D01 — AI Interaction Profile
Intensity of Use
Description
Frequency, duration, time of day, binge use, repeated long sessions, use during work or school, use during sleep hours.
Rationale
High-frequency, long-duration, or nocturnal AI use signals that the interaction has moved beyond instrumental purposes. Binge use patterns, particularly during sleep hours or periods of distress, are associated with emotional dependency and impaired reality testing. Intensity is one of the earliest observable markers of concerning engagement.
Evidence Base
Characterizing Delusional Spirals through Human-LLM Chat Logs
Moore J, Mehta A, Agnew W, Anthis JR, Louie R, Mai Y, Yin P, Cheng M, Paech SJ, Klyman K, Chancellor S, Lin E, Haber N, Ong D, 2024. Characterizing Delusional Spirals through Human-LLM Chat Logs. arXiv, 2603.16567v1.
Peer-reviewed study (original research)AI Mental Health Apps: A Risk Assessment
Common Sense Media Youth AI Safety Institute, 2024. AI Mental Health Apps: A Risk Assessment. Common Sense Media.
Government / agency reportTHE NEW INFLUENCING MACHINE: CHATBOTS, AI PSYCHOSIS & BTAM
Saragosa, P., 2024. THE NEW INFLUENCING MACHINE: CHATBOTS, AI PSYCHOSIS & BTAM. The New York Times, Vol. null, pages. null.
Commentary / EditorialThe Dawn of the AI Era: Teens, Parents, and the Adoption of Generative AI at Home and School
Madden, M., Calvin, A., Hasse, A., & Lenhart, A. (2024). The dawn of the AI era: Teens, parents, and the adoption of generative AI at home and school. San Francisco, CA: Common Sense.
Government / agency reportAnthropomorphism in AI Companion Communities: Age, Gender, and Emotional Correlates
Afia Mubashir, Boden Moraski, Stephanie Choi, Rose E. Guingrich, 2026. Anthropomorphism in AI Companion Communities: Age, Gender, and Emotional Correlates. arXiv, 2606.30942. https://doi.org/10.48550/arXiv.2606.30942
PreprintAI Companions Reduce Loneliness
De Freitas, J., Oğuz-Uğuralp, Z., Uğuralp, A. K., & Puntoni, S., 2025. AI Companions Reduce Loneliness. Journal of Consumer Research, Vol. 00, pages. https://doi.org/10.1093/jcr/ucaf040
Peer-reviewed studyAssessing AI’s Influence On Violence Risk
Crimando, 2026. Assessing AI’s Influence On Violence Risk. Continuity Insights.
News / journalismChina wants to end AI romances They are having too much impact on young people’s lives
https://www.economist.com/china/2026/07/16/china-wants-to-end-ai-romances#selection-136.0-1297.97
News / journalismA scoping review on the mental health harms of LLM-based chatbots
Diel A, Torous J, Cuijpers P, Kleesiek J, Nensa F, Weber N, Faust F, Lalgi TJ, Mellis FS, Teufel M, Bäuerle A, 2024. A scoping review on the mental health harms of LLM-based chatbots. npj Digital Medicine, 9(644). https://doi.org/10.1038/s41746-026-03054-x
Peer-reviewed study (original research)Artificial Intelligence and Adolescent Well-being
American Psychological Association, 2025. Artificial Intelligence and Adolescent Well-being. APA Health Advisory.
Government / agency reportPatients are bringing AI to therapy Highlights from the 2026 Chatbots and Mental Health Survey
https://www.apa.org/pubs/reports/chatbots-mental-health-2026
Narrative reviewIntelligent Systems, Vulnerable Minds: A Framework for Radicalization to Violence in the Age of AI
Kunst et al., 2026. Intelligent Systems, Vulnerable Minds: A Framework for Radicalization to Violence in the Age of AI. Personality and Social Psychology Review, 30(3), 395-426. https://doi.org/10.1177/10888683261430089
Peer-reviewed study (original research)Inside a Mass Shooter’s Harrowing History With ChatGPT
Mark Follman, 2024. Inside a Mass Shooter’s Harrowing History With ChatGPT. Mother Jones.
