{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T04:34:41Z","timestamp":1793421281738,"version":"4.5.0"},"reference-count":80,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/501100002338","name":"Ministry of Education of the People&apos;s Republic of China","doi-asserted-by":"publisher","award":["23JZD014"],"award-info":[{"award-number":["23JZD014"]}],"id":[{"id":"10.13039\/501100002338","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["72131005"],"award-info":[{"award-number":["72131005"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["72171062"],"award-info":[{"award-number":["72171062"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["72121001"],"award-info":[{"award-number":["72121001"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Decision Support Systems"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.dss.2026.114696","type":"journal-article","created":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T15:40:54Z","timestamp":1779550854000},"page":"114696","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":15,"special_numbering":"C","title":["AI-driven mental health therapy: A comparative study of emotional clarity and stigma reduction across journaling, human-guided therapy, and AI-guided therapy"],"prefix":"10.1016","volume":"207","author":[{"given":"Runyu","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keng Leng","family":"Siau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zili","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.dss.2026.114696_bb0005","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1186\/s12889-022-14937-5","article-title":"The Seeking Mental Health Care model: prediction of help-seeking for depressive symptoms by stigma and mental illness representations","volume":"23","author":"McLaren","year":"2023","journal-title":"BMC Public Health"},{"key":"10.1016\/j.dss.2026.114696_bb0010","series-title":"World mental health report: Transforming mental health for all","author":"W.H. Organization","year":"2022"},{"key":"10.1016\/j.dss.2026.114696_bb0015","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1007\/s10597-020-00728-y","article-title":"Prevalence, psychological responses and associated correlates of depression, anxiety and stress in a global population, during the coronavirus disease (COVID-19) pandemic","volume":"57","author":"Shah","year":"2021","journal-title":"Community Ment. Health J."},{"key":"10.1016\/j.dss.2026.114696_bb0020","doi-asserted-by":"crossref","DOI":"10.1016\/j.dss.2022.113792","article-title":"Mining voices from self-expressed messages on social-media: diagnostics of mental distress during COVID-19","volume":"162","author":"Kumar","year":"2022","journal-title":"Decis. Support. Syst."},{"key":"10.1016\/j.dss.2026.114696_bb0025","doi-asserted-by":"crossref","DOI":"10.1016\/j.dss.2022.113813","article-title":"Social influence-based contrast language analysis framework for clinical decision support systems","volume":"159","author":"Yang","year":"2022","journal-title":"Decis. Support. Syst."},{"key":"10.1016\/j.dss.2026.114696_bb0030","doi-asserted-by":"crossref","DOI":"10.1016\/j.dss.2025.114421","article-title":"DECEN: a deep learning model enhanced by depressive emotions for depression detection from social media content","volume":"191","author":"Yan","year":"2025","journal-title":"Decis. Support. Syst."},{"key":"10.1016\/j.dss.2026.114696_bb0035","doi-asserted-by":"crossref","DOI":"10.2196\/13216","article-title":"Your robot therapist will see you now: ethical implications of embodied artificial intelligence in psychiatry, psychology, and psychotherapy","volume":"21","author":"Fiske","year":"2019","journal-title":"J. Med. Internet Res."},{"key":"10.1016\/j.dss.2026.114696_bb0040","doi-asserted-by":"crossref","first-page":"100099","DOI":"10.1016\/j.glmedi.2024.100099","article-title":"Enhancing mental health with artificial intelligence: current trends and future prospects","volume":"3","author":"Olawade","year":"2024","journal-title":"J. Med. Surg. Public Health"},{"key":"10.1016\/j.dss.2026.114696_bb0045","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1177\/09727531231221612","article-title":"Digital mental health: role of artificial intelligence in psychotherapy","volume":"32","author":"Bhatt","year":"2025","journal-title":"Ann. Neurosci."