研究ChatGPT使用如何影响情绪健康，发现高频率使用与依赖感强相关。

As AI chatbots see increased adoption and integration into everyday life, questions have been raised about the potential impact of human-like or anthropomorphic AI on users. In this work, we investigate the extent to which interactions with ChatGPT (with a focus on Advanced Voice Mode) may impact users' emotional well-being, behaviors and experiences through two parallel studies. To study the affective use of AI chatbots, we perform large-scale automated analysis of ChatGPT platform usage in a privacy-preserving manner, analyzing over 3 million conversations for affective cues and surveying over 4,000 users on their perceptions of ChatGPT. To investigate whether there is a relationship between model usage and emotional well-being, we conduct an Institutional Review Board (IRB)-approved randomized controlled trial (RCT) on close to 1,000 participants over 28 days, examining changes in their emotional well-being as they interact with ChatGPT under different experimental settings. In both on-platform data analysis and the RCT, we observe that very high usage correlates with increased self-reported indicators of dependence. From our RCT, we find that the impact of voice-based interactions on emotional well-being to be highly nuanced, and influenced by factors such as the user's initial emotional state and total usage duration. Overall, our analysis reveals that a small number of users are responsible for a disproportionate share of the most affective cues.