Educational Strategies for Addressing Student Anxiety and Depression through Artificial Intelligence: A Bibliometric and Conceptual Analysis
DOI:
https://doi.org/10.56294/saludcyt20251669Keywords:
artificial intelligence, anxiety, depression, educators, mental healthAbstract
Introduction: La tecnología de inteligencia artificial (IA) ha transformado la educación, impactando positivamente diversas tareas académicas, incluidas las experiencias de aprendizaje y el apoyo a la salud mental del estudiantado. Sin embargo, factores relacionados con los usuarios, en particular los estudiantes y educadores, han influido en la implementación exitosa de la tecnología de IA. Diversos estudios han reportado impactos negativos, tales como ansiedad y depresión, durante el aprendizaje en línea, los cuales requieren una mayor investigación.
Method: Este estudio tuvo como objetivo identificar tendencias, patrones de agrupación y análisis temáticos con respecto al impacto de la tecnología de IA y el papel del profesorado en la mitigación de los riesgos de ansiedad y depresión. Se empleó un enfoque de revisión sistemática de la literatura (RSL) utilizando el protocolo PRISMA para realizar una exploración en profundidad. Se recuperaron un total de 33 artículos de la base de datos Scopus entre 2017 y 2024 utilizando las palabras clave "inteligencia artificial", "IA", "ansiedad" y "depresión". Los datos fueron analizados mediante VosViewer, Biblioshiny y análisis temático.
Results: The main findings indicated that AI technology posed several disadvantages when implemented without proper preparedness and control. These included reduced social interaction, technological complexity, dependency, and loss of autonomy, biased feedback, and the misuse of information—all of which reinforced students' anxiety and depression. Proposed strategies involved early detection of stress indicators, the creation of inclusive and pressure-free learning environments, the integration of mental health awareness into curricula, access to information and counseling services, fostering positive and open relationships, balanced use of AI technologies, fair empathy and concern, and professional development for educators.
Conclusions: This study provides a theoretical framework and practical strategies for educators and policymakers to promote balanced or hybrid uses of AI technology. Future research should ensure that AI is utilized appropriately, particularly in reducing the risks of emotional disturbances and mental health issues.
References
1. Zulkarnain NS, Md Yunus M. Primary Teachers’ Perspectives on Using Artificial Intelligence Technology in English as a Second Language Teaching and Learning: A Systematic Review. Int J Acad Res Progress Educ Dev. 2023;12(2). DOI: https://doi.org/10.6007/IJARPED/v12-i2/17119
2. Sepni Anita A, Aulia Purba KN, Bahrul Ilmi MR. The Role of Artificial Intelegence as a Tool to Help Counselors in Improving Mental Health. In: BICC Proceedings. 2024. p. 119–24. DOI: https://doi.org/10.30983/bicc.v1i1.115
3. Liu L. Analysis on class participation based on artificial intelligence. Rev d’Intelligence Artif. 2020;34(3):369–75. DOI: https://doi.org/10.18280/ria.340316
4. Liu S, Guo H. Based on CiteSpace Artificial Intelligence Application in the Teaching Evaluation were Reviewed. J Educ Educ Res. 2023;3(2):50–4. DOI: https://doi.org/10.54097/jeer.v3i2.9016
5. Balcombe L. AI Chatbots in Digital Mental Health. Informatics. 2023;10(4):82. DOI: https://doi.org/10.3390/informatics10040082
6. Oladimeji KE, Nyatela A, Gumede S, Dwarka D, Lalla-Edward ST. Impact of Artificial Intelligence (AI) on Psychological and Mental Health Promotion: An Opinion Piece. New Voices Psychol. 2023; DOI: https://doi.org/10.25159/2958-3918/14548
7. van der Schyff EL, Ridout B, Dip G, Amon KL, Forsyth R, Cert G, et al. Providing Self-Led Mental Health Support Through an Artificial Intelligence–Powered Chat Bot (Leora) to Meet the Demand of Mental Health Care. J Med Internet Res. 2023;25:e46448. DOI: https://doi.org/10.2196/46448
