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@ARTICLE{Fritz:301909,
author = {B. Fritz and L. Eppelmann and A. Edelmann and S. Rohrmann
and M. Wessa$^*$},
title = {{H}ow mental health status and attitudes toward mental
health shape {AI} {A}cceptance in psychosocial care: a
cross-sectional analysis.},
journal = {BMC Psychology},
volume = {13},
number = {1},
issn = {2050-7283},
address = {London},
publisher = {BioMed Central},
reportid = {DKFZ-2025-01179},
pages = {617},
year = {2025},
note = {#LA:C160#},
abstract = {Artificial Intelligence (AI) has become part of our
everyday lives and is also increasingly applied in
psychosocial healthcare as it can enhance it, make it more
accessible, and reduce barriers for help seeking. User
behaviour and readiness for AI can be predicted by various
factors, such as perceived usefulness (PU) of AI,
personality traits and mental health-related variables.
Investigating these factors is essential for understanding
user acceptance and the future use of AI tools in mental
health. This study examines the individual factors that
influence the PU of AI in mental health care. In addition,
it examines how PU of AI affects the use of mental health
apps. For ethical and practical reasons, these apps were
considered independently of their AI integration, aiming to
support the development of AI-driven mental health
applications.In a German-speaking convenience sample N = 302
participants socio-demographic information, personality
factors, mental health status, mental health literacy, and
various aspects concerning the integration of AI into
psychosocial care (PU, AI awareness, digital skills, app use
in general) were assessed. Two linear, stepwise regression
analyses were conducted, with PU of AI and the participants'
use of mental health apps in general as dependent variables,
respectively, and the above-mentioned variables as
predictors. Profession, gender, own experience with mental
impairments, AI awareness and digital skills were included
as covariates. Finally, we performed two moderation analyses
to investigate mental health problems and psychological
distress as moderators for the relationship between PU and
frequency of mental health-related app use-irrespective of
AI integration-with working field and digital capabilities
as covariates.Higher openness, pessimism and
conscientiousness predicted lower PU, whereas higher
agreeableness, lower levels of stigma and social distance
predicted higher PU. The covariates psychological/
pedagogical training, digital capabilities and experience
had a significant influence on PU. Higher frequency of app
use in general was predicted by better digital capabilities,
higher psychological distress, and more help seeking
behaviour. The relationship between PU and the overall use
of mental health apps was moderated by psychological
distress but not by mental health problems.Our study
identified individual factors influencing PU for integrating
AI into psychosocial care and the frequency of using mental
health apps-irrespective of AI integration-and thereby
underlines the necessity to tailor AI interventions in
psychosocial care to individual needs, personality, and
abilities of users to enhance their acceptance and
effectiveness.},
keywords = {Humans / Female / Male / Cross-Sectional Studies / Adult /
Artificial Intelligence / Middle Aged / Patient Acceptance
of Health Care: psychology / Mental Health / Young Adult /
Mental Disorders: therapy / Mental Disorders: psychology /
Aged / Mobile Applications / Personality / Germany /
Artificial intelligence (Other) / Health literacy (Other) /
Mental health (Other) / Mobile applications (Other) /
Personality (Other) / Psychological distress (Other)},
cin = {C160},
ddc = {150},
cid = {I:(DE-He78)C160-20160331},
pnm = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
pid = {G:(DE-HGF)POF4-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:40481588},
pmc = {pmc:PMC12143098},
doi = {10.1186/s40359-025-02954-z},
url = {https://inrepo02.dkfz.de/record/301909},
}