Evidence map›Paper›PMID 41313214›Full record

ArticleJMIR mental health2025

Seeking Emotional and Mental Health Support From Generative AI: Mixed-Methods Study of ChatGPT User Experiences.

Xiaochen Luo, Zixuan Wang, Jacqueline L Tilley, Sanjeev Balarajan, Ukeme-Abasi Bassey, Choi Ieng Cheang

Abstract read
In one paragraph

Article in JMIR mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

  1. Article
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  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Seven Desiderata for Ethical Frameworks for AI Mental Health Agents.The American journal of bioethics : AJOB · 2026
    Article
  11. Article
  12. Review
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

6 authors.

Xiaochen LuoDepartment of Counseling Psychology, Santa Clara University, 500 El Camino Real, Santa Clara, CA, 95053, United States, 1 408-551-1603.ORCID 0000-0002-4857-3102
Zixuan WangEncounter Psychotherapy LLC, Gaithersburg, MD, United States.ORCID 0009-0005-3270-1455
Jacqueline L TilleyPsychology and Child and Human Development Group, National Institution of Education, Nanyang Technological University, Singapore, Singapore.ORCID 0000-0002-2701-5064
Sanjeev BalarajanDepartment of Counseling Psychology, Santa Clara University, 500 El Camino Real, Santa Clara, CA, 95053, United States, 1 408-551-1603.ORCID 0009-0005-6382-8299
Ukeme-Abasi BasseyDepartment of Counseling Psychology, Santa Clara University, 500 El Camino Real, Santa Clara, CA, 95053, United States, 1 408-551-1603.ORCID 0009-0003-2763-9701
Choi Ieng CheangDepartment of Counseling Psychology, Santa Clara University, 500 El Camino Real, Santa Clara, CA, 95053, United States, 1 408-551-1603.ORCID 0009-0003-0648-3971

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Generative artificial intelligence (GenAI) models have emerged as a promising yet controversial tool for mental health. Objective: The purpose of this study is to understand the experiences of individuals who repeatedly used ChatGPT (GenAI) for emotional and mental health support (EMS). Methods: We recruited 270 adult participants across 29 countries who regularly used ChatGPT (OpenAI) for EMS during April 2024. Participants responded to quantitative survey questions on the frequency and helpfulness of using ChatGPT for EMS, and qualitative questions regarding their therapeutic purposes, emotional experiences of using, and perceived helpfulness and rationales. Thematic analysis was used to analyze qualitative data. Results: Most participants reported using ChatGPT for EMS at least 1-2 times per month for purposes spanning traditional mental health needs (diagnosis, treatment, and psychoeducation) and general psychosocial needs (companionship, relational guidance, well-being improvement, and decision-making). Users reported various emotional experiences during and after use for EMS (eg, connected, relieved, curious, embarrassed, or disappointed). Almost all users found it at least somewhat helpful. The rationales for perceived helpfulness include perceived changes after use, emotional support, professionalism, information quality, and free expression, whereas the unhelpful aspects include superficial emotional engagement, limited information quality, and lack of professionalism. Conclusions: Despite the absence of ethical regulations for EMS use, GenAI is becoming an increasingly popular self-help tool for emotional and mental health support. These results highlight the blurring boundary between formal mental health care and informal self-help and underscore the importance of understanding the relational and emotional dynamics of human-GenAI interaction. There is an urgent need to promote AI literacy and ethical awareness among community users and health care providers and to clarify the conditions under which GenAI use for mental health promotes well-being or poses risk.

Indexed as

Artificial IntelligenceMental DisordersMental Health ServicesAdultEmotionsFemaleGenerative Artificial IntelligenceHumansMaleMental HealthMiddle AgedQualitative ResearchSurveys and QuestionnairesYoung AdultChatGPTgenerative artificial intelligence (GenAI)help-seeking behaviormental health and emotional supportperceived helpfulness

Identifiers

PMID41313214
PMCPMC12661908

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.