arXiv:2506.09354cs.HCcs.AI2025-06中稿 · CSCW 2026

用AI模拟患者与支持者互动,发现专业与朋辈支持者存在关键认知差异。

"Is This Really a Human Peer Supporter?": Misalignments Between Peer Supporters and Experts in LLM-Supported Interactions

  • 通过大模型模拟求助者并生成实时建议,辅助朋辈支持者对话
  • 专家发现朋辈支持者常忽略情绪信号并过早给建议
  • 研究揭示培训标准缺失问题,提示需专家监督的AI辅助训练

心理健康问题日益严峻,促使人们探索由人工智能驱动的解决方案以扩大心理社会支持的可及性。朋辈支持基于亲身经历,是对专业治疗的重要补充。然而,培训水平、效果和定义上的差异引发了对质量、一致性和安全性的担忧。大型语言模型(LLMs)为提升文本化、实时的朋辈支持互动提供了新可能。本文提出并评估了一个由大模型模拟受困个体( exttt{client})、生成上下文敏感建议( exttt{suggestions})及实时情绪可视化组成的系统。两项混合方法研究涉及12名朋辈支持者和6名心理健康专业人士(即专家),考察该系统的有效性及其对实践的影响。两组均认可其在提升培训和改善互动质量方面的潜力。然而,我们发现一个关键矛盾:尽管朋辈支持者积极参与,专家却持续指出其回应中的严重问题,如忽视情绪线索和过早提供建议。这一错位凸显了当前朋辈支持培训的局限性,尤其是在情感高度紧张的场景中,安全与遵循最佳实践至关重要。研究强调,随着朋辈支持在全球范围扩展,亟需标准化、心理学基础的培训。同时,也表明若设计得当并辅以专家监督,大模型支持系统可助力这一发展进程。本工作推动了关于负责任地将人工智能整合进心理健康领域的讨论,并阐明了大模型在增强朋辈支持中的潜在角色。

原文摘要 · Abstract (English)

Mental health is a growing global concern, prompting interest in AI-driven solutions to expand access to psychosocial support. \emph{Peer support}, grounded in lived experience, offers a valuable complement to professional care. However, variability in training, effectiveness, and definitions raises concerns about quality, consistency, and safety. Large Language Models (LLMs) present new opportunities to enhance peer support interactions, particularly in real-time, text-based interactions. We present and evaluate an AI-supported system with an LLM-simulated distressed client (\client{}), context-sensitive LLM-generated suggestions (\suggestions{}), and real-time emotion visualisations. 2 mixed-methods studies with 12 peer supporters and 6 mental health professionals (i.e., experts) examined the system's effectiveness and implications for practice. Both groups recognised its potential to enhance training and improve interaction quality. However, we found a key tension emerged: while peer supporters engaged meaningfully, experts consistently flagged critical issues in peer supporter responses, such as missed distress cues and premature advice-giving. This misalignment highlights potential limitations in current peer support training, especially in emotionally charged contexts where safety and fidelity to best practices are essential. Our findings underscore the need for standardised, psychologically grounded training, especially as peer support scales globally. They also demonstrate how LLM-supported systems can scaffold this development--if designed with care and guided by expert oversight. This work contributes to emerging conversations on responsible AI integration in mental health and the evolving role of LLMs in augmenting peer-delivered care.

心理健康大模型朋辈支持人机协作

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