Designing a Chatbot as a Mediator for Promoting Deep Self-Disclosure to a Real Mental Health Professional

Chatbots are becoming increasingly popular. One promising application for chatbots is to elicit people's self-disclosure of their personal experiences, thoughts, and feelings. As receiving one's deep self-disclosure is critical for mental health professionals to understand people's mental status, chatbots show great potential in the mental health domain. However, there is a lack of research addressing if and how people self-disclose sensitive topics to a real mental health professional (MHP) through a chatbot. In this work, we designed, implemented and evaluated a chatbot that offered three chatting styles; we also conducted a study with 47 participants who were randomly assigned into three groups where each group experienced the chatbot's self-disclosure at varying levels respectively. After using the chatbot for a few weeks, participants were introduced to a MHP and were asked if they would like to share their self-disclosed content with the MHP. If they chose to share, the participants had the option of changing (adding, deleting, and editing) the content they self-disclosed to the chatbot. Comparing participants' self-disclosure data the week before and the week after sharing with the MHP, our results showed that, within each group, the depth of participants' self-disclosure to the chatbot remained after sharing with the MHP; participants exhibited deeper self-disclosure to the MHP through a more self-disclosing chatbot; further, through conversation log analysis, we found that some participants made different edits on their self-disclosed content before sharing it with the MHP. Participants' interview and survey feedback suggested an interaction between participants' trust in the chatbot and their trust in the MHP, which further explained participants' self-disclosure behavior.