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人工智能辅助抑郁症和焦虑症心理干预的系统评价:全面分析

Systematic review of artificial intelligence enabled psychological interventions for depression and anxiety: A comprehensive analysis.

作者信息

Joshi Amey C, Ghogare Ajinkya S, Madavi Priya B

机构信息

Department of Psychiatry, Dr. Rajendra Gode Medical College, Amravati, Maharashtra, India.

Department of Psychiatry, Government Medical College, Akola, Maharashtra, India.

出版信息

Ind Psychiatry J. 2025 May-Aug;34(2):158-166. doi: 10.4103/ipj.ipj_363_24. Epub 2025 Feb 6.

Abstract

Psychiatric disorders like depression and anxiety represent significant global health challenges, affecting individuals of all ages and contributing to a substantial disability burden worldwide. Despite advancements in mental health care, barriers such as cost, geographical limits, and social stigma may prevent individuals from receiving early psychological interventions. In recent years, artificial intelligence (AI) has emerged as a prominent tool to address these issues by facilitating early detection, personalized treatment, and intervention delivery for individuals experiencing depression and anxiety. Hence, the present systematic review focused on AI-enabled conversational chatbots for the identification and management of depression and anxiety. The current systematic review yielded a total of ten studies after a thorough analysis. The majority of studies were randomized controlled trials. The most frequently utilized AI method was conversational AI agents which are chatbots available through online software accessible via computers or smartphones. The investigations revealed significant outcomes by using AI for the enhancement of psychotherapy. The majority of studies showed a low risk (71.67%), indicating their reliability, while unclear studies (15%) exhibited some ambiguity without invalidating results. Conversely, studies classified as high risk (13.33%) indicated significant bias and potential errors. Chatbots have emerged as an effective medium for self-help depression and anxiety management. Studies have revealed significant positive outcomes, showing the potential of AI augmentation in psychotherapy to reduce clinical symptomatology. Notably, chatbot-delivered therapies have proven to be more successful than limited bibliotherapy, demonstrating their ability to effectively reduce the symptoms of depression and anxiety while encouraging a stronger therapeutic alliance among participants.

摘要

抑郁症和焦虑症等精神疾病是全球重大的健康挑战,影响着各个年龄段的人群,并在全球造成了巨大的残疾负担。尽管精神卫生保健取得了进展,但成本、地理限制和社会 stigma 等障碍可能会阻碍个人接受早期心理干预。近年来,人工智能(AI)已成为解决这些问题的重要工具,通过促进对抑郁症和焦虑症患者的早期检测、个性化治疗和干预提供。因此,本系统评价聚焦于用于识别和管理抑郁症和焦虑症的人工智能驱动的对话聊天机器人。经过全面分析,本系统评价共产生了 10 项研究。大多数研究是随机对照试验。最常用的人工智能方法是对话式人工智能代理,即通过计算机或智能手机可访问的在线软件提供的聊天机器人。调查显示,使用人工智能增强心理治疗取得了显著成果。大多数研究显示风险较低(71.67%),表明其可靠性,而不清楚的研究(15%)存在一些模糊性,但结果并未无效。相反,被归类为高风险的研究(13.33%)表明存在显著偏差和潜在错误。聊天机器人已成为自我管理抑郁症和焦虑症的有效媒介。研究显示出显著的积极成果,表明人工智能在心理治疗中的增强作用有潜力减轻临床症状。值得注意的是,聊天机器人提供的疗法已被证明比有限的书籍疗法更成功,证明了它们在有效减轻抑郁症和焦虑症症状的同时,能够促进参与者之间建立更强治疗联盟的能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1834/12373353/c93d75a4dbcd/IPJ-34-158-g001.jpg

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