},{"key":"10.1016\/j.dss.2026.114696_bb0050","series-title":"Reason and emotion in psychotherapy","volume":"442","author":"Ellis","year":"1962"},{"key":"10.1016\/j.dss.2026.114696_bb0055","series-title":"Cognitive therapy and the emotional disorders","author":"Beck","year":"1979"},{"key":"10.1016\/j.dss.2026.114696_bb0060","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/j.invent.2017.10.002","article-title":"A fully automated conversational agent for promoting mental well-being: a pilot RCT using mixed methods","volume":"10","author":"Ly","year":"2017","journal-title":"Internet Interv."},{"key":"10.1016\/j.dss.2026.114696_bb0065","doi-asserted-by":"crossref","DOI":"10.2196\/mental.7785","article-title":"Delivering cognitive behavior therapy to young adults with symptoms of depression and anxiety using a fully automated conversational agent (Woebot): a randomized controlled trial","volume":"4","author":"Fitzpatrick","year":"2017","journal-title":"JMIR. Ment. Health"},{"key":"10.1016\/j.dss.2026.114696_bb0070","first-page":"856","article-title":"Artificial intelligence for mental health care: clinical applications, barriers, facilitators, and artificial wisdom","volume":"6","author":"Lee","year":"2021","journal-title":"Biol. Psychiatry: Cognit. Neurosci. Neuroimaging"},{"key":"10.1016\/j.dss.2026.114696_bb0075","doi-asserted-by":"crossref","first-page":"1020","DOI":"10.1080\/01612840.2023.2263579","article-title":"Harnessing artificial intelligence: strategies for mental health nurses in optimizing psychiatric patient care","volume":"44","author":"Nashwan","year":"2023","journal-title":"Issues Ment. Health Nurs."},{"key":"10.1016\/j.dss.2026.114696_bb0080","article-title":"Randomized trial of a generative AI chatbot for mental health treatment","volume":"2","author":"Heinz","year":"2025","journal-title":"NEJM. A.I."},{"key":"10.1016\/j.dss.2026.114696_bb0085","doi-asserted-by":"crossref","DOI":"10.1186\/s40359-025-02491-9","article-title":"The use of artificial intelligence in psychotherapy: development of intelligent therapeutic systems","volume":"13","author":"Spytska","year":"2025","journal-title":"BMC Psychol."},{"key":"10.1016\/j.dss.2026.114696_bb0090","doi-asserted-by":"crossref","unstructured":"R. Bodner, K. Lim, R. Schneider, J. Torous, Efficacy and risks of artificial intelligence chatbots for anxiety and depression: a narrative review of recent clinical studies, Curr. Opin. Psychiatry 39 (2026) 19\u201325.","DOI":"10.1097\/YCO.0000000000001048"},{"key":"10.1016\/j.dss.2026.114696_bb0095","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1007\/s11245-023-09932-3","article-title":"Is AI the future of mental healthcare?","volume":"42","author":"Minerva","year":"2023","journal-title":"Topoi"},{"key":"10.1016\/j.dss.2026.114696_bb0100","doi-asserted-by":"crossref","DOI":"10.3389\/fpubh.2024.1384521","article-title":"Mental health stigma: a conundrum for healthcare practitioners in conservative communities","volume":"12","author":"Booth","year":"2024","journal-title":"Front. Public Health"},{"key":"10.1016\/j.dss.2026.114696_bb0105","article-title":"Understanding young adults' attitudes towards using AI chatbots for psychotherapy: the role of self-stigma","volume":"2","author":"Hoffman","year":"2024","journal-title":"Computers in Human Behavior: Artificial Humans"},{"key":"10.1016\/j.dss.2026.114696_bb0110","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1080\/00223890903228539","article-title":"Measuring clarity of and attention to emotions","volume":"91","author":"Palmieri","year":"2009","journal-title":"J. Pers. Assess."},{"key":"10.1016\/j.dss.2026.114696_bb0115","series-title":"Emotional attention, clarity, and repair: Exploring emotional intelligence using the Trait Meta-Mood Scale.","author":"Salovey","year":"1995"},{"key":"10.1016\/j.dss.2026.114696_bb0120","doi-asserted-by":"crossref","DOI":"10.1037\/emo0000057","article-title":"Facets of emotional awareness and associations with emotion regulation and depression","volume":"15","author":"Boden","year":"2015","journal-title":"Emotion"},{"key":"10.1016\/j.dss.2026.114696_bb0125","article-title":"Use of AI-based mental health tools and psychological well-being among Chinese university students: a parallel mediation model of emotional self-efficacy and perceived autonomy","volume":"15","author":"Sun","year":"2025","journal-title":"Sci. Rep."