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Peer-reviewedCC BY 4.0Frontiers in Psychiatry

Perceived artificial intelligence dependence and anxiety symptoms among university students: a three-wave study of experiential avoidance and digital literacy

4 affiliations
  1. 1School of Educational Sciences, Xinxiang University
  2. 2Department of Human Development and Family Studies, Faculty of Human Ecology, Universiti Putra Malaysia
  3. 3School of Music, Xinxiang University
  4. 4School of Education, Weifang University of Science and Technology

Abstract

University students increasingly use artificial intelligence tools for learning, decision-making, and academic work, making perceived AI dependence a relevant issue for public mental health and digital public health rather than only for educational technology. This three-wave time-lagged survey examined whether experiential avoidance functioned as a putative explanatory process linking perceived AI dependence with later anxiety symptoms and whether digital literacy moderated the tested pathways. Online survey data were collected from 1,451 university students with AI-use experience; perceived AI dependence, digital literacy, and baseline demographic variables were measured in January 2026, experiential avoidance was measured in March 2026, and anxiety symptoms were measured in June 2026. PLS-SEM results showed that experiential avoidance was strongly and positively associated with later anxiety symptoms (beta = 0.677, p < 0.001), whereas the direct association between perceived AI dependence and anxiety symptoms was not significant (beta = -0.030, p = 0.147); perceived AI dependence was negatively associated with experiential avoidance (beta = -0.114, p < 0.001), producing a statistically significant but theoretically unexpected negative time-ordered indirect association (beta = -0.077, p < 0.001), and digital literacy did not significantly moderate the tested pathways. The findings suggest that anxiety symptoms in AI-mediated learning contexts are closely linked to avoidance-related psychological processes, while the meaning of perceived AI dependence is context-dependent and should not be equated automatically with harmful use or clinical addiction; campus mental-health promotion should therefore integrate responsible AI education with support for psychological flexibility, uncertainty tolerance, and autonomous learning.

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BibTeX
@article{liu2026perceived,
  title = {{Perceived artificial intelligence dependence and anxiety symptoms among university students: a three-wave study of experiential avoidance and digital literacy}},
  author = {Xu Liu and Zhenggui Gu and Lulu Shi},
  journal = {Frontiers in Psychiatry},
  year = {2026},
  month = oct,
  doi = {10.3389/fpsyt.2026.1934192},
  url = {https://www.frontiersin.org/articles/10.3389/fpsyt.2026.1934192/full},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Perceived artificial intelligence dependence and anxiety symptoms among university students: a three-wave study of experiential avoidance and digital literacy
AU  - Xu Liu
AU  - Zhenggui Gu
AU  - Lulu Shi
PY  - 2026
DA  - 2026/10/19
JO  - Frontiers in Psychiatry
DO  - 10.3389/fpsyt.2026.1934192
UR  - https://www.frontiersin.org/articles/10.3389/fpsyt.2026.1934192/full
AB  - University students increasingly use artificial intelligence tools for learning, decision-making, and academic work, making perceived AI dependence a relevant issue for public mental health and digital public health rather than only for educational technology. This three-wave time-lagged survey examined whether experiential avoidance functioned as a putative explanatory process linking perceived AI dependence with later anxiety symptoms and whether digital literacy moderated the tested pathways. Online survey data were collected from 1,451 university students with AI-use experience; perceived AI dependence, digital literacy, and baseline demographic variables were measured in January 2026, experiential avoidance was measured in March 2026, and anxiety symptoms were measured in June 2026. PLS-SEM results showed that experiential avoidance was strongly and positively associated with later anxiety symptoms (beta = 0.677, p < 0.001), whereas the direct association between perceived AI dependence and anxiety symptoms was not significant (beta = -0.030, p = 0.147); perceived AI dependence was negatively associated with experiential avoidance (beta = -0.114, p < 0.001), producing a statistically significant but theoretically unexpected negative time-ordered indirect association (beta = -0.077, p < 0.001), and digital literacy did not significantly moderate the tested pathways. The findings suggest that anxiety symptoms in AI-mediated learning contexts are closely linked to avoidance-related psychological processes, while the meaning of perceived AI dependence is context-dependent and should not be equated automatically with harmful use or clinical addiction; campus mental-health promotion should therefore integrate responsible AI education with support for psychological flexibility, uncertainty tolerance, and autonomous learning.
SN  - 1664-0640
ER  -