{
  "abstract": "Purpose\n\nAssociations of artificial intelligence (AI) tool use with concurrent depressive and anxiety symptoms among rural university students remain uncertain. We explored associations of any AI tool use experience with depression-anxiety symptom profiles.Methods\n\nThis cross-sectional survey included 1529 students with rural household registration from three universities in Zhejiang, China. GAD-7 and PHQ-9 scores informed latent profile analysis; five conceptually ordered multinomial models compared profile membership with the low-symptom profile.Results\n\nThe profiles comprised low symptoms (n=896; 58.6%), anxiety-predominant symptoms (n=587; 38.4%), and depression-predominant symptoms (n=46; 3.0%). In the reported fully adjusted model, AI use experience was associated with lower odds of anxiety-predominant membership (OR=0.764, 95% CI 0.654-0.893) and depression-predominant membership (OR=0.239, 95% CI 0.101-0.566) compared with low-symptom membership.Conclusion\n\nAI use experience and symptom patterns were associated in this exploratory sample. These observations warrant longitudinal assessment with more detailed measures of AI engagement.",
  "abstract_shown": true,
  "affiliations": [
    "School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, Zhejiang, 325000, People's Republic of China.",
    "Graduate School, Wenzhou Medical University, Wenzhou, Zhejiang, 325000, People's Republic of China.",
    "Yongjia College, Wenzhou Polytechnic, Wenzhou, Zhejiang, 325000, People's Republic of China.",
    "School of Management, Zhejiang University of Finance and Economics, Hangzhou, Zhejiang, 310000, People's Republic of China."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Keren Zhou"
    },
    {
      "affs": [
        1
      ],
      "name": "Yi Zhang"
    },
    {
      "affs": [
        2
      ],
      "name": "Yuxin Yang"
    },
    {
      "affs": [
        3
      ],
      "name": "Zhuang Bian"
    },
    {
      "affs": [
        1
      ],
      "name": "Zhenxing Lin"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/609m7aed0m5f8.bib",
  "cited_by": 0,
  "doi": "10.2147/prbm.s641381",
  "fulltext_url": "https://europepmc.org/articles/PMC13712228",
  "id": "609m7aed0m5f8",
  "issns": [
    "1179-1578"
  ],
  "landing_url": "https://europepmc.org/article/MED/42948318",
  "language": "eng",
  "licence": "CC-BY-NC",
  "licence_label": "CC BY-NC",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Original Research"
    ],
    [
      "openalex",
      "3204|Student Stress and Coping"
    ]
  ],
  "openalex": "W7223248196",
  "pdf_url": "https://europepmc.org/articles/PMC13712228?pdf=render",
  "pmcid": "PMC13712228",
  "pmid": "42948318",
  "published": "2026-10-23",
  "publisher": "Dove Press",
  "ris": "https://research.draconitic.com/paper/609m7aed0m5f8.ris",
  "sources": [
    {
      "first_seen": "2026-10-31T00:20:34Z",
      "native_id": "MED:42948318",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42948318"
    },
    {
      "first_seen": "2026-10-31T12:22:51Z",
      "native_id": "PMC13712228",
      "source": "pmc",
      "url": "https://doi.org/10.2147/prbm.s641381"
    }
  ],
  "subjects": [],
  "title": "Any Artificial Intelligence Tool Use Experience and Depression-Anxiety Symptom Profiles Among Rural University Students in China.",
  "title_text": "Any Artificial Intelligence Tool Use Experience and Depression-Anxiety Symptom Profiles Among Rural University Students in China.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-31T12:22:51Z",
  "url": "https://research.draconitic.com/paper/609m7aed0m5f8",
  "venue": "Psychology research and behavior management",
  "versions": []
}