Assessing similarities and differences in thematic content across online mental health communities dedicated to trauma-related mental health conditions.

IF 2.7 2区 心理学 Q2 PSYCHIATRY Psychological trauma : theory, research, practice and policy Pub Date : 2024-11-07 DOI:10.1037/tra0001817
Katherine E Wislocki, Ghazal Naderi, Stephen M Schueller, Alyson K Zalta
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Abstract

Objective: Large online mental health communities exist for both posttraumatic stress disorder (PTSD) and complex posttraumatic stress disorder (CPTSD) on Reddit. These communities have not been sufficiently understood through prior work.

Method: Posts (N = 86,267) from r/ptsd and r/CPTSD subreddits from December 2020 to December 2022 were collected, processed, and assessed. A modified reflexive thematic analysis was used to generate themes and codes from corpus data and Bidirectional Encoder Representation from Transformers topic models. Representative posts (N = 397) were coded. Chi-square analyses were used to compare the frequency of themes and codes across r/ptsd and r/CPTSD.

Results: Most sampled posts in r/ptsd and r/CPTSD were focused on posting for oneself. Venting was significantly more common in r/CPTSD (p < .01), whereas seeking advice was more frequent in r/ptsd (p < .01). Traumatic experiences, mental health symptoms, treatment, diagnosis, and relationships were discussed frequently in both communities. Discussions of noninterpersonal trauma, anxiety symptoms, sleep-related symptoms, flashback/reexperiencing symptoms, somatic symptoms, diagnosis, and medication use were significantly more prevalent in r/ptsd compared to r/CPTSD (p < .01). Discussions of depression/mood symptoms, resources/coping tools, and interpersonal conflict were significantly more common in r/CPTSD (p < .01).

Conclusions: Findings suggest that trauma-related online mental health communities may allow users to fulfill different objectives (i.e., seeking support, venting, or asking for advice) related to a wide range of discussion themes. Findings may be used to help inform the design and delivery of informal and formal interventions directed at these communities. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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评估致力于创伤相关心理健康问题的在线心理健康社区主题内容的异同。
目的在 Reddit 上存在着针对创伤后应激障碍(PTSD)和复杂创伤后应激障碍(CPTSD)的大型在线心理健康社区。以前的研究尚未充分了解这些社区:收集、处理并评估了 2020 年 12 月至 2022 年 12 月期间来自 r/ptsd 和 r/CPTSD 子 Reddit 的帖子(N = 86,267 个)。采用修改后的反思性主题分析法,从语料库数据和来自 Transformers 主题模型的双向编码器表征中生成主题和代码。对具有代表性的帖子(N = 397)进行了编码。使用卡方分析比较 r/ptsd 和 r/CPTSD 中主题和代码的频率:r/ptsd 和 r/CPTSD 中的大多数抽样帖子都侧重于为自己发帖。发泄在 r/CPTSD 中更为常见(p < .01),而寻求建议在 r/ptsd 中更为常见(p < .01)。两个社区都经常讨论创伤经历、心理健康症状、治疗、诊断和人际关系。对非人际创伤、焦虑症状、睡眠相关症状、闪回/体验症状、躯体症状、诊断和药物使用的讨论在 r/ptsd 中明显多于 r/CPTSD(p < .01)。关于抑郁/情绪症状、资源/应对工具和人际冲突的讨论在 r/CPTSD 中更为常见(p < .01):研究结果表明,与创伤相关的在线心理健康社区可以让用户实现与各种讨论主题相关的不同目标(即寻求支持、发泄或征求建议)。研究结果可用于帮助设计和提供针对这些社区的非正式和正式干预措施。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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来源期刊
CiteScore
11.20
自引率
3.20%
发文量
427
期刊介绍: Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence
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