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However, their adoption poses substantial ethical, societal, and regulatory challenges that must be addressed to ensure their responsible and equitable integration into psychotherapy.
This scoping review addresses the following research questions (RQs):
What are the key applications and associated benefits of AI-XR technologies in mental health and psychotherapy?
J Med Internet Res 2025;27:e72400
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Short-Form Psychoeducation Videos: Process Development Study
High rates of attrition from psychotherapy are widely acknowledged and present a significant challenge for evidence-based psychotherapy services [1,2,11]. In 2010, Self et al [3] drew on data from the United Kingdom NHS to argue that the only demographic factor consistently correlated with poor attrition in the literature is socioeconomic status, leaving extensive scope for individual differences based on beliefs about mental illness and therapy.
JMIR Form Res 2025;9:e66884
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To assess the preference for CA-based therapy over human being-based clinical interventions, participants were asked to answer the following question: “On a scale from 1 to 5, how willing are you to participate in psychotherapy sessions solely facilitated by artificial intelligence (AI), without any interaction with a human psychologist?” (scores range from 1=not at all to 5=extremely).
JMIR Hum Factors 2025;12:e70698
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For those who have access to psychotherapy, it has been reported that clients do not fully engage in homework, with surveys indicating that approximately 20% to 50% of clients do not engage in any between-session practice [3].
JMIR Form Res 2025;9:e69532
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This study was part of a larger participatory action research project aimed at co-developing a self-tracking assisted psychotherapy treatment concept for refugees diagnosed with complex posttraumatic stress disorder (CPTSD) [14].
JMIR Form Res 2025;9:e70511
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The search strategy was built to represent this review’s inclusion criteria in a combination of keywords and Me SH terms:
((digital [Title/Abstract]) OR (technology [Title/Abstract])) AND (((“Psychotherapy” [Me SH]) AND “Aged” [Me SH]) AND (“Mentally Ill Persons” [Me SH] OR “Mental Disorders” [Me SH]))
Using Me SH terms enhances the sensitivity of literature searches by automatically including related concepts and synonyms indexed under the same term.
JMIR Ment Health 2025;12:e70321
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Pearson correlation analyses revealed a significant negative correlation between the deltas of the 2 ecological momentary assessments (EMAs), indicating that psychotherapy-associated decreases in self-reported stress (∆SRS) are accompanied by a corresponding increase in self-reported mood (∆SRM), as calculated by sentiment analysis of the patient’s “mood word” selections.
J Med Internet Res 2025;27:e56086
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Psychotherapy chatbots are a contentious way to increase access to mental health care. These computer-based conversational agents use text, speech, and visual forms of communication to simulate psychotherapy and promote therapeutic change. Given the treatment gap between the high demand for psychotherapy and the limited supply of therapists [1] many have turned to chatbots, text-based conversational agents, as a tool for self-management of mental health [2,3].
JMIR Form Res 2025;9:e65605
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Topic prevalence also varied by language: English videos more commonly addressed ADHD, anxiety, and depression, while French videos focused on psychotherapy and personality disorders, and Spanish videos often covered emotional regulation and general mental well-being.
J Med Internet Res 2025;27:e64225
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