Evidence map›Paper›PMID 42043959›Full record

ReviewJMIR AI2026

AI Applications Integrating Legal and Regulatory Perspectives in Mental Health: Systematic Review.

Moustafa Elmetwaly Kandeel, Eid G Abo Hamza, Alaa Abouahmed, Gehad Mohamed AbdelAziz, Adham Hashish, Tarek Abo El Wafa, Ahmed Khalil, Ahmed Eldakak

Abstract readReview
In one paragraph

Review in JMIR AI, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Moustafa Elmetwaly Kandeel *College of Law, Al Ain University, Al Ain, United Arab Emirates.ORCID http://orcid.org/0000-0003-4755-8303
Eid G Abo Hamza *Family Counseling Program, College of Arts, Humanities and Social Sciences, University of Sharjah, Sharjah, United Arab Emirates.ORCID http://orcid.org/0000-0001-5971-6757
Alaa Abouahmed *College of Law, United Arab Emirates University, UAE University Main Campus, Building H2, Office 2027, Sheikh Khalifa Street, Asharij, Al Ain, 15551, United Arab Emirates, 971 505331794.ORCID http://orcid.org/0000-0002-2276-260X
Gehad Mohamed AbdelAziz *College of Law, United Arab Emirates University, UAE University Main Campus, Building H2, Office 2027, Sheikh Khalifa Street, Asharij, Al Ain, 15551, United Arab Emirates, 971 505331794.ORCID http://orcid.org/0009-0006-1883-9412
Adham Hashish *Institute of Public Administration, Riyadh, Saudi Arabia.ORCID http://orcid.org/0000-0002-2547-8284
Tarek Abo El Wafa *College of Law, United Arab Emirates University, UAE University Main Campus, Building H2, Office 2027, Sheikh Khalifa Street, Asharij, Al Ain, 15551, United Arab Emirates, 971 505331794.ORCID http://orcid.org/0000-0002-3923-5187
Ahmed Khalil *College of Law, United Arab Emirates University, UAE University Main Campus, Building H2, Office 2027, Sheikh Khalifa Street, Asharij, Al Ain, 15551, United Arab Emirates, 971 505331794.ORCID http://orcid.org/0000-0002-1863-0823
Ahmed Eldakak *College of Law, United Arab Emirates University, UAE University Main Campus, Building H2, Office 2027, Sheikh Khalifa Street, Asharij, Al Ain, 15551, United Arab Emirates, 971 505331794.ORCID http://orcid.org/0000-0002-6806-863X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Artificial intelligence (AI) offers new methods to improve diagnosis and treatment in mental health. However, its use raises legal and ethical concerns. Objective: AI is increasingly being used for mental health care, but its clinical prominence and ethical implications are yet to be determined. This systematic review discusses the clinical efficacy and the ethical issues of AI in mental health treatment and is trying to focus on the main conclusions with regard to the diagnostic accuracy and the therapeutic efficacy. Methods: The review encompasses an exhaustive analysis of 35 studies in the narrow time frame of 2013-2024. It allows for multidatabase exploration and follows the systematic and well-established practice of PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) 2020 guidelines. This review searched PubMed (biomedical emphasis), IEEE Xplore (engineering or AI), PsycINFO (psychological literature), Scopus (multidisciplinary focus), and Cochrane Library (evidence-based treatment) from January 1, 2013, to December 31, 2024. Studies include those that focused on AI applications for diagnosis, treatment, or patient engagement, excluding tangential uses (eg, administrative tasks). Only English-language publications were searched to mitigate language bias, though this introduces potential geographic bias. Results: AI-enabled interventions of natural language processing models showed up to 89% accuracy for depression detection. The wearables, as in the Empatica E4, showed an F1-score of 0.81 to predict anxiety episodes. AI-enabled therapies, such as chat-based interventions and online cognitive behavioral therapy, have been shown to improve the anxiety symptoms of about 30% in some studies; however, there was considerable variability in the impact based on study design, intervention duration, and comparator conditions, as well as the overall methodological quality of the studies. However, challenges remain, such as including biases in training data, evidenced by performance declines of up to 15% in non-English datasets, and concerns over data privacy. Conclusions: In addressing mental health, AI has the potential to revolutionize mental health treatment, offering cost-saving, personalized, and culturally sensitive interventions while protecting privacy, equity, and human agency.

Indexed as

artificial intelligencedata privacydiagnosismental healthpatient autonomytherapeutic interventions

Identifiers

PMID42043959
PMCPMC13117227

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.