Building Trust with AI: How Essential is Validating AI Models in the Therapeutic Triad of Therapist, Patient, and Artificial Third? Comment on What is the Current and Future Status of Digital Mental Health Interventions?

• Garcia-Rudolph, Alejandro ^[1] ; Sánchez-Pinsach, David ^[1] ; Gilabert, Anna ^[1] ; Saurí, Joan ^[1] ; Soler, Maria Dolors ^[1] ; Opisso, Eloy ^[1]
  1. [1] Universitat Autònoma de Barcelona

     Universitat Autònoma de Barcelona

     Barcelona, España

     
• Localización: The Spanish Journal of Psychology, ISSN 1138-7416, Nº 28, 2025
• Idioma: inglés
• DOI: 10.1017/SJP.2024.32
• Enlaces
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• Resumen

  • Since the publication of “What is the Current and Future Status of Digital Mental Health Interventions?” the exponential growth and widespread adoption of ChatGPT have underscored the importance of reassessing its utility in digital mental health interventions. This review critically examined the potential of ChatGPT, particularly focusing on its application within clinical psychology settings as the technology has continued evolving through 2023 and 2024. Alongside this, our literature review spanned US Medical Licensing Examination (USMLE) validations, assessments of the capacity to interpret human emotions, analyses concerning the identification of depression and its determinants at treatment initiation, and reported our findings. Our review evaluated the capabilities of GPT-3.5 and GPT-4.0 separately in clinical psychology settings, highlighting the potential of conversational AI to overcome traditional barriers such as stigma and accessibility in mental health treatment. Each model displayed different levels of proficiency, indicating a promising yet cautious pathway for integrating AI into mental health practices.

• Referencias bibliográficas
  • Alkaissi, H., & McFarlane, S. I. (2023). Artificial hallucinations in ChatGPT: Implications in scientific writing. Cureus, 15(2). http://doi.org/10.7759/cureus.35179.
  • Baños, R. M., Herrero, R., & Vara, M. D. (2022). What is the current and future status of digital mental health interventions?. The Spanish...
  • Bendig, E., Erb, B., & Schulze-Thuesing, L., & Baumeister, H. (2019). The next generation: Chatbots in clinical psychology and psychotherapy...
  • Cheng, S. W., Chang, C. W., Chang, W. J., Wang, H. W., Liang, C. S., Kishimoto, T., Chang, J. P., Kuo, J. S., & Su, K. P. (2023). The...
  • Elyoseph, Z., Refoua, E., Asraf, K., Lvovsky, M., Shimoni, Y., & Hadar-Shoval, D. (2024). Capacity of generative AI to interpret human...
  • Exploding Topics. (2024). Number of ChatGPT Users. Retrieved May 2024, from https://explodingtopics.com/blog/chatgpt-users.
  • Eysenbach, G. (2023). The role of ChatGPT, generative language models, and artificial intelligence in medical education: A conversation with...
  • D’Souza, R. F., Amanullah, S., Mathew, M., & Surapaneni, K. M. (2023). Appraising the performance of ChatGPT in psychiatry using 100 clinical...
  • Guillen-Grima, F., Guillen-Aguinaga, S., Guillen-Aguinaga, L., Alas-Brun, R., Onambele, L., Ortega, W., Montejo, R., Aguinaga-Ontoso, E.,...
  • Gilson, A., Safranek, C.W., Huang, T., Socrates, V., Chi, L., Taylor, R.A., & Chartash, D. (2023). How does ChatGPT perform on the United...
  • Kung, T. H., Cheatham, M., Medenilla, A., Sillos, C., De Leon, L., Elepaño, C., Madriaga, M., Aggabao, R., Diaz-Candido, G., Maningo, J.,...
  • Levkovich, I., & Elyoseph, Z. (2023a). Suicide risk assessments through the eyes of ChatGPT-3.5 Versus ChatGPT-4: Vignette study. JMIR...
  • Levkovich, I., & Elyoseph, Z. (2023b). Identifying depression and its determinants upon initiating treatment: ChatGPT versus primary care...
  • Lungren, M. P., Fishman, E. K., Chu, L. C., Rizk, R. C., & Rowe, S. P. (2023). More is different: Large language models in health care....
  • Mihalache, A., Huang, R. S., Popovic, M. M., & Muni, R. H. (2024). ChatGPT-4: An assessment of an upgraded artificial intelligence chatbot...
  • Murcia. (2024). Convocatorias de procesos selectivos—Convocatoria al cuerpo superior facultativo, opción Psicología [Announcements of selective...
  • Obradovich, N., Khalsa, S. S., Khan, W. U., Suh, J., Perlis, R. H., Ajilore, O., & Paulus, M. P. (2024). Opportunities and risks of large...
  • OpenAI. (2024). Creating safe AGI that benefits all of humanity. Retrieved May 2024, from https://openai.com/chatgpt/
  • Pardo-Cebrián, R., Calero-Elvira, A., & Guerrero-Escagedo, M. C. (2022). Verbal behavior analysis of expert and inexperienced therapists...
  • Parry, S., Pachunka, J., & Beck Dallaghan, G. L. (2019). Factors predictive of performance on USMLE Step 1: Do Commercial Study aids improve...
  • Schwartz, L. F., Lineberry, M., Park, Y. S., Kamin, C. S., & Hyderi, A. A. (2018). Development and evaluation of a student-initiated test...
  • Tal, A., Elyoseph, Z., Haber, Y., Angert, T., Gur, T., Simon, T., & Asman, O. (2023). The artificial third: Utilizing ChatGPT in mental...
  • Wong, R. S. Y. (2024). ChatGPT in psychiatry: Promises and pitfalls. The Egyptian Journal of Neurology, Psychiatry and Neurosurgery, 60, 14....
  • Wright, B., Dave, S., & Dogra, N. (2017). 100 cases in psychiatry. Taylor & Francis Group.