Chatbot as an emergency exist: Mediated empathy for resilience via human-AI interaction during the COVID-19 pandemic
Open accessAbstract
As a global health crisis, the COVID-19 pandemic has also made heavy mental and emotional tolls become shared experiences of global communities, especially among females who were affected more by the pandemic than males for anxiety and depression. By connecting multiple facets of empathy as key mechanisms of information processing with the communication theory of resilience, the present study examines human-AI interactions during the COVID-19 pandemic in order to understand digitally mediated empathy and how the intertwining of empathic and communicative processes of resilience works as coping strategies for COVID-19 disruption. Mixed methods were adopted to explore the using experiences and effects of Replika, a chatbot companion powered by AI, with ethnographic research, in-depth interviews, and grounded theory-based analysis. Findings of this research extend empathy theories from interpersonal communication to human-AI interactions and show five types of digitally mediated empathy among Chinese female Replika users with varying degrees of cognitive empathy, affective empathy, and empathic response involved in the information processing processes, i.e., companion buddy, responsive diary, emotion-handling program, electronic pet, and tool for venting. When processing information obtained from AI and collaborative interactions with the AI chatbot, multiple facets of mediated empathy become unexpected pathways to resilience and enhance users' well-being. This study fills the research gap by exploring empathy and resilience processes in human-AI interactions. Practical implications, especially for increasing individuals' psychological resilience as an important component of global recovery from the pandemic, suggestions for future chatbot design, and future research directions are also discussed.
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Empirical studies on the mechanisms through which users form emotional connections with chatbots, including ChatGPT, remain limited.
“While these developments have sparked widespread public and academic interest, empirical studies on the mechanisms through which users form emotional connections with chatbots remain limited.”
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Cites
The Coding Manual for Qualitative Researchers
Saldaña, J. (2025) · SAGE Publications Ltd eBooks · doi:10.4135/9781036235611 · Cited by 19,156 · see citing works
Research design: qualitative, quantitative, and mixed methods approaches
Caldas, M. (2003) · Revista de Administração Contemporânea · doi:10.1590/s1415-65552003000100015 · Cited by 18,670 · see citing works
The psychological impact of quarantine and how to reduce it: Rapid review of the evidence
Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020) · The Lancet · doi:10.1016/s0140-6736(20)30460-8 · Cited by 16,378 · see citing works
Braun, V., & Clarke, V. (2012) · APA handbook of research methods in psychology, Vol 2: Research designs: Quantitative, qualitative, neuropsychological, and biological. · doi:10.1037/13620-004 · Cited by 10,299 · see citing works
Bonanno, G. A. (2004) · American Psychologist · doi:10.1037/0003-066x.59.1.20 · Cited by 6,851 · see citing works
Santomauro, D. F., Mantilla Herrera, A. M., Shadid, J., Zheng, P., Ashbaugh, C., Pigott, D. M., Abbafati, C., Adolph, C., Amlag, J. O., Aravkin, A. Y., et al. (2021) · The Lancet · doi:10.1016/s0140-6736(21)02143-7 · Cited by 5,444 · see citing works
(1997) · Choice Reviews Online · doi:10.5860/choice.34-3702 · Cited by 4,870 · see citing works
(1980) · Medical Entomology and Zoology · Cited by 4,712 · see citing works
Ethnography: Principles in Practice
Stebbins, R. A., Hammersley, M., & Atkinson, P. (1985) · The Canadian Journal of Sociology · doi:10.2307/3340052 · Cited by 4,082 · see citing works
The Interpretation of Cultures: Selected Essays
Dillon, W. S. (1974) · Teachers College Record The Voice of Scholarship in Education · Cited by 3,524 · see citing works
The SAGE Handbook of Grounded Theory
Bryant, A., & Charmaz, K. (2007) · SAGE · doi:10.4135/9781848607941 · Cited by 2,798 · see citing works
Mattley, C. L., Strauss, A., & Corbin, J. M. (1999) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2655359 · Cited by 2,410 · see citing works
Proceedings of the 2017 CHI Conference on Human Factors in Computing Systems
Mark, G., Fussell, S. R., Lampe, C., Schraefel, M., Hourcade, J., Appert, C., & Wigdor, D. J. (2017) · International Conference on Human Factors in Computing Systems · doi:10.1145/3025453 · Cited by 2,222 · see citing works
Nass, C., Steuer, J., & Tauber, E. R. (1994) · Proceedings of the SIGCHI Conference on Human Factors in Computing Systems · doi:10.1145/191666.191703 · Cited by 2,148 · see citing works
Proceedings of the 2020 CHI Conference on Human Factors in Computing Systems
(2020) · doi:10.1145/3313831 · Cited by 1,951 · see citing works
Emotions, cognition, and behavior
Izard, C. E., Kagan, J., & Zajonc, R. B. (1984) · Cambridge University Press eBooks · Cited by 1,347 · see citing works
The QCAE: a questionnaire of cognitive and affective empathy
Reniers, R. L. E. P., Corcoran, R., Drake, R., Shryane, N. M., & Völlm, B. A. (2011) · Journal of Personality Assessment · doi:10.1080/00223891.2010.528484 · Cited by 961 · see citing works
My Chatbot Companion - a Study of Human-Chatbot Relationships
Skjuve, M., Følstad, A., Fostervold, K. I., & Brandtzaeg, P. B. (2021) · International Journal of Human-Computer Studies · doi:10.1016/j.ijhcs.2021.102601 · Cited by 797 · see citing works
Cooper, H., Camic, P., Long, D. L., Panter, A., Rindskopf, D., & Sher, K. (2012) · American Psychological Association eBooks · doi:10.1037/13620-000 · Cited by 733 · see citing works
A New Chatbot for Customer Service on Social Media
Xu, A., Liu, Z., Guo, Y., Sinha, V. S., & Akkiraju, R. (2017) · CHI Conference on Human Factors in Computing Systems · doi:10.1145/3025453.3025496 · Cited by 589 · see citing works
Pfattheicher, S., Nockur, L., BOHM, R. M., Sassenrath, C., & Petersen, M. B. (2020) · Psychological Science · doi:10.1177/0956797620964422 · Cited by 576 · see citing works
Unique and Interactive Effects of Empathy and Social Status on Involvement in Bullying
Caravita, S. C. S., Blasio, P. D., & Salmivalli, C. (2008) · Social Development · doi:10.1111/j.1467-9507.2008.00465.x · Cited by 547 · see citing works
Resilience: Talking, Resisting, and Imagining New Normalcies Into Being
Buzzanell, P. M. (2010) · Journal of Communication · doi:10.1111/j.1460-2466.2009.01469.x · Cited by 488 · see citing works
Should Machines Express Sympathy and Empathy? Experiments with a Health Advice Chatbot
Liu, B., & Sundar, S. S. (2018) · Cyberpsychology, Behavior, and Social Networking · doi:10.1089/cyber.2018.0110 · Cited by 447 · see citing works
Interaction of affect and cognition in empathy.
