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Garcia, D., Granjard, A., Vanhée, L., Berg, M., Andersson, G., Lasota, M. & Sikström, S. (2025). AI-driven analyzes of open-ended responses to assess outcomes of internet-based cognitive behavioral therapy (ICBT) in adolescents with anxiety and depression comorbidity. Journal of Affective Disorders, 381, 659-668
Open this publication in new window or tab >>AI-driven analyzes of open-ended responses to assess outcomes of internet-based cognitive behavioral therapy (ICBT) in adolescents with anxiety and depression comorbidity
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2025 (English)In: Journal of Affective Disorders, ISSN 0165-0327, E-ISSN 1573-2517, Vol. 381, p. 659-668Article in journal (Refereed) Published
Abstract [en]

Objective: Although patients prefer describing their problems using words, mental health interventions are commonly evaluated using rating scales. Fortunately, recent advances in natural language processing (i.e., AI-methods) yield new opportunities to quantify people's own mental health descriptions. Our aim was to explore whether responses to open-ended questions, quantified using AI, provide additional value in measuring intervention outcomes compared to traditional rating scales.

Method: Swedish adolescents (N = 44) who received Internet-based Cognitive Behavioral Therapy (ICBT) for eight weeks completed (pre/post) scales measuring anxiety and depression and three open-ended questions (related to depression, anxiety and general mental health). The language responses were quantified using a large language model and quantitative methods to predict mental health as measured by rating scales, valence (i.e., words' positive/negative affectivity), and semantic content (i.e., meaning).

Results: Similar to the rating scales, language measures revealed statistically significant health improvements between pre and post measures such as reduced depression and anxiety symptoms and an increase in the use of words conveying positive emotions and different meanings (e.g., pre-intervention: “anxious”, depressed; post-intervention: “happy”, “the future”). Notably, the health changes identified through semantic content measures remained statistically significant even after accounting for the changes captured by the rating scales.

Conclusion: Language responses analyzed using AI-methods assessed outcomes with fewer items, demonstrating effectiveness and accuracy comparable to traditional rating scales. Additionally, this approach provided valuable insights into patients' well-being beyond mere symptom reduction, thus highlighting areas of improvement that rating scales often overlook. Since patients often prefer using natural language to express their mental health, this method could complement, and address comprehension issues associated fixed-item questionnaires.

Place, publisher, year, edition, pages
Elsevier, 2025
Keywords
Artificial intelligence, Internet-based cognitive behavioral therapy, Mental health interventions, Natural language, Outcome assessment
National Category
Psychiatry Applied Psychology Artificial Intelligence
Identifiers
urn:nbn:se:umu:diva-238115 (URN)10.1016/j.jad.2025.04.003 (DOI)40187428 (PubMedID)2-s2.0-105002678303 (Scopus ID)
Available from: 2025-04-24 Created: 2025-04-24 Last updated: 2025-04-24Bibliographically approved
Vanhée, L., Andersson, G., Garcia, D. & Sikström, S. (2025). The rise of artificial intelligence for cognitive behavioral therapy: a bibliometric overview. Applied Psychology: Health and Well-Being, 17(2), Article ID e70033.
Open this publication in new window or tab >>The rise of artificial intelligence for cognitive behavioral therapy: a bibliometric overview
2025 (English)In: Applied Psychology: Health and Well-Being, ISSN 1758-0846, E-ISSN 1758-0854, Vol. 17, no 2, article id e70033Article, review/survey (Refereed) Published
Abstract [en]

Recent years have seen a sharply rising interest in the scientific area dedicated to the study of the use of Artificial Intelligence (AI) for Cognitive Behavioral Therapy (CBT) research and applications (AI4CBT for brevity). Yet, little is known about how this interest is realized and hence the overall status, prospects, and possible challenges of AI4CBT as a field (e.g. breadth of the field, key topics and methods, key producing countries/institutions/authors, interdisciplinary grounding). This paper addresses this gap by developing a broad-spectrum bibliometric analysis towards acquiring a comprehensive overview of the AI4CBT field. Four key dimensions are analyzed (productivity, producers, productions, and contents) along the array of bibliographic metrics, including production trends over time, leading contributors at various levels, co-authorship, citation, and keywords co-occurrence networks, publication formats, key venues, methodological trends, and disciplinary assessment. The paper concludes by framing the status of AI4CBT as a scientific field, allowing to tie it to scientific and applicative challenges and opportunities that AI4CBT may encounter and offer as it further develops.

