Psyche and pixels: AI-generated images and their impact on stigma of mental illnesses in Germany

  • Artificial intelligence (AI) has rapidly evolved in recent years. Image generating chatbots enjoy great popularity. But they bear the risk of maintaining or enhancing preexisting stereotypes and stigma against severe mental illnesses. The objective of the study is to investigate how AI-generated imagery on psychiatric diseases and institutions are perceived compared to (non-psychiatric) medical ones. Using the chatbots Designer, DALL-E 3 and Midjourney V6 we created images associated with psychiatric and medical contexts (disease, institution, incident). Participants (N = 239, 75.31% women) rated images generated by one of the chatbots upon a self-assessment manikin (SAM) rating, an adjective and emotion rating. Furthermore, participants were asked to title the images. Images containing psychiatric scenes were perceived as more negative and more arousing than other medical scenes (all p < .001). Further, they were often rated as having less control over the situation. Fear and angerArtificial intelligence (AI) has rapidly evolved in recent years. Image generating chatbots enjoy great popularity. But they bear the risk of maintaining or enhancing preexisting stereotypes and stigma against severe mental illnesses. The objective of the study is to investigate how AI-generated imagery on psychiatric diseases and institutions are perceived compared to (non-psychiatric) medical ones. Using the chatbots Designer, DALL-E 3 and Midjourney V6 we created images associated with psychiatric and medical contexts (disease, institution, incident). Participants (N = 239, 75.31% women) rated images generated by one of the chatbots upon a self-assessment manikin (SAM) rating, an adjective and emotion rating. Furthermore, participants were asked to title the images. Images containing psychiatric scenes were perceived as more negative and more arousing than other medical scenes (all p < .001). Further, they were often rated as having less control over the situation. Fear and anger were more often elicited by psychiatric than medical scenes. Psychiatric images were rated as more threatening and scarier (all p ≤ .001). In sum, the perception of AI-generated images of psychiatric terms was aligned with pre-existing stigmatizing attitudes. This is the first study to systematically investigate affective perception and potential stigmatizing effects of AI-generated images in a psychiatric context. It raises important discussion about user information, usage guidelines and stricter regulations for generative AI.show moreshow less

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Metadaten
Author:Janine GrimmerORCiD, Naiiri Khorikian-GhazariGND, Alkomiet HasanORCiDGND, Noa Lynn Hartmann, Lena Schoch, Sophie-Kathrin GreinerORCiDGND, Stefan Leucht, Irina PapazovaORCiDGND
URN:urn:nbn:de:bvb:384-opus4-1302746
Frontdoor URLhttps://opus.bibliothek.uni-augsburg.de/opus4/130274
ISSN:0022-3956OPAC
Parent Title (English):Journal of Psychiatric Research
Publisher:Elsevier BV
Place of publication:Amsterdam
Type:Article
Language:English
Year of first Publication:2026
Publishing Institution:Universität Augsburg
Release Date:2026/05/15
Volume:199
First Page:276
Last Page:283
DOI:https://doi.org/10.1016/j.jpsychires.2026.04.029
Institutes:Medizinische Fakultät
Medizinische Fakultät / Lehrstuhl für Psychiatrie und Psychotherapie
Medizinische Fakultät / Bezirkskrankenhaus (BKH)
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Licence (German):CC-BY-NC-ND 4.0: Creative Commons: Namensnennung - Nicht kommerziell - Keine Bearbeitung