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This paper is in the following e-collection/theme issue:

Theory and Frameworks in Mental Health (46) Digital Mental Health Interventions, e-Mental Health and Cyberpsychology (2358) Longitudinal and Cohort Studies in Public Health (452) Chatbots and Conversational Agents (808) Attitudes, Beliefs, and Health Behaviours in Human Factors Research (103)

Published on in Vol 12 (2025)

Preprints (earlier versions) of this paper are available at https://preprints.jmir.org/preprint/76642, first published .
iPhone screen showing a text conversation about emotional range, with mood options like "Meh" and "Calm

The Digital Therapeutic Alliance With Mental Health Chatbots: Diary Study and Thematic Analysis

The Digital Therapeutic Alliance With Mental Health Chatbots: Diary Study and Thematic Analysis

Authors of this article:

Zian Xu1 Author Orcid Image ;   Yi-Chieh Lee2 Author Orcid Image ;   Karolina Stasiak1 Author Orcid Image ;   Jim Warren1 Author Orcid Image ;   Danielle Lottridge1 Author Orcid Image
Article Authors Cited by (8) Tweetations Metrics

Journals

  1. Cui S, Wang S, Deng J, Jia R, Jiang Y. Facilitators and Barriers of Using an Artificial Intelligence Agent in Chronic Disease Management: A Normalization Process Theory-Guided Qualitative Study of Older Patients with COPD. Healthcare 2026;14(2):268 View
  2. Ahmed R, Shaban M. Always online, still alone: A qualitative study of technology-facilitated loneliness and mood symptoms among university students. Archives of Psychiatric Nursing 2026;61:152076 View
  3. Ouyang W, Du H, Han Y, Wang Z, He Y. Eye-Tracked Visual Attention to Anthropomorphic Appearance and Empathic Responses in AI Medical Conversational Agents: Dissociating Trust Gains from Attentional Synergy. Journal of Eye Movement Research 2026;19(2):38 View
  4. Yıldız E. Optimisation Drift and Substitution Risk in Artificial Intelligence–Supported Personalised Mental Health Nursing: A Critical Synthesis on Therapeutic Presence and Care Biography. Journal of Psychiatric and Mental Health Nursing 2026 View
  5. Türk M, Akın R, Şahin D, Demirci S. Büyük Dil Modellerinin Ruh Sağlığı Uygulamaları İçin Performans ve Tutarlılık Analizi. Black Sea Journal of Engineering and Science 2026;9(3):1338 View

Conference Proceedings

  1. Chandra J, Kumar Navneet S, Zhang Y. Proceedings of the Extended Abstracts of the 2026 CHI Conference on Human Factors in Computing Systems. TherapyProbe: Generating Design Knowledge for Relational Safety in Mental Health Chatbots Through Adversarial Simulation View
  2. Xu Z, Lee Y, Stasiak K, Warren J, Lottridge D. Proceedings of the 2026 CHI Conference on Human Factors in Computing Systems. Affective and Goal-Oriented Factors of Relationship Formation in the Digital Therapeutic Alliance: A Longitudinal Study of Mental Health Chatbots View
  3. Xu Z, Warren J, Lottridge D. Proceedings of the 2025 International Conference on Human-Engaged Computing. Exploring the Digital Therapeutic Alliance: A Preliminary Analysis of Mental Health Chatbot Conversations View