Influence of Rapport and Social Presence with an Ai Psychotherapy Chatbot on Users’ Self-Disclosure
Open accessAbstract
Self-disclosure lowers one’s stress and anxiety and benefits their mental health. However, revealing one’s personal and unprotected information can be risky, and such a risk causes major practical difficulties in counseling services. People are reluctant to expose themselves because they are concerned about being negatively evaluated and judged by others, even professional counselors. Accordingly, this study designs and implements a fully automated text-based counseling chatbot that alleviates people’s self-disclosure burden. This chatbot is based on rapport-facilitating dialogue, which creates a mutually stable and favorable relationship between two interlocutors and eventually encourages people to self-disclose. Using 303 nonclinical samples, this study examines how rapport is activated between a user and the counseling chatbot and confirms whether it lowers psychological barriers to being judged and encourages self-disclosure. The findings offer practical implications for artificial intelligence (AI) psychotherapy service developers to design a counseling program to encourage people to reveal their mental issues without hesitation.
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Individuals can establish therapeutic rapport with chatbots.
“individuals can establish therapeutic rapport with chatbots [41]”
From The Opportunities and Risks of Large Language Models in Mental Health (2024) · cites this paper as [41]
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Tan, K. S., Cervin, M., Leman, P. J., Nielsen, K., Kumar, P. V., & Medvedev, O. N. (2025) · Journal of Psychology and AI · doi:10.1080/29974100.2025.2545258 · Cited by 7 · see citing works
Zhao, Y., Keyong, Z., Haixin, X., Zhang, J., Zou, J., Runhao, L., & Lijing, W. (2025) · International Journal of Human-Computer Interaction · doi:10.1080/10447318.2025.2575298 · Cited by 7 · see citing works
AI or human? Exploring the effects of user awareness in conversational dynamics with virtual avatars
Kober, S. E., Streit, S., & Wood, G. M. D. O. (2026) · Computers in Human Behavior · doi:10.1016/j.chb.2026.108984 · Cited by 6 · see citing works
Designing Human-Centric AI Mental Health Chatbots: A Case Study of Two Apps
Lee, K. S., Yeung, J., Kurniawati, A., & Chou, D. T. (2025) · Lecture notes in networks and systems · doi:10.1007/978-981-96-1747-0_36 · Cited by 7 · see citing works
Cecil, J., Schaffernak, I., Evangelou, D., Lermer, E., Gaube, S., & Kleine, A. (2026) · npj Mental Health Research · doi:10.1038/s44184-026-00199-1 · Cited by 7 · see citing works
Chakraborty, T., Sharada, V. S., & Sai, S. D. D. (2024) · Advances in marketing, customer relationship management, and e-services book series · doi:10.4018/979-8-3693-5668-5.ch002 · Cited by 5 · see citing works
An Analysis of Factors Influencing the Intention to Use “Untact” Services by Service Type
Liu, H., Lee, C., Kim, K., Lee, J., Moon, A., Lee, D., & Park, M. (2023) · Sustainability · doi:10.3390/su15042870 · Cited by 5 · see citing works
Self-citationSelf-Disclosure in Digital Healthcare: Enhancing User Engagement
Goh, M., Jeong, H., Yoo, J. H., & Han, O. (2023) · IEEE International Conference on Agents (ICA) · doi:10.1109/ica58824.2023.00020 · Cited by 4 · see citing works
Beyond the Illusion: LLMs and the Case for Pragmatic Cues in Conversation
Spillner, L., Rockstroh, J., Peña, P. R., Wenig, N., Zargham, N., & Cowan, B. R. (2025) · ACM Conference on Conversational User Interfaces (CUI) · doi:10.1145/3719160.3737614 · Cited by 4 · see citing works
How AI Alleviates Woes: The Impact of Chatbot Relational Cues on Emotional Interaction Experiences
Xiang, Y., Gu, R., Chen, Z., Gan, T., & Zheng, Y. (2025) · International Journal of Human-Computer Interaction · doi:10.1080/10447318.2025.2601286 · Cited by 5 · see citing works
