数字咨询中的信任、焦虑依恋与对话式人工智能采用意向：一项初步横断面问卷调查研究

Trust, Anxious Attachment, and Conversational AI Adoption Intentions in Digital Counseling: A Preliminary Cross-Sectional Questionnaire Study.

作者信息

Wu Xiaoli, Liew Kongmeng, Dorahy Martin J

机构信息

School of Psychology, Speech and Hearing, University of Canterbury, Christchurch, New Zealand.

出版信息

JMIR AI. 2025 Apr 22;4:e68960. doi: 10.2196/68960.

DOI:10.2196/68960

PMID:40262137

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12056427/

Abstract

BACKGROUND

Conversational artificial intelligence (CAI) is increasingly used in various counseling settings to deliver psychotherapy, provide psychoeducational content, and offer support like companionship or emotional aid. Research has shown that CAI has the potential to effectively address mental health issues when its associated risks are handled with great caution. It can provide mental health support to a wider population than conventional face-to-face therapy, and at a faster response rate and more affordable cost. Despite CAI's many advantages in mental health support, potential users may differ in their willingness to adopt and engage with CAI to support their own mental health.

OBJECTIVE

This study focused specifically on dispositional trust in AI and attachment styles, and examined how they are associated with individuals' intentions to adopt CAI for mental health support.

METHODS

A cross-sectional survey of 239 American adults was conducted. Participants were first assessed on their attachment style, then presented with a vignette about CAI use, after which their dispositional trust and subsequent adoption intentions toward CAI counseling were surveyed. Participants had not previously used CAI for digital counseling for mental health support.

RESULTS

Dispositional trust in artificial intelligence emerged as a critical predictor of CAI adoption intentions (P<.001), while attachment anxiety (P=.04), rather than avoidance (P=.09), was found to be positively associated with the intention to adopt CAI counseling after controlling for age and gender.

CONCLUSIONS

These findings indicated higher dispositional trust might lead to stronger adoption intention, and higher attachment anxiety might also be associated with greater CAI counseling adoption. Further research into users' attachment styles and dispositional trust is needed to understand individual differences in CAI counseling adoption for enhancing the safety and effectiveness of CAI-driven counseling services and tailoring interventions.

TRIAL REGISTRATION

Open Science Framework; https://osf.io/c2xqd.

摘要

背景

对话式人工智能（CAI）越来越多地应用于各种咨询场景，以提供心理治疗、提供心理教育内容，并提供陪伴或情感支持等帮助。研究表明，当谨慎处理其相关风险时，CAI有潜力有效解决心理健康问题。与传统的面对面治疗相比，它可以为更广泛的人群提供心理健康支持，且响应速度更快、成本更低。尽管CAI在心理健康支持方面有诸多优势，但潜在用户在采用和使用CAI来支持自身心理健康的意愿上可能存在差异。