Evidence map›Paper›PMID 42792348›Full record

ReviewBehavioral sciences (Basel, Switzerland)2026

Emotional Dependency and Parasocial Grief Following the Alteration or Loss of Companion Artificial Intelligences: A Systematic Review.

Johanna Lilibeth Alcívar Ponce, Wilson Alexander Zambrano Vélez, Gioryi Sornoza Zavala, José Manuel Peñafiel Mejillones, Julio César Rivera Ruiz

Abstract readReview
In one paragraph

Review in Behavioral sciences (Basel, Switzerland), 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

5 authors.

Johanna Lilibeth Alcívar PonceFacultad de Ciencias Sociales y de la Salud, Universidad Estatal Península de Santa Elena, La Libertad 240250, Ecuador.ORCID 0009-0006-7313-1118
Wilson Alexander Zambrano VélezFacultad de Ciencias Sociales y de la Salud, Universidad Estatal Península de Santa Elena, La Libertad 240250, Ecuador.ORCID 0000-0003-1061-878X
Gioryi Sornoza ZavalaFacultad de Ciencias Sociales y de la Salud, Universidad Estatal Península de Santa Elena, La Libertad 240250, Ecuador.ORCID 0000-0002-5573-3119
José Manuel Peñafiel MejillonesFacultad de Ciencias Sociales y de la Salud, Universidad Estatal Península de Santa Elena, La Libertad 240250, Ecuador.ORCID 0009-0006-1450-8122
Julio César Rivera RuizFacultad de Ciencias Sociales y de la Salud, Universidad Estatal Península de Santa Elena, La Libertad 240250, Ecuador.ORCID 0009-0000-2561-9043

Funding

Universidad Estatal Península de Santa Elena 018b
6 · The paper itself

Abstract

With the advance of large language models, companion AI agents have evolved to simulate complex relational dynamics, responding to the need for affection and emotional support. This systematic review aimed to analyze the available empirical evidence on the manifestations of emotional dependency and parasocial grief experienced by users in response to the algorithmic alteration or loss of these companion AI agents. Following the guidelines of the PRISMA 2020 statement and with a protocol registered on OSF, an exhaustive search was conducted across the Web of Science, Scopus, PubMed, and APA PsycINFO databases. After applying inclusion criteria via the PICOS framework and evaluating methodological quality using the MMAT tool, 14 empirical studies were selected and included. The synthesized results suggest that technical disruptions (updates, content filters, or server shutdowns) are associated with disruptions in the agent's identity continuity, which users frequently described as coinciding with separation distress, depressive symptoms, perceived isolation, and parasocial grief expressed through anthropomorphic metaphors. It is preliminarily concluded that the loss or modification of companion AI agents may be linked to a psychosocial impact that presents descriptive similarities to interpersonal breakups or disenfranchised grief.

Indexed as

companion AIemotional dependencyparasocial grieftechnological disruption

Identifiers

PMID42792348
PMCPMC13603366

What OpenQuestion holds

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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.