Jina Huh

Tyler Chang, Jina Huh-Yoo, Afsaneh Razi

Human-AI romantic relationships are increasingly common, yet little is understood about how public discourse around them emerges and shifts over time. Prior research has examined user experiences and ethical concerns, but lacks longitudinal analyses of user-initiated public discussions. We address this gap by analyzing a high-precision dataset of 3,383 self-disclosed romantic companion AI posts from Reddit (2017-2025), using topic modeling and temporal statistical analysis to identify dominant themes and their evolution over time. We find significant topic drift, with discussions moving away from positive intimate relationships toward platform governance, technical issues, and real-world consequences. These shifts highlight a transition in how human-AI romance is framed-moving from private experiences to technical mediation and regulation-with implications for the design and governance of companion AI systems.

Jordyn Young, Laala M Jawara, Diep N Nguyen et al.

Generative Artificial Intelligence (AI) is integrated into everyday technology, including news, education, and social media. AI has further pervaded private conversations as conversational partners, auto-completion, and response suggestions. As social media becomes young people's main method of peer support exchange, we need to understand when and how AI can facilitate and assist in such exchanges in a beneficial, safe, and socially appropriate way. We asked 622 young people to complete an online survey and evaluate blinded human- and AI-generated responses to help-seeking messages. We found that participants preferred the AI-generated response to situations about relationships, self-expression, and physical health. However, when addressing a sensitive topic, like suicidal thoughts, young people preferred the human response. We also discuss the role of training in online peer support exchange and its implications for supporting young people's well-being. Disclaimer: This paper includes sensitive topics, including suicide ideation. Reader discretion is advised.

Elham Aghakhani, Lu Wang, Karla T. Washington et al.

Problem-solving therapy (PST) is a structured psychological approach that helps individuals manage stress and resolve personal issues by guiding them through problem identification, solution brainstorming, decision-making, and outcome evaluation. As mental health care increasingly adopts technologies like chatbots and large language models (LLMs), it is important to thoroughly understand how each session of PST is conducted before attempting to automate it. We developed a comprehensive framework for PST annotation using established PST Core Strategies and a set of novel Facilitative Strategies to analyze a corpus of real-world therapy transcripts to determine which strategies are most prevalent. Using various LLMs and transformer-based models, we found that GPT-4o outperformed all models, achieving the highest accuracy (0.76) in identifying all strategies. To gain deeper insights, we examined how strategies are applied by analyzing Therapeutic Dynamics (autonomy, self-disclosure, and metaphor), and linguistic patterns within our labeled data. Our research highlights LLMs' potential to automate therapy dialogue analysis, offering a scalable tool for mental health interventions. Our framework enhances PST by improving accessibility, effectiveness, and personalized support for therapists.

Lu Wang, Munif Ishad Mujib, Jake Williams et al.

With the advent of off-the-shelf intelligent home products and broader internet adoption, researchers increasingly explore smart computing applications that provide easier access to health and wellness resources. AI-based systems like chatbots have the potential to provide services that could provide mental health support. However, existing therapy chatbots are often retrieval-based, requiring users to respond with a constrained set of answers, which may not be appropriate given that such pre-determined inquiries may not reflect each patient's unique circumstances. Generative-based approaches, such as the OpenAI GPT models, could allow for more dynamic conversations in therapy chatbot contexts than previous approaches. To investigate the generative-based model's potential in therapy chatbot contexts, we built a chatbot using the GPT-2 model. We fine-tuned it with 306 therapy session transcripts between family caregivers of individuals with dementia and therapists conducting Problem Solving Therapy. We then evaluated the model's pre-trained and the fine-tuned model in terms of basic qualities using three meta-information measurements: the proportion of non-word outputs, the length of response, and sentiment components. Results showed that: (1) the fine-tuned model created more non-word outputs than the pre-trained model; (2) the fine-tuned model generated outputs whose length was more similar to that of the therapists compared to the pre-trained model; (3) both the pre-trained model and fine-tuned model were likely to generate more negative and fewer positive outputs than the therapists. We discuss potential reasons for the problem, the implications, and solutions for developing therapy chatbots and call for investigations of the AI-based system application.

Tsung-Ting Kuo, Jina Huh, Jihoon Kim et al.

Objective. Annotation is expensive but essential for clinical note review and clinical natural language processing (cNLP). However, the extent to which computer-generated pre-annotation is beneficial to human annotation is still an open question. Our study introduces CLEAN (CLinical note rEview and ANnotation), a pre-annotation-based cNLP annotation system to improve clinical note annotation of data elements, and comprehensively compares CLEAN with the widely-used annotation system Brat Rapid Annotation Tool (BRAT). Materials and Methods. CLEAN includes an ensemble pipeline (CLEAN-EP) with a newly developed annotation tool (CLEAN-AT). A domain expert and a novice user/annotator participated in a comparative usability test by tagging 87 data elements related to Congestive Heart Failure (CHF) and Kawasaki Disease (KD) cohorts in 84 public notes. Results. CLEAN achieved higher note-level F1-score (0.896) over BRAT (0.820), with significant difference in correctness (P-value < 0.001), and the mostly related factor being system/software (P-value < 0.001). No significant difference (P-value 0.188) in annotation time was observed between CLEAN (7.262 minutes/note) and BRAT (8.286 minutes/note). The difference was mostly associated with note length (P-value < 0.001) and system/software (P-value 0.013). The expert reported CLEAN to be useful/satisfactory, while the novice reported slight improvements. Discussion. CLEAN improves the correctness of annotation and increases usefulness/satisfaction with the same level of efficiency. Limitations include untested impact of pre-annotation correctness rate, small sample size, small user size, and restrictedly validated gold standard. Conclusion. CLEAN with pre-annotation can be beneficial for an expert to deal with complex annotation tasks involving numerous and diverse target data elements.

Jina Huh, Bum Chul Kwon, Jaegul Choo et al.

As online health communities (OHCs) grow, users find it challenging to properly search, read, and contribute to the community because of its overwhelming content. Our goal is to understand OHC users' needs and requirements for better delivering large-scale OHC content. We interviewed 14 OHC users with interests in diabetes to investigate their attitudes and needs towards using OHCs and 2 OHC administrators to assess our findings. Four personas -Coddlers, Scientists, Adventurers, and Opportunists- emerged, which inform users' interaction behavior and attitudes with OHCs. An individual can possess the characteristics of multiple personas, which can also change over time. Our personas uniquely describe users' OHC participation intertwined with illness contexts compared to existing social types in general online communities. We discuss broader implications back to the literature and how our findings apply to other illness contexts in OHCs. We end with requirements for personalized delivery of large-scale OHC content.