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Published on in Vol 27 (2025)

This is a member publication of University of Pittsburgh

Preprints (earlier versions) of this paper are available at https://preprints.jmir.org/preprint/79850, first published .
Laptop screen displaying ChatGPT interface with examples, capabilities, and limitations.

The Effectiveness of AI Chatbots in Alleviating Mental Distress and Promoting Health Behaviors Among Adolescents and Young Adults: Systematic Review and Meta-Analysis

The Effectiveness of AI Chatbots in Alleviating Mental Distress and Promoting Health Behaviors Among Adolescents and Young Adults: Systematic Review and Meta-Analysis

Journals

  1. Uzoma C, Chukwuedo G, Isaac E, Uzoma V, Eneh S, Chinyere F, Precious O, Onukansi F. Chatbots as frontline educators in sexual reproductive health rights: evidence, limitations, and ethical considerations. Frontiers in Digital Health 2026;8 View
  2. Su K, Chen S, Chang J. The digital pandemic in youth: unpacking the algorithmic impact on mental health in an urbanized world. Current Opinion in Psychiatry 2026;39(3):269 View
  3. Stampa P. Vanishing Point: Italian Psychologists between Today's and Tomorrow's Uncertainty. RIVISTA DI PSICOLOGIA CLINICA 2026;(2):80 View
  4. Kunal A. Sapkale, Kapil S. Rade, Shubham S. Rathod , Rushikesh G. Puri Mrs. Apurva Pilay . HearU: A Smart AI-Based Mental Health Chatbot Using NLP for Emotional Support and Therapy. International Journal of Advanced Research in Science Communication and Technology 2026:20 View
  5. Madfa A, Alshammari A, Alanazi B, Alshammari S. Evaluating the effectiveness of an artificial intelligence–based chatbot for reducing dental anxiety among adult dental patients. Frontiers in Oral Health 2026;7 View
  6. Liu Z, Yang Y, Chen J, Zhang S, Zhang X, Zhuang Y, Hu R. Chatbot-based interventions for improvement of diet, physical activity, and tobacco use behaviors: protocol for a systematic review. Systematic Reviews 2026;15(1) View
  7. Perle J. A Behavioral Health Practitioner’s Primer for the Use of Artificial Intelligence (AI). Journal of Technology in Behavioral Science 2026 View
  8. Khan A. Push-Pull-Mooring approach to investigate the word-of-mouth intention to use AI-Driven mental health care platforms: insights from CDT, ELM and IRT. VINE Journal of Information and Knowledge Management Systems 2026:1 View
  9. Witkowska W, Bzikowska-Jura A. Artificial Intelligence in Anorexia Nervosa Care: Comparing ChatGPT and Google Gemini. Nutrients 2026;18(11):1705 View
  10. Khosravi M, Izadi R. Mental health chatbots and their technical features: A systematic review of reviews and a thematic analysis. Cambridge Prisms: Global Mental Health 2026;13 View
  11. Cheng S, Kim E, Bhalodi R, Um T, Wong D, Yuen E. Artificial Intelligence in Child and Adolescent Psychiatry: A Narrative Review of Recent Clinical Applications and Ethical Considerations. Current Psychiatry Reports 2026;28(1) View
  12. Gong G, Li G. The adaptive ecological trap: a grounded theory study of adolescent AI dependency. Frontiers in Psychology 2026;17 View
  13. Bernaerts S, Buelens F, De Witte N, Balaskas A, Colman T, Van Daele T. Exploring Real-World Use of AI Chatbots for Mental Health Support: Cross-Sectional Survey Study. JMIR Mental Health 2026;13:e104316 View
  14. Lengier M, Zych S, Powęska N, Świstak S, Pastuszak F, Małyszek P, Świderska M, Buziak J, Papińska J, Pielacha J. DIGITAL MENTAL HEALTH SUPPORT FOR HEALTHCARE PROFESSIONALS: A NARRATIVE REVIEW OF TELEPSYCHIATRY AND AI-DRIVEN CHATBOTS IN BURNOUT MITIGATION. International Journal of Innovative Technologies in Social Science 2026;4(2(50)) View
  15. Entenberg G. Debate: Conversational AI and young people's mental health – friend or foe? – conversational AI and young people's mental health: the case for clinically informed design. Child and Adolescent Mental Health 2026;31(3):238 View
  16. Walther M, Taubner S, Gertz M. Multimodale Sprachmodelle in der psychotherapeutischen Aus- und Weiterbildung. Die Psychotherapie 2026;71(5):366 View
  17. Sharp G, Marini S, Tam E, Hu H. Body Image and Eating Disorder Education Chatbot, JEM, in Australia and Canada: First 6-Month Real-World Survey Evaluation. JMIR Human Factors 2026;13:e90783 View
