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Exploring Real-World Use of AI Chatbots for Mental Health Support: Cross-Sectional Survey Study
16 references·0 citing·50 second hopsampled
Exploring Real-World Use of AI Chatbots for Mental Health Support: Cross-Sectional Survey Study (2026)Exploring Real-World Use of AI Chatbots f…Sycophantic AI decreases prosocial intentions and promotes dependence (2026)Sycophantic AI decreases pros…Randomized Trial of a Generative AI Chatbot for Mental Health Treatment (2025)Randomized Trial of a Generat…Expressing stigma and inappropriate responses prevents LLMs from safely replacing mental health providers. (2025)Expressing stigma and inappro…Exploring the Ethical Challenges of Conversational AI in Mental Health Care: Scoping Review (2025)Exploring the Ethical Challen…Charting the evolution of artificial intelligence mental health chatbots from rule‐based systems to large language models: a systematic review (2025)Charting the evolution of art…The therapeutic effectiveness of artificial intelligence-based chatbots in alleviation of depressive and anxiety symptoms in short-course treatments: A systematic review and meta-analysis (2024)The therapeutic effectiveness…Assessing the Effectiveness of ChatGPT in Delivering Mental Health Support: A Qualitative Study (2024)Assessing the Effectiveness o…“It happened to be the perfect thing”: experiences of generative AI chatbots for mental health (2024)“It happened to be the perfec…Factors Predicting Intentions of Adoption and Continued Use of Artificial Intelligence Chatbots for Mental Health: Examining the Role of UTAUT Model, Stigma, Privacy Concerns, and Artificial Intelligence Hesitancy (2023)Factors Predicting Intentions…Alliance With an Unguided Smartphone App: Validation of the Digital Working Alliance Inventory (2021)Alliance With an Unguided Sma…Changes to the Psychiatric Chatbot Landscape: A Systematic Review of Conversational Agents in Serious Mental Illness: Changements du paysage psychiatrique des chatbots: une revue systématique des agents conversationnels dans la maladie mentale sérieuse (2020)Changes to the Psychiatric Ch…Digital mental health apps and the therapeutic alliance: initial review (2019)Digital mental health apps an…Conversational Agents in the Treatment of Mental Health Problems: Mixed-Method Systematic Review (2019)Conversational Agents in the …Using Psychological Artificial Intelligence (Tess) to Relieve Symptoms of Depression and Anxiety: Randomized Controlled Trial (2018)Using Psychological Artificia…The alliance in adult psychotherapy: A meta-analytic synthesis. (2018)The alliance in adult psychot…Delivering Cognitive Behavior Therapy to Young Adults With Symptoms of Depression and Anxiety Using a Fully Automated Conversational Agent (Woebot): A Randomized Controlled Trial (2017)Delivering Cognitive Behavior…Development and validation of brief measures of positive and negative affect: The PANAS scales. (1988)The PHQ-9 (2001)Using thematic analysis in psychology (2006)An Empathy-Driven, Conversational Artificial Intelligence Agent (Wysa) for Digital Mental Well-Being: Real-World Data Evaluation Mixed-Methods Study (2018)Chatbots and Conversational Agents in Mental Health: A Review of the Psychiatric Landscape (2019)Your Robot Therapist Will See You Now: Ethical Implications of Embodied Artificial Intelligence in Psychiatry, Psychology, and Psychotherapy (2019)Statistical Methods for Meta-Analysis (1988)Conducting Meta-Analyses in R with the metafor Package (2010)Methods of Meta-Analysis: Correcting Error and Bias in Research Findings (2015)Mindfulness Meditation and Psychopathology (2018)Therapeutic alliance as a mediator of change: A systematic review and evaluation of research (2020)Blinding and expectancy confounds in psychedelic randomized controlled trials (2021)A Brief Measure for Assessing Generalized Anxiety Disorder (2006)Effectiveness and Safety of Using Chatbots to Improve Mental Health: Systematic Review and Meta-Analysis (2020)My Chatbot Companion - a Study of Human-Chatbot Relationships (2021)Systematic review and meta-analysis of AI-based conversational agents for promoting mental health and well-being (2023)Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement (2009)Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement (2009)Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation (2015)A Therapeutic Relational Agent for Reducing Problematic Substance Use (Woebot): Development and Usability Study (2021)Artificial Intelligence–Based Chatbot for Anxiety and Depression in University Students: Pilot Randomized Controlled Trial (2021)Conversational Agent Interventions for Mental Health Problems: Systematic Review and Meta-analysis of