{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:44:10Z","timestamp":1785545050446,"version":"3.56.0"},"reference-count":119,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Med Internet Res"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec sec-type=\"background\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Stress is widespread and carries substantial mental health, social, and economic burdens. Yet, access to clinician-led stress management remains constrained by service capacity, cost, and stigma. In response, artificial intelligence (AI)\u2013enabled tools have rapidly proliferated as scalable, self-directed options. However, evidence on how these systems support stress management outside formal clinical settings remains fragmented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"objective\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This systematic review aimed to synthesize empirical evidence on how AI-enabled technologies are used for self-directed stress management. We mapped the emerging functions of these tools, the psychological frameworks informing their design, the populations and settings studied, and the outcomes reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses)\u2013compliant systematic review of English-language studies published between 2000 and 2025. Six databases were searched (APA PsycINFO, PubMed, MEDLINE, Scopus, Web of Science Core Collection, ProQuest, and Google Scholar).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 3008 records identified, 35 studies met the inclusion criteria. The methodological quality of included studies was critically appraised using the Mixed Methods Appraisal Tool (version 2018). Findings illustrated that AI-supported stress management can operate through 5 core functions, including psychological intervention, behavioral support, psychoeducation, companionship, and emotional support, and stress monitoring, detection, and triage. Across the reviewed studies, these functions supported self-directed stress management by helping users identify stress, regulate responses, and engage in coping outside formal clinical care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>AI-enabled systems show preliminary promise for supporting self-directed stress management through multiple user-facing functions grounded in established psychological frameworks.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/90709","type":"journal-article","created":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T17:00:08Z","timestamp":1778000408000},"page":"e90709-e90709","source":"Crossref","is-referenced-by-count":0,"title":["The Emerging Roles of AI in Self-Directed Stress Management: Systematic Review"],"prefix":"10.2196","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-5470-0516","authenticated-orcid":false,"given":"Mary Kamillah Grace","family":"Reyes","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3739-8116","authenticated-orcid":false,"given":"Shauna Sha Min","family":"Teo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8758-6400","authenticated-orcid":false,"given":"Andree","family":"Hartanto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,6,24]]},"reference":[{"key":"R1","unstructured":"Stress: questions and answers. 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