Hoffman, M. L. (1985) · Cited by 390 · see citing works
Altruism and helping behavior : social, personality, and developmental perspectives
Rushton, J. P., & Sorrentino, R. M. (1981) · Medical Entomology and Zoology · Cited by 389 · see citing works
Curtis, W. J., & Cicchetti, D. (2003) · Development and Psychopathology · doi:10.1017/s0954579403000373 · Cited by 383 · see citing works
Proceedings of the SIGCHI Conference on Human Factors in Computing Systems
(2001) · doi:10.1145/365024 · Cited by 354 · see citing works
Chatbots: changing user needs and motivations
Brandtzaeg, P. B., & Følstad, A. (2018) · Interactions · doi:10.1145/3236669 · Cited by 322 · see citing works
Resilience: A Literature Review
Martin-Breen, P., & Anderies, J. M. (2011) · OpenDocs (Institute of Development Studies) · Cited by 306 · see citing works
Women are most affected by pandemics - lessons from past outbreaks
Wenham, C., Smith, J., Davies, S. E., Feng, H., Grépin, K. A., Harman, S., Herten-Crabb, A., & Morgan, R. (2020) · Nature · doi:10.1038/d41586-020-02006-z · Cited by 301 · see citing works
The indirect impact of COVID-19 on women
Burki, T. (2020) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(20)30568-5 · Cited by 297 · see citing works
Savoring, resilience, and psychological well-being in older adults
Smith, J. L., & Hollinger-Smith, L. M. (2014) · Aging & Mental Health · doi:10.1080/13607863.2014.986647 · Cited by 289 · see citing works
Nambisan, P. (2011) · Journal of the American Medical Informatics Association · doi:10.1136/amiajnl-2010-000058 · Cited by 284 · see citing works
A Computational Approach to Understanding Empathy Expressed in Text-Based Mental Health Support
Sharma, A., Miner, A., Atkins, D., & Althoff, T. (2020) · Proceedings of the 2020 Conference on Empirical Methods in Natural Language Processing (EMNLP) · doi:10.18653/v1/2020.emnlp-main.425 · Cited by 268 · see citing works
Custance, D. M., & Mayer, J. (2012) · Animal Cognition · doi:10.1007/s10071-012-0510-1 · Cited by 222 · see citing works
Empathy: Its Nature and Limitations
Buie, D. H. (1981) · Journal of the American Psychoanalytic Association · doi:10.1177/000306518102900201 · Cited by 213 · see citing works
Affective and cognitive empathy as mediators of gender differences in cyber and traditional bullying
Topçu, Ç., & Erdur‐Baker, Ö. (2012) · School Psychology International · doi:10.1177/0143034312446882 · Cited by 206 · see citing works
A Review and Meta-Analysis of Person-Centered Messages and Social Support Outcomes
High, A. C., & Dillard, J. P. (2012) · Communication Studies · doi:10.1080/10510974.2011.598208 · Cited by 192 · see citing works
Pian, W., Chi, J., & Ma, F. (2021) · Information Processing & Management · doi:10.1016/j.ipm.2021.102713 · Cited by 180 · see citing works
Self-citationDissociating the ability and propensity for empathy
Keysers, C., & Gazzola, V. (2014) · Trends in Cognitive Sciences · doi:10.1016/j.tics.2013.12.011 · Cited by 172 · see citing works
Emotional Resilience in the Helping Professions and how it can be Enhanced
Grant, L., & Kinman, G. (2014) · Health and Social Care Education · doi:10.11120/hsce.2014.00040 · Cited by 172 · see citing works
The multiple facets of empathy: a survey of theory and evidence
Leiberg, S., & Anders, S. (2006) · Progress in Brain Research · doi:10.1016/s0079-6123(06)56023-6 · Cited by 134 · see citing works
Todd, A. R., & Burgmer, P. (2013) · Journal of Personality and Social Psychology · doi:10.1037/a0031999 · Cited by 132 · see citing works
Health Chatbots for Fighting COVID-19: a Scoping Review
Almalki, M., & Azeez, F. K. (2020) · Acta Informatica Medica · doi:10.5455/aim.2020.28.241-247 · Cited by 129 · see citing works
The positive side of interpersonal communication
