Attitudes towards AI counseling: the existence of perceptual fear in affecting perceived chatbot support quality

IntroductionDue to the shortage of financial and human resources in the local mental health industry, AI counseling presents itself as a cost-effective solution to address this limitation. However, fear and concerns about AI may hinder the adoption of AI in counseling. This study examined the relati...

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Main Authors: Wing Man Keung, Tsz Yan So
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Psychology
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1538387/full
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author Wing Man Keung
Tsz Yan So
author_facet Wing Man Keung
Tsz Yan So
author_sort Wing Man Keung
collection DOAJ
description IntroductionDue to the shortage of financial and human resources in the local mental health industry, AI counseling presents itself as a cost-effective solution to address this limitation. However, fear and concerns about AI may hinder the adoption of AI in counseling. This study examined the relationships between individuals’ prior AI exposures, AI anxiety levels, attitudes towards AI, and their perceived support satisfaction with the counseling chatbot.MethodsWith a simulated counseling chatbot developed using Azure OpenAI GPT-4 model (1106-preview version) and a sample of 110 local Chinese in Hong Kong, this study explored the potential existence of perceptual fear in affecting people’s perceived support quality of the chatbot by manipulating the informed perceptual labels—Told-Human (told to be receiving human counseling) and Told-AI (told to be receiving AI counseling).ResultsPerceptual fear of AI adversely affected participants’ perceived support quality of the counseling chatbot, t (108) = 2.64, p = 0.009, BCa 95% CI = [0.186, 1.342], with Hedges’ correction of 1.55. While the significant reduction in stress levels demonstrated the chatbot’s implicit capability in providing emotional support (p = 0.03), participants showed explicit reservations about its helpfulness.DiscussionThis study highlights the importance of accounting for the influence of individuals’ pre-existing beliefs on the perceived support quality of counseling chatbots. Future cross-cultural studies with a larger sample may shed more light by investigating dynamic intervention approaches and conducting sentiment and thematic analyses of client-chatbot conversations.
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spelling doaj-art-9e38aba64b4c45a3990d8bcc80b10a5d2025-08-20T03:34:10ZengFrontiers Media S.A.Frontiers in Psychology1664-10782025-08-011610.3389/fpsyg.2025.15383871538387Attitudes towards AI counseling: the existence of perceptual fear in affecting perceived chatbot support qualityWing Man KeungTsz Yan SoIntroductionDue to the shortage of financial and human resources in the local mental health industry, AI counseling presents itself as a cost-effective solution to address this limitation. However, fear and concerns about AI may hinder the adoption of AI in counseling. This study examined the relationships between individuals’ prior AI exposures, AI anxiety levels, attitudes towards AI, and their perceived support satisfaction with the counseling chatbot.MethodsWith a simulated counseling chatbot developed using Azure OpenAI GPT-4 model (1106-preview version) and a sample of 110 local Chinese in Hong Kong, this study explored the potential existence of perceptual fear in affecting people’s perceived support quality of the chatbot by manipulating the informed perceptual labels—Told-Human (told to be receiving human counseling) and Told-AI (told to be receiving AI counseling).ResultsPerceptual fear of AI adversely affected participants’ perceived support quality of the counseling chatbot, t (108) = 2.64, p = 0.009, BCa 95% CI = [0.186, 1.342], with Hedges’ correction of 1.55. While the significant reduction in stress levels demonstrated the chatbot’s implicit capability in providing emotional support (p = 0.03), participants showed explicit reservations about its helpfulness.DiscussionThis study highlights the importance of accounting for the influence of individuals’ pre-existing beliefs on the perceived support quality of counseling chatbots. Future cross-cultural studies with a larger sample may shed more light by investigating dynamic intervention approaches and conducting sentiment and thematic analyses of client-chatbot conversations.https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1538387/fullattitudes towards AI counselingAI anxietychatbot counselingemotional supportstressconfirmation bias
spellingShingle Wing Man Keung
Tsz Yan So
Attitudes towards AI counseling: the existence of perceptual fear in affecting perceived chatbot support quality
Frontiers in Psychology
attitudes towards AI counseling
AI anxiety
chatbot counseling
emotional support
stress
confirmation bias
title Attitudes towards AI counseling: the existence of perceptual fear in affecting perceived chatbot support quality
title_full Attitudes towards AI counseling: the existence of perceptual fear in affecting perceived chatbot support quality
title_fullStr Attitudes towards AI counseling: the existence of perceptual fear in affecting perceived chatbot support quality
title_full_unstemmed Attitudes towards AI counseling: the existence of perceptual fear in affecting perceived chatbot support quality
title_short Attitudes towards AI counseling: the existence of perceptual fear in affecting perceived chatbot support quality
title_sort attitudes towards ai counseling the existence of perceptual fear in affecting perceived chatbot support quality
topic attitudes towards AI counseling
AI anxiety
chatbot counseling
emotional support
stress
confirmation bias
url https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1538387/full
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