Weimann, T. G., Schlieter, H., Konofalska, U., & Ziemssen, T. (2026) · Behaviour and Information Technology · doi:10.1080/0144929x.2026.2641598 · Cited by 5 · see citing works
Oh, Y. J., Hu, J. M., Zhu, R., Lim, J. I., & Zhang, X. (2026) · International Journal of Human-Computer Interaction · doi:10.1080/10447318.2026.2648799 · Cited by 7 · see citing works
Tapping into Key Drivers: Self-Disclosure in Sensitive Health Conversations with ChatGPT
Kelly, S., White, K. M., Kaye, S.-A., & Oviedo-Trespalacios, Ó. (2025) · International Journal of Human-Computer Interaction · doi:10.1080/10447318.2025.2499656 · Cited by 5 · see citing works
Papneja, H., & Devaraj, S. (2025) · Journal of Operations Management · doi:10.1002/joom.70026 · Cited by 5 · see citing works
Mantello, P., Ponton, D., & Olteanu, A. (2025) · Ai & Society · doi:10.1007/s00146-025-02694-z · Cited by 5 · see citing works
Chen, Y., Tu, Y., & Zeng, S. (2024) · Sustainability · doi:10.3390/su16188236 · Cited by 3 · see citing works
Ollier, J., Nißen, M., & von Wangenheim, F. (2025) · Computers in Human Behavior · doi:10.1016/j.chb.2025.108768 · Cited by 3 · see citing works
'Poker with Play Money': Exploring Psychotherapist Training with Virtual Patients
Baseman, C. M., Hasan, M., Swinger, N., Rauch, S. A. M., Hoque, M. E., & Arriaga, R. I. (2025) · Proceedings of the ACM on Human-Computer Interaction · doi:10.1145/3757450 · Cited by 3 · see citing works
Exploring the Customer Experience Regarding AI-Powered Fintech Chatbots in Terms of SOR Theory
Çam, S., Tuna, M. F., & Bayır, T. (2026) · Journal of theoretical and applied electronic commerce research · doi:10.3390/jtaer21020049 · Cited by 6 · see citing works
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Dando, C. J., & Adam, C. E. (2025) · Scientific Reports · doi:10.1038/s41598-025-93281-1 · Cited by 3 · see citing works
Investigating the use of AI in psychological counseling: systematic review
Li, B., Paracha, S., Limniou, M., & Zhang, X. (2025) · Mental Health and Digital Technologies · doi:10.1108/mhdt-04-2025-0027 · Cited by 4 · see citing works
Empowering mental health professionals in asynchronous online psychotherapy with GenAI
Bucher, A. M., Vashkite, I., Staehelin, D., Dolata, M., & Schwabe, G. (2026) · International Journal of Mental Health Systems · doi:10.1186/s13033-026-00700-5 · Cited by 2 · see citing works
Nanos, D., & Lappas, G. (2026) · Digital · doi:10.3390/digital6020028 · Cited by 2 · see citing works
de Paula, D. F. O., Juehling, D., & Uebernickel, F. (2025) · International Journal of Human-Computer Interaction · doi:10.1080/10447318.2025.2485494 · Cited by 5 · see citing works
SustainTima: a task-oriented text-based conversational AI agent for sustainable fast fashion brands
Campuzano, E. P., & Chakraborty, S. (2025) · International Journal of Fashion Design Technology and Education · doi:10.1080/17543266.2025.2584821 · Cited by 1 · see citing works
Ibrahim, B., Awwad, R. A., Hazzam, J., Hamdan, S., & Aljarah, A. (2025) · Journal of Foodservice Business Research · doi:10.1080/15378020.2025.2595316 · Cited by 1 · see citing works
ParkPal: Design and Wizard of Oz trial of a voice-based nature guide
Webber, S. E., Wadley, G., & Fujioka, C. (2024) · Australian Conference on Human-Computer Interaction (OzCHI) · doi:10.1145/3726986.3727022 · Cited by 1 · see citing works
Naumann, E. (2026) · Computers in Human Behavior Reports · doi:10.1016/j.chbr.2026.100952 · Cited by 1 · see citing works
The Imitation of Intimacy: Comparing Satisfaction in Intimate Human and AI Companion Relationships
Masterson, A. M., Ye, X., Li, Y., & Robert, L. (2026) · ACM/IEEE International Conference on Human-Robot Interaction (HRI) · doi:10.1145/3776734.3794515 · Cited by 1 · see citing works