Randomized Controlled Trials (2023)Bias in meta-analysis detected by a simple, graphical test (1997)Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement (2009)The PRISMA 2020 statement: An updated guideline for reporting systematic reviews (2021)AI Chatbots for Mental Health: A Scoping Review of Effectiveness, Feasibility, and Applications (2024)Can AI replace psychotherapists? Exploring the future of mental health care (2024)Does the Digital Therapeutic Alliance Exist? Integrative Review (2025)One size fits all? What counts as quality practice in (reflexive) thematic analysis? (2020)Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019 (2022)Performance of mental health chatbot agents in detecting and managing suicidal ideation (2025)PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation (2018)The PRISMA 2020 statement: an updated guideline for reporting systematic reviews (2021)PRISMA2020 : An R package and Shiny app for producing PRISMA 2020‐compliant flow diagrams, with interactivity for optimised digital transparency and Open Synthesis (2022)Conversational AI in Pediatric Mental Health: A Narrative Review (2025)Leveraging Large Language Models for Simulated Psychotherapy Client Interactions: Development and Usability Study of Client101 (2025)Public Health Risk Management, Policy, and Ethical Imperatives in the Use of AI Tools for Mental Health Therapy (2025)Effect-Size Indices for Dichotomized Outcomes in Meta-Analysis. (2003)The Ability of AI Therapy Bots to Set Limits With Distressed Adolescents: Simulation-Based Comparison Study (2025)The American Psychological Association (1919)Children's Yale-Brown Obsessive Compulsive Scale: Reliability and Validity (1997)Synthesizing information systems knowledge: A typology of literature reviews (2014)Evaluating Generative AI Psychotherapy Chatbots Used by Youth: Cross-Sectional Study (2025)Technological folie à deux: feedback loops between AI chatbots and mental health (2026)Moral credentials and the expression of prejudice. (2001)Measuring personality in one minute or less: A 10-item short version of the Big Five Inventory in English and German (2006)ChatGPT outperforms crowd workers for text-annotation tasks (2023)AI for Proactive Mental Health: A Multi-Institutional, Longitudinal Randomized Controlled Trial (2026)Generative AI as a de facto mental health provider: a policy brief and urgent call for regulation (2026)The diffusion of large language models in published academic articles (2026)
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References

  • 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
  • 2018The alliance in adult psychotherapy: A meta-analytic synthesis.1,755 cited
  • 2018Using Psychological Artificial Intelligence (Tess) to Relieve Symptoms of Depression and Anxiety: Randomized Controlled Trial712 cited
  • 2025Randomized Trial of a Generative AI Chatbot for Mental Health Treatment286 cited
  • 2019Conversational Agents in the Treatment of Mental Health Problems: Mixed-Method Systematic Review273 cited
  • 2024“It happened to be the perfect thing”: experiences of generative AI chatbots for mental health239 cited
  • 2025Expressing stigma and inappropriate responses prevents LLMs from safely replacing mental health providers.202 cited
  • 2025Exploring the Ethical Challenges of Conversational AI in Mental Health Care: Scoping Review188 cited
  • 2024The therapeutic effectiveness of artificial intelligence-based chatbots in alleviation of depressive and anxiety symptoms in short-course treatments: A systematic review and meta-analysis176 cited
  • 2026Sycophantic AI decreases prosocial intentions and promotes dependence176 cited
  • 2019Digital mental health apps and the therapeutic alliance: initial review152 cited
  • 2024Assessing the Effectiveness of ChatGPT in Delivering Mental Health Support: A Qualitative Study139 cited
  • 2025Charting the evolution of artificial intelligence mental health chatbots from rule‐based systems to large language models: a systematic review

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115 cited
  • 2020Changes to the Psychiatric Chatbot Landscape: A Systematic Review of Conversational Agents in Serious Mental Illness: Changements du paysage psychiatrique des chatbots: une revue systématique des agents conversationnels dans la maladie mentale sérieuse82 cited
  • 2023Factors Predicting Intentions of Adoption and Continued Use of Artificial Intelligence Chatbots for Mental Health: Examining the Role of UTAUT Model, Stigma, Privacy Concerns, and Artificial Intelligence Hesitancy81 cited
  • 2021Alliance With an Unguided Smartphone App: Validation of the Digital Working Alliance Inventory74 cited
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