},{"key":"10.1016\/j.dss.2026.114696_bb0130","series-title":"Social foundations of thought and action, Englewood Cliffs, NJ","volume":"2","author":"Bandura","year":"1986"},{"key":"10.1016\/j.dss.2026.114696_bb0135","series-title":"Stress, appraisal, and coping","author":"Lazarus","year":"1984"},{"key":"10.1016\/j.dss.2026.114696_bb0140","article-title":"Theme issue on e-mental health: a growing field in Internet research","volume":"12","author":"C.H","year":"2010","journal-title":"J. Med. Internet Res."},{"key":"10.1016\/j.dss.2026.114696_bb0145","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1017\/S0033291714000129","article-title":"What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies","volume":"45","author":"Clement","year":"2015","journal-title":"Psychol. Med."},{"key":"10.1016\/j.dss.2026.114696_bb0150","first-page":"1","article-title":"Attitudes toward seeking professional psychological help, self-stigma of seeking help, and preferences for AI mental health chatbots vs. human counsellors: a mixed methods study","author":"Miqdadi","year":"2025","journal-title":"Int. J. Ment. Heal. Addict."},{"key":"10.1016\/j.dss.2026.114696_bb0155","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/09638237.2025.2595612","article-title":"Patient perspectives on AI-powered cognitive behavioral therapy tools in managing anxiety and stress: a systematic review of qualitative studies","author":"Shankar","year":"2025","journal-title":"J. Ment. Health"},{"key":"10.1016\/j.dss.2026.114696_bb0160","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph19137737","article-title":"Using artificial intelligence to enhance ongoing psychological interventions for emotional problems in real- or close to real-time: a systematic review","volume":"19","author":"Gual-Montolio","year":"2022","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"10.1016\/j.dss.2026.114696_bb0165","first-page":"133","article-title":"The role of AI chatbots in providing mental health support: Emotional perception, human\u2013AI interaction, and ethical implications","volume":"12","author":"Rawat","year":"2025","journal-title":"Int. J. Technol. Innov."},{"key":"10.1016\/j.dss.2026.114696_bb0170","article-title":"How digital therapeutic alliances influence the perceived helpfulness of online mental health Q&A: An explainable machine learning approach","volume":"11","author":"Huang","year":"2025","journal-title":"Digit. Health"},{"key":"10.1016\/j.dss.2026.114696_bb0175","doi-asserted-by":"crossref","DOI":"10.2196\/76642","article-title":"The digital therapeutic alliance with mental health chatbots: diary study and thematic analysis","volume":"12","author":"Xu","year":"2025","journal-title":"JMIR Ment. Health"},{"key":"10.1016\/j.dss.2026.114696_bb0180","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1146\/annurev.psych.55.090902.141456","article-title":"Coping: pitfalls and promise","volume":"55","author":"Folkman","year":"2004","journal-title":"Annu. Rev. Psychol."},{"key":"10.1016\/j.dss.2026.114696_bb0185","series-title":"Perceived emotional intelligence, alexithymia, coping and emotional regulation","author":"Velasco","year":"2006"},{"key":"10.1016\/j.dss.2026.114696_bb0190","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1016\/j.appdev.2010.04.004","article-title":"The contribution of deficits in emotional clarity to stress responses and depression","volume":"31","author":"Flynn","year":"2010","journal-title":"J. Appl. Dev. Psychol."},{"key":"10.1016\/j.dss.2026.114696_bb0195","doi-asserted-by":"crossref","DOI":"10.1037\/tra0001200","article-title":"Emotion regulation repertoires in trauma-exposed college students: associations with PTSD symptoms, emotional awareness, and emotional clarity","volume":"15","author":"Pugach","year":"2023","journal-title":"Psychol. Trauma"},{"key":"10.1016\/j.dss.2026.114696_bb0200","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1080\/02699930143000374","article-title":"Four latent traits of emotional experience and their involvement in well-being, coping, and attributional style","volume":"16","author":"Gohm","year":"2002","journal-title":"Cognit. Emot."},{"key":"10.1016\/j.dss.2026.114696_bb0205","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1080\/10615806.2021.2018419","article-title":"Exploring two models of emotion regulation: how strategy use, abilities, and flexibility relate to well-being and mental illness","volume":"35","author":"Levin","year":"2022","journal-title":"Anxiety Stress Coping"},{"key":"10.1016\/j.dss.2026.114696_bb0210","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1037\/1089-2680.2.3.271","article-title":"The emerging field of emotion regulation: An integrative review","volume":"2","author":"Gross","year":"1998","journal-title":"Rev. Gen. Psychol."