Evidence map›Paper›PMID 42762047›Full record

ReviewFrontiers in psychology2026

A critical narrative synthesis of psychological correlates, measurement, and reported findings on conversational AI engagement and dependence-related constructs.

Deyu Yan

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. 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

1 author.

Deyu YanAdvanced Institute for Confucian Studies, Shandong University, Jinan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Conversational AI systems are used for task support, cognitive offloading, companionship, self-disclosure, and mood regulation. Research on these uses is distributed across trust, reliance, attachment, companionship, problematic use, and dependence, although these labels refer to different processes. This article presents a critical narrative synthesis of 51 peer-reviewed records retained from a curated working bibliography of 56 items. The corpus was assembled iteratively through database searching and citation chasing during 2025 and early 2026. Complete search histories and duplicate-removal logs were not retained, so the review is not presented as a reproducible systematic review. The sole author completed selection, extraction, coding, appraisal, and synthesis. Conceptual and measurement papers were separated from 22 first-order empirical records. Sixteen of those empirical records provided lower-leverage evidence and six provided moderate-leverage evidence. Mainly cross-sectional studies identified concurrent associations between stronger AI engagement or dependence-oriented scores and loneliness, social anxiety, depressive symptoms, low self-esteem, attachment insecurity, academic stress, escapism, anthropomorphic tendency, fatigue, weaker critical thinking, procrastination, and lower well-being. These associations do not establish prediction or consequence. Qualitative studies described both relational support and distress linked to emotionally significant use. Quasi-experimental and multi-study research reported some short-term reductions in loneliness and social anxiety, but this evidence remains limited and context dependent. The synthesis develops a provisional framework that separates instrumental-cognitive from relational-emotional use and treats regulation as a distinct dimension. The framework is an interpretive organization of the corpus, not a validated factor structure, causal pathway, or clinical model. Current evidence supports careful construct separation and design-matched claims, while stronger longitudinal, cross-cultural, and platform-comparative research is needed.

Indexed as

AI dependencechatbot attachmentcompanionshipconversational AIcritical thinkinglonelinessover-relianceproblematic use

Identifiers

PMID42762047
PMCPMC13588684

What OpenQuestion holds

Textmetadata
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.