A cross-sectional survey of 1,004 Chinese university students found that nearly half used AI chatbots, with higher usage and dependence linked to increased depression, but not directly to mental well-being or resilience.
Why It Matters To Your Practice
▪ AI chatbots are becoming an integral part of daily life for young adults.
▪ Understanding emerging behavioral health risks is critical as digital tools proliferate.
▪ Clinicians need to recognize new digital dependencies beyond traditional technology use.
▪ Mental health screening may need to evolve with technology trends.
Clinical Implications
▪ Students using AI chatbots showed higher rates of depression.
▪ Depression correlated directly with increased chatbot use and dependence.
▪ No direct link was found between chatbot use and overall mental well-being or resilience.
▪ Resilience may play an indirect protective role via its relationship with depression.
Insights
▪ 45.8% of students reported recent AI chatbot use, mainly at light to moderate levels.
▪ Severe dependence on chatbots was rare in this population.
▪ AI chatbot use may serve as a marker for underlying mood issues.
▪ Causal links between chatbot use and depression remain unclear.
The Bottom Line
▪ AI chatbot use is common among university students and associated with higher depression scores.
▪ Clinicians should be aware of new forms of digital dependence and their mental health correlates.
▪ Further studies are needed to clarify causality and inform screening and intervention.
▪ Digital habits should be included in psychosocial assessments for young adults.