Place, publisher, year, edition, pages
John Wiley & Sons, 2025
Keywords
artificial intelligence, bibliometric analysis, cognitive behavioral therapy, Interdisciplinarity analysis, topic analysis
National Category
Applied Psychology
Identifiers
urn:nbn:se:umu:diva-238608 (URN)10.1111/aphw.70033 (DOI)001473870300003 ()40274359 (PubMedID)2-s2.0-105003669328 (Scopus ID)
Funder
Swedish Research Council, 2023-04505Wallenberg AI, Autonomous Systems and Software Program (WASP), AI4CBT
Available from: 2025-05-09 Created: 2025-05-09 Last updated: 2025-05-09Bibliographically approved
Jensen, M., Vanhée, L. & Dignum, F. (2024). Dynamic context-sensitive deliberation. In: Luis G. Nardin; Sara Mehryar (Ed.), Multi-Agent-Based simulation XXIV: 24th International workshop, MABS 2023 London, UK, May 29 – June 2, 2023 Revised selected papers. Paper presented at 24th International Workshop, MABS 2023, London, UK, May 29 - June 2, 2023 (pp. 112-126). Paper presented at 24th International Workshop, MABS 2023, London, UK, May 29 - June 2, 2023. Springer Nature
Open this publication in new window or tab >>Dynamic context-sensitive deliberation
2024 (English)In: Multi-Agent-Based simulation XXIV: 24th International workshop, MABS 2023 London, UK, May 29 – June 2, 2023 Revised selected papers / [ed] Luis G. Nardin; Sara Mehryar, Springer Nature, 2024, p. 112-126Chapter in book (Refereed)
Abstract [en]

Truly realistic models for policy making require multiple aspects of life, realistic social behaviour and the ability to simulate millions of agents. Current state of the art Agent-based models only achieve two of these requirements. Models that prioritise realistic social behaviour are not easily scalable because the complex deliberation takes into account all information available at each time step for each agent. Our framework uses context to considerably narrow down the information that has to be considered. A key property of the framework is that it can dynamically slide between fast deliberation and complex deliberation. Context is expanded based on necessity. We introduce the elements of the framework, describe the architecture and show a proof-of-concept implementation. We give first steps towards validation using this implementation.

Place, publisher, year, edition, pages
Springer Nature, 2024
Series
Lecture Notes in Artificial Intelligence, ISSN 03029743, E-ISSN 16113349 ; 14558
Keywords
Decision Context, Deliberation, Realism, Scalability, Social agents
National Category
Computer Sciences
Identifiers
urn:nbn:se:umu:diva-225518 (URN)10.1007/978-3-031-61034-9_8 (DOI)001284239600008 ()2-s2.0-85194088420 (Scopus ID)9783031610332 (ISBN)9783031610349 (ISBN)
Conference
24th International Workshop, MABS 2023, London, UK, May 29 - June 2, 2023
Funder
Wallenberg AI, Autonomous Systems and Software Program (WASP)
Note

Included in the following conference series:

International Workshop on Multi-Agent Systems and Agent-Based Simulation

Available from: 2024-06-11 Created: 2024-06-11 Last updated: 2025-04-24Bibliographically approved
Jensen, M., Vanhée, L. & Dignum, F. (2024). Dynamic context-sensitive deliberation for scalability in realistic social simulations. In: Corinna Elsenbroich; Harko Verhagen (Ed.), Advances in social simulation: proceedings of the 18th Social simulation conference, Glasgow, UK, 4–8 september2023. Paper presented at Social Simulation Conference 2023 (SSC23), Glasgow, UK, September 4–8, 2023 (pp. 533-545). Cham: Springer Nature
Open this publication in new window or tab >>Dynamic context-sensitive deliberation for scalability in realistic social simulations
2024 (English)In: Advances in social simulation: proceedings of the 18th Social simulation conference, Glasgow, UK, 4–8 september2023 / [ed] Corinna Elsenbroich; Harko Verhagen, Cham: Springer Nature, 2024, p. 533-545Conference paper, Published paper (Refereed)
Abstract [en]