Socha, T. J., & Pitts, M. J. (2012) · ODU Digital Commons (Old Dominion University) · Cited by 129 · see citing works
Lucas, K., & Buzzanell, P. M. (2012) · Journal of Family Communication · doi:10.1080/15267431.2012.687196 · Cited by 129 · see citing works
Research as Pragmatic Problem-solving: The Pragmatist Roots of Empirically-grounded Theorizing
Strübing, J. (2007) · The SAGE Handbook of Grounded Theory · doi:10.4135/9781848607941.n27 · Cited by 124 · see citing works
Huber, A., Barber, A. L. A., Faragó, T., Müller, C. A., & Huber, L. (2017) · Animal Cognition · doi:10.1007/s10071-017-1092-8 · Cited by 123 · see citing works
Nicovich, S. G., Boller, G. W., & Cornwell, T. B. (2006) · Journal of Computer-Mediated Communication · doi:10.1111/j.1083-6101.2005.tb00243.x · Cited by 122 · see citing works
Sassenrath, C., Hodges, S. D., & Pfattheicher, S. (2016) · Current Directions in Psychological Science · doi:10.1177/0963721416659253 · Cited by 106 · see citing works
Online Social Connection as a Buffer of Health Anxiety and Isolation During COVID-19
Stuart, J., O'Donnell, K., O'Donnell, A., Scott, R., & Barber, B. (2021) · Cyberpsychology, Behavior, and Social Networking · doi:10.1089/cyber.2020.0645 · Cited by 105 · see citing works
Grondin, F., Lomanowska, A. M., & Jackson, P. L. (2019) · Clinical Psychology Science and Practice · doi:10.1111/cpsp.12298 · Cited by 100 · see citing works
Family burden, family health and personal mental health
Ennis, E., & Bunting, B. (2013) · BMC Public Health · doi:10.1186/1471-2458-13-255 · Cited by 95 · see citing works
Building community resilience on social media to help recover from the COVID-19 pandemic
Xie, L., Pinto, J., & Zhong, B. (2022) · Computers in Human Behavior · doi:10.1016/j.chb.2022.107294 · Cited by 92 · see citing works
Communicative Reconstruction of Resilience Labor: Identity/Identification in Disaster-Relief Workers
Agarwal, V., & Buzzanell, P. M. (2015) · Journal of Applied Communication Research · doi:10.1080/00909882.2015.1083602 · Cited by 89 · see citing works
Effects of Resilience on Mental Health and Life Satisfaction
Samani, S., Joukar, B., & Sahragard, N. (2007) · Iranian Journal of Psychiatry and Clinical Psychology · Cited by 87 · see citing works
Buzzanell, P. M., & Houston, J. B. (2018) · Journal of Applied Communication Research · doi:10.1080/00909882.2017.1412086 · Cited by 85 · see citing works
Resilience in the age of COVID-19
Kaye‐Kauderer, H., Feingold, J. H., Feder, A., Southwick, S. M., & Charney, D. S. (2021) · BJPsych Advances · doi:10.1192/bja.2021.5 · Cited by 84 · see citing works
Anxious China: Inner Revolution and Politics of Psychotherapy
Zhang, L. (2020) · Cited by 84 · see citing works
Media Niche of Electronic Communication Channels in Friendship: A Meta-Analysis
Liu, D., & Yang, C. (2016) · Journal of Computer-Mediated Communication · doi:10.1111/jcc4.12175 · Cited by 82 · see citing works
Mey, G. (2024) · Springer eBooks · doi:10.1007/978-3-658-45155-4_18 · Cited by 80 · see citing works
Resilience and Empathy as Predictors of Psychological Wellbeing among Adolescents
Vinayak, S., & Judge, J. (2018) · International Journal of Health Sciences and Research · Cited by 79 · see citing works
Gartner, M. C. (2014) · Personality and Individual Differences · doi:10.1016/j.paid.2014.10.042 · Cited by 67 · see citing works
Online Support Groups for Depression in China: Culturally Shaped Interactions and Motivations
Zhang, R., Eschler, J., & Reddy, M. C. (2018) · Computer Supported Cooperative Work (CSCW) · doi:10.1007/s10606-018-9322-4 · Cited by 63 · see citing works
Lillie, H. M., Venetis, M. K., & Chernichky-Karcher, S. M. (2017) · Health Communication · doi:10.1080/10410236.2017.1372049 · Cited by 63 · see citing works
Pleasing frowns, disappointing smiles: An ERP investigation of counterempathy.
