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.
Findings
Abstract
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.
Visualized Results
Percentage of respondents who reported using LLMs for emotional support.
Top 5 Perceived Benefits that explain why users chose AI for emotional support, ranked by global avg. scores (1-5).
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.
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:
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.
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.
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