Simulating for policy making can require modelling multiple aspects of life, realistic social behaviour and the ability to simulate up to millions of agents [1]. However realistic models are not easily scalable due to the complex deliberation that takes into account all information at every time step which is slow. Explicitly taking into account context in the deliberation can increase scalability, through a complexity by need principle. The Dynamic Context-Sensitive Deliberation (DCSD) framework uses minimal information when possible, but gradually draws in more information when necessary. To validate whether DCSD can increase scalability while retaining realism we implement DCSD into an example large scale model, the Agent-based Social Simulation of the Coronavirus Crisis (ASSOCC). We compare the original deliberation from the ASSOCC model with the implemented DCSD. We conclude that DCSD can increase scalability while retaining realism in large scale social simulation models.

Place, publisher, year, edition, pages
Cham: Springer Nature, 2024
Series
Springer Proceedings in Complexity, ISSN 2213-8684, E-ISSN 2213-8692
Keywords
ASSOCC, Context deliberation, Realism, Scalability
National Category
Computer Sciences
Identifiers
urn:nbn:se:umu:diva-228421 (URN)10.1007/978-3-031-57785-7_41 (DOI)001323794400041 ()2-s2.0-85200486065 (Scopus ID)9783031577840 (ISBN)9783031577857 (ISBN)
Conference
Social Simulation Conference 2023 (SSC23), Glasgow, UK, September 4–8, 2023
Note

Included in the following conference series:

Conference of the European Social Simulation Association

Available from: 2024-08-22 Created: 2024-08-22 Last updated: 2025-04-24Bibliographically approved
Vanhée, L., Danielsson, K., Enqvist, L., Grill, K. & Borit, M. (2024). Hack it with EDUCHIC!: educational hackathons and interdisciplinary challenges - definitions, principles, and pedagogical guidelines. European Journal of Education, 59(3), Article ID e12658.
Open this publication in new window or tab >>Hack it with EDUCHIC!: educational hackathons and interdisciplinary challenges - definitions, principles, and pedagogical guidelines
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2024 (English)In: European Journal of Education, ISSN 0141-8211, E-ISSN 1465-3435, Vol. 59, no 3, article id e12658Article in journal (Refereed) Published
Abstract [en]

Whereas hackathons are widespread within and outside academia and have been argued to be a valid pedagogical method for teaching interdisciplinarity, no detailed frameworks or methods are available for conceptualizing and organizing educational hackathons, i.e., hackathons dedicated to best achieving pedagogic objectives. This paper is dedicated to introducing EDUCational Hackathons for learning how to solve Interdisciplinary Challenges (EDUCHIC) through: (1) defining the fundamental principles for framing an activity as an EDUCHIC, integrating principles from pedagogical methods, hackathon organization, and interdisciplinarity processes; (2) describing general properties that EDUCHIC possess as a consequence of the interaction of the fundamental principles; (3) developing operational guidelines for streamlining the practical organization of EDUCHIC, including an exhaustive end-to-end process covering all the steps for organizing EDUCHIC and practical frames for carrying the key decisions to be made in this process; and (4) a demonstration of these guidelines through illustrating their application for organizing a concrete EDUCHIC.