Yamada, M., Lamm, C., & Jean Decety, A. (2011) · Emotion · doi:10.1037/a0023854 · Cited by 59 · see citing works
Paul, I., Mohanty, S., & Sengupta, R. (2021) · Computers in Human Behavior · doi:10.1016/j.chb.2021.107036 · Cited by 50 · see citing works
Curran, M. T., Gordon, J., Lin, L., Sridhar, P., & Chuang, J. (2019) · International Conference on Human Factors in Computing Systems · doi:10.1145/3290605.3300844 · Cited by 50 · see citing works
Lillie, H. M., Chernichky-Karcher, S. M., & Venetis, M. K. (2021) · Journal of Social and Personal Relationships · doi:10.1177/02654075211009302 · Cited by 48 · see citing works
The Milspouse Battle Rhythm: Communicating Resilience Throughout the Deployment Cycle
Villagran, M. M., Canzona, M. R., & Ledford, C. J. W. (2013) · Health Communication · doi:10.1080/10410236.2013.800441 · Cited by 47 · see citing works
Ledbetter, A. M., & Beck, S. J. (2014) · Journal of Family Communication · doi:10.1080/15267431.2014.908196 · Cited by 46 · see citing works
Rossetto, K. R. (2015) · Journal of Family Communication · doi:10.1080/15267431.2015.1043737 · Cited by 41 · see citing works
Afifi, T. D., Granger, D. A., Joseph, A., Denes, A., & Aldeis, D. (2013) · Communication Research · doi:10.1177/0093650213509665 · Cited by 40 · see citing works
Communication and resilience: concluding thoughts and key issues for future research
Houston, J. B., & Buzzanell, P. M. (2018) · Journal of Applied Communication Research · doi:10.1080/00909882.2018.1426691 · Cited by 40 · see citing works
Martingano, A. J., & Konrath, S. (2022) · The Journal of Social Psychology · doi:10.1080/00224545.2021.1985415 · Cited by 38 · see citing works
The RoPE Scale: a Measure of How Empathic a Robot is Perceived
Charrier, L., Rieger, A., Galdeano, A., Cordier, A., Lefort, M., & Hassas, S. (2019) · ACM/IEEE International Conference on Human-Robot Interaction (HRI) · doi:10.1109/hri.2019.8673082 · Cited by 37 · see citing works
Communicating Hope and Resilience Across the Lifespan
Beck, G. A., & Socha, T. J. (2015) · doi:10.3726/978-1-4539-1520-2 · Cited by 35 · see citing works
The Family communication sourcebook
(2006) · Choice Reviews Online · doi:10.5860/choice.44-2398 · Cited by 33 · see citing works
Carr, K., & Wang, T. R. (2012) · Journal of Family Communication · doi:10.1080/15267431.2011.629970 · Cited by 30 · see citing works
The Dyadic Communicative Resilience Scale (DCRS): scale development, reliability, and validity
Chernichky-Karcher, S. M., Venetis, M. K., & Lillie, H. M. (2019) · Supportive Care in Cancer · doi:10.1007/s00520-019-04763-8 · Cited by 30 · see citing works
Beck, G. A. (2016) · Journal of Family Communication · doi:10.1080/15267431.2016.1215315 · Cited by 27 · see citing works
Qualitative Research and the Modern Library
Goodman, V. D. (2011) · Chandos Publishing eBooks · doi:10.1533/9781780632681 · Cited by 27 · see citing works
Chebat, J., Vercollier, S. D., & Gélinas‐Chebat, C. (2003) · Psychological Reports · doi:10.2466/pr0.2003.92.3.997 · Cited by 26 · see citing works
The Many Faces of Empathy in Experiential, Person-Centered, Collaborative Assessment
Finn, S. E. (2008) · Journal of Personality Assessment · doi:10.1080/00223890802483391 · Cited by 24 · see citing works
van der Stouwe, T., Asscher, J. J., Hoeve, M., van der Laan, P. H., & Stams, G. J. J. M. (2018) · Children and Youth Services Review · doi:10.1016/j.childyouth.2018.05.006 · Cited by 23 · see citing works
EEG based functional connectivity analysis of human pain empathy towards humans and robots
Chang, W., Wang, H., Yan, G., Lü, Z., Liu, C., & Hua, C. (2020) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2020.107695 · Cited by 17 · see citing works
Perspective Taking and Avatar-Self Merging
Müsseler, J., von Salm-Hoogstraeten, S., & Böffel, C. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.714464 · Cited by 16 · see citing works
Resilience, Empathy, and Wellbeing in the Health Professions: An Educational Imperative
Haramati, A., & Weissinger, P. A. (2015) · Global Advances in Health and Medicine · doi:10.7453/gahmj.2015.092 · Cited by 11 · see citing works
Approaches to reviewing the literature in grounded theory: a framework
Deering, K., & Williams, J. (2020) · Nurse Researcher · doi:10.7748/nr.2020.e1752 · Cited by 8 · see citing works
Development and Validation of the Counter-Empathy Scale
Jie, J., & Wang, Y. (2022) · Psychological Reports · doi:10.1177/00332941221076775 · Cited by 6 · see citing works
Empathizers and systemizers process social information differently
Riekki, T. J. J., Svedholm‐Häkkinen, A. M., & Lindeman, M. (2017) · Social Neuroscience · doi:10.1080/17470919.2017.1368700 · Cited by 5 · see citing works
Flagged first, then by citations
Research works printed but not linked: 5
- Boller G.W. Narrative advertisements: Stories about consumption experiences and their effects on meanings about products. unpublished doctoral dissertation 1988 The Pennsylvania State University
- Brooks R.B. Goldstein S. Power of resilience 2003 McGraw-Hill New York
- Chen Z. Guo F. 2020 National Report of Chinese Mental Health Survey: Current situations, trends and needs Fu X. Zhang K. Chen X. Chen Z. Bluebook of mental health: Report on national mental health development in China (2019∼2020) 2021 Social Sciences Academic Press Beijing 1 33
- Glaser B.G. Theoretical sensitivity 1978 Sociology Press Mill valley, CA
- Guo F. Cai Y. Wang Y. Li Y. Chen Z. Emotional health status and social mentality of the Chinese general public during the 2019 novel coronavirus pneumonia pandemic Science & Technology Review 38 4 2020 68 76
Cited by
Sorted by citations
Ma, X., & Huo, Y. (2023) · Technology in Society · doi:10.1016/j.techsoc.2023.102362 · Cited by 368 · see citing works
Pentina, I., Xie, T., Hancock, T. D., & Bailey, A. A. (2023) · Psychology and Marketing · doi:10.1002/mar.21853 · Cited by 195 · see citing works