8. Sivasubramanian Balasubramanian E al. AI-Enabled Mental Health Assessment and Intervention: Bridging Gaps in Access and Quality of Care. Power Syst Technol. 2023;47(3). DOI: https://doi.org/10.52783/pst.159
9. Sullivan Y, Nyawa S, Wamba SF. Combating Loneliness with Artificial Intelligence: An AI-Based Emotional Support Model. Proc Annu Hawaii Int Conf Syst Sci. 2023;2023-Janua:4443–52. DOI: https://doi.org/10.24251/HICSS.2023.541
10. Erlin A. AI Benefits in Mental Health Counseling. BICC_Proceedings. 2024;2:170–5. DOI: https://doi.org/10.30983/bicc.v1i1.92
11. Chai CS, Wang X, Xu C. An extended theory of planned behavior for the modelling of chinese secondary school students’ intention to learn artificial intelligence. Mathematics. 2020;8(11):1–18. DOI: https://doi.org/10.3390/math8112089
12. Li W, Zhang X, Li J, Yang X, Li D, Liu Y. An explanatory study of factors influencing engagement in AI education at the K-12 Level: an extension of the classic TAM model. Sci Rep. 2024;14(1). DOI: https://doi.org/10.1038/s41598-024-64363-3
13. Almaiah MA, Alfaisal R, Salloum SA, Hajjej F, Thabit S, El-Qirem FA, et al. Examining the Impact of Artificial Intelligence and Social and Computer Anxiety in E-Learning Settings: Students’ Perceptions at the University Level. Electronics. 2022;11(22):3662. DOI: https://doi.org/10.3390/electronics11223662
14. Triyanto T, Kholifah N, Nurtanto M, Nur HR, Saputro IN, Istanti HN, et al. Student e-learning effectiveness based on pedagogy, evaluation and technology dimensions (PET-D): Empirical studies in higher education in the COVID-19 epidemic. Multidiscip Sci J [Internet]. 2024 Aug 3;6(12):2024245. Available from: https://malque.pub/ojs/index.php/msj/article/view/3317 DOI: https://doi.org/10.31893/multiscience.2024245
15. Kwak Y, Ahn JW, Seo YH. Influence of AI ethics awareness, attitude, anxiety, and self-efficacy on nursing students’ behavioral intentions. BMC Nurs. 2022;21(1). DOI: https://doi.org/10.1186/s12912-022-01048-0
16. Allahham M, Ahmad AYB. AI-induced anxiety in the assessment of factors influencing the adoption of mobile payment services in supply chain firms: A mental accounting perspective. Int J Data Netw Sci. 2024;8(1):505–14. DOI: https://doi.org/10.5267/j.ijdns.2023.9.006
17. Huang S, Lai X, Ke L, Li Y, Wang H, Zhao X, et al. AI Technology panic—is AI Dependence Bad for Mental Health? A Cross-Lagged Panel Model and the Mediating Roles of Motivations for AI Use Among Adolescents. Psychol Res Behav Manag. 2024;17:1087–102. DOI: https://doi.org/10.2147/PRBM.S440889
18. ÇOBANOĞLU A, OĞUZHAN H. Artificial Intelligence Anxiety of Nurses and Related Factors. Gümüşhane Üniversitesi Sağlık Bilim Derg. 2023;12(4):1846–54. DOI: https://doi.org/10.37989/gumussagbil.1274522
19. Salcedo ZB V., Tari IDAEPD, Ratsameemonthon C, Setiyani RY. Artificial Intelligence and Mental Health Issues: A Narrative Review. J Public Heal Sci. 2023;2(02):58–65. DOI: https://doi.org/10.56741/jphs.v2i02.282
20. Putri Erito SN. Exploring ESP Students’ Perception toward the Potential of Artificial Intelligence to Promote Students’ Self-Efficacy in English Writing Skill. J English Lang Learn. 2023;7(2):459–66. DOI: https://doi.org/10.31949/jell.v7i2.7598
21. Kholifah N, Nurtanto M, Mutohhari F, Hamid MA, Mutiara I, Setiawan D, et al. Factors influencing student career choice in vocational education in Indonesia: A mediating effect of self-efficacy. Soc Sci Humanit Open. 2025;11(1):1–10. DOI: https://doi.org/10.1016/j.ssaho.2025.101369
22. Dhawan S. Online learning: A panacea in the time of COVID-19 crisis. J Educ Technol Syst. 2020 Jun;49(1):5–22. DOI: https://doi.org/10.1177/0047239520934018
23. Kitchenham B, Charters S. Guidelines for performing Systematic Literature Reviews in Software Engineering [Internet]. Keele University and University of Durham. EBSE Technical Report, Vol. V2. 2007 [cited 2021 Dec 27]. Available from: https://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.117.471
