Use of AI for emotional support · 2026 · Cross-Cultural Study

From Chatbots to Confidants

A large-scale survey of 4,641 people across seven countries reveals (1) who adopts AI for emotional support, (2) why they prefer to use AI for this purpose, and (3) what are the main use cases of AI as a digital confidant.

📄 Read the Paper ↓ Explore Results
0
Participants
0
Countries
0
Real Prompts
0
% Avg. AI Adoption

Key takeaways

👤
Demographic drivers
Users aged 25–44, those with higher socioeconomic status (SES), married, and religious individuals are most likely to adopt and positively perceive LLMs for emotional support — with SES being the single strongest predictor.
🌍
Cultural divide
A sharp contrast emerges between English-speaking countries (UK, USA) showing high enthusiasm and adoption, and Continental European countries (Netherlands, Germany) that remain skeptical.
💬
Main use cases
When turning to AI for emotional support, users mainly seek help for managing stress and anxiety, processing difficult emotions, and navigating relationship conflicts.
Perceived benefits
Users are drawn to AI chatbots mainly for their 24/7 accessibility, cost-effectiveness, and the psychological safety of expressing feelings without fear of human judgment.

Study overview

"

Large Language Models (LLMs) are increasingly used not only for instrumental tasks, but as always-available and non-judgmental confidants for emotional support. Yet what drives adoption and how users perceive emotional support interactions across countries remains unknown. To address this gap, we present the first large-scale cross-cultural study of LLM use for emotional support, surveying 4,641 participants across seven countries (USA, UK, Germany, France, Spain, Italy, and The Netherlands). Our results show that adoption rates vary dramatically across countries (from 20% to 59%). Using mixed models that separate cultural effects from demographic composition, we find that: Being aged 25–44, religious, married, and of higher socioeconomic status are predictors of positive perceptions (trust, usage, perceived benefits), with socioeconomic status being the strongest. English-speaking countries consistently show more positive perceptions than Continental European countries. We further collect a corpus of 731 real multilingual prompts from user interactions, showing that users mainly seek help for loneliness, stress, relationship conflicts, and mental health struggles. Our findings reveal that LLM emotional support use is shaped by a complex sociotechnical landscape and call for a broader research agenda examining how these systems can be developed, deployed, and governed to ensure safe and informed access.

Key data at a glance

Adoption rate by country

Percentage of respondents who reported using LLMs for emotional support.

🇬🇧 UK
59%
🇪🇸 Spain
49%
🇺🇸 USA
31.5%
🇮🇹 Italy
29.2%
🇩🇪 Germany
24.6%
🇳🇱 Netherlands
20.8%
🇫🇷 France
20.2%

Why AI? Perceived benefits

Top 5 Perceived Benefits that explain why users chose AI for emotional support, ranked by global avg. scores (1-5).

1
24/7 availability
4.26 avg. score
2
Cost-effectiveness (cheaper than therapy)
4.12 avg. score
3
Expressing feelings without fear of judgment
4.09 avg. score
4
Useful recommendations & advice
4.06 avg. score
5
Identifying actionable steps
3.98 avg. score

Self-reported usage purposes

When asked directly what they use AI for, users highlighted these primary emotional support use cases. Participants could select multiple usage purposes from a predefined list.

49.4%
Stress & anxiety
Regulating emotions
42.5%
Finding encouragement
Mood lifting, motivation
41.3%
Processing emotions
Self-reflective support
38.6%
Information seeking
Locating support resources
32.7%
Goals & progress
Guiding personal growth
30.2%
Relationship conflicts
Interpersonal issues

Topics extracted from user prompts

Beyond asking participants why they use AI, we wanted to see what they actually say to their AI confidants. We analyzed 731 voluntarily shared user prompts using advanced multilingual clustering. Isolating the queries focused on mental wellbeing and interpersonal connection (N=267), we identified five main themes:

General stress, anxiety & regulation55%
Relationship conflict & uncertainty12%
Work, school, & financial pressure10%
Family, parenting & caregiving burdens6%
Loneliness & social disconnection5%

Who is most likely to use AI for emotional support?

To understand how wealth, age, and lifestyle shape AI adoption, we used a Cumulative Link Mixed Model (CLMM). By treating demographics as fixed effects and country as a random effect, the chart below shows which personal traits significantly (p < .05) increase or decrease a person's AI Usage Intention, independent of their cultural background.

*Note: We also modeled the impact of demographics on Trust and Perceived Benefits. See the full paper for complete results. Reference categories for this model are SES: 7, Religion: Christianity, Age: 25–34, and Marital Status: Married/Partnered.

Users with higher socioeconomic status (SES) are the most open to adopt AI confidants. Older adults, individuals who are single, and non-religious people are less likely to turn to AI for emotional support.
SES: 10 (Best)
+1.22
SES: 9
+0.59
SES: 8
+0.16
-0.15
Age 45–54
-0.24
SES: 5
-0.26
Marital: Single
-0.28
Religion: None
-0.34
Age 55–64
-0.65
Age 65+

The cultural divide

Does where you live affect your willingness to use AI for emotional support? By factoring out individual demographics, we isolated the underlying "country effect" (random intercepts) to reveal the cultural baseline for Usage Intention (p < .05).

*Note: We also modeled the country-level effects on Trust and Perceived Benefits. See the full paper for complete results.

English-speaking countries (USA, UK) are more positive about using AI for emotional support. Mainland European countries—especially the Netherlands and Italy—are more skeptical about using AI as a confidant.
USA
+0.62
UK
+0.59
-0.02
France
-0.10
Germany
-0.20
Spain
-0.35
Italy
-0.54
Netherlands

Authors

Author 1
Natalia Amat-Lefort
Leiden University
Author 2
Mert Yazan
Hogeschool van Amsterdam, Leiden University
Author 3
Amanda Cercas Curry
CENTAI
Author 4
Flor Miriam Plaza-del-Arco
Leiden University

BibTeX citation

@article{amatlefort2026chatbots, title = {From Chatbots to Confidants: A Cross-Cultural Study of LLM Adoption for Emotional Support}, author = {Amat-Lefort, Natalia; Yazan, Mert; Cercas Curry, Amanda; Plaza-del-Arco, Flor Miriam}, journal = {[Submitted to Conference]}, year = {2026}, url = {[Pending: Link to Preprint]} }