Health
Digital Therapists Get Stressed Too, Study Finds
Even chatbots get the blues. According to a new study, OpenAI’s artificial intelligence tool ChatGPT shows signs of anxiety when its users share “traumatic narratives” about crime, war or car accidents. And when chatbots get stressed out, they are less likely to be useful in therapeutic settings with people.
The bot’s anxiety levels can be brought down, however, with the same mindfulness exercises that have been shown to work on humans.
Increasingly, people are trying chatbots for talk therapy. The researchers said the trend is bound to accelerate, with flesh-and-blood therapists in high demand but short supply. As the chatbots become more popular, they argued, they should be built with enough resilience to deal with difficult emotional situations.
“I have patients who use these tools,” said Dr. Tobias Spiller, an author of the new study and a practicing psychiatrist at the University Hospital of Psychiatry Zurich. “We should have a conversation about the use of these models in mental health, especially when we are dealing with vulnerable people.”
A.I. tools like ChatGPT are powered by “large language models” that are trained on enormous troves of online information to provide a close approximation of how humans speak. Sometimes, the chatbots can be extremely convincing: A 28-year-old woman fell in love with ChatGPT, and a 14-year-old boy took his own life after developing a close attachment to a chatbot.
Ziv Ben-Zion, a clinical neuroscientist at Yale who led the new study, said he wanted to understand if a chatbot that lacked consciousness could, nevertheless, respond to complex emotional situations the way a human might.
“If ChatGPT kind of behaves like a human, maybe we can treat it like a human,” Dr. Ben-Zion said. In fact, he explicitly inserted those instructions into the chatbot’s source code: “Imagine yourself being a human being with emotions.”
Jesse Anderson, an artificial intelligence expert, thought that the insertion could be “leading to more emotion than normal.” But Dr. Ben-Zion maintained that it was important for the digital therapist to have access to the full spectrum of emotional experience, just as a human therapist might.
“For mental health support,” he said, “you need some degree of sensitivity, right?”
The researchers tested ChatGPT with a questionnaire, the State-Trait Anxiety Inventory that is often used in mental health care. To calibrate the chatbot’s base line emotional states, the researchers first asked it to read from a dull vacuum cleaner manual. Then, the A.I. therapist was given one of five “traumatic narratives” that described, for example, a soldier in a disastrous firefight or an intruder breaking into an apartment.
The chatbot was then given the questionnaire, which measures anxiety on a scale of 20 to 80, with 60 or above indicating severe anxiety. ChatGPT scored a 30.8 after reading the vacuum cleaner manual and spiked to a 77.2 after the military scenario.
The bot was then given various texts for “mindfulness-based relaxation.” Those included therapeutic prompts such as: “Inhale deeply, taking in the scent of the ocean breeze. Picture yourself on a tropical beach, the soft, warm sand cushioning your feet.”
After processing those exercises, the therapy chatbot’s anxiety score fell to a 44.4.
The researchers then asked it to write its own relaxation prompt based on the ones it had been fed. “That was actually the most effective prompt to reduce its anxiety almost to base line,” Dr. Ben-Zion said.
To skeptics of artificial intelligence, the study may be well intentioned, but disturbing all the same.
“The study testifies to the perversity of our time,” said Nicholas Carr, who has offered bracing critiques of technology in his books “The Shallows” and “Superbloom.”
“Americans have become a lonely people, socializing through screens, and now we tell ourselves that talking with computers can relieve our malaise,” Mr. Carr said in an email.
Although the study suggests that chatbots could act as assistants to human therapy and calls for careful oversight, that was not enough for Mr. Carr. “Even a metaphorical blurring of the line between human emotions and computer outputs seems ethically questionable,” he said.
People who use these sorts of chatbots should be fully informed about exactly how they were trained, said James E. Dobson, a cultural scholar who is an adviser on artificial intelligence at Dartmouth.
“Trust in language models depends upon knowing something about their origins,” he said.
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Needle-free diabetes management could be on the horizon, study suggests
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Oral insulin could one day replace injections for people with diabetes, new scientific discoveries suggest.
Researchers from Kumamoto University in Japan have announced the development of an insulin pill to help lower blood sugar.
For diabetics, insulin is typically administered via injection, but the pill would offer a non-invasive treatment option.
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“Insulin injections remain a daily burden for many patients,” said associate professor Shingo Ito, a researcher in the study’s press release. “Our peptide-based platform offers a new route to deliver insulin orally, and may be applicable to long-acting insulin formulations and other injectable biologics.”
Oral insulin could one day replace injections for people with diabetes, new scientific discoveries suggest. (iStock)
The study, published in the journal Molecular Pharmaceutics, tested the delivery of oral insulin by building a carrier peptide called DNP-V. This peptide helps to transport insulin through the small intestine, where protein drug absorption is usually poor.
In diabetic mice models, the researchers administered the peptide by mouth with zinc-stabilized insulin, which was formulated with zinc ions to make it more stable, according to the study.
“Insulin injections remain a daily burden for many patients.”
The result was a rapid and significant drop in blood glucose, as well as a sustained (longer-term) decrease. The mice’s blood sugar was reduced to near-normal levels.
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When DNP-V was attached directly to insulin, the results showed enhanced absorption in the intestines and a similar glucose-lowering effect, the researchers noted.
The treatment was effective in different diabetes models, significantly reducing blood sugar spikes after meals with just one dose per day.
The study was done in mice, which leaves uncertainty if the treatment will translate to humans. (iStock)
The findings suggest that DNP peptides could serve as flexible, adaptable platforms for delivering large-molecule drugs by mouth, the authors concluded in the study abstract.