24. Kitchenham B, Pretorius R, Budgen D, Brereton OP, Turner M, Niazi M, et al. Systematic literature reviews in software engineering-A tertiary study. Inf Softw Technol [Internet]. 2010;52(8):792–805. Available from: http://dx.doi.org/10.1016/j.infsof.2010.03.006 DOI: https://doi.org/10.1016/j.infsof.2010.03.006
25. Abuhassna H, Awae F, Adnan MABM, Daud M, Almheiri ASB. The Information Age for Education via Artificial Intelligence and Machine Learning: A Bibliometric and Systematic Literature Analysis. Int J Inf Educ Technol. 2024;14(5):700–11. DOI: https://doi.org/10.18178/ijiet.2024.14.5.2095
26. Prahani BK, Rizki IA, Jatmiko B, Suprapto N, Amelia T. Artificial Intelligence in Education Research During the Last Ten Years: A Review and Bibliometric Study. Int J Emerg Technol Learn. 2022;17(8):169–88. DOI: https://doi.org/10.3991/ijet.v17i08.29833
27. Tran BX, McIntyre RS, Latkin CA, Phan HT, Vu GT, Nguyen HLT, et al. The current research landscape on the artificial intelligence application in the management of depressive disorders: A bibliometric analysis. Int J Environ Res Public Health. 2019;16(12):2150. DOI: https://doi.org/10.3390/ijerph16122150
28. Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JPA, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ. 2009;339:1–27. DOI: https://doi.org/10.1136/bmj.b2700
29. Klos MC, Escoredo M, Joerin A, Lemos VN, Rauws M, Bunge EL. Artificial intelligence⇓based chatbot for anxiety and depression in university students: Pilot randomized controlled trial. JMIR Form Res. 2021;5(8). DOI: https://doi.org/10.2196/20678
30. Kholifah N, Nurtanto M, Mutohhari F, Wahyuningsih U, Listiani S. Students for practical learning readiness in vocational education: A post-pandemic survey. J Pedagog Res. 2024;8(3):320–32. DOI: https://doi.org/10.33902/JPR.202426503
31. Rasouli S, Ghafurian M, Nilsen ES, Dautenhahn K. University Students’ Opinions on Using Intelligent Agents to Cope with Stress and Anxiety in Social Situations. Comput Human Behav [Internet]. 2024 Jul 30;153:108072. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0747563223004235 DOI: https://doi.org/10.1016/j.chb.2023.108072
32. Fulmer R, Joerin A, Gentile B, Lakerink L, Rauws M. Using psychological artificial intelligence (tess) to relieve symptoms of depression and anxiety: Randomized controlled trial. JMIR Ment Heal. 2018;5(4). DOI: https://doi.org/10.2196/mental.9782
33. Abbas N, Ali I, Manzoor R, Hussain T, Hussain MHA i. Role of Artificial Intelligence Tools in Enhancing Students’ Educational Performance at Higher Levels. J Artif Intell Mach Learn Neural Netw. 2023;(35):36–49. DOI: https://doi.org/10.55529/jaimlnn.35.36.49
34. Rane NL. Education 4.0 and 5.0: integrating Artificial Intelligence (AI) for personalized and adaptive learning. J Artif Intell Robot [Internet]. 2024 Jul 30; Available from: https://www.reseaprojournals.com/jair/192 DOI: https://doi.org/10.61577/jaiar.2024.100006
35. Rane N, Choudhary S, Rane J. Education 4.0 and 5.0: Integrating Artificial Intelligence (AI) for Personalized and Adaptive Learning. SSRN Electron J [Internet]. 2023 Jul 30; Available from: https://www.reseaprojournals.com/jair/192 DOI: https://doi.org/10.2139/ssrn.4638365
36. Henry J, Rome O, Henry J, Rome O. EasyChair Preprint Pedagogical Innovations in AI-Integrated Education : a Methodological Approach Approach. 2024;
37. Hutson J, Plate D. Human-AI Collaboration for Smart Education: Reframing Applied Learning to Support Metacognition. In: Advanced Virtual Assistants - A Window to the Virtual Future [Working Title] [Internet]. IntechOpen; 2023. Available from: https://www.intechopen.com/online-first/1139594 DOI: https://doi.org/10.5772/intechopen.1001832
38. Rabiman R, Nurtanto M, Kholifah N. Design and development E-learning system by learning management system (Lms) in vocational education. Int J Sci Technol Res. 2020;9(1):1059–63.
