Evidence map›Paper›PMID 42643578›Full record

ArticleFrontiers in human neuroscience2026

Pathways linking AI dependence to psychological distress: the mediating role of self-esteem and the role of academic achievement.

Xu Liu, Zhenggui Gu, Lulu Shi

Abstract read
In one paragraph

Article in Frontiers in human neuroscience, 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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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Xu LiuSchool of Educational Sciences, Xinxiang University, Xinxiang, China.
Zhenggui GuSchool of Music, Xinxiang University, Xinxiang, China.
Lulu ShiDepartment of Human Development and Family Studies, Faculty of Human Ecology, Universiti Putra Malaysia, Serdang, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The growing integration of artificial intelligence (AI) into educational contexts has raised questions about whether reliance on AI tools is associated with students' psychological well-being. This three-wave time-lagged survey examined temporally ordered associations between AI dependence (AD), self-esteem (SE), and psychological distress (PD), and evaluated academic achievement, indexed by cumulative grade point average (CGPA), as an additional predictor and potential moderator. Purposive sampling recruited undergraduate students from two universities in China. Of 947 baseline participants, 865 provided complete and valid data across all three waves. AD, SE, and PD were assessed using self-report measures, and CGPA was self-reported. PLS-SEM in SmartPLS 4.0 and supplementary analyses in SPSS 26.0 tested direct, indirect, and interaction associations. Greater AD was associated with higher PD and lower SE. SE was negatively associated with PD and showed a significant statistical indirect association between AD and PD. CGPA was positively associated with SE but was not directly associated with PD; its indirect association through SE was significant. The hypothesized moderating effects of CGPA were not supported. These findings identify SE as a plausible statistical pathway, but they do not establish a causal mechanism; restricted CGPA variability, gender imbalance, purposive sampling, self-report measurement, and incomplete cultural validation of the Chinese AI-dependence scale warrant cautious interpretation.

Indexed as

academic achievementAI dependencepsychological distressself-esteemtime-lagged study

Identifiers

PMID42643578
PMCPMC13503579

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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.