Clinical Efficacy, Therapeutic Mechanisms, and Implementation Features of Cognitive Behavioral Therapy–Based Chatbots for Depression and Anxiety: Narrative Review

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This narrative review synthesizes evidence from fourteen peer-reviewed studies on CBT-based chatbots for depression and anxiety, published between 2015 and 2025. The authors report that these interventions consistently show short-term reductions in depressive symptoms with moderate effect sizes, while findings for anxiety are mixed. The resource outlines therapeutic components such as cognitive restructuring and behavioral activation, alongside technological features like real-time feedback, noting both potential benefits for underserved populations and challenges regarding long-term efficacy and study heterogeneity.

ID
150fbece99a643af
Source org
PubMed Central
Author
Chang-Ha Im (University of Ulsan), Minjung Woo (University of Ulsan)
Published
2025-10-04
OA status
gold
DOI
10.2196/78340
PMID
Not recorded
PMCID
Not recorded
Citations
7

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BibTeX

@article{allodium:150fbece99a643af,
  title = {Clinical Efficacy, Therapeutic Mechanisms, and Implementation Features of Cognitive Behavioral Therapy–Based Chatbots for Depression and Anxiety: Narrative Review},
  author = {Chang-Ha Im and Minjung Woo},
  year = {2025},
  journal = {PubMed Central},
  doi = {10.2196/78340},
  url = {https://doi.org/10.2196/78340}
}

RIS

TY  - JOUR
TI  - Clinical Efficacy, Therapeutic Mechanisms, and Implementation Features of Cognitive Behavioral Therapy–Based Chatbots for Depression and Anxiety: Narrative Review
AU  - Im, Chang-Ha
AU  - Woo, Minjung
PY  - 2025
PB  - PubMed Central
DO  - 10.2196/78340
UR  - https://doi.org/10.2196/78340
ER  -

APA

Im, C., & Woo, M. (2025). Clinical Efficacy, Therapeutic Mechanisms, and Implementation Features of Cognitive Behavioral Therapy–Based Chatbots for Depression and Anxiety: Narrative Review. PubMed Central. https://doi.org/10.2196/78340

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