An “Integrative Survey on Mental Health Conversational Agents to Bridge Computer Science and Medical Perspectives”
Open accessAbstract
Mental health conversational agents (a.k.a. chatbots) are widely studied for their potential to offer accessible support to those experiencing mental health challenges. Previous surveys on the topic primarily consider papers published in either computer science or medicine, leading to a divide in understanding and hindering the sharing of beneficial knowledge between both domains. To bridge this gap, we conduct a comprehensive literature review using the PRISMA framework, reviewing 534 papers published in both computer science and medicine. Our systematic review reveals 136 key papers on building mental health-related conversational agents with diverse characteristics of modeling and experimental design techniques. We find that computer science papers focus on LLM techniques and evaluating response quality using automated metrics with little attention to the application while medical papers use rule-based conversational agents and outcome metrics to measure the health outcomes of participants. Based on our findings on transparency, ethics, and cultural heterogeneity in this review, we provide a few recommendations to help bridge the disciplinary divide and enable the cross-disciplinary development of mental health conversational agents.
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- Authors
- Cho, Y., Rai, S., Ungar, L., Sedoc, J., & Guntuku, S.
- Affiliations
- University of Pennsylvania (US)
- New York University (US)
- Venue
- Proceedings of the 2023 Conference on Empirical Methods in Natural Language Processing
- Published
- 2023
- Volume
- 2023
- Pages
- 11346-11369
- PMC
- PMC11010238
- OpenAlex
- W4389523925
- Cited by
- 33
- References
- 145
- Citations by year
- 2026: 17 · 2025: 11 · 2024: 3 · 2023: 2
- FWCI
- 16.28
- Type
- conference paper
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- Conference on Empirical Methods in Natural Language Processing (EMNLP) (publishedVersion, cc-by)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- arXiv (Cornell University) (submittedVersion, cc-by)
- arXiv (Cornell University) (cc-by)
- Funders
- University of Pennsylvania
- National Institutes of Health
- National Institute on Minority Health and Health Disparities (R01MD018340)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Social Psychology › Social Robot Interaction and HRI
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Emotion and Mood Recognition
- Keywords
- mental health chatbots, chatbots, interdisciplinary research, large language models, rule-based chatbots, response quality evaluation, health outcome measurement, transparency, ethics, cultural heterogeneity, mental health support
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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