GenAI Use Increases Companion Interactions Among High-Risk

A 2026 cross-sectional survey of 1,003 US young adults by Buck et al. found that individuals with elevated psychosis risk were not more likely to have ever used generative AI, but reported significantly more intensive use and frequent chatbot conversations. Elevated-risk respondents more often sought social or emotional support, assigned human-like roles to chatbots, and reported delusion-related interactions (13.3%–30.7%), suggesting chatbots may affect symptom experiences.
Key Points
- 1Report elevated-risk users show significantly higher intensive GenAI use (odds ratios 1.70–2.56).
- 2Indicate elevated-risk users more often assign human-like roles to chatbots (companion, therapist), increasing relational attachment.
- 3Suggest clinicians monitor GenAI interactions and assess for delusion-related chatbot conversations (13.3%–30.7%).
Scoring Rationale
Empirical, peer-reviewed survey shows credible evidence of elevated intensive GenAI use among at-risk youth, but lacks causal inference.
Sources
Public references used for this report.
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