39. Jeong S, Aymerich-Franch L, Arias K, Alghowinem S, Lapedriza A, Picard R, et al. Deploying a robotic positive psychology coach to improve college students’ psychological well-being. User Model User-adapt Interact. 2023;33(2):571–615. DOI: https://doi.org/10.1007/s11257-022-09337-8
40. Park DY, Kim H. Determinants of Intentions to Use Digital Mental Healthcare Content among University Students, Faculty, and Staff: Motivation, Perceived Usefulness, Perceived Ease of Use, and Parasocial Interaction with AI Chatbot. Sustain. 2023;15(1). DOI: https://doi.org/10.3390/su15010872
41. Smith CE, Lane W, Miller Hillberg H, Kluver D, Terveen L, Yarosh S. Effective Strategies for Crowd-Powered Cognitive Reappraisal Systems: A Field Deployment of the Flip∗Doubt Web Application for Mental Health. Proc ACM Human-Computer Interact. 2021;5(CSCW2). DOI: https://doi.org/10.1145/3479561
42. Liu Q, Lin D. The impact of distance education on the socialization of college students in the Covid-19 era: problems in communication and impact on mental health. BMC Med Educ. 2024;24(1). DOI: https://doi.org/10.1186/s12909-024-05551-7
43. Niu W, Zhang W, Zhang C, Chen X. The Role of Artificial Intelligence Autonomy in Higher Education: A Uses and Gratification Perspective. Sustain. 2024;16(3). DOI: https://doi.org/10.3390/su16031276
44. Hariani S, Fakhrorazi A. The Zeitgeist of “Financial Reporting Quality” Predictors: An Empirical Study among Local Governments (Districts) in Indonesia. Univers J Account Financ. 2022;10(1):137–47. DOI: https://doi.org/10.13189/ujaf.2022.100115
45. Crawford J, Allen KA, Pani B, Cowling M. When artificial intelligence substitutes humans in higher education: the cost of loneliness, student success, and retention. Stud High Educ. 2024;49(5):883–97. DOI: https://doi.org/10.1080/03075079.2024.2326956
46. Kostikova I, Holubnycha L, Sytnykova Y, Shchokina T, Soroka N, Tarasova S. University Teachers’ Psychological State During the Stress of Online Education After Pandemic in Wartime in Ukraine. Int J Emerg Technol Learn. 2023;18(13):152–62. DOI: https://doi.org/10.3991/ijet.v18i13.39825
47. Jakovljevic M, Karacic M, Pjano O. Preliminary Criteria For Ict in Assisting Students With Psychological Problems. Hum Res Rehabil. 2024;14(1):40–52. DOI: https://doi.org/10.21554/hrr.042403
48. Borsci S, Malizia A, Schmettow M, van der Velde F, Tariverdiyeva G, Balaji D, et al. The Chatbot Usability Scale: the Design and Pilot of a Usability Scale for Interaction with AI-Based Conversational Agents. Pers Ubiquitous Comput. 2022;26(1):95–119. DOI: https://doi.org/10.1007/s00779-021-01582-9
49. Gao Y, Wong SL, Khambari MNM, Noordin N bt, Geng J. Sustaining E-Learning Studies in Higher Education: An Examination of Scientific Productions in Scopus between 2019 and 2021. Sustain. 2022;14(21). DOI: https://doi.org/10.3390/su142114005
50. Thunström AO, Carlsen HK, Ali L, Larson T, Hellström A, Steingrimsson S. Usability Comparison Among Healthy Participants of an Anthropomorphic Digital Human and a Text-Based Chatbot as a Responder to Questions on Mental Health: Randomized Controlled Trial. JMIR Hum Factors. 2024;11. DOI: https://doi.org/10.2196/54581
51. Reilly N. Anxiety and depression in the classroom: A teacher’s guide to fostering self-regulation in young students. Anxiety and depression in the classroom: A teacher’s guide to fostering self-regulation in young students. New York: WW Norton & Company; 2015. 356-Chapter x, 356 Pages p.
