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The growing demand for mental health support has highlighted the importanceof conversational agents as human supporters worldwide and in China. Theseagents could increase availability and reduce the relative costs of mentalhealth support. The provided support can be divided into two main types:cognitive and emotional support. Existing work on this topic mainly focuses onconstructing agents that adopt Cognitive Behavioral Therapy (CBT) principles.Such agents operate based on pre-defined templates and exercises to providecognitive support. However, research on emotional support using such agents islimited. In addition, most of the constructed agents operate in English,highlighting the importance of conducting such studies in China. In this study,we analyze the effectiveness of Emohaa in reducing symptoms of mental distress.Emohaa is a conversational agent that provides cognitive support throughCBT-based exercises and guided conversations. It also emotionally supportsusers by enabling them to vent their desired emotional problems. The studyincluded 134 participants, split into three groups: Emohaa (CBT-based), Emohaa(Full), and control. Experimental results demonstrated that compared to thecontrol group, participants who used Emohaa experienced considerably moresignificant improvements in symptoms of mental distress. We also found thatadding the emotional support agent had a complementary effect on suchimprovements, mainly depression and insomnia. Based on the obtained results andparticipants' satisfaction with the platform, we concluded that Emohaa is apractical and effective tool for reducing mental distress.

Chatbots for Mental Health Support: Exploring the Impact of Emohaa on Reducing Mental Distress in China