Evidence map›Paper›PMID 42271446›Full record

ArticleBMC psychology2026

Network and machine learning analysis of childhood trauma, mental health, and AI-based emotional support needs in adolescents from underdeveloped regions.

Jianqiang Wang, Shaoxiong Li, Jing Lv, Yanxin Zhang, Zheng Liu, Ziyan Wang, Yuhan Peng, Congcong Liu, Xuezhu Yu, Yuru Du and 1 more

Abstract read
In one paragraph

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

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Jianqiang Wang *Clinical Mental Health Department, The First Hospital of Hebei Medical University, Hebei, China.
Shaoxiong Li *Clinical Mental Health Department, The First Hospital of Hebei Medical University, Hebei, China.
Jing LvClinical Mental Health Department, The First Hospital of Hebei Medical University, Hebei, China.
Yanxin ZhangNational Academy of Innovation Strategy, Beijing, China.
Zheng LiuClinical Mental Health Department, The First Hospital of Hebei Medical University, Hebei, China.
Ziyan WangClinical Mental Health Department, The First Hospital of Hebei Medical University, Hebei, China.
Yuhan PengClinical Mental Health Department, The First Hospital of Hebei Medical University, Hebei, China.
Congcong LiuClinical Mental Health Department, The First Hospital of Hebei Medical University, Hebei, China.
Xuezhu YuClinical Mental Health Department, The First Hospital of Hebei Medical University, Hebei, China.
Yuru DuClinical Mental Health Department, The First Hospital of Hebei Medical University, Hebei, China. 59003890@hebmu.edu.cn.
Youdong LiClinical Mental Health Department, The First Hospital of Hebei Medical University, Hebei, China. 1026087958@qq.com.

Funding

Research Projects of National Academy of Innovation Strategy 2024-zktxisc-03
6 · The paper itself

Abstract

backgroundThe current intervention efficacy of generative conversational artificial intelligence (GCAI) on overall mental health issues remains limited, which may be related to the complex and unclear relation between GCAI emotional support needs (GCAI-ESN) and childhood trauma and mental health issues.

methodsWe used the Childhood Trauma Questionnaire, the Mental Health Inventory of Middle-school students, and whether there were GCAI-ESN to assess 14,380 adolescents. Machine learning (ML) combined with SHapley Additive exPlanations (SHAP) analysis was employed to identify the key predictors influencing the GCAI-ESN model. Based on the identified predictors, an undirected network was constructed and a Bayesian network analysis was conducted.

resultsThe prevalence of childhood trauma, mental health issues, and GCAI-ESN among adolescents in underdeveloped regions was 32.43% (95% CI: 31.66%-33.19%), 16.78% (95% CI: 16.17%-17.39%), and 39.53% (95% CI: 38.73%-40.33%), respectively. The SHAP analysis of four machine learning models identified 15 key predictors for GCAI-ESN. In the undirected network model, easily anxious 'MH6' (EI = 1.07) and depressed 'MH5' (EI = 1.07) are the core nodes, while GCAI-ESN (BEI = 3.09) and family said hurtful things 'CTQ14' (BEI = 1.00) are the bridge nodes. Bayesian network analysis indicates that 'CTQ14' is the node with the most outgoing potential predictive relationships.

conclusionsThis study identified the key predictors of GCAI-ESN among adolescents in underdeveloped regions and determined 'MH6', 'MH5', and 'CTQ14' as potential intervention targets when the GCAI provides emotional support, offering concrete focal points for future research.

Indexed as

Adverse Childhood ExperiencesMachine LearningMental HealthSocial SupportAdolescentBayes TheoremChildFemaleGenerative Artificial IntelligenceHumansMalePredictive Learning ModelsChildhood traumaEmotional support needsGenerative Conversational AIMachine learningMental healthUnderdeveloped regions

Identifiers

PMID42271446
PMCPMC13479577

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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.