rather limited, with the access rate of adequate treatment being less than 0.5%. In China, the figure has been reported to be 95 million, and the prevalence among college students was 28.4%, reaching 34% during the COVID-19 pandemic. Īccording to the latest data of the World Health Organization, there were 3.22 million depressed people worldwide in 2015. Chatbots in mental health are nascent, and although chatbots have demonstrated feasibility to provide mental health treatment, more high-quality evidence regarding the effectiveness and acceptability of mental health chatbots is needed, particularly during the COVID-19 pandemic. ![]() However, studies have shown that mental health chatbots have some risks as well, such as “misunderstanding,” which may lead to ineffective or even harmful interventions, lack of crisis warning mechanisms, and lack of privacy protection. Most mental health chatbots can independently provide service to users, without requiring the participation and guidance of human therapists. In addition, chatbots were designed to focus on interactive capabilities instead of single psychological education for facilitating the process of psychotherapy. A mental health chatbot provides more accessibility than traditional face-to-face counseling and psychotherapy, through which users can feel accompanied and understood. The first chatbot, ELIZA, was applied in the field of psychology, and users could input text to simulate a conversation with a Rogerian psychotherapist. ![]() Ī chatbot, as a novel digital technology for mental health service, is a software program that simulates conversations with users through text or voice depending on artificial intelligence (AI). ĭriven by digital technologies, such as computers, the internet, mobile devices, mobile software apps, and virtual reality (VR), treatment for mental health problems has undergone an unprecedented transformation. Mobile health and digital medicine have rapidly become an important area of study in response to the conundrum posed by the escalating demand for mental health assistance and the severe shortage of traditional health care facilities. Limited accessibility and acceptability were more obvious with the rising risk of mental health problems led by quarantine and social isolation during the COVID-19 pandemic, especially among adolescents. However, there are still many limitations in traditional face-to-face psychotherapy and mental health services, including expensive treatment, geographical limitations, few experienced therapists, and delayed treatment, and stigma is considered as the most significant barrier to providing mental health services. The COVID-19 pandemic has had a huge impact on people’s mental health, increasing the rates of depression and anxiety by more than 25% globally in the first year, with people aged 20-24 years being more affected than older people.
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