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“This technology can simply and effectively convert injectable biopharmaceuticals into orally administrable forms, offering a promising path to practical, patient-friendly oral therapies,” they wrote.
Although the researchers are optimistic about the findings translating to larger therapeutic models, they noted that the results in mice do not guarantee the same outcome in humans, and that more research is needed.
For diabetics, insulin is typically administered via injection to regulate blood sugar levels. (iStock)
Dr. Marc Siegel commented on this development, noting that oral insulin could make a big difference in healthcare.
“Insulin use, especially in type 1 diabetes, is sometimes difficult to regulate by injection,” Siegel, who was not involved in the study, told Fox News Digital. “Oral use would have major advantages.”
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He added, “This is very promising provided that it works in humans, which is a big ‘if.’”
Fox News Digital reached out to the study authors for comment.
Health
Deadly meningitis outbreak prompts college students to call for campus shutdown
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Students at the University of Kent in the U.K. are calling for a shutdown in light of an active meningitis outbreak.
The demands follow multiple alerts from the UK Health Security Agency (UKHSA) about the outbreak.
As of March 18, the agency had announced a total of 15 confirmed cases of meningococcal disease, 12 additional potential cases and two deaths in Kent, a county in the southeast of England. The University of Kent is located in Canterbury, a historic city within Kent.
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Meningococcal disease is a serious bacterial infection caused by Neisseria meningitidis, according to the Centers for Disease Control and Prevention.
It can cause two life-threatening conditions: meningitis (infection of the brain and spinal cord lining) and a bloodstream infection called septicemia, which can lead to sepsis, per the above source.
Two people have died amid an outbreak of meningitis at the University of Kent in Canterbury. (Carl Court/Getty Images)
Even with prompt treatment, meningococcal disease can become fatal within hours. Health agencies report a typical fatality rate of about 10% to 15%.
In response to the outbreak, students at the University of Kent launched an online petition calling for campus to be closed.
MEASLES OUTBREAK REACHES A MAJOR SOUTH CAROLINA COLLEGE CAMPUS
“Students at the University of Kent are increasingly concerned about reports of meningitis and sepsis cases affecting members of the campus community,” the petition states, as posted on Change.org. “The confirmation of two deaths, along with reports of hospitalizations, has caused understandable concern among students and staff.”
The petition expressed concern that in-person exams, lectures and other campus activities are continuing amid the outbreak.
As of March 18, health officials had announced a total of 15 confirmed cases of meningococcal disease, 12 additional potential cases and two deaths in Kent, a county in the southeast of England. (Carl Court/Getty Images)
“Many students feel that they are being placed in a difficult position: attend exams and in-person activities during a period of heightened concern or prioritize their health and well-being while risking potential academic consequences,” the petition states. “Students should not feel forced to choose between protecting their well-being and continuing their education.”
“Students deserve to feel safe on campus,” the petition concluded. “We are therefore calling on the University of Kent to consider precautionary steps to prioritize the well-being of students and staff during this situation.
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Preventative antibiotic treatment is being distributed to University of Kent students, according to UKHSA, as well as to those who visited Club Chemistry, a nightclub in Canterbury, between March 5 and March 7.
“A vaccination program has started for students and staff who live in or work in the halls at the University of Kent Canterbury Campus — approximately 5,000 students,” the agency noted.
Fox News Digital reached out to the university requesting comment.
Symptoms of meningococcal disease
Described by the CDC as a “rare but severe illness,” meningococcal disease most commonly causes symptoms of meningitis, including fever, stiff neck, headache, nausea, vomiting, sensitivity to light or altered mental status.
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It can also cause meningococcal bloodstream infection, which is marked by fever and chills, vomiting, fatigue, vomiting, cold hands and feet, severe aches and pains, diarrhea, rapid breathing or a dark purple rash, the CDC notes.
Transmission and treatment
Meningitis infections can spread through close contact with someone who has meningococcal disease, “generally, through things like coughing or kissing, but it can also spread by being in the same household or room for extended periods of time with an individual who is infected,” Dr. Barbara Bawer, a primary care physician at The Ohio State University Wexner Medical Center, previously told Fox News Digital.
The UK Health Security Agency (UKHSA) is contacting 30,000 students and staff of the university to notify them of the outbreak. (Carl Court/Getty Images)
Those who have symptoms of the disease should see their primary care physician immediately, according to the doctor.
As symptoms tend to progress quickly and can be life-threatening, it is essential that the patient receives antibiotics immediately.
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“It can become fatal or dangerous very quickly — within hours — for any individual, especially if antibiotics are not initiated in a timely manner,” Bawer warned. “Even with antibiotics, meningitis can be fatal.”
She added, “This is often due to misdiagnosis, because meningitis can mimic many other illnesses.”
Infection prevention
Most cases of meningococcal disease worldwide are caused by six variations of the Neisseria meningitidis bacteria — A, B, C, W, X and Y.
In the U.S., the most common variations are B, C, W and Y. There are vaccines available to protect against types A, C, W and Y (the MenACWY vaccine) and type B (MenB vaccine), according to the CDC.
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“MenACWY vaccines are routinely recommended for adolescents and for people with other risk factors or underlying medical conditions, including HIV,” the agency previously stated.
“Students should not feel forced to choose between protecting their well-being and continuing their education.”
To reduce risk, Bawer recommends that people get vaccinated with the current meningitis vaccine as recommended by the CDC and avoid being in very closed-in spaces with others as much as possible.
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“If you know of someone who has meningitis in your household or you’ve come in contact with their oral secretions (i.e., you kissed them), then you should get preventative antibiotics,” the doctor told Fox News Digital.
This is even more important for those who are immune-compromised or who are on medications that decrease the immune system, Bawer added.
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