Evidence map›Paper›PMID 42528981›Full record

SynthesisFrontiers in artificial intelligence2026

Human-like conversational agents as social partners: a scoping review of socioaffective mechanisms, well-being outcomes, risks and governance in the post-Turing era.

Qian Li, Han Geng, Xin Hu, Di Pan, Hongmei Liu, Yongxin Li, Jin Guo

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in artificial intelligence, 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

7 authors.

Qian Li *Department of Thoracic Surgery, Beijing Genertec Aerospace Hospital, Beijing, China.
Han Geng *Faculty of Arts, Monash University, Caulfield East, VIC, Australia.
Xin HuDivision of Transplantation Immunology, National Center for Child Health and Development, Tokyo, Japan.
Di PanDepartment of Rehabilitation, Beijing Genertec Aerospace Hospital, Beijing, China.
Hongmei LiuDepartment of General Practice, The General Hospital of the People's Liberation Army, Beijing, China.
Yongxin LiDepartment of Thoracic Surgery, Beijing Genertec Aerospace Hospital, Beijing, China.
Jin GuoSchool of Medical Technology, Beijing Institute of Technology, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Large language models have evolved from laboratory demonstrations into mass-market companion-style conversational agents that many users treat as social partners. As these systems produce increasingly human-like conversational behavior, users may attribute mind, form affective bonds, disclose sensitive information, and rely on agents for emotional support, creating both potential benefits and psychosocial risks. Methods: We conducted a PRISMA-ScR-informed scoping review of socioaffective human-artificial intelligence interaction research published or posted from 2016 to 15 January 2026. Eligible sources addressed companion-style conversational agents and adjacent therapeutic, assistant-first, or governance sources. Evidence was stratified by system type and calibrated as stronger empirical support, moderate support, preliminary support, or proposed/normative synthesis. Results: The final evidence map included 58 sources. We synthesized mechanisms that make agents feel social, including anthropomorphism, social presence, mind perception, self-disclosure, parasocial attachment, and socioaffective alignment. Therapeutic chatbot studies provided the strongest evidence for short-term symptom reduction in selected contexts, whereas evidence for sustained loneliness reduction in open-domain companion systems remained emerging. Reported and hypothesized risks included dependency-like use, displacement of human interaction, maladaptive validation or sycophancy, persuasive manipulation, privacy harms, and risks to minors or vulnerable users. Discussion: We propose an integrative pathway linking model capabilities and product design cues to relational outcomes and outline a companion-specific relational safety stack as a synthesis-based evaluation agenda rather than a validated regulatory or clinical standard. The review identifies measurement priorities for evaluating companion agents and governance priorities for managing psychosocial impact as these systems scale.

Indexed as

anthropomorphismcompanion chatbotsgovernancelarge language modelslonelinessmental healthprivacysycophancy

Identifiers

PMID42528981
PMCPMC13416237

What OpenQuestion holds

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Registered trials

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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.