},{"key":"10.1016\/j.dss.2026.114696_bb0215","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1037\/0003-066X.44.1.19","article-title":"Emotion in psychotherapy","volume":"44","author":"Greenberg","year":"1989","journal-title":"Am. Psychol."},{"key":"10.1016\/j.dss.2026.114696_bb0220","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1111\/j.1467-9280.1997.tb00403.x","article-title":"Writing about emotional experiences as a therapeutic process","volume":"8","author":"Pennebaker","year":"1997","journal-title":"Psychol. Sci."},{"key":"10.1016\/j.dss.2026.114696_bb0225","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1177\/00916471231212478","article-title":"Emotion, religious coping, stigma, and help-seeking attitudes among Asian Americans: examination of moderated mediation","volume":"52","author":"Locke","year":"2024","journal-title":"J. Psychol. Theol."},{"key":"10.1016\/j.dss.2026.114696_bb0230","doi-asserted-by":"crossref","first-page":"973","DOI":"10.1007\/s11031-015-9500-3","article-title":"Finding meaning through emotional understanding: Emotional clarity predicts meaning in life and adjustment to existential threat","volume":"39","author":"Abeyta","year":"2015","journal-title":"Motiv. Emot."},{"key":"10.1016\/j.dss.2026.114696_bb0235","doi-asserted-by":"crossref","DOI":"10.2196\/13873","article-title":"Claudette and Chambers, Young People's Online Help-Seeking and Mental Health Difficulties: Systematic Narrative Review","volume":"21","author":"Pretorius","year":"2019","journal-title":"J. Med. Internet Res."},{"key":"10.1016\/j.dss.2026.114696_bb0240","doi-asserted-by":"crossref","first-page":"109271","DOI":"10.1016\/j.pec.2025.109271","article-title":"Exploring the influence of privacy concerns, AI literacy, and perceived health stigma on AI chatbot use in healthcare: an uncertainty reduction approach","volume":"140","author":"Liu","year":"2025","journal-title":"Patient Educ. Couns."},{"key":"10.1016\/j.dss.2026.114696_bb0245","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.schres.2009.01.005","article-title":"A stress-coping model of mental illness stigma: II. Emotional stress responses, coping behavior and outcome","volume":"110","author":"R\u00fcsch","year":"2009","journal-title":"Schizophr. Res."},{"key":"10.1016\/j.dss.2026.114696_bb0250","doi-asserted-by":"crossref","first-page":"1313","DOI":"10.1080\/13548506.2024.2305172","article-title":"Stigma, coping strategies, distress and wellbeing in individuals with cervical dystonia: a cross-sectional study","volume":"29","author":"Gowling","year":"2024","journal-title":"Psychol. Health Med."},{"key":"10.1016\/j.dss.2026.114696_bb0255","doi-asserted-by":"crossref","unstructured":"R. Rinehart, D. Rao, R.K. Amico, E. Ruiz, P. Brandes, C. Correa, S. Pasalar, J.R. Lama, A. Duerr, Y. Molina, Experienced HIV-related stigma and psychological distress in Peruvian sexual and gender minorities: a longitudinal study to explore mediating roles of internalized HIV-related stigma and coping styles, AIDS Behav. 23 (2019) 661\u2013674.","DOI":"10.1007\/s10461-018-2348-2"},{"key":"10.1016\/j.dss.2026.114696_bb0260","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1007\/s12671-018-0984-2","article-title":"Hacking stigma by loving yourself: A mediated-moderation model of self-compassion and stigma","volume":"10","author":"Wong","year":"2019","journal-title":"Mindfulness (N. Y)"},{"key":"10.1016\/j.dss.2026.114696_bb0265","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1017\/S2045796016000949","article-title":"Mental illness stigma and suicidality: the role of public and individual stigma","volume":"27","author":"Oexle","year":"2018","journal-title":"Epidemiol. Psychiatr. Sci."