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Anxiety, emotional abuse, and physical activity as correlates of AI-related affective dependence among adolescents: mediation, moderation, and network analyses.

TL;DR

Among 1,589 Chinese adolescents, emotional abuse was positively associated with anxiety and AI-related affective dependence and negatively with physical activity; anxiety statistically accounted for a small portion of the EA-AI dependence association, and physical activity weakened the EA-anxiety association, though cross-sectional data preclude causal or temporal conclusions.

Key Findings

Emotional abuse was positively associated with anxiety and AI dependence and negatively associated with physical activity among adolescents.

  • Sample: 1,589 Chinese adolescents who completed self-report questionnaires in November 2025.
  • Measures covered emotional abuse (EA), anxiety, physical activity (PA), and AI-related affective dependence.
  • Analyses included descriptive statistics and Pearson correlations.

Anxiety statistically accounted for a small but significant proportion of the association between emotional abuse and AI dependence.

  • Indirect effect = 0.034, 95% CI (0.013, 0.055).
  • The indirect effect represented 16.43% of the total association.
  • Mediation is described as statistical; the cross-sectional data do not support temporal or causal mechanisms.

Physical activity moderated the association between emotional abuse and anxiety, with a weaker association at higher physical activity levels.

  • Tested using moderated mediation models.
  • The positive EA-anxiety association was weaker among adolescents reporting higher PA.

In the covariate-adjusted partial-correlation network, the EA-anxiety edge was the strongest conditional association and EA had the highest node strength.

  • Network analysis was adjusted for covariates.
  • The authors state these findings should be interpreted descriptively rather than causally.

Common method bias was evaluated with two approaches.

  • Methods used were Harman's single-factor test and a CFA-based unmeasured latent method construct (ULMC) approach.
  • All data were self-reported.

The study's cross-sectional design limits inference to statistical associations, not temporal or causal mechanisms.

  • The framing draws on attachment and emotion-regulation perspectives.
  • Authors conclude anxiety and PA are meaningful correlates in the EA-AI dependence association.

What This Means

This study surveyed 1,589 Chinese adolescents about experiences of emotional abuse, anxiety, physical activity, and emotional dependence on AI (such as chatbots). Adolescents who reported more emotional abuse also tended to report more anxiety and more AI-related emotional dependence, and they tended to be less physically active. Statistical analysis suggested that anxiety explained a small part (about 16%) of the link between emotional abuse and AI dependence. Physical activity appeared to soften the link between emotional abuse and anxiety: among adolescents who were more active, the connection between emotional abuse and anxiety was weaker. A network analysis found that emotional abuse and anxiety were the most strongly connected pair of factors, and emotional abuse was the most central factor in the network. Because the survey captured just one point in time and relied on self-reports, it cannot show that abuse causes anxiety or AI dependence, or that exercise protects against them. This research suggests that anxiety and physical activity are relevant factors worth studying further in how difficult emotional experiences relate to reliance on AI companions among young people.

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Citation

Yang J, Wang J, Ma X, Wang N, Xiao T, Wu Y, et al.. (2026). Anxiety, emotional abuse, and physical activity as correlates of AI-related affective dependence among adolescents: mediation, moderation, and network analyses.. Frontiers in public health. https://doi.org/10.3389/fpubh.2026.1956596