ArticleJMIR mental health2024
Empathy Toward Artificial Intelligence Versus Human Experiences and the Role of Transparency in Mental Health and Social Support Chatbot Design: Comparative Study.
Article in JMIR mental health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- "It's Not Only Attention We Need": Systematic Review of Large Language Models in Mental Health Care.JMIR mental health · 2025Pooled it
- The benefits and future potential of generative artificial intelligence (GAI) on mental health: a Delphi study.International journal of qualitative studies on health and well-being · 2026Article
- Beyond Automation: How Generative AI Is Transforming Nursing Practice.Journal of clinical nursing · 2026Article
- Dual-Source Retrieval-Augmented Generation Chatbot for Women's Health (HerCare): Design and Multimethod Evaluation Study.JMIR formative research · 2026Article
- Ethical Considerations in Personal Health Large Language Models.Journal of medical Internet research · 2026Article
- Configuring large language models to deliver patient-facing explanations of pathology reports.American journal of clinical pathology · 2026Article
- Article
- Reconfiguring home language practices in AI-mediated environments: a layered communication perspective on language transmission, affect, and multilingual communication.Frontiers in psychology · 2026Article
- Adolescent Health and Generative AI-Risks and Benefits.JAMA pediatrics · 2026Article
- Delusional Experiences Emerging From AI Chatbot Interactions or "AI Psychosis".JMIR mental health · 2025Review
- Perception of AI Use in Youth Mental Health Services: Qualitative Study.Journal of participatory medicine · 2025Article
- The compassion illusion: Can artificial empathy ever be emotionally authentic?Frontiers in psychology · 2025Article
- Self-help psychological intervention for young individuals during the post-COVID-19 era: development of a PST chatbot using GPT-4.Frontiers in digital health · 2025Article
- The role of artificial intelligence in promoting kindness in society: A qualitative study to advance well-being, equity, and positive social change.Health psychology openArticle
- Review
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEmpathy is a driving force in our connection to others, our mental well-being, and resilience to challenges. With the rise of generative artificial intelligence (AI) systems, mental health chatbots, and AI social support companions, it is important to understand how empathy unfolds toward stories from human versus AI narrators and how transparency plays a role in user emotions.
objectiveWe aim to understand how empathy shifts across human-written versus AI-written stories, and how these findings inform ethical implications and human-centered design of using mental health chatbots as objects of empathy.
methodsWe conducted crowd-sourced studies with 985 participants who each wrote a personal story and then rated empathy toward 2 retrieved stories, where one was written by a language model, and another was written by a human. Our studies varied disclosing whether a story was written by a human or an AI system to see how transparent author information affects empathy toward the narrator. We conducted mixed methods analyses: through statistical tests, we compared user's self-reported state empathy toward the stories across different conditions. In addition, we qualitatively coded open-ended feedback about reactions to the stories to understand how and why transparency affects empathy toward human versus AI storytellers.
resultsWe found that participants significantly empathized with human-written over AI-written stories in almost all conditions, regardless of whether they are aware (t
conclusionsOur work sheds light on how empathy toward AI or human narrators is tied to the way the text is presented, thus informing ethical considerations of empathetic artificial social support or mental health chatbots.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.