Paz-Chen, M., Lanir, J., & Ayalon, O. (2026) · Behaviour and Information Technology · doi:10.1080/0144929x.2026.2654495 · Cited by 1 · see citing works
Hu, J., Yao, X., Huang, Z., Liang, D., Yang, D., Liu, D., Li, J., Zhang, Y., & Ma, X. (2026) · CHI Conference on Human Factors in Computing Systems · doi:10.1145/3772318.3792787 · Cited by 1 · see citing works
Exploring the Effects of Different Chatbot Voice Identities on Self-Disclosure
Mogi, Y., Akahori, W., & Yamashita, N. (2026) · CHI Conference on Human Factors in Computing Systems · doi:10.1145/3772318.3790546 · Cited by 1 · see citing works
A scoping review on conversational AI in mental health: A human-centered perspective
Li, J., Li, H., Zhu, H., Walter, H., Banaschewski, T., Li, C., Li, X., & Zhang, Y. (2026) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2026.106460 · Cited by 1 · see citing works
Raimi, R., Lowry, P. B., & Straub, D. W. (2026) · Journal of Management Information Systems · doi:10.1080/07421222.2026.2647466 · Cited by 1 · see citing works
Cao, B., Wen, C., Scherr, S., Kobayashi, T., & Jiang, L. C. (2026) · International Journal of Human-Computer Interaction · doi:10.1080/10447318.2026.2664702 · Cited by 1 · see citing works
The Ethical Interaction Trilogy Among Companies, Customers, and AI-Chatbots
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Li, X., Cui, W., Olatunji, S., & Piercy, C. W. (2026) · International Journal of Human-Computer Interaction · doi:10.1080/10447318.2026.2692012 · Cited by 1 · see citing works
GenAI as counsellor: how employee evaluations drive engagement and organizational attractiveness
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Liu, P. L., & Yeo, T. E. D. (2026) · International Journal of Human-Computer Interaction · doi:10.1080/10447318.2026.2719169 · Cited by 1 · see citing works
Why do users resist chatbots? Exploring intrapersonal and systemic barriers in AI-based services
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Human-Like Avatar Embodiment: Advantage or Disadvantage in Digital Emotion Regulation Intervention?Preprint
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A Hybrid-Multimodal Mental Health Chatbot for Psychological Counselling
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Navigating Ethical Challenges of AI Chatbots for Sex Therapy
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The Factors Influencing Switching Intention in Islamic Banking in Indonesia’s Muslim Community
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Foot-in-the-door Mechanisms for Increasing Information Disclosure Online
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AI Counselors’ Nonverbal Immediacy and User Engagement: A Mediated Moderation Model
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When Trust Splits the Room : Comparing User Trust and Experiences with Human and LLM Counselors
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- Authors
- Lee, J., Lee, J.-G., & Lee, D.
- Affiliations
- Hallym University (KR)
- Sungkyunkwan University (KR)
- Corresponding author
- Lee, Jae-gil
- ORCID
- Venue
- International Journal of Human-Computer Interaction
- Publisher
- Elsevier BV
- Published
- 2022
- Volume
- 40
- Issue
- 7
- Pages
- 1620-1631
- ISSN
- 1044-7318 (ISSN-L)
- OpenAlex
- W4309759713
- Cited by
- 127
- References
- 71
- Citations by year
- 2026: 53 · 2025: 44 · 2024: 25 · 2023: 5
- FWCI
- 16.30
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Locations
- International Journal of Human-Computer Interaction (publishedVersion)
- SSRN Electronic Journal (acceptedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Social Psychology › Social Robot Interaction and HRI
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Emotion and Mood Recognition
- Keywords
- self-disclosure, rapport, social presence, fear of negative evaluation, mental health, chatbot design
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