52. Luthar SS, Kumar NL, Zillmer N. Teachers’ responsibilities for students’ mental health:Challenges in high achieving schools. Int J Sch Educ Psychol. 2020;8(2):119–30. DOI: https://doi.org/10.1080/21683603.2019.1694112
53. Korinek L. Supporting students with mental health challenges in the classroom. Prev Sch Fail. 2021;65(2):97–107. DOI: https://doi.org/10.1080/1045988X.2020.1837058
54. Falk D, Frisoli P, Varni E. The importance of teacher well-being for student mental health and resilient education systems. Forced Migr Rev [Internet]. 2021;(66):18–21. Available from: https://www.fmreview.org/issue66/falk-frisoli-varni/
55. McLeod JD, Uemura R, Rohrman S. Adolescent Mental Health, Behavior Problems, and Academic Achievement. J Health Soc Behav. 2012;53(4):482–97. DOI: https://doi.org/10.1177/0022146512462888
56. Fazel M, Hoagwood K, Stephan S, Ford T. Mental health interventions in schools in high-income countries. The Lancet Psychiatry. 2014;1(5):377–87. DOI: https://doi.org/10.1016/S2215-0366(14)70312-8
57. Eklund K, DeMarchena SL, Rossen E, Izumi JT, Vaillancourt K, Rader Kelly S. Examining the role of school psychologists as providers of mental and behavioral health services. Psychol Sch [Internet]. 2020 Jul 30;57(4):489–501. Available from: https://onlinelibrary.wiley.com/doi/10.1002/pits.22323 DOI: https://doi.org/10.1002/pits.22323
58. Debbie Z, Michael S. Teaching to Empower: Taking Action to Foster Student Agency, Self-Confidence. ASCD; 2020.
59. Sadler I. The role of self-confidence in learning to teach in higher education. Innov Educ Teach Int [Internet]. 2013 Jul 30;50(2):157–66. Available from: http://www.tandfonline.com/doi/abs/10.1080/14703297.2012.760777 DOI: https://doi.org/10.1080/14703297.2012.760777
60. Molinillo S, Aguilar-Illescas R, Anaya-Sánchez R, Vallespín-Arán M. Exploring the impacts of interactions, social presence and emotional engagement on active collaborative learning in a social web-based environment. Comput Educ [Internet]. 2018 Jul 30;123:41–52. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0360131518301003 DOI: https://doi.org/10.1016/j.compedu.2018.04.012
61. Arghode V. Role of Empathy in Instruction. Glob Educ J. 2012 Jan;2012(3):128–43.
62. Kratt D. Teachers’ perspectives on educator mental health competencies: A qualitative case study. Am J Qual Res [Internet]. 2020 Jul 30;2(1):22–40. Available from: https://www.ajqr.org/article/teachers-perspectives-on-educator-mental-health-competencies-a-qualitative-case-study-5792 DOI: https://doi.org/10.29333/ajqr/5792
63. Lameras P, Arnab S. Power to the Teachers: An Exploratory Review on Artificial Intelligence in Education. Inf [Internet]. 2022 Jul 30;13(1):14. Available from: https://www.mdpi.com/2078-2489/13/1/14 DOI: https://doi.org/10.3390/info13010014
64. McKnight K, O’Malley K, Ruzic R, Horsley M, Franey JJ, Bassett K. Teaching in a digital age: How educators use technology to improve student learning. J Res Technol Educ. 2016;48(3):194–211. DOI: https://doi.org/10.1080/15391523.2016.1175856
65. Dekker I, De Jong EM, Schippers MC, De Bruijn-Smolders M, Alexiou A, Giesbers B. Optimizing Students’ Mental Health and Academic Performance: AI-Enhanced Life Crafting. Front Psychol [Internet]. 2020 Jul 30;11:1063. Available from: https://www.frontiersin.org/article/10.3389/fpsyg.2020.01063/full DOI: https://doi.org/10.3389/fpsyg.2020.01063
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Muhammad Nurtanto, Asta Adyani , Mohd Kasturi Nor Abd Aziz, Najirah Umar, Valiant Lukad Perdana Sutrisno, Septiari Nawanksari, Munawar Thoharudin, Arina Zaida Ilma, Nur Kholifah (Author)

This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.
