Evidence map›Paper›PMID 42341243›Full record

SynthesisJournal of medical Internet research2026

The Emerging Roles of AI in Self-Directed Stress Management: Systematic Review.

Mary Kamillah Grace Reyes, Shauna Sha Min Teo, Andree Hartanto

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of medical Internet research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Mary Kamillah Grace Reyes *School of Social Sciences, Singapore Management University, Level 4, 10 Canning Rise, Singapore, 179873, Singapore, 65 68281901, 65 68280423.ORCID http://orcid.org/0009-0009-5470-0516
Shauna Sha Min Teo *School of Social Sciences, Singapore Management University, Level 4, 10 Canning Rise, Singapore, 179873, Singapore, 65 68281901, 65 68280423.ORCID http://orcid.org/0009-0009-3739-8116
Andree HartantoSchool of Social Sciences, Singapore Management University, Level 4, 10 Canning Rise, Singapore, 179873, Singapore, 65 68281901, 65 68280423.ORCID http://orcid.org/0000-0001-8758-6400

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: 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)-enabled tools have rapidly proliferated as scalable, self-directed options. However, evidence on how these systems support stress management outside formal clinical settings remains fragmented. Objective: 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. Methods: We conducted a PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses)-compliant 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). Results: 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. Conclusions: AI-enabled systems show preliminary promise for supporting self-directed stress management through multiple user-facing functions grounded in established psychological frameworks.

Indexed as

Artificial IntelligenceStress, PsychologicalCoping SkillsHumansIntelligent Systemsartificial intelligencechatbotsconversational agentsdigital mental healthPreferred Reporting Items for Systematic Reviews and Meta-AnalysesPRISMApsychoeducationself-directed stress managementself-guided interventionstress managementstress monitoringsystematic review

Identifiers

PMID42341243
PMCPMC13293476

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.