Social-Ecological Factors Associated with AI Chatbot Use and Dependence
Abstract
With the rapid rise of artificial intelligence (AI) chatbots like ChatGPT, concerns about their overuse and potential psychological impacts are growing. This study investigates social-ecological factors associated with the use and dependence on AI chatbots. A cross-sectional online survey was conducted with 981 participants in China. Variables across four dimensions – individual characteristics, individual behaviors, interpersonal networks, and regional factors – were analyzed using generalized linear models. Results showed that AI chatbot use was positively associated with urban residence, regular exercise, solitary leisure preferences, younger age, higher education, and longer sleep duration. Usage frequency was linked to regular sleep patterns, efficient work habits, younger age, higher family income, larger social networks, and fewer family members. Problematic use and dependence were more likely among males, science majors, individuals with regular exercise and sleep patterns, and those from regions with lower employment rates. These findings offer theoretical and practical insights for future research, including variable selection, stratified sampling, and targeted interventions.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
LLM-CB dependence is associated with living in regions with lower employment rates.
“Finally, Li et al. found that LLM-CB dependence was associated with male sex, science majors, regular exercise and sleep patterns, and living in regions with lower employment rates117.”
From A scoping review on the mental health harms of LLM-based chatbots (2026) · cites this paper as [117]
LLM-CB dependence is associated with regular exercise and sleep patterns.
“Finally, Li et al. found that LLM-CB dependence was associated with male sex, science majors, regular exercise and sleep patterns, and living in regions with lower employment rates117.”
From A scoping review on the mental health harms of LLM-based chatbots (2026) · cites this paper as [117]
LLM-CB dependence is associated with science majors.
“Finally, Li et al. found that LLM-CB dependence was associated with male sex, science majors, regular exercise and sleep patterns, and living in regions with lower employment rates117.”
From A scoping review on the mental health harms of LLM-based chatbots (2026) · cites this paper as [117]
LLM-CB dependence is associated with male sex.
“Finally, Li et al. found that LLM-CB dependence was associated with male sex, science majors, regular exercise and sleep patterns, and living in regions with lower employment rates117.”
From A scoping review on the mental health harms of LLM-based chatbots (2026) · cites this paper as [117]
Cites
Social media use, social anxiety, and loneliness: A systematic review
O’Day, E. B., & Heimberg, R. G. (2021) · Computers in Human Behavior Reports · doi:10.1016/j.chbr.2021.100070 · Cited by 560 · see citing works
Issues in Outcomes Research: An Overview of Randomization Techniques for Clinical Trials
Kang, M., Ragan, B. G., & Park, J.-H. (2008) · Journal of Athletic Training · doi:10.4085/1062-6050-43.2.215 · Cited by 555 · cited 1× · see citing works
“For example, stratified randomization requires identifying relevant covariates and assessing their potential effects to guide group allocation (Kang et al., 2008).”
Future directions for chatbot research: An interdisciplinary research agenda
Følstad, A., Araujo, T., Law, E. L.-C., Brandtzaeg, P. B., Papadopoulos, S., Reis, L., Baez, M., Laban, G., McAllister, P., Ischen, C., et al. (2021) · Computing · doi:10.1007/s00607-021-01016-7 · Cited by 247 · cited 1× · see citing works
“Key drivers include advances in artificial intelligence (AI) – especially breakthroughs in natural language processing (NLP) and natural language understanding (NLU) – as well as growing consumer acceptance of conversational platforms (Følstad et al., 2021).”
Application of standardized regression coefficient in meta-analysis
Nieminen, P. (2022) · BioMedInformatics · doi:10.3390/biomedinformatics2030028 · Cited by 230 · see citing works
Sison, A. J. G., Daza, M. T., Gozalo-Brizuela, R., & Garrido-Merchán, E. C. (2024) · International Journal of Human–Computer Interaction · doi:10.1080/10447318.2023.2225931 · Cited by 169 · see citing works
Hou, C., Zhu, G., Sudarshan, V., Lim, F. S., & Ong, Y. S. (2025) · Computers & Education · doi:10.1016/j.compedu.2025.105329 · Cited by 70 · see citing works
Recursively summarizing enables long-term dialogue memory in large language models
Wang, Q., Fu, Y., Cao, Y., Wang, S., Tian, Z., & Ding, L. (2025) · Neurocomputing · doi:10.1016/j.neucom.2025.130193 · Cited by 55 · see citing works
The Development and Validation of an Artificial Intelligence Chatbot Dependence Scale
Zhang, X., Yin, M., Zhang, M., Li, Z., & Li, H. (2025) · Cyberpsychology, Behavior, and Social Networking · doi:10.1089/cyber.2024.0240 · Cited by 52 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Kırcaburun, K., & Özdemir, P. (2026) · Behavioral Science · doi:10.3390/bs16040500 · Cited by 11 · see citing works
“Recent empirical studies further reveal that men report higher levels of PGAIU and are more likely to engage in problematic patterns of GAI use than women (Li et al., 2025; Yu et al., 2024).”
