HOW AI AND HUMAN BEHAVIORS SHAPE PSYCHOSOCIAL EFFECTS OF CHATBOT USE: A LONGITUDINAL RANDOMIZED CONTROLLED STUDY
"Results showed that while voice-based chatbots initially appeared beneficial in mitigating loneliness and dependence compared with text-based chatbots, these advantages diminished at high usage levels, especially with a neutral-voice chatbot. Conversation type also shaped outcomes: personal topics slightly increased loneliness but tended to lower emotional dependence compared with open-ended conversations, whereas non-personal topics were associated with greater dependence among heavy users. Overall, higher daily usage—across all modalities and conversation types—correlated with higher loneliness, dependence, and problematic use, and lower socialization. Exploratory analyses revealed that those with stronger emotional attachment tendencies and higher trust in the AI chatbot tended to experience greater loneliness and emotional dependence, respectively. These findings underscore the complex interplay between chatbot design choices (e.g., voice expressiveness) and user behaviors (e.g., conversation content, usage frequency). We highlight the need for further research on whether chatbots’ ability to manage emotional content without fostering dependence or replacing human relationships benefits overall well-being."