Place, publisher, year, edition, pages
John Wiley & Sons, 2024
Keywords
education, formal learning, guidelines, hackathon, interdisciplinary, pedagogy
National Category
Peace and Conflict Studies Other Social Sciences not elsewhere specified Pedagogy
Identifiers
urn:nbn:se:umu:diva-223522 (URN)10.1111/ejed.12658 (DOI)001204349500001 ()2-s2.0-85190960324 (Scopus ID)
Funder
The Research Council of Norway, AFO-JIGG,FUTURE4FISHUmeå UniversityKnut and Alice Wallenberg Foundation, 570080103
Available from: 2024-04-18 Created: 2024-04-18 Last updated: 2025-02-20Bibliographically approved
Gutsche, L. & Vanhée, L. (2024). The value of knowledge: joining reward and epistemic certainty optimisation for anxiety-sensitive planning. In: Francesco Amigoni; Arunesh Sinha (Ed.), Autonomous agents and multiagent systems: best and visionary paper. Paper presented at AAMAS 2023: 22nd International Conference on Autonomous Agents and Multiagent Systems, London, UK, 29 May-2 June, 2023 (pp. 30-42). Paper presented at AAMAS 2023: 22nd International Conference on Autonomous Agents and Multiagent Systems, London, UK, 29 May-2 June, 2023. Springer
Open this publication in new window or tab >>The value of knowledge: joining reward and epistemic certainty optimisation for anxiety-sensitive planning
2024 (English)In: Autonomous agents and multiagent systems: best and visionary paper / [ed] Francesco Amigoni; Arunesh Sinha, Springer, 2024, p. 30-42Chapter in book (Refereed)
Abstract [en]

Anxiety is one of the most basic emotional states and also the most common disorder. AI agents however are typically focused on maximising performance, concentrating on expected values and disregarding the degree of exposure to uncertainty. This paper introduces a formalism derived from Partially Observable Markov Decision Processes (POMDPs) to give the first model based on cognitive psychology of the anxiety induced by epistemic uncertainty (i.e. the lack of precision of knowledge about the current state of the world). An algorithm to generate policies balancing reward maximisation and anxiety reduction is given. It is then used on a classical example to demonstrate how this can lead in some cases to a dramatic reduction of epistemic uncertainty for nearly no cost and thus a more human-friendly reward optimisation. The empirical validation shows results reminiscent of behaviours that cognitive psychology identifies as coping mechanisms to anxiety.

Place, publisher, year, edition, pages
Springer, 2024
Series
Lecture Notes in Computer Science, ISSN 03029743, E-ISSN 16113349 ; 14456
Keywords
Anxiety theories from psychology, Computational model of epistemic uncertainty, POMDPs
National Category
Computer Sciences
Identifiers
urn:nbn:se:umu:diva-223623 (URN)10.1007/978-3-031-56255-6_2 (DOI)001212324400002 ()2-s2.0-85190390556 (Scopus ID)9783031562549 (ISBN)9783031562556 (ISBN)
Conference
AAMAS 2023: 22nd International Conference on Autonomous Agents and Multiagent Systems, London, UK, 29 May-2 June, 2023
Available from: 2024-05-02 Created: 2024-05-02 Last updated: 2025-04-24Bibliographically approved
Vanhée, L. & Borit, M. (2024). Thirty years of sense and sensibility in agent-based models: a bibliometric analysis. In: Corinna Elsenbroich; Harko Verhagen (Ed.), Advances in social simulation: proceedings of the 18th Social simulation conference, Glasgow, UK, 4–8 September 2023. Paper presented at Social Simulation Conference 2023 (SSC23), Glasgow, UK, September 4–8, 2023 (pp. 547-560). Cham: Springer Nature
Open this publication in new window or tab >>Thirty years of sense and sensibility in agent-based models: a bibliometric analysis
2024 (English)In: Advances in social simulation: proceedings of the 18th Social simulation conference, Glasgow, UK, 4–8 September 2023 / [ed] Corinna Elsenbroich; Harko Verhagen, Cham: Springer Nature, 2024, p. 547-560Conference paper, Published paper (Refereed)
Abstract [en]

Emotion and cognition are at the core of human behaviour and modelling human behaviour is at the core of social simulation. Using a bibliometric analysis of publications connecting agent-based modelling with cognition (sense), emotion (sensibility), or both, this study describes the evolution of the field, explores trends, and identifies existing gaps, and proposes potential future developments. Our results indicate that Sense and Sensibility research tracks have seen a significant growth over the last 30 years and a sustained interest with regards to the agent-based modelling community as a whole. However, results also show that such research has issues reaching beyond computer science venues and that, despite its important demands in terms of competence building, relatively few researchers become regular contributors of the field.

