# Power Distance and Psychological Safety in LLM Counseling: Effects on Self-Efficacy with Implications for Mental Health-Relevant Behavior Change

**Authors:** Shengyu He, Yuxing (Nemo) Chen

PMC · DOI: 10.3390/bs16020241 · Behavioral Sciences · 2026-02-08

## TL;DR

This study explores how the way an AI gives advice affects users' confidence in themselves, showing that low authority and high support boost self-efficacy for behavior change.

## Contribution

The paper introduces a dual framework combining power distance and psychological safety in LLM counseling and shows their asymmetric impact on self-efficacy.

## Key findings

- Low power distance and high psychological safety increased self-efficacy, while the opposite decreased it.
- High power distance reduced self-efficacy even when psychological safety was high.
- Perceived self-control and belongingness mediated the effects of the two dimensions.

## Abstract

Conversational systems based on large language models (LLMs) are being increasingly used as advisors in mental health and self-regulation contexts, yet causal evidence remains limited about whether such guidance strengthens human agency rather than shifting responsibility to the system. We propose a dual framework in which the advice style reflects two dimensions, namely a structural stance (power distance) and a relational stance (psychological safety). In an online vignette experiment in China (N = 980), participants sought job search guidance from an LLM and read either a baseline reply or one of eight discourse variants, while holding the advice content constant. Relative to the baseline, a low power distance and a high psychological safety increased the self-efficacy, whereas a high power distance and a low psychological safety decreased it. Combination conditions revealed an asymmetric constraint: when the power distance was high, the self-efficacy declined even when the psychological safety was high, suggesting that authority allocation can override relational reassurance. Mediation analyses showed that the perceived self-control accounted for 26.3% of the low power distance effect and perceived belongingness accounted for 40.9% of the high psychological safety effect, with no cross-mediation. Although mental health outcomes were not directly measured, our results position conversational stances as actionable levers that shape self-efficacy and agency-related mechanisms, which are critical for persistence and adherence in mental health-relevant behavior change.

## Full-text entities

- **Diseases:** injury to (MESH:D014947), anxiety (MESH:D001007), LLM (MESH:D007806), AI (MESH:C538142), low mood (MESH:D019964), mental health problems (MESH:D000076082), depressive symptoms (MESH:D003866)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

58 references — full list in the complete paper: https://tomesphere.com/paper/PMC12938042/full.md

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Source: https://tomesphere.com/paper/PMC12938042