Finding love in algorithms: deciphering the emotional contexts of close encounters with AI chatbots
Li, H. Z., & Zhang, R. (2024) · Journal of Computer-Mediated Communication · doi:10.1093/jcmc/zmae015 · Cited by 164 · see citing works
Finding Love in Algorithms: Deciphering the Emotional Contexts of Close Encounters with AI Chatbots
Li, H., & Zhang, R. (2024) · doi:10.31219/osf.io/xd4k7 · Cited by 150
Zhang, R., Li, H., Meng, H., Zhan, J., Gan, H., & Lee, Y.-C. (2025) · Proceedings of the 2025 CHI Conference on Human Factors in Computing Systems · doi:10.1145/3706598.3713429 · Cited by 123 · see citing works
Talking to a bot or a wall? How chatbots vs. human agents affect anticipated communication quality
Zhou, Q., Li, B., Han, L., & Jou, M. (2023) · Computers in Human Behavior · doi:10.1016/j.chb.2023.107674 · Cited by 93 · see citing works
Deletion, departure, death: Experiences of AI companion loss
Banks, J. (2024) · Journal of Social and Personal Relationships · doi:10.1177/02654075241269688 · Cited by 74 · see citing works
The role of chatbots’ human-like characteristics in online shopping
Fu, J., Mouakket, S., & Sun, Y. (2023) · Electronic Commerce Research and Applications · doi:10.1016/j.elerap.2023.101304 · Cited by 78 · see citing works
What makes you attached to social companion AI? A two-stage exploratory mixed-method study
Hu, D., Lan, Y., Yan, H., & Chen, C. W. (2025) · International Journal of Information Management · doi:10.1016/j.ijinfomgt.2025.102890 · Cited by 70 · see citing works
Sanjeewa, R., Iyer, R., Apputhurai, P., Wickramasinghe, N. S., & Meyer, D. (2024) · JMIR Mental Health · doi:10.2196/58974 · Cited by 59 · see citing works
The AI empathy effect: a mechanism of emotional contagion
Liu, W., Zhang, S., Zhang, T., Gu, Q., Wei, H., & Zhu, Y. (2024) · Journal of Hospitality Marketing & Management · doi:10.1080/19368623.2024.2315954 · Cited by 63 · see citing works
Huang, Y., & Huang, H. (2025) · International Journal of Human–Computer Interaction · doi:10.1080/10447318.2024.2426029 · Cited by 58 · see citing works
Potential and pitfalls of romantic Artificial Intelligence (AI) companions: A systematic review
Ho, J. Q. H., Hu, M., Chen, T. X., & Hartanto, A. (2025) · Computers in Human Behavior Reports · doi:10.1016/j.chbr.2025.100715 · Cited by 64 · see citing works
Song, M., Chen, H., Wang, Y., & Duan, Y. (2024) · Journal of Destination Marketing & Management · doi:10.1016/j.jdmm.2024.100892 · Cited by 61 · see citing works
Xiao, Y., & Yu, S. (2024) · International Journal of Information Management · doi:10.1016/j.ijinfomgt.2024.102835 · Cited by 74 · see citing works
Emotional AI and the rise of pseudo-intimacy: are we trading authenticity for algorithmic affection?
Babu, J., Joseph, D., Kumar, R., Alexander, E. M., Sasi, R. K., & Joseph, J. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1679324 · Cited by 52 · see citing works
Yim, M. C. (2023) · International Journal of Human-Computer Interaction · doi:10.1080/10447318.2023.2234114 · Cited by 51 · see citing works
Qin, H., Zhu, Y., Jiang, Y., Luo, S., & Huang, C. (2024) · Technology in Society · doi:10.1016/j.techsoc.2024.102726 · Cited by 51 · see citing works
Moylan, K., & Doherty, K. (2025) · Journal of Medical Internet Research · doi:10.2196/67114 · Cited by 46 · see citing works
Xiao, Y., Zhang, T., & He, J. (2024) · Heliyon · doi:10.1016/j.heliyon.2024.e37238 · Cited by 52 · see citing works
RetractedXu, C. G., Sun, Y., & Zhou, H. (2024) · Journal of Business Ethics · doi:10.1007/s10551-024-05837-2 · Cited by 40 · see citing works
Yao, R., Qi, G., Sheng, D., Sun, H., & Zhang, J. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1453072 · Cited by 45 · see citing works
Can ChatGPT improve communication in hospitals?
Calonge, D. S., Aguerrebere, P. M., Hultberg, P. T., & Shah, M. A. (2023) · El Profesional de la Informacion · doi:10.3145/epi.2023.mar.19 · Cited by 43 · see citing works
Behera, R. K., Bala, P. K., Rana, N. P., & Irani, Z. (2024) · Marketing Intelligence & Planning · doi:10.1108/mip-08-2023-0412 · Cited by 37 · see citing works
Al-Zahrani, A. M. (2025) · SAGE Open · doi:10.1177/21582440251340615 · Cited by 50 · see citing works
Ali, I., Nguyen, K., Ali, A. M., & Cui, T. (2025) · Journal of Knowledge Management · doi:10.1108/jkm-03-2025-0431 · Cited by 44 · see citing works
Zhang, K., Xie, Y., Chen, D., Ji, Z., & Wang, J. (2025) · BMC Psychology · doi:10.1186/s40359-025-03284-w · Cited by 38 · see citing works
Cho, Y., Rai, S., Ungar, L., Sedoc, J., & Guntuku, S. (2023) · Proceedings of the 2023 Conference on Empirical Methods in Natural Language Processing · doi:10.18653/v1/2023.emnlp-main.698 · Cited by 33 · see citing works
Vuong, Q., La, V., Nguyen, M., Jin, R., La, M.-K., & Le, T.-T. (2023) · International Journal of Human-Computer Interaction · doi:10.1080/10447318.2023.2227828 · Cited by 33 · see citing works
Luetke Lanfer, H., Reifegerste, D., Weber, W., Memenga, P., Baumann, E., Geulen, J., Klein, S., Müller, A., Hahne, A., & Weg-Remers, S. (2024) · BMC Health Services Research · doi:10.1186/s12913-024-10785-8 · Cited by 30 · see citing works
Ni, B., Wu, F., & Huang, Q. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20043772 · Cited by 29 · see citing works
Kang, D., Kang, T., & Jang, J. (2023) · Information Processing & Management · doi:10.1016/j.ipm.2023.103477 · Cited by 28 · see citing works
Chatbot for communicating with university students in emergency situation
Balderas, A., Mena, R. F. G., Huerta, M., Mora, N., & Dodero, J. M. (2023) · Heliyon · doi:10.1016/j.heliyon.2023.e19517 · Cited by 26 · see citing works
Zhou, M., Liu, L., & Feng, Y. (2025) · Behaviour and Information Technology · doi:10.1080/0144929x.2025.2451763 · Cited by 27 · see citing works
Gur, T., & Maaravi, Y. (2025) · Behaviour and Information Technology · doi:10.1080/0144929x.2025.2502467 · Cited by 28 · see citing works
The compassion illusion: can artificial empathy ever be emotionally authentic?