  18. Morales I, Marti-Estevez I, Doval S, Gutiérrez J, Fausor R, Arribas-García S, Álvarez-Mon M, Quintero J. Effectiveness of Chatbots in Mental Health Screening and Assessment: A Systematic Review (Preprint). JMIR Mental Health 2026 View
  19. Mokhtar D, Wang H, Garland E, Shakya D, Occhino-Moede L, Liu X, Frank A. Perspectives of Individuals With Obsessive-Compulsive Disorder on the Role of Artificial Intelligence in Therapy and Treatment: Thematic Qualitative Study. Journal of Participatory Medicine 2026;18:e98822 View
  20. Paschke K. Instagram, TikTok, ChatGPT & Co.: Soziale Medien, Chatbots und psychische Kinder- und Jugendgesundheit. Monatsschrift Kinderheilkunde 2026;174(9):740 View
  21. Gruber E, Biočina S. Chronic Workplace Interpersonal Trauma with Acute Psychological Manifestations: A Case Report Integrating Clinical Models and AI-Assisted Structured Reflective Digital Support. Archives of Trauma and Emergency Medicine 2026;2(1):10 View
  22. Fuentes‐Balderrama J, Zhong H, Cárdenas M, Ayala S, Velasco S, Cui J. AI‐Caramba: The Experience of Mothers in Central Texas With BRAT, a Parenting AI Chatbot. Child & Family Social Work 2026 View
  23. Crawford A, Earle M, Castillo G, Nandlall N, Hilton M. Exploring Applications of AI in the Crisis Line Sector: Protocol for a Scoping Review. JMIR Research Protocols 2026;15:e95087 View
  24. Paulus M, Torous J, Perlis R, Sarma K, Ajilore O, Khalsa S, Rodriguez C. Responsible and innovative AI for mental health care: five priority themes. NPP—Digital Psychiatry and Neuroscience 2026;4(1) View
  25. Diel A, Torous J, Cuijpers P, Kleesiek J, Nensa F, Weber N, Faust F, Lalgi T, Mellis F, Teufel M, Bäuerle A. A scoping review on the mental health harms of LLM-based chatbots. npj Digital Medicine 2026;9(1) View
  26. Hatfield S, Tamm J. Measuring the Impact of AI-Driven Well-Being Apps—Instrument Development and Pilot Evidence from the Malu Prototype. Theoretical and Applied Ergonomics 2026;2(3):17 View
  27. Posa A. KI-gestützte Systeme im Kontext psychischer Gesundheitsversorgung: Digitale Innovation oder Verlust menschlicher Fürsorge?. PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie 2026 View
  28. Ramirez I, Barnas O, Mohr D, Reddy M, Washburn J, Nguyen T, Kruzan K. Navigating self-injury in a digital world: adolescents’ perspectives on coping, help-seeking, and technology. Frontiers in Digital Health 2026;8 View
  29. Zhao L, Feng Y, Ruan Y, Hu D, Chen L, Chen A. Artificial intelligence in social work practice for children and youth: A scoping review. International Journal of Social Welfare 2026;35(4) View
  30. Ponce J, Vélez W, Zavala G, Mejillones J, Ruiz J. Emotional Dependency and Parasocial Grief Following the Alteration or Loss of Companion Artificial Intelligences: A Systematic Review. Behavioral Sciences 2026;16(9):1548 View
  31. Singh A, Boruah B, Rajkhowa P. Integrating Artificial Intelligence in School Psychology: Practical Strategies to Support Adolescent Wellbeing in Indian Schools. Journal of Psychologists and Counsellors in Schools 2026 View
  32. Nguyen T. Artificial Intelligence (AI) and Youth Mental Health. Child & Youth Services 2026:1 View
  33. Diel A, Weber N, Beckord J, Lalgi T, Jansen C, Skoda E, Dörrie N, Musche V, Robitzsch A, Teufel M, Bäuerle A. Use of generic Large Language Model Chatbots for Mental Health Issues among Patients seeking Psychotherapy: a Cross-Sectional Mixed-Method Analysis in a German University Hospital Outpatient Clinic (Preprint). JMIR AI 2026 View
  34. Wang B, Zhang Y, Li Q, Li B, Wang J. Narrative coherence and content personalization jointly regulate state anxiety: a component analysis experiment. Cognition and Emotion 2026:1 View

Conference Proceedings

  1. N S, K M, John Baskar S, S D. 2026 6th International Conference on Pervasive Computing and Social Networking (ICPCSN). EMO-GUIDE: Emotion-Driven Interactive Chatbot for Mental Well-Being using FSM-based Dialogue Control View
  2. Gupta M, Kiyohara M, Naruganahalli Rangaswamy R, Roesner F, Kientz J. Proceedings of the 25th Annual ACM Interaction Design and Children Conference. Exploring AI Companions Together: A Structured Family Co-Investigation of Character.AI View