The Depressed Teenage Brain: Chatbot Psychoeducation

Objective: To gain the knowledge needed to develop a cognitive behavioral intervention and reliable psychoeducation applicable for conversational artificial intelligence models, we investigated the underlying constructs of thoughts common to cognitive distortions found in online questions written by...

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Main Authors: Kim K. Dysthe, MD, Jan I. Røssberg, MD, PhD, Petter B. Brandtzaeg, PhD, Marita Skjuve, MA, Asbjørn Følstad, PhD, Ole R. Haavet, MD, PhD, Atle Klovning, MD, PhD
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:Mayo Clinic Proceedings: Digital Health
Online Access:http://www.sciencedirect.com/science/article/pii/S294976122300024X
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author Kim K. Dysthe, MD
Jan I. Røssberg, MD, PhD
Petter B. Brandtzaeg, PhD
Marita Skjuve, MA
Asbjørn Følstad, PhD
Ole R. Haavet, MD, PhD
Atle Klovning, MD, PhD
author_facet Kim K. Dysthe, MD
Jan I. Røssberg, MD, PhD
Petter B. Brandtzaeg, PhD
Marita Skjuve, MA
Asbjørn Følstad, PhD
Ole R. Haavet, MD, PhD
Atle Klovning, MD, PhD
author_sort Kim K. Dysthe, MD
collection DOAJ
description Objective: To gain the knowledge needed to develop a cognitive behavioral intervention and reliable psychoeducation applicable for conversational artificial intelligence models, we investigated the underlying constructs of thoughts common to cognitive distortions found in online questions written by adolescents with symptoms of depression. Methods: From June 30, 2020, to October 30, 2020, we analyzed a sample of 100 written questions from adolescents about depression posted on an online information service using a qualitative analysis guided by cognitive behavioral theory and informed by the neuroscience of adolescence. Results: Four types of cognitive distortions (CDs) were found: (1) emotional reasoning, (2) mind reading, (3) catastrophizing, and (4) labeling. Our analysis suggested 3 underlying constructs common to the different CDs: (1) emotional states appearing as reality, (2) experiencing this emotional reality as something others think, and (3) generalizing such beliefs to every relation and the future. These constructs may signify events leading to a ruminative state that seems hard to escape. Conclusion: The 4 different CDs originate from 3 underlying constructs possibly associated with adolescent neurodevelopment. This study indicates a potential to reveal the underlying constructs of thought common to different CDs, thus making CDs more useful as a target point in artificial intelligence–based technological information and intervention tools.
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spelling doaj.art-237e004efd4343bf970cb1e78f4edd492024-03-28T06:40:42ZengElsevierMayo Clinic Proceedings: Digital Health2949-76122023-09-0113334342The Depressed Teenage Brain: Chatbot PsychoeducationKim K. Dysthe, MD0Jan I. Røssberg, MD, PhD1Petter B. Brandtzaeg, PhD2Marita Skjuve, MA3Asbjørn Følstad, PhD4Ole R. Haavet, MD, PhD5Atle Klovning, MD, PhD6Department of General Practice/Family Medicine, University of Oslo, Oslo, Norway; Correspondence: Address to Kim K. Dysthe, MD, Department of General Practice/Family Medicine, University of Oslo, Kirkeveien 166, Oslo 0450, Norway .Division of Psychiatric Treatment Research, Department of Psychiatry, and University of Oslo, Oslo, NorwayDepartment of Media and Communication, University of Oslo, Oslo, Norway; and University of Oslo, Oslo, Norway; SINTEF Digital, Sustainable Communication Technologies, Oslo, NorwaySINTEF Digital, Sustainable Communication Technologies, Oslo, NorwaySINTEF Digital, Sustainable Communication Technologies, Oslo, NorwayDepartment of General Practice/Family Medicine, University of Oslo, Oslo, NorwayDepartment of General Practice/Family Medicine, University of Oslo, Oslo, NorwayObjective: To gain the knowledge needed to develop a cognitive behavioral intervention and reliable psychoeducation applicable for conversational artificial intelligence models, we investigated the underlying constructs of thoughts common to cognitive distortions found in online questions written by adolescents with symptoms of depression. Methods: From June 30, 2020, to October 30, 2020, we analyzed a sample of 100 written questions from adolescents about depression posted on an online information service using a qualitative analysis guided by cognitive behavioral theory and informed by the neuroscience of adolescence. Results: Four types of cognitive distortions (CDs) were found: (1) emotional reasoning, (2) mind reading, (3) catastrophizing, and (4) labeling. Our analysis suggested 3 underlying constructs common to the different CDs: (1) emotional states appearing as reality, (2) experiencing this emotional reality as something others think, and (3) generalizing such beliefs to every relation and the future. These constructs may signify events leading to a ruminative state that seems hard to escape. Conclusion: The 4 different CDs originate from 3 underlying constructs possibly associated with adolescent neurodevelopment. This study indicates a potential to reveal the underlying constructs of thought common to different CDs, thus making CDs more useful as a target point in artificial intelligence–based technological information and intervention tools.http://www.sciencedirect.com/science/article/pii/S294976122300024X
spellingShingle Kim K. Dysthe, MD
Jan I. Røssberg, MD, PhD
Petter B. Brandtzaeg, PhD
Marita Skjuve, MA
Asbjørn Følstad, PhD
Ole R. Haavet, MD, PhD
Atle Klovning, MD, PhD
The Depressed Teenage Brain: Chatbot Psychoeducation
Mayo Clinic Proceedings: Digital Health
title The Depressed Teenage Brain: Chatbot Psychoeducation
title_full The Depressed Teenage Brain: Chatbot Psychoeducation
title_fullStr The Depressed Teenage Brain: Chatbot Psychoeducation
title_full_unstemmed The Depressed Teenage Brain: Chatbot Psychoeducation
title_short The Depressed Teenage Brain: Chatbot Psychoeducation
title_sort depressed teenage brain chatbot psychoeducation
url http://www.sciencedirect.com/science/article/pii/S294976122300024X
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