K. G., A., & Joseph, J. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1723149 · Cited by 24 · see citing works
Vuong, Q., La, V., Nguyen, M., Jin, R., La, M.-K., & Le, T.-T. (2023) · Behavioral Sciences · doi:10.3390/bs13060470 · Cited by 23 · see citing works
Salah, M., Abdelfattah, F., Alhalbusi, H., & Mohammed, M. (2024) · Research Square · doi:10.21203/rs.3.rs-3508563/v2 · Cited by 26 · see citing works
A review on polyadic chatbots: trends, challenges, and future research directions
Kuhail, M. A., Taj, I., Alimamy, S., & Shawar, B. A. (2024) · Knowledge and Information Systems · doi:10.1007/s10115-024-02287-0 · Cited by 21 · see citing works
When algorithms meet emotions: Understanding consumer satisfaction in AI companion applications
Silayach, N., Ray, R. K., Singh, N. K., Dash, D. P., & Singh, A. K. (2025) · Journal of Retailing and Consumer Services · doi:10.1016/j.jretconser.2025.104298 · Cited by 21 · see citing works
Huang, L., Zou, W., & Huang, Y. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1571707 · Cited by 19 · see citing works
From Empathy to Resilience: The Mediating Role of Emotional Intelligence
Xing, L., Deng, S. W., & Ho, G. W. (2023) · Psychological Reports · doi:10.1177/00332941231220299 · Cited by 17 · see citing works
Park, E. G. (2025) · International Journal of Strategic Communication · doi:10.1080/1553118x.2025.2462087 · Cited by 18 · see citing works
Khan, M. I., Tarofder, A. K., Gopinathan, S., & Haque, A. (2025) · International Journal of Human-Computer Interaction · doi:10.1080/10447318.2025.2495118 · Cited by 15 · see citing works
Zou, W., Liu, Z., & Lin, C. (2025) · Information Communication & Society · doi:10.1080/1369118x.2025.2508394 · Cited by 15 · see citing works
Chen, P., Li, Y., Zhang, X., Feng, X. L., & Sun, X. (2024) · BMC Public Health · doi:10.1186/s12889-024-19667-4 · Cited by 15 · see citing works
Liu, T., Xu, Y., Yang, J., & Li, K. (2025) · Psychology and Marketing · doi:10.1002/mar.70022 · Cited by 14 · see citing works
Qiu, J., Zhang, T., Xu, Z.-Y., Fu, Y., Mi, Q., & Li, S.-T. (2025) · Online information review (Print) · doi:10.1108/oir-11-2024-0706 · Cited by 12 · see citing works
He, H., Bai, S., Han, C., Yang, M., Fan, W., & Gupta, B. B. (2025) · Technology in Society · doi:10.1016/j.techsoc.2025.103020 · Cited by 13 · see citing works
Liu, T., Lo, T.-Y., Wen, K.-H., Sun, Y., & Wei, Z.-Q. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1687686 · Cited by 13 · see citing works
Pian, W., Lin, L., Li, B., Qin, C., & Lin, H. (2022) · BMC Public Health · doi:10.1186/s12889-022-14418-9 · Cited by 13 · see citing works
Self-citationDesign and Development of AI-Powered Healthcare WhatsApp Chatbot
Prakasam, S., Natarajan, B., Kirthickram, T. R., Ajith Jerom, B., & Deepak, S. (2023) · International Conference on Vision Towards Emerging Trends in Communication and Networking (ViTECoN) · doi:10.1109/vitecon58111.2023.10157423 · Cited by 12 · see citing works
Alibudbud, R. C., Aruta, J. J. B. R., Sison, K. A., & Guinto, R. (2024) · International Review of Psychiatry · doi:10.1080/09540261.2024.2363373 · Cited by 12 · see citing works
Salah, M., Abdelfattah, F., Alhalbusi, H., & Mukhaini, M. A. (2023) · doi:10.21203/rs.3.rs-3508563/v1 · Cited by 12 · see citing works
Humans befriending their creations: some notes on the human-AI relationshipPreprint
Le, T.-T. (2023) · doi:10.31219/osf.io/uyb2p · Cited by 11 · see citing works
Empathy order effects on shaping GenAI online complaint management in tourism
Xu, X., Wen, N., & Cai, R. (2025) · Tourism Management · doi:10.1016/j.tourman.2025.105304 · Cited by 10 · see citing works
Cheng, Y., Li, J., Lee, J., & Liu, Y. (2025) · Journal of Risk Research · doi:10.1080/13669877.2025.2579317 · Cited by 10 · see citing works
Interaction with AI companions and psychological well-being
Zhang, Y., Zhao, D., Hancock, J. T., Kraut, R. E., & Yang, D. (2026) · Nature Human Behaviour · doi:10.1038/s41562-026-02516-2 · Cited by 114 · see citing works
