Evidence map›Paper›PMID 42597373›Full record

ReviewFrontiers in psychology2026

Artificial intelligence dependency in college students: a critical narrative review.

Xuehua He, Shan Li, Rongping Cha, Li Wang, Yunxia Shen, Ruijuan Wu, Lili Wu, Xiaoyan Gong, Jingbang Liu

Abstract readReview
In one paragraph

Review 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Xuehua HeNursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Shan LiNursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Rongping ChaNursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Li WangNursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Yunxia ShenNursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Ruijuan WuNursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Lili WuNursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Xiaoyan GongNursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Jingbang LiuNursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The rapid diffusion of generative artificial intelligence (GenAI), particularly large language model (LLM) applications, has fundamentally reshaped university students' learning, problem-solving, and socio-emotional practices. Alongside clear benefits in efficiency and personalized support, concerns are emerging about AI dependency, understood here as an emerging, non-diagnostic educational-psychological construct rather than a formal clinical disorder. This critical narrative review synthesizes evidence from the past decade on AI dependency among college students, focusing on conceptualizations, theoretical frameworks, prevalence and demographic variations, measurement tools, determinants, intervention strategies, and research gaps. Across studies, an "ask-AI-first" pattern appears increasingly common, although frequency of use should not be equated with maladaptive dependency. The central concern is not AI use itself but patterns of cognitive delegation, emotional reliance, and reduced self-regulation that may be associated with weaker independent engagement, academic-integrity risks, and distress when AI is unavailable. The literature also reveals substantial fragmentation in assessment, although several emerging tools demonstrate promising psychometric properties. Determinants appear multi-level, involving individual vulnerabilities, academic pressure, contextual norms, and technological affordances. Current recommendations emphasize promoting augmentation over automation, strengthening AI literacy and critical evaluation skills, redesigning assessments to preserve cognitive engagement, and implementing supportive interventions for at-risk students. Future research should prioritize longitudinal, cross-cultural, and multi-method designs to clarify developmental trajectories, thresholds for maladaptation, and evidence-based intervention pathways.

Indexed as

artificial intelligenceChatGPTcollege studentsdependencyhigher educationlarge language model

Identifiers

PMID42597373
PMCPMC13468924

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.