},{"key":"10.1016\/j.dss.2026.114696_bb0270","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1016\/j.comppsych.2017.02.001","article-title":"Stigma-related stress, shame and avoidant coping reactions among members of the general population with elevated symptom levels","volume":"74","author":"Schibalski","year":"2017","journal-title":"Compr. Psychiatry"},{"key":"10.1016\/j.dss.2026.114696_bb0275","doi-asserted-by":"crossref","DOI":"10.1017\/gmh.2016.11","article-title":"Reducing the stigma of mental illness","volume":"3","author":"Stuart","year":"2016","journal-title":"Glob. Ment. Health"},{"key":"10.1016\/j.dss.2026.114696_bb0280","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1037\/sah0000125","article-title":"Perceived stress and suicidal behaviors in college students: conditional indirect effects of depressive symptoms and mental health stigma","volume":"4","author":"Hirsch","year":"2019","journal-title":"Stigma Health"},{"key":"10.1016\/j.dss.2026.114696_bb0285","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph20053927","article-title":"Social stigma, mental health, stress, and health-related quality of life in people with long COVID","volume":"20","author":"Scholz","year":"2023","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"10.1016\/j.dss.2026.114696_bb0290","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1097\/NNR.0000000000000182","article-title":"Resilience, stress, stigma, and barriers to mental healthcare in US Air Force nursing personnel","volume":"65","author":"Hernandez","year":"2016","journal-title":"Nurs. Res."},{"key":"10.1016\/j.dss.2026.114696_bb0295","doi-asserted-by":"crossref","DOI":"10.2196\/69548","article-title":"Feasibility and acceptability of a psychological intervention for internalized health-related stigma among adults with chronic health conditions: preliminary investigation","volume":"9","author":"Pearl","year":"2025","journal-title":"JMIR Form. Res."},{"key":"10.1016\/j.dss.2026.114696_bb0300","doi-asserted-by":"crossref","first-page":"1007","DOI":"10.1177\/00936502231189811","article-title":"Stigma and supportive communication in the context of mental or emotional distress: An extension of the paradox of support seeking in close relationships","volume":"52","author":"Bishop","year":"2025","journal-title":"Commun. Res."},{"key":"10.1016\/j.dss.2026.114696_bb0305","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1471-244X-10-113","article-title":"Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review","volume":"10","author":"Gulliver","year":"2010","journal-title":"BMC Psychiatry"},{"key":"10.1016\/j.dss.2026.114696_bb0310","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1192\/bjp.bp.116.189464","article-title":"Association between mental health-related stigma and active help-seeking: systematic review and meta-analysis","volume":"210","author":"Schnyder","year":"2017","journal-title":"Br. J. Psychiatry"},{"key":"10.1016\/j.dss.2026.114696_bb0315","doi-asserted-by":"crossref","first-page":"522","DOI":"10.1177\/1077558709335173","article-title":"Stigma and help seeking for mental health among college students","volume":"66","author":"Eisenberg","year":"2009","journal-title":"Med. Care Res. Rev."},{"key":"10.1016\/j.dss.2026.114696_bb0320","doi-asserted-by":"crossref","first-page":"777","DOI":"10.2105\/AJPH.2012.301056","article-title":"Mental illness stigma, help seeking, and public health programs","volume":"103","author":"Henderson","year":"2013","journal-title":"Am. J. Public Health"},{"key":"10.1016\/j.dss.2026.114696_bb0325","doi-asserted-by":"crossref","first-page":"175","DOI":"10.3758\/BF03193146","article-title":"G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences","volume":"39","author":"Faul","year":"2007","journal-title":"Behav. Res. Methods"},{"key":"10.1016\/j.dss.2026.114696_bb0330","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1207\/s15374424jccp3401_5","article-title":"Adolescent peer relations, friendships, and romantic relationships: Do they predict social anxiety and depression?","volume":"34","author":"La Greca","year":"2005","journal-title":"J. Clin. Child Adolesc. Psychol."},{"key":"10.1016\/j.dss.2026.114696_bb0335","doi-asserted-by":"crossref","first-page":"1593","DOI":"10.1111\/jcpp.14145","article-title":"Research Review: Help-seeking intentions, behaviors, and barriers in college students\u2013a systematic review and meta-analysis","volume":"66","author":"Zhao","year":"2025","journal-title":"J. Child Psychol. Psychiatry"},{"key":"10.1016\/j.dss.2026.114696_bb0340","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1016\/j.tics.2010.06.007","article-title":"Cognitive theory and therapy of anxiety and depression: Convergence with neurobiological findings","volume":"14","author":"Clark","year":"2010","journal-title":"Trends Cogn. Sci."