Evidence map›Paper›PMID 41004515›Full record

SynthesisPloS one2025

Artificial intelligence as a predictive tool for mental health status: Insights from a systematic review and meta-analysis.

Arsalan Humayun, Ashwini M Madawana, Akram Hassan, Al Mahmud, Noorshaida Kamaruddin, Syed Husni Noor, Syed Hatim Noor, Mohamad Arif Awang Nawi

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Responsible artificial intelligence integration framework for psychiatric guidelines.The international journal of neuropsychopharmacology · 2026
    Guideline
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  5. Article
  6. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Arsalan HumayunCommunity Dentistry Department BADC, SMBBMU, Larkana, Pakistan.
Ashwini M MadawanaPaediatric Dentistry Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kelantan, Malaysia.
Akram HassanPeriodontology Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kelantan, Malaysia.
Al MahmudDepartment of Statistics, Shahjalal University of Science & Technology, Sylhet, Bangladesh.ORCID 0000-0001-8194-6874
Noorshaida KamaruddinSchool of Dental Sciences, Health Campus, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kelantan, Malaysia.
Syed Husni NoorCommunity Dentistry Department BADC, SMBBMU, Larkana, Pakistan.
Syed Hatim NoorSchool of Dental Sciences, Health Campus, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kelantan, Malaysia.
Mohamad Arif Awang NawiBiostatistics Unit, School of Dental Sciences, Health Campus, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kelantan, Malaysia.ORCID 0000-0002-4922-2881

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This systematic review and meta-analysis evaluates the effectiveness of AI-driven tools, particularly conversational agents (CAs), in alleviating psychological distress and improving mental health outcomes. The focus is on their impact across diverse populations, including clinical, subclinical, and older adults. A comprehensive search was conducted in PubMed, Google Scholar, Elsevier, and Scopus using specific MeSH terms and keywords such as "Artificial Intelligence," "Machine Learning," "Natural Language Processing," "Depression," and "Anxiety." The timeframe included studies published between January 2000 and July 2024. Inclusion criteria comprised peer-reviewed original research articles, cohort studies, and case reports focusing on AI tools for mental health. Systematic reviews, secondary sources, and non-English publications were excluded. Random-effects meta-analysis was conducted using standardized mean differences, with effect sizes synthesized in forest plots. Twenty studies were included in the qualitative synthesis and six in the quantitative meta-analysis. The analysis demonstrated that AI-based CAs significantly reduce anxiety (Cohen's d = 0.62, p < 0.01) and depression (Cohen's d = 0.74, p < 0.001), with higher effectiveness observed in multimodal CAs compared to text-only systems. However, the long-term impact remains inconsistent due to variability in follow-up durations and methodological heterogeneity. Some studies lacked extended observation periods or reported diminished effects over time, highlighting a need for sustained intervention research. AI-based CAs, especially when integrated into mobile platforms and using multimodal interfaces, provide scalable and engaging support for mental health. While short-term benefits are evident, future studies should address long-term efficacy, methodological consistency, and ethical concerns like privacy and algorithmic bias to strengthen the utility and trust in AI interventions for mental health.

Indexed as

Artificial IntelligenceMental HealthAnxietyDepressionHumans

Identifiers

PMID41004515
PMCPMC12469249

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.