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People increasingly seek personal advice from large language models (LLMs), yet whether humans follow their advice, and its consequences for their well-being, remains unknown. In a longitudinal randomised controlled trial with a…

In response to the increasing mental health challenges faced by college students, we sought to understand their perspectives on how AI applications, particularly Large Language Models (LLMs), can be leveraged to enhance their mental…

Human-Computer Interaction · Computer Science 2024-09-27 Owen Xingjian Zhang , Shuyao Zhou , Jiayi Geng , Yuhan Liu , Sunny Xun Liu

Previous researches on dialogue system assessment usually focus on the quality evaluation (e.g. fluency, relevance, etc) of responses generated by the chatbots, which are local and technical metrics. For a chatbot which responds to millions…

Computation and Language · Computer Science 2022-01-17 Yong Shan , Jinchao Zhang , Zekang Li , Yang Feng , Jie Zhou

Large language models (LLMs) are increasingly used for emotional support and mental health-related interactions outside clinical settings, yet little is known about how people evaluate and relate to these systems in everyday use. We analyze…

Computation and Language · Computer Science 2026-01-29 Elham Aghakhani , Rezvaneh Rezapour

Recent advancements in large language models (LLMs) promise to expand mental health interventions by emulating therapeutic techniques, potentially easing barriers to care. Yet there is a lack of real-world empirical evidence evaluating the…

Human-Computer Interaction · Computer Science 2025-01-28 Yinzhou Wang , Yimeng Wang , Ye Xiao , Liabette Escamilla , Bianca Augustine , Kelly Crace , Gang Zhou , Yixuan Zhang

Artificial Intelligence (AI) for supporting healthcare services has never been more necessitated than by the recent global pandemic. Here, we review the state-of-the-art in AI-enabled Chatbots in healthcare proposed during the last 10 years…

Artificial Intelligence · Computer Science 2023-08-09 Basabdatta Sen Bhattacharya , Vibhav Sinai Pissurlenkar

As large language models (LLMs) have proliferated, disturbing anecdotal reports of negative psychological effects, such as delusions, self-harm, and ``AI psychosis,'' have emerged in global media and legal discourse. However, it remains…

Empowering chatbots in the field of mental health is receiving increasing amount of attention, while there still lacks exploration in developing and evaluating chatbots in psychiatric outpatient scenarios. In this work, we focus on…

Computation and Language · Computer Science 2023-05-24 Siyuan Chen , Mengyue Wu , Kenny Q. Zhu , Kunyao Lan , Zhiling Zhang , Lyuchun Cui

Many Large Language Model (LLM) chatbots are designed and used for companionship, and people have reported forming friendships, mentorships, and romantic partnerships with them. Concerns that companion chatbots may harm or replace real…

Human-Computer Interaction · Computer Science 2025-10-15 Rose E. Guingrich , Michael S. A. Graziano

The use of large language model (LLM)-based AI chatbots among college students has increased rapidly, yet little is known about how individual psychological attributes shape students' interaction patterns with these technologies. This…

Computers and Society · Computer Science 2026-01-09 Ziqi Lin , Taiyu Hou

As AI chatbots see increased adoption and integration into everyday life, questions have been raised about the potential impact of human-like or anthropomorphic AI on users. In this work, we investigate the extent to which interactions with…

As large language model (LLM)-enhanced chatbots become increasingly expressive and socially responsive, many users begin forming companionship-like bonds with them. This study investigates how using AI companions relates to psychological…

Human-Computer Interaction · Computer Science 2026-05-06 Yutong Zhang , Dora Zhao , Jeffrey T. Hancock , Robert Kraut , Diyi Yang

Large language model (LLM) chatbots are susceptible to biases and hallucinations, but current evaluations of mental wellness technologies lack comprehensive case studies to evaluate their practical applications. Here, we address this gap by…

Human-Computer Interaction · Computer Science 2024-07-17 Lucia Chen , David A. Preece , Pilleriin Sikka , James J. Gross , Ben Krause

The past decade has been transformative for mental health research and practice. The ability to harness large repositories of data, whether from electronic health records (EHR), mobile devices, or social media, has revealed a potential for…

Computation and Language · Computer Science 2023-11-28 Munmun De Choudhury , Sachin R. Pendse , Neha Kumar

Large Language Model (LLM) chatbots like ChatGPT have emerged as cognitive scaffolding for autistic users, yet the tension between their utility and risk remains under-articulated. Through an inductive thematic analysis of 3,984 social…

Human-Computer Interaction · Computer Science 2026-03-26 Renkai Ma , Ben Zefeng Zhang , Chen Chen , Fan Yang , Xiaoshan Huang , Haolun Wu , Lingyao Li

With the advancement of large language models (LLMs), the focus in Conversational AI has shifted from merely generating coherent and relevant responses to tackling more complex challenges, such as personalizing dialogue systems. In an…

Computation and Language · Computer Science 2025-02-13 Maria Molchanova , Anna Mikhailova , Anna Korzanova , Lidiia Ostyakova , Alexandra Dolidze

This study investigates the development and assessment of an artificial human designed as a conversational AI chatbot, focusing on its role as a clinical psychologist. The project involved creating a specialized chatbot using the…

Human-Computer Interaction · Computer Science 2025-03-24 Birger Moell

Objective: This study aims to develop and validate an evaluation framework to ensure the safety and reliability of mental health chatbots, which are increasingly popular due to their accessibility, human-like interactions, and context-aware…

Alignment research on large language models (LLMs) increasingly depends on understanding how these systems are used in everyday contexts. Yet naturalistic interaction data is difficult to access due to privacy constraints and platform…

Human-Computer Interaction · Computer Science 2026-03-24 Cathy Mengying Fang , Sheer Karny , Chayapatr Archiwaranguprok , Yasith Samaradivakara , Pat Pataranutaporn , Pattie Maes

This study investigates the efficacy of Large Language Models (LLMs) in interactive language therapy for high-functioning autistic adolescents. With the rapid advancement of artificial intelligence, particularly in natural language…

Human-Computer Interaction · Computer Science 2023-11-17 Yujin Cho , Mingeon Kim , Seojin Kim , Oyun Kwon , Ryan Donghan Kwon , Yoonha Lee , Dohyun Lim