},{"key":"10.1016\/j.dss.2026.114696_bb0345","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1146\/annurev-med-052209-100032","article-title":"Cognitive therapy: current status and future directions","volume":"62","author":"Beck","year":"2011","journal-title":"Annu. Rev. Med."},{"key":"10.1016\/j.dss.2026.114696_bb0350","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/0022-3999(94)90005-1","article-title":"The twenty-item Toronto Alexithymia Scale\u2014I. item selection and cross-validation of the factor structure","volume":"38","author":"Bagby","year":"1994","journal-title":"J. Psychosom. Res."},{"key":"10.1016\/j.dss.2026.114696_bb0355","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1176\/ps.2008.59.4.392","article-title":"Perceived stigma and mental health care seeking","volume":"59","author":"Golberstein","year":"2008","journal-title":"Psychiatr. Serv."},{"key":"10.1016\/j.dss.2026.114696_bb0360","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1207\/s15327558ijbm0401_6","article-title":"You want to measure coping but your protocol's too long: consider the brief cope","volume":"4","author":"Carver","year":"1997","journal-title":"Int. J. Behav. Med."},{"key":"10.1016\/j.dss.2026.114696_bb0365","doi-asserted-by":"crossref","first-page":"444","DOI":"10.5271\/sjweh.752","article-title":"Validity of a single-item measure of stress symptoms","author":"Elo","year":"2003","journal-title":"Scand. J. Work Environ. Health"},{"key":"10.1016\/j.dss.2026.114696_bb0370","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1023\/B:JOYO.0000048064.31128.c6","article-title":"Adolescents' willingness to seek psychological help: promoting and preventing factors","volume":"33","author":"Sheffield","year":"2004","journal-title":"J. Youth Adolesc."},{"key":"10.1016\/j.dss.2026.114696_bb0375","series-title":"Multivariate Data Analysis","first-page":"785","article-title":"Multivariate data analysis","author":"Hair","year":"2010"},{"key":"10.1016\/j.dss.2026.114696_bb0380","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/j.jbusres.2019.11.069","article-title":"Assessing measurement model quality in PLS-SEM using confirmatory composite analysis","volume":"109","author":"Hair","year":"2020","journal-title":"J. Bus. Res."},{"key":"10.1016\/j.dss.2026.114696_bb0385","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1177\/002224378101800104","article-title":"Evaluating structural equation models with unobservable variables and measurement error","volume":"18","author":"Fornell","year":"1981","journal-title":"J. Mark. Res."},{"key":"10.1016\/j.dss.2026.114696_bb0390","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1007\/s00038-012-0416-3","article-title":"The reliability of a two-item scale: Pearson, Cronbach, or Spearman-Brown?","volume":"58","author":"Eisinga","year":"2013","journal-title":"Int. J. Public Health"},{"key":"10.1016\/j.dss.2026.114696_bb0395","series-title":"Introduction to mediation, moderation, and conditional process analysis: A regression-based approach","author":"Hayes","year":"2017"},{"key":"10.1016\/j.dss.2026.114696_bib396","doi-asserted-by":"crossref","first-page":"105415","DOI":"10.1016\/j.tourman.2026.105415","article-title":"Too concise to decide? The impact of AI-generated review summaries on tourist decision satisfaction","volume":"115","author":"Wang","year":"2026","journal-title":"Tour. Manag."}],"container-title":["Decision Support Systems"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0167923626000850?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0167923626000850?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T19:46:01Z","timestamp":1783194361000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0167923626000850"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":80,"alternative-id":["S0167923626000850"],"URL":"https:\/\/doi.org\/10.1016\/j.dss.2026.114696","relation":{},"ISSN":["0167-9236"],"issn-type":[{"value":"0167-9236","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"AI-driven mental health therapy: A comparative study of emotional clarity and stigma reduction across journaling, human-guided therapy, and AI-guided therapy","name":"articletitle","label":"Article Title"},{"value":"Decision Support Systems","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.dss.2026.114696","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier B.V. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"114696"}}