Self-citationZhang, L., Wang, X., Majeed, S., & Zhou, Z. (2024) · Journal of Retailing and Consumer Services · doi:10.1016/j.jretconser.2024.104193 · Cited by 12 · see citing works
Breckner, K., Neumayr, T., Mara, M., Streit, M., & Augstein, M. (2025) · International Journal of Human-Computer Interaction · doi:10.1080/10447318.2025.2482742 · Cited by 12 · see citing works
Mental Health and Virtual Companions: The Example of Replika
Goodings, L., Ellis, D., & Tucker, I. M. (2024) · Palgrave Studies in Cyberpsychology. · doi:10.1007/978-3-031-53911-4_3 · Cited by 10 · see citing works
Wang, S., Zhang, X., & Meng, F. (2025) · Industrial Management & Data Systems · doi:10.1108/imds-11-2023-0835 · Cited by 10 · see citing works
Peng-yi, S., Li, J., & Wan, D. (2025) · International Journal of Consumer Studies · doi:10.1111/ijcs.70054 · Cited by 9 · see citing works
Gao, J., Guo, J., Yao, S., & Yin, Y. (2026) · Tourism Review · doi:10.1108/tr-06-2025-0622 · Cited by 9 · see citing works
He, Z., & Chen, M. (2024) · Computers in Human Behavior · doi:10.1016/j.chb.2024.108276 · Cited by 9 · see citing works
Just-in-Time News: An AI Chatbot for the Modern Information Age
Sufi, F. K. (2025) · AI · doi:10.3390/ai6020022 · Cited by 11 · see citing works
Zhang, S., Qian, Y., Yao, Z., Ni, Z., & Zhang, Y. (2025) · Telematics and Informatics · doi:10.1016/j.tele.2025.102313 · Cited by 9 · see citing works
Self-citationMuneer, S., Dastgeer, G., Qureshi, M. I., & Alshammari, A. S. (2025) · Acta Psychologica · doi:10.1016/j.actpsy.2025.106096 · Cited by 10 · see citing works
Modeling the information behavior patterns of new graduate students in supervisor selection
Zhang, Z., Xie, J., Xu, X., Lu, H., & Cheng, Y. (2023) · Information Processing & Management · doi:10.1016/j.ipm.2023.103342 · Cited by 8 · see citing works
WhatsApp-Based Cloud Service Chatbot Application for Emergencies or Disasters
Peña-Cáceres, O., Ramos, A. P. T., Correa-Calle, T., & More-More, M. (2024) · Journal of Advances in Information Technology · doi:10.12720/jait.15.3.435-445 · Cited by 8 · see citing works
Algorithm to emotion: a three-stage model of user acceptance for AI-generated news platforms
Zhang, K., Xie, Y., Han, W., Zhang, D., & Quan, Y. (2025) · Telematics and Informatics · doi:10.1016/j.tele.2025.102312 · Cited by 8 · see citing works
Characterizing Relationships with Companion and Assistant Large Language Models
Manoli, A., Pauketat, J. V. T., & Anthis, J. R. (2025) · ACM Conference on Computer Supported Cooperative Work (CSCW) · doi:10.1145/3715070.3749245 · Cited by 8 · see citing works
Risk, Resilience, and Ethical Considerations in Artificial Intelligence
Buzzanell, P. (2023) · Emerging Media · doi:10.1177/27523543231188274 · Cited by 4 · see citing works
Chen, S., Peng, D., Barbareschi, G., Chen, D. D., & Sato, C. (2025) · CHI Conference on Human Factors in Computing Systems · doi:10.1145/3706598.3713984 · Cited by 6 · see citing works
Uzan, S., Freud, D., & Elalouf, A. (2025) · Applied Sciences · doi:10.3390/app15179439 · Cited by 10 · see citing works
Multi-views Emotional Knowledge Extraction for Emotion Recognition in Conversation
Jian, Z., Wu, D., Wang, S., He, J., Yao, J., Liu, K., & Wu, Q. (2025) · Knowledge-Based Systems · doi:10.1016/j.knosys.2025.113601 · Cited by 5 · see citing works
Jamil, K., Anwar, A., & Mustafa, S. (2026) · Journal of Hospitality Marketing & Management · doi:10.1080/19368623.2026.2614407 · Cited by 5 · see citing works
Integrating discourse features and response assessment for advancing empathetic dialogue
Li, B., Fei, H., Su, F., Li, F., & Ji, D. (2024) · Information Processing & Management · doi:10.1016/j.ipm.2024.103803 · Cited by 5 · see citing works
Liu, Y., Li, S., Yu, J., Cao, J., Ma, Q., Liu, Y., Zheng, Y., You, Y., Lv, W., Li, Q., et al. (2025) · BMC Nursing · doi:10.1186/s12912-025-03037-5 · Cited by 4 · see citing works
Tunca, S. (2025) · Sociology Compass · doi:10.1111/soc4.70110 · Cited by 5 · see citing works
Can Chatbot Anthropomorphism and Empathy Mitigate the Impact of Customer Anger on Satisfaction?
