Evidence map›Paper›PMID 42495221›Full record

SynthesisFrontiers in psychology2026

Addicted, attached, or just delegating? A scoping review on "problematic artificial intelligence use".

Francesca Maria Dagnino, Chiara Fante, Vittorio Guerrieri, Marcello Passarelli

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

4 authors.

Francesca Maria Dagnino *Institute for Educational Technology, National Research Council of Italy, Genoa, Italy.
Chiara Fante *Institute for Educational Technology, National Research Council of Italy, Genoa, Italy.
Vittorio Guerrieri *Institute for Educational Technology, National Research Council of Italy, Genoa, Italy.
Marcello Passarelli *Institute for Educational Technology, National Research Council of Italy, Genoa, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The rapid diffusion of generative and conversational AI has raised concerns about problematic AI use and AI dependence. This led to a proliferation of studies addressing the problem, despite the lack of a common framework. This scoping review maps: (RQ1) definitions, (RQ2) measurement approaches, (RQ3) correlates and outcomes, and (RQ4) preliminary evidence across operationalization. Methods: Following PRISMA-ScR guidelines, we searched Web of Science and Scopus using predefined strings on artificial intelligence and problematic use. Thirty-seven empirical peer-reviewed studies were included. Results: Findings highlight inconsistent terminology and considerable heterogeneity in how problematic AI use is conceptualized, exacerbated by a frequent gap between constructs and operationalization that limits interpretation of outcomes. After recoding measures by their substantive operationalization, we analyzed evidence for three main strands: (1) behavioral addiction and/or compulsive use, consistently associated with depression, loneliness, social anxiety, escapism, flow state and low self-esteem/self-efficacy, where younger age and male gender emerge as risk factors; (2) cognitive (over)reliance, linked to performance expectations, academic stress/frustration of needs and literacy/trust in AI, with converging evidence of an erosion of downstream skills (and a decline in performance when AI is unavailable); and (3) Psychological and emotional dependence, associated with loneliness, anxious attachment, anthropomorphizing, and the perception of warmth/emotional intelligence, reliability and availability of AI. Conclusion: The field is fragmented and would benefit from clearer construct specification, AI-specific validated scales capturing all features of the phenomenon, and more longitudinal and experimental designs to clarify causal mechanisms and support safer system design. Systematic review registration: OSF, accessible at: https://osf.io/cxqrz.

Indexed as

AI addictionAI dependenceemotional attachmentgenerative AIlarge language models (LLMs)overrelianceproblematic AI usescoping review

Identifiers

PMID42495221
PMCPMC13391840

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.