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Exploring the Ethical Challenges of Conversational AI in Mental Health Care: Scoping Review

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References

2021The PRISMA 2020 statement: an updated guideline for reporting systematic reviews107,380 cited
2018PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation43,318 cited
2022PRISMA2020 : An R package and Shiny app for producing PRISMA 2020‐compliant flow diagrams, with interactivity for optimised digital transparency and Open Synthesis3,462 cited
2017Delivering Cognitive Behavior Therapy to Young Adults With Symptoms of Depression and Anxiety Using a Fully Automated Conversational Agent (Woebot): A Randomized Controlled Trial2,713 cited
2004The responsibility gap: Ascribing responsibility for the actions of learning automata1,095 cited
2018An Empathy-Driven, Conversational Artificial Intelligence Agent (Wysa) for Digital Mental Well-Being: Real-World Data Evaluation Mixed-Methods Study1,061 cited
2019Chatbots and Conversational Agents in Mental Health: A Review of the Psychiatric Landscape1,025 cited
2014It’s only a computer: Virtual humans increase willingness to disclose953 cited
2019Your Robot Therapist Will See You Now: Ethical Implications of Embodied Artificial Intelligence in Psychiatry, Psychology, and Psychotherapy854 cited
2020Effectiveness and Safety of Using Chatbots to Improve Mental Health: Systematic Review and Meta-Analysis502 cited
2022An overview of and recommendations for more accessible digital mental health services444 cited
2020Perceptions and Opinions of Patients About Mental Health Chatbots: Scoping Review301 cited

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2018

Towards an Artificially Empathic Conversational Agent for Mental Health Applications: System Design and User Perceptions

272 cited

2019Can Your Phone Be Your Therapist? Young People’s Ethical Perspectives on the Use of Fully Automated Conversational Agents (Chatbots) in Mental Health Support270 cited

2021Digital Mental Health for Young People: A Scoping Review of Ethical Promises and Challenges242 cited

2023To chat or bot to chat: Ethical issues with using chatbots in mental health225 cited

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2025Factors influencing perceived benefits and behavioral intention to use mental health chatbots among professional employees: an empirical study12 cited
2025Predicting Engagement With Conversational Agents in Mental Health Therapy by Examining the Role of Epistemic Trust, Personality, and Fear of Intimacy: Cross-Sectional Web-Based Survey Study10 cited
2025Artificial Intelligence for Mental Health Monitoring: A Solution for Digital Behavioral Health Care and Education—An Umbrella Review9 cited
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2026Artificial intelligence mediated emotional support in mental health and its ethical and governance implications in digital public health3 cited
2026Chaplains' Reflections on the Design and Usage of AI for Conversational Care2 cited