Canbeldek, M., Erol, A., Erol, M., & Budak, K. S. (2026) · International Journal of Human-Computer Interaction · doi:10.1080/10447318.2026.2619035 · Cited by 12 · see citing works
A scoping review on the mental health harms of LLM-based chatbots
Diel, A., Torous, J., Cuijpers, P., Kleesiek, J., Nensa, F., Weber, N., Faust, F., Lalgi, T. J., Mellis, F. S., Teufel, M., et al. (2026) · npj Digital Medicine · doi:10.1038/s41746-026-03054-x · Cited by 4 · see citing works
“Finally, Li et al. found that LLM-CB dependence was associated with male sex, science majors, regular exercise and sleep patterns, and living in regions with lower employment rates 117 .”
Kırcaburun, K. (2026) · BMC Psychology · doi:10.1186/s40359-026-05012-4 · Cited by 2
“Consistent with these differences, men also report higher levels of PGAIU and are more likely to engage in maladaptive patterns of GAI use than women [4, 49].”
Wang, Y.-X., Deng, H.-Z., Zhang, X., & Li, H.-S. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1787438 · Cited by 2 · see citing works
Self-citationFu, F.-D. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1857123 · Cited by 1 · see citing works
“Consistent with this framework, prior research has identified numerous individual-level factors associated with AI dependence, including anxiety (Hu et al., 2023; Huang et al., 2024), perceived usefulness (Liu, 2025; Samant et al., 2024), and self-control (Li et al., 2025; Ye et al., 2025).”
Huang, L., Zhao, Y.-X., Tian, H.-D., Liu, H.-W., Tao, Y.-F., Zhu, Y.-P., Yin, M.-Y., Zhang, X., & Li, H.-S. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1749276 · Cited by 1 · see citing works
Self-citationYankouskaya, A., Kuhail, M. A., Yang, H.-B., Wang, X.-K., Chen, J., Ma, T. Y., Alshakhsi, S., Xu, G.-D., & Ali, R. (2026) · International Journal of Human-Computer Interaction · doi:10.1080/10447318.2026.2707709
Kırcaburun, K., & Çalışkan, H. (2026) · Chronobiology International · doi:10.1080/07420528.2026.2692532
“This possibility also supports examining chronotype-PGAIU associations separately by gender, as men and women may differ in their motivations for using GAI tools (Li et al. 2025).”
Balasa, K. A., Dumagay, A. H., Jacinto, L. A. C., Alejandrino, R. P. S., Tarroza, R. T., Encarnacion, B. A., Lauzon, L. D. S., Valerio, A., Serdenia, J. R. C., Jalani, N. P., et al. (2026) · ANT/EDI40 · doi:10.1016/j.procs.2026.04.024
- Authors
- Li, H., Tian, J., Yin, M., & Zhang, X.
- Affiliations
- Sichuan Agricultural University (CN)
- Sichuan University (CN)
- Shanghai University of Sport (CN)
- Universidad de Granada (ES)
- Corresponding author
- Li, Hansen
- Venue
- International Journal of Human–Computer Interaction
- Publisher
- Informa UK Limited
- Published
- 2025-09-24
- Volume
- 42
- Issue
- 11
- Pages
- 7776-7790
- ISSN
- 1044-7318 (ISSN-L)
- 1532-7590
- OpenAlex
- W4414480153
- Cited by
- 9
- References
- 0
- Citations by year
- 2026: 9
- FWCI
- 15.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Human-Computer Interaction (publishedVersion)
- Topics
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Social Sciences › Safety Research › Ethics and Social Impacts of AI
- Social Sciences › Psychology › Social Psychology › Technostress in Professional Settings
- Keywords
- AI chatbots, ChatGPT, AI dependency, social-ecological factors, sleep patterns, physical activity, social networks, urban residence, household income, age and education
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 ›
Are you an author, or do you see a problem with this page? Request a review