Pathways of long-term AI virtual companion app use on users' attachment emotions: a case study of Chinese users.

Background: Although algorithmic companionship is becoming an increasingly integral part of daily life, evidence remains fragmented regarding whether AI virtual companions can become stable attachment figures, and how such attachments influence users' psychological states and offline social behaviors. Understanding these dynamics is particularly crucial in rapidly digitizing environments such as China, where mobile AI virtual companion applications are widely adopted. Methods: This study takes a mixed-methods approach based on attachment theory. An initial systematic literature review (SLR) was conducted to clarify the research variables and their theoretical foundations. Subsequently, semi-structured interviews were conducted with 10 users who had at least 6 months' experience of continuous usage to refine variable definitions and measurement items. Finally, a cross-sectional questionnaire survey was conducted in mainland China ( Results: The frequency of use positively correlates with emotional attachment to AI virtual companions (β = 0.44). Attachment negatively correlates with loneliness (β = -0.32) and positively with subjective wellbeing (β = 0.41) and self-concept clarity (β = 0.51). Of the three psychological pathways, those associated with loneliness, wellbeing, and self-concept clarity were found to be linked to higher levels of real-world social engagement. The indirect association via self-concept clarity was found to be the most significant. The model demonstrated an overall good fit [comparative fit index (CFI) = 0.97; root mean square error of approximation (RMSEA) = 0.04]. Conclusion: This study applies attachment theory to the domain of human-AI relationships, using Chinese users as a case study. It constructs a model that links 'usage frequency, emotional attachment, psychological state, and real-world social engagement'. Self-concept clarity plays a vital role in bridging the gap between emotional attachment and real-world social engagement. Design implications include enhancing continuity features, contextual memory, and self-expression design, with the aim of fostering healthier psychological and social outcomes in AI virtual companion-related attachment.