# From Chatbots to Confidants: A Cross-Cultural Study of LLM Adoption for Emotional Support

arXiv: https://arxiv.org/abs/2604.25525 · HTML: https://mlsanity.com/paper/2604.25525/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 9 of its 39 references that are in the map.
- First posted on arXiv 28 Apr 2026.

## Builds on (most cited first, 9 of 9)

- [Sentence-BERT: Sentence Embeddings using Siamese BERT-Networks](https://mlsanity.com/paper/1908.10084/) (2019)
- [UMAP: Uniform Manifold Approximation and Projection for Dimension Reduction](https://mlsanity.com/paper/1802.03426/) (2018)
- [M3-Embedding: Multi-Linguality, Multi-Functionality, Multi-Granularity Text Embeddings Through Self-Knowledge Distillation](https://mlsanity.com/paper/2402.03216/) (2024)
- [Emotion Analysis in NLP: Trends, Gaps and Roadmap for Future Directions](https://mlsanity.com/paper/2403.01222/) (2024)
- [From Personas to Talks: Revisiting the Impact of Personas on LLM-Synthesized Emotional Support Conversations](https://mlsanity.com/paper/2502.11451/) (2025)
- [Do Large Language Models Have an English Accent? Evaluating and Improving the Naturalness of Multilingual LLMs](https://mlsanity.com/paper/2410.15956/) (2024)
- [The AI Gap: How Socioeconomic Status Affects Language Technology Interactions](https://mlsanity.com/paper/2505.12158/) (2025)
- [Computer says "No": The Case Against Empathetic Conversational AI](https://mlsanity.com/paper/2212.10983/) (2022)
- [Language Models Predict Empathy Gaps Between Social In-groups and Out-groups](https://mlsanity.com/paper/2503.01030/) (2025)

## Abstract (arXiv)

Large Language Models (LLMs) are increasingly used not only for instrumental tasks, but as always-available and non-judgmental confidants for emotional support. Yet what drives adoption and how users perceive emotional support interactions across countries remains unknown. To address this gap, we present the first large-scale cross-cultural study of LLM use for emotional support, surveying 4,641 participants across seven countries (USA, UK, Germany, France, Spain, Italy, and The Netherlands). Our results show that adoption rates vary dramatically across countries (from 20% to 59%). Using mixed models that separate cultural effects from demographic composition, we find that: Being aged 25-44, religious, married, and of higher socioeconomic status are predictors of positive perceptions (trust, usage, perceived benefits), with socioeconomic status being the strongest. English-speaking countries consistently show more positive perceptions than Continental European countries. We further collect a corpus of 731 real multilingual prompts from user interactions, showing that users mainly seek help for loneliness, stress, relationship conflicts, and mental health struggles. Our findings reveal that LLM emotional support use is shaped by a complex sociotechnical landscape and call for a broader research agenda examining how these systems can be developed, deployed, and governed to ensure safe and informed access.