Evidence map›Paper›PMID 41873392›Full record

ReviewJournal of multidisciplinary healthcare2026

The Impact of Chatbots on Adolescent Mental Health Development: A Comprehensive Literature Review.

Yidong Wu, Tong Wu, Kerun Zhu, Xinyu Liu, Jiarui Liu, Yuyan Wang, Ruojin Shi, Jia Xiong, Xinyue Xing, Yao Lv and 3 more

Abstract readReview
In one paragraph

Review in Journal of multidisciplinary healthcare, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

13 authors.

Yidong Wu *School of Journalism and Communication, Lanzhou University, Lanzhou, 730000, People's Republic of China.
Tong Wu *School of International Culture and Communication, Communication University of Zhejiang, Hangzhou, 310018, People's Republic of China.
Kerun ZhuSchool of Journalism and New Media, Xi'an Jiaotong University, Xi'an, Shaanxi, 710049, People's Republic of China.
Xinyu LiuSchool of Journalism and New Media, Xi'an Jiaotong University, Xi'an, Shaanxi, 710049, People's Republic of China.
Jiarui LiuSchool of Journalism and New Media, Xi'an Jiaotong University, Xi'an, Shaanxi, 710049, People's Republic of China.
Yuyan WangSchool of Journalism and New Media, Xi'an Jiaotong University, Xi'an, Shaanxi, 710049, People's Republic of China.
Ruojin ShiSchool of Journalism and New Media, Xi'an Jiaotong University, Xi'an, Shaanxi, 710049, People's Republic of China.
Jia XiongSchool of Journalism and New Media, Xi'an Jiaotong University, Xi'an, Shaanxi, 710049, People's Republic of China.
Xinyue XingSchool of Journalism and New Media, Xi'an Jiaotong University, Xi'an, Shaanxi, 710049, People's Republic of China.
Yao LvSchool of Journalism and New Media, Xi'an Jiaotong University, Xi'an, Shaanxi, 710049, People's Republic of China.
Yaohong NiuSchool of Journalism and New Media, Xi'an Jiaotong University, Xi'an, Shaanxi, 710049, People's Republic of China.
Min PengHealth Science Center, Xi'an Jiaotong University, Xi'an, Shaanxi, 710049, People's Republic of China.
Xingyan DuSchool of Journalism and Communication, Lanzhou University, Lanzhou, 730000, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The integration of artificial intelligence (AI) chatbots in adolescent mental health care represents a transformative shift in how digital interventions address psychological well-being among young populations. This comprehensive review synthesizes evidence examining the multifaceted impact of chatbot technology on adolescent mental health development. A systematic search was conducted across PubMed, PsycINFO, Web of Science, and Scopus databases using terms related to chatbots, conversational agents, adolescents, and mental health. Following PRISMA guidelines, 80 studies published between 2020 and 2025 were included after screening 1247 initial records and excluding duplicates and irrelevant articles. Through systematic analysis, we explore the complex relationships between chatbot usage and emotional health, social development, cognitive functioning, and behavioral patterns among adolescents aged 10-24 years. The review reveals that chatbots demonstrate moderate effectiveness in reducing psychological distress (g = -0.46 to -0.10) and show promise in addressing barriers to mental health care access, particularly stigma-related concerns. However, emerging evidence also highlights potential risks including dependency, social withdrawal, and privacy concerns. The findings suggest that while chatbots offer valuable supplementary mental health support, careful consideration of ethical implications, cultural adaptations, and long-term developmental effects is essential for responsible implementation.

Indexed as

adolescentsartificial intelligencechatbotmental health

Identifiers

PMID41873392
PMCPMC13005983

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.