News / journalismPsychosis Risk and Generative Artificial Intelligence Use Frequency, Motivations, and Delusion-Like Experiences: Cross-Sectional Survey Study
Buck, B., & Maheux, A. J., 2024. Psychosis Risk and Generative Artificial Intelligence Use Frequency, Motivations, and Delusion-Like Experiences: Cross-Sectional Survey Study. Journal of Medical Internet Research, 28(1), e85038. doi: 10.2196/85038
Peer-reviewed study (original research)It Is the Journey, Not the Destination: Moving From End Points to Trajectories When Assessing Chatbot Mental Health Safety
Morrin H, Au Yeung J, Agnew Z, Østergaard SD, Pollak TA, 2024. It Is the Journey, Not the Destination: Moving From End Points to Trajectories When Assessing Chatbot Mental Health Safety. JMIR Ment Health, 13(e91454). https://doi.org/10.2196/91454
Commentary / EditorialGrowing up in the online world: government response (July 2026)
Department for Science, Innovation & Technology, 2026. Growing up in the online world: government response (July 2026). GOV.UK. Available at: https://www.gov.uk/government/consultations/growing-up-in-the-online-world-a-national-consultation/outcome/growing-up-in-the-online-world-government-response-july-2026.
Government / agency reportAI-associated delusions: the missing dimension of mortality
Idris Altinisik, Utku Igcioglu, Murat Emul, 2024. AI-associated delusions: the missing dimension of mortality. Lancet Psychiatry, Vol 13, pages 456. https://doi.org/10.1016/S2215-0366(25)00396-7.
Commentary / Editorial2026 | THE COMMON SENSE MEDIA CENSUS AI Use by Tweens and Teens
The Common Sense Media Census: AI Use by Tweens and Teens, 2026 https://www.commonsensemedia.org/sites/default/files/research/report/2026-ai-use-by-tweens-and-teens-1.pdf
Government / agency reportStumbling Into AI Emotional Dependence: How Routine AI Interactions Reshape Human Connection
Yaoxi Shi, Cathy Mengying Fang, Pattie Maez, Amit Goldenberg, 2026. Stumbling Into AI Emotional Dependence: How Routine AI Interactions Reshape Human Connection. arXiv, 2606.04150. https://doi.org/10.48550/arXiv.2606.04150
Preprint“You Need to Drop the App”: Online Community Responses to Teens’ Disclosures of Overreliance on AI Companion Chatbots
Mohammad (Matt) Namvarpour, Ananya Mhetras, Jessica Y Medina, Mamtaj Akter, and Afsaneh Razi, 2026. “You Need to Drop the App”: Online Community Responses to Teens’ Disclosures of Overreliance on AI Companion Chatbots. In ACM Conversational User Interfaces 2026 (CUI ’26), July 21–24, 2026, Bremen, Germany. ACM, New York, NY, USA, 16 pages. https://doi.org/10.1145/3816046.3816214
Peer-reviewed study (original research)Delusional Experiences Emerging From AI Chatbot Interactions or “AI Psychosis”
Hudon A, Stip E, 2024. Delusional Experiences Emerging From AI Chatbot Interactions or “AI Psychosis”. JMIR Ment Health, 12, e85799. doi: 10.2196/85799.
Commentary / EditorialAI companions and adolescent social relationships: Benefits, risks, and bidirectional influences
Xiaoran Sun, Yunqi Wang, Brandon T. McDaniel, 2026. AI companions and adolescent social relationships: Benefits, risks, and bidirectional influences. Child Development Perspectives, 20(2), 91–98. https://doi.org/10.1093/cdpers/aadaf009
Peer-reviewed study (original research)