Place, publisher, year, edition, pages
Cham: Springer Nature, 2024
Series
Springer Proceedings in Complexity, ISSN 2213-8684, E-ISSN 2213-8692
Keywords
Agent-based models, Bibliometric analysis, Cognitive models, Emotion models
National Category
Computer Sciences
Identifiers
urn:nbn:se:umu:diva-228422 (URN)10.1007/978-3-031-57785-7_42 (DOI)001323794400042 ()2-s2.0-85200472797 (Scopus ID)9783031577840 (ISBN)9783031577857 (ISBN)
Conference
Social Simulation Conference 2023 (SSC23), Glasgow, UK, September 4–8, 2023
Note

Included in the following conference series:

Conference of the European Social Simulation Association

Available from: 2024-08-22 Created: 2024-08-22 Last updated: 2025-04-24Bibliographically approved
Lorig, F., Vanhée, L. & Dignum, F. (2023). Agent-based social simulation for policy making. In: Human-centered artificial intelligence: Advanced lectures. Paper presented at 18th European Advanced Course on Artificial Intelligence, ACAI 2021, Berlin, Germany, October 11-15, 2021 (pp. 391-414). Springer Nature
Open this publication in new window or tab >>Agent-based social simulation for policy making
2023 (English)In: Human-centered artificial intelligence: Advanced lectures, Springer Nature, 2023, p. 391-414Conference paper, Published paper (Refereed)
Abstract [en]

In agent-based social simulations (ABSS), an artificial population of intelligent agents that imitate human behavior is used to investigate complex phenomena within social systems. This is particularly useful for decision makers, where ABSS can provide a sandpit for investigating the effects of policies prior to their implementation. During the Covid-19 pandemic, for instance, sophisticated models of human behavior enable the investigation of the effects different interventions can have and even allow for analyzing why a certain situation occurred or why a specific behavior can be observed. In contrast to other applications of simulation, the use for policy making significantly alters the process of model building and assessment, and requires the modelers to follow different paradigms. In this chapter, we report on a tutorial that was organized as part of the ACAI 2021 summer school on AI in Berlin, with the goal of introducing agent-based social simulation as a method for facilitating policy making. The tutorial pursued six Intended Learning Outcomes (ILOs), which are accomplished by three sessions, each of which consists of both a conceptual and a practical part. We observed that the PhD students participating in this tutorial came from a variety of different disciplines, where ABSS is mostly applied as a research method. Thus, they do often not have the possibility to discuss their approaches with ABSS experts. Tutorials like this one provide them with a valuable platform to discuss their approaches, to get feedback on their models and architectures, and to get impulses for further research.

Place, publisher, year, edition, pages
Springer Nature, 2023
Series
Lecture Notes in Computer Science, ISSN 0302-9743, E-ISSN 1611-3349 ; 13500
Keywords
Agent-based modeling, Analysis of simulation outputs, Interaction with stakeholders, NetLogo, Simulation for crisis situations, Sophisticated agent architectures
National Category
Computer Sciences
Identifiers
urn:nbn:se:umu:diva-206964 (URN)10.1007/978-3-031-24349-3_20 (DOI)2-s2.0-85152526853 (Scopus ID)9783031243486 (ISBN)
Conference
18th European Advanced Course on Artificial Intelligence, ACAI 2021, Berlin, Germany, October 11-15, 2021
Note

Part of the book sub series: Lecture Notes in Artificial Intelligence (LNAI)