Tang, J., Wang, Y., Zhou, X., Guo, J., & Li, C. P. (2024) · Lecture notes in computer science · doi:10.1007/978-3-031-57850-2_7 · Cited by 5 · see citing works
Cai, Y., & Wang, F. (2024) · Lecture notes in computer science · doi:10.1007/978-3-031-60114-9_14 · Cited by 4 · see citing works
Physical and psychological health of medical students: A structural equation modeling approach.
Li, C.-C., Zhang, J., Ma, H., Feng, Y.-J., He, H., & Zhu, P. (2025) · Acta Psychologica · doi:10.1016/j.actpsy.2025.105164 · Cited by 3 · see citing works
Wang, X., Wuji, S., Li, M., Liu, Y., & Luo, R. (2025) · Information Processing & Management · doi:10.1016/j.ipm.2025.104323 · Cited by 3 · see citing works
A stimulus-organism-response approach to predicting membership retention in fitness clubs
Watts, H., Francis‐Smythe, J., & Bell, R. (2025) · Journal of Retailing and Consumer Services · doi:10.1016/j.jretconser.2025.104461 · Cited by 4 · see citing works
Social skills development in children aged 4–8 years
Józsa, K., Oo, T. Z., Borbélyová, D., & Podráczky, J. (2025) · PLoS ONE · doi:10.1371/journal.pone.0332571 · Cited by 3 · see citing works
User-AI intimacy in digital health
Shi, R., & Petrakaki, D. (2025) · Social Science & Medicine · doi:10.1016/j.socscimed.2025.118853 · Cited by 5 · see citing works
Juhaidi, A., Lathifaturrahmah, L., & Hidayati, N. (2025) · Sustainable Futures · doi:10.1016/j.sftr.2025.101378 · Cited by 3 · see citing works
Peña-Cáceres, O., Ramos, A. P. T., Correa-Calle, T., & More-More, M. (2024) · TEM Journal · doi:10.18421/tem131-05 · Cited by 3 · see citing works
Tuczek, M., Degirmenci, K., Song, Y., Desouza, K. C., Breitner, M. H., & Watson, R. T. (2025) · The Journal of Strategic Information Systems · doi:10.1016/j.jsis.2025.101908 · Cited by 5 · see citing works
Empathy in Interpersonal Relationships of Students as a Factor af Their Psychological Safety
Anisimova, E. V., & Krushelnitskaya, O. B. (2023) · Journal of Modern Foreign Psychology · doi:10.17759/jmfp.2023120309 · Cited by 3 · see citing works
王, 袁., 朱, 孟., & 陈, 思. (2023) · Global Journal of Media Studies · doi:10.26599/gjms.2023.9330056 · Cited by 3 · see citing works
الخولی, س. س. ع. م. (2024) · Education and Information Technologies · doi:10.1007/s10639-024-12810-z · Cited by 4 · see citing works
The Role of AI-Powered Chatbots in Telemedicine: Improving Accessibility and Patient Engagement
Karim, M. K., Sharma, R. K., & Singh, V. (2023) · International Journal of Technology and Modeling · doi:10.63876/ijtm.v2i1.108 · Cited by 3 · see citing works
Dong, B., Xia, Z., Shi, L., Gong, X., Shi, Y., Chen, A., & Tian, X. (2025) · International Journal of Adolescence and Youth · doi:10.1080/02673843.2025.2552325 · Cited by 2 · see citing works
Citation importance-aware document representation learning for large-scale science mapping
Liang, Z., van Eck, N. J., Wu, X., Mao, J., & Li, G. (2025) · Information Processing & Management · doi:10.1016/j.ipm.2025.104557 · Cited by 3 · see citing works
Jin, Y., Peng, H., Sun, Z., Zhang, X. H., Zhang, D., & Zhang, J. (2026) · Journal of Retailing and Consumer Services · doi:10.1016/j.jretconser.2026.104818 · Cited by 2 · see citing works
Song, T.-Q., Sun, B., Li, J.-S., Li, H., Yang, C.-L., Xu, Y.-J., & Lee, Y.-C. (2026) · International Conference on Human Factors in Computing Systems · doi:10.1145/3772318.3791224 · Cited by 5 · see citing works
Building Empathic Chabot using LSTM and NLP
Jeyalakshmi, J., Srinidhi, S. K., & Balaprathap, C. (2024) · International Conference on Innovative Practices in Technology and Management (ICIPTM) · doi:10.1109/iciptm59628.2024.10563763 · Cited by 2 · see citing works
- Authors
- Jiang, Q., Zhang, Y., & Pian, W.
- Affiliations
- Tsinghua University (CN)
- Wuhan University (CN)
- Corresponding author
- Pian, Wenjing
- Venue
- Information Processing & Management
- Publisher
- Elsevier BV
- Published
- 2022-11
- Volume
- 59
- Issue
- 6
- Pages
- 103074
- ISSN
- 0020-0271 (ISSN-L)
- 0306-4573
- PMC
- PMC9428597
- OpenAlex
- W4293745145
- Cited by
- 165
- References
- 94
- Citations by year
- 2026: 47 · 2025: 59 · 2024: 30 · 2023: 25 · 2022: 4
- FWCI
- 25.11
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- Information Processing & Management (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Natural Science Foundation of China (71904028)
- National Office for Philosophy and Social Sciences (18ZDA307)
- Topics
- Social Sciences › Psychology › Social Psychology › Social Robot Interaction and HRI
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Physical Sciences › Computer Science › Human-Computer Interaction › Innovative Human-Technology Interaction
- Keywords
- chatbots, human-AI interaction, psychological resilience, COVID-19 pandemic, Replika, cognitive empathy, affective empathy, female users, mental health, coping strategies, chatbot design, Chinese users
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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