D02 — Dependency, Escapism, and Behavioral Displacement
Excessive and Impairing Time Investment
Description
AI use interferes with sleep, hygiene, work, school, parenting, social life, or basic responsibilities.
Rationale
Behavioral interference — lost sleep, skipped work, neglected parenting — is the most concrete evidence that AI use has crossed from choice into compulsion. Functional impairment is a threshold concept in most behavioral frameworks because it marks the point where internal state becomes observable harm.
Evidence Base
The 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 reportBuilding safer artificial intelligence mental health chatbots: a framework for transparency, evaluation, and shared accountability
Hannah Lee, BS, Rebecca Handler, MSc, Tushar Mungle, PhD, Tina Hernandez-Boussard, PhD, 2026. Building safer artificial intelligence mental health chatbots: a framework for transparency, evaluation, and shared accountability. Journal of the American Medical Informatics Association, 33(8), 1538–1553. https://doi.org/10.1093/jamia/ocag078
Peer-reviewed study (original research)A 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)Patients 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 / journalismIt 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 / EditorialUse of generative AI chatbots and wellness applications for mental health: An APA health advisory
American Psychological Association, 2024. Use of generative AI chatbots and wellness applications for mental health: An APA health advisory. American Psychological Association.
Government / agency report2026 | 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 report“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)