Conference series: ACAI: ECCAI Advanced Course on Artificial Intelligence

Available from: 2023-04-26 Created: 2023-04-26 Last updated: 2023-04-26Bibliographically approved
Vanhée, L. & Borit, M. (2023). Ethical by designer: how to grow ethical designers of artificial intelligence (extended abstract). In: Edith Elkind (Ed.), Proceedings of the thirty-second international joint conference on artificial intelligence: . Paper presented at 32nd International Joint Conference on Artificial Intelligence, IJCAI 2023, Macao, August 19-25, 2023 (pp. 6979-6984). International Joint Conferences on Artificial Intelligence
Open this publication in new window or tab >>Ethical by designer: how to grow ethical designers of artificial intelligence (extended abstract)
2023 (English)In: Proceedings of the thirty-second international joint conference on artificial intelligence / [ed] Edith Elkind, International Joint Conferences on Artificial Intelligence , 2023, p. 6979-6984Conference paper, Published paper (Refereed)
Abstract [en]

Ethical concerns regarding Artificial Intelligence technology have fueled discussions around the ethics training received by its designers. Training designers for ethical behaviour, understood as habitual application of ethical principles in any situation, can make a significant difference in the practice of research, development, and application of AI systems. Building on interdisciplinary knowledge and practical experience from computer science, moral psychology, and pedagogy, we propose a functional way to provide this training.

Place, publisher, year, edition, pages
International Joint Conferences on Artificial Intelligence, 2023
Series
International Joint Conference on Artificial Intelligence, ISSN 1045-0823
National Category
Ethics Computer graphics and computer vision Human Computer Interaction
Identifiers
urn:nbn:se:umu:diva-214536 (URN)10.24963/ijcai.2023/794 (DOI)2-s2.0-85170355880 (Scopus ID)9781956792034 (ISBN)
Conference
32nd International Joint Conference on Artificial Intelligence, IJCAI 2023, Macao, August 19-25, 2023
Projects
AutogrAIde “A Student-Driven Interdisciplinary Hackathon on Whether and How to Automate Grading & AssessmentGEDAI “Growing Ethical Designers of Artificial Intelligence"
Funder
Knut and Alice Wallenberg Foundation
Available from: 2023-09-27 Created: 2023-09-27 Last updated: 2025-02-01Bibliographically approved
Horned, A. & Vanhée, L. (2023). From threatening pasts to hopeful futures: a review of agent-based models of anxiety. In: Advances in social simulation: Proceedings of the 17th Social Simulation Conference, European Social Simulation Association. Paper presented at 17th annual conference of European Social Simulation Association, ESSA 2022, Milan, Italy, September 12-16, 2022 (pp. 139-152). Springer Nature
Open this publication in new window or tab >>From threatening pasts to hopeful futures: a review of agent-based models of anxiety
2023 (English)In: Advances in social simulation: Proceedings of the 17th Social Simulation Conference, European Social Simulation Association, Springer Nature, 2023, p. 139-152Conference paper, Published paper (Refereed)
Abstract [en]

Despite being understated, anxiety is a critical factor affecting all levels of society, directly impacting individual decisions and with well-identified ramifications on social play, social constructs, and collective outcomes, as well as being a significant direct social toll tied to yearly trillion-USD social cost. Through a systematic literature review of social simulation research featuring models of anxiety, this paper frames the state of the art on anxiety modelling, and identifies trends and patterns in bibliographic indicators, aspects of anxiety that are modelled, how they are modelled, and their purpose and integration within agent based models. Based on these findings, this paper proposes a way forward as to structure the field as to enable the social simulation community as a whole to cover this critical aspect.

Place, publisher, year, edition, pages
Springer Nature, 2023
Series
Springer Proceedings in Complexity, ISSN 2213-8684, E-ISSN 2213-8692
Keywords
Anxiety, Psychology models, Social simulation models, Systematic literature review
National Category
Computer Sciences
Identifiers
urn:nbn:se:umu:diva-215961 (URN)10.1007/978-3-031-34920-1_12 (DOI)001330656200012 ()2-s2.0-85174532665 (Scopus ID)978-3-031-34919-5 (ISBN)978-3-031-34922-5 (ISBN)978-3-031-34920-1 (ISBN)
Conference
17th annual conference of European Social Simulation Association, ESSA 2022, Milan, Italy, September 12-16, 2022
Available from: 2023-10-30 Created: 2023-10-30 Last updated: 2025-04-24Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-4147-4558

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