Machine and Human Understanding of Empathy in Online Peer Support: A Cognitive Behavioral Approach
Sara Syed, Zainab Iftikhar, Amy Wei Xiao, Jeff Huang
Abstract
Online peer support provides space for individuals to connect with others and seek support. However, while empathy is critical for effective support, studies have found that highly empathetic support on these platforms can be rare. Using data from online peer support platforms, we conducted a mixed-methods analysis to study the factors that lead to support seekers’ perceived empathy. We found that CBT techniques like active listening and reflective restatements, along with fostering a space for exploration, increase perceived empathy, whereas rigid adherence to structure, misalignment of concerns, and lack of emotional validation can contribute to low perceived empathy. In addition, despite the high levels of empathy reported by most support seekers (85%), computational models reported low averaged empathy (1.69/6). Lastly, we propose that empathy is not a quantifiable metric and that future algorithmic empathy measurements require human perspectives.
Ask about this paper
Your agent reads all of it.
Lune indexed this paper to the last equation, along with the top-tier papers that cite it. Ask a question and the answer quotes them.
Your agent calls
Luneget_paper_fulltext
Free to start. No credit card required.
Terminal
Install the CLIlune papers fulltext 478909a9-29c8-44b5-bc99-21c23e66bcf9Cited by top-tier papers6
- PeerEdu: Bootstrapping Online Learning Behaviors via Asynchronous Area of Interest Sharing from Peer GazeSonglin Xu, Dongyin Hu, Ru Wang, Xinyu ZhangCHI 2025 · 9 citations
- Script-Strategy Aligned Generation: Aligning LLMs with Expert-Crafted Dialogue Scripts and Therapeutic Strategies for PsychotherapyXin Sun, Jan de Wit, Zhuying Li, Jiahuan Pei et al.CSCW 2025 · 6 citations
- Unfiltered: How Teens Engage in Body Image and Shaming Discussions via Instagram Direct Messages (DMs)Abdulmalik Alluhidan, Jinkyung Katie Park, Mamtaj Akter, Rachel Rodgers et al.CSCW 2025 · 3 citations
- When AI Gives Advice: Evaluating AI and Human Responses to Online Advice-Seeking for Well-BeingHarsh Kumar, Jasmine Chahal, Yinuo Zhao, Zeling Zhang et al.CHI 2026 · 1 citation
- When Group Spirit Meets Personal Journeys: Exploring Motivational Dynamics and Design Opportunities in Group TherapyShixian Geng, Ginshi Shimojima, Chi-Lan Yang, Zefan Sramek et al.CSCW 2025
Builds on4
- Towards Facilitating Empathic Conversations in Online Mental Health Support: A Reinforcement Learning ApproachAshish Sharma, Inna W. Lin, Adam S. Miner, David C. Atkins et al.WWW 2021 · 183 citations
- Perspective-taking and Pragmatics for Generating Empathetic Responses Focused on Emotion CausesHyunwoo Kim, Byeongchang Kim, Gunhee KimEMNLP 2021 · 57 citations
- A Computational Approach to Understanding Empathy Expressed in Text-Based Mental Health SupportAshish Sharma, Adam S. Miner, David C. Atkins, Tim AlthoffEMNLP 2020 · 21 citations
- "Together but not together": Evaluating Typing Indicators for Interaction-Rich CommunicationZainab Iftikhar, Yumeng Ma, Jeff HuangCHI 2023 · 14 citations
Related papers
- What Makes Digital Support Effective? How Therapeutic Skills Affect Clinical Well-BeingWenjie Yang, Anna Fang, Raj Sanjay Shah, Yash Mathur et al.CSCW 2024 · 10 citations
- Therapy as an NLP Task: Comparing LLMs and Human Peers Behaviors in CBT SessionsZainab Iftikhar, Sean Ransom, Amy Wei Xiao, Nicole Nugent et al.CSCW 2026
- It Takes Two to Empathize: One to Seek and One to ProvideMahshid Hosseini, Cornelia CarageaAAAI 2021 · 53 citations
- Metrics for Peer Counseling: Triangulating Success Outcomes for Online Therapy PlatformsTony Wang, Haard K. Shah, Raj Sanjay Shah, Yi-Chia Wang et al.CHI 2023 · 15 citations
- Empathy Practices in Social Media Discourse: A Multidimensional and Relational PerspectiveYixin Chen, Bernie Hogan, Scott A. HaleCHI 2026 · 1 citation
