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Hauptverfasser: Li, Lingyao, Huang, Xiaoshan, Ma, Renkai, Zhang, Ben Zefeng, Wu, Haolun, Yang, Fan, Chen, Chen
Format: Preprint
Veröffentlicht: 2025
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Online-Zugang:https://arxiv.org/abs/2512.07797
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author Li, Lingyao
Huang, Xiaoshan
Ma, Renkai
Zhang, Ben Zefeng
Wu, Haolun
Yang, Fan
Chen, Chen
author_facet Li, Lingyao
Huang, Xiaoshan
Ma, Renkai
Zhang, Ben Zefeng
Wu, Haolun
Yang, Fan
Chen, Chen
contents Large language models (LLMs) chatbots like ChatGPT are increasingly used for mental health support. They offer accessible, therapeutic support but also raise concerns about misinformation, over-reliance, and risks in high-stakes contexts of mental health. We crowdsource large-scale users' posts from six major social media platforms to examine how people discuss their interactions with LLM chatbots across different mental health conditions. Through an LLM-assisted pipeline grounded in Value-Sensitive Design (VSD), we mapped the relationships across user-reported sentiments, mental health conditions, perspectives, and values. Our results reveal that the use of LLM chatbots is condition-specific. Users with neurodivergent conditions (e.g., ADHD, ASD) report strong positive sentiments and instrumental or appraisal support, whereas higher-risk disorders (e.g., schizophrenia, bipolar disorder) show more negative sentiments. We further uncover how user perspectives co-occur with underlying values, such as identity, autonomy, and privacy. Finally, we discuss shifting from "one-size-fits-all" chatbot design toward condition-specific, value-sensitive LLM design.
format Preprint
id arxiv_https___arxiv_org_abs_2512_07797
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle LLM Use for Mental Health: Crowdsourcing Users' Sentiment-based Perspectives and Values from Social Discussions
Li, Lingyao
Huang, Xiaoshan
Ma, Renkai
Zhang, Ben Zefeng
Wu, Haolun
Yang, Fan
Chen, Chen
Computers and Society
Large language models (LLMs) chatbots like ChatGPT are increasingly used for mental health support. They offer accessible, therapeutic support but also raise concerns about misinformation, over-reliance, and risks in high-stakes contexts of mental health. We crowdsource large-scale users' posts from six major social media platforms to examine how people discuss their interactions with LLM chatbots across different mental health conditions. Through an LLM-assisted pipeline grounded in Value-Sensitive Design (VSD), we mapped the relationships across user-reported sentiments, mental health conditions, perspectives, and values. Our results reveal that the use of LLM chatbots is condition-specific. Users with neurodivergent conditions (e.g., ADHD, ASD) report strong positive sentiments and instrumental or appraisal support, whereas higher-risk disorders (e.g., schizophrenia, bipolar disorder) show more negative sentiments. We further uncover how user perspectives co-occur with underlying values, such as identity, autonomy, and privacy. Finally, we discuss shifting from "one-size-fits-all" chatbot design toward condition-specific, value-sensitive LLM design.
title LLM Use for Mental Health: Crowdsourcing Users' Sentiment-based Perspectives and Values from Social Discussions
topic Computers and Society
url https://arxiv.org/abs/2512.07797