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A Social Media Study on the Effects of Psychiatric Medication Use. 关于精神病药物使用影响的社交媒体研究。
Koustuv Saha, Benjamin Sugar, John Torous, Bruno Abrahao, Emre Kıcıman, Munmun De Choudhury

Understanding the effects of psychiatric medications during mental health treatment constitutes an active area of inquiry. While clinical trials help evaluate the effects of these medications, many trials suffer from a lack of generalizability to broader populations. We leverage social media data to examine psychopathological effects subject to self-reported usage of psychiatric medication. Using a list of common approved and regulated psychiatric drugs and a Twitter dataset of 300M posts from 30K individuals, we develop machine learning models to first assess effects relating to mood, cognition, depression, anxiety, psychosis, and suicidal ideation. Then, based on a stratified propensity score based causal analysis, we observe that use of specific drugs are associated with characteristic changes in an individual's psychopathology. We situate these observations in the psychiatry literature, with a deeper analysis of pre-treatment cues that predict treatment outcomes. Our work bears potential to inspire novel clinical investigations and to build tools for digital therapeutics.

了解精神科药物在精神健康治疗过程中的作用是一个活跃的研究领域。虽然临床试验有助于评估这些药物的效果,但许多试验缺乏对更广泛人群的普适性。我们利用社交媒体数据来研究自我报告的精神科药物使用情况对精神病理学的影响。我们利用一份常见的已批准和受管制的精神药物清单和一个由 3 万名个人发布的 3 亿条帖子组成的 Twitter 数据集,开发了机器学习模型,首先评估与情绪、认知、抑郁、焦虑、精神病和自杀意念有关的影响。然后,基于分层倾向得分的因果分析,我们观察到特定药物的使用与个体精神病理学的特征性变化相关。我们将这些观察结果与精神病学文献相结合,对预测治疗结果的治疗前线索进行了更深入的分析。我们的工作有可能激发新的临床研究,并为数字疗法提供工具。
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引用次数: 0
A Social Media Based Examination of the Effects of Counseling Recommendations after Student Deaths on College Campuses 基于社交媒体的大学校园学生死亡后咨询建议效果的检验
Koustuv Saha, Ingmar Weber, M. Choudhury
Student deaths on college campuses, whether brought about by a suicide or an uncontrollable incident, have serious repercussions for the mental wellbeing of students. Consequently, many campus administrators implement post-crisis intervention measures to promote student-centric mental health support. Information about these measures, which we refer to as "counseling recommendations", are often shared via electronic channels, including social media. However, the current ability to assess the effects of these recommendations on post-crisis psychological states is limited. We propose a causal analysis framework to examine the effects of these counseling recommendations after student deaths. We leverage a dataset from 174 Reddit campus communities and ~400M posts of ~350K users. Then we employ statistical modeling and natural language analysis to quantify the psychosocial shifts in behavioral, cognitive, and affective expression of grief in individuals who are "exposed" to (comment on) the counseling recommendations, compared to that in a matched control cohort. Drawing on crisis and psychology research, we find that the exposed individuals show greater grief, psycholinguistic, and social expressiveness, providing evidence of a healing response to crisis and thereby positive psychological effects of the counseling recommendations. We discuss the implications of our work in supporting post-crisis rehabilitation and intervention efforts on college campuses.
大学校园里的学生死亡,无论是由自杀还是不可控制的事件引起的,都会对学生的心理健康产生严重影响。因此,许多校园管理者实施危机后干预措施,以促进以学生为中心的心理健康支持。有关这些措施的信息,我们称之为“咨询建议”,通常通过包括社交媒体在内的电子渠道分享。然而,目前评估这些建议对危机后心理状态影响的能力是有限的。我们提出了一个因果分析框架来检验这些咨询建议在学生死亡后的影响。我们利用了174个Reddit校园社区和35万用户的4亿篇帖子的数据集。然后,我们使用统计模型和自然语言分析来量化“暴露”(评论)咨询建议的个体在行为、认知和情感表达方面的心理社会转变,并与匹配的对照队列进行比较。根据危机和心理学研究,我们发现暴露的个体表现出更大的悲伤,心理语言和社会表达能力,这为危机的治疗反应提供了证据,从而为咨询建议提供了积极的心理效果。我们讨论了我们的工作在支持大学校园危机后康复和干预工作的意义。
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引用次数: 44
A Social Media Based Examination of the Effects of Counseling Recommendations After Student Deaths on College Campuses. 基于社交媒体的大学校园学生死亡后咨询建议效果的检验。
Koustuv Saha, Ingmar Weber, Munmun De Choudhury

Student deaths on college campuses, whether brought about by a suicide or an uncontrollable incident, have serious repercussions for the mental wellbeing of students. Consequently, many campus administrators implement post-crisis intervention measures to promote student-centric mental health support. Information about these measures, which we refer to as "counseling recommendations", are often shared via electronic channels, including social media. However, the current ability to assess the effects of these recommendations on post-crisis psychological states is limited. We propose a causal analysis framework to examine the effects of these counseling recommendations after student deaths. We leverage a dataset from 174 Reddit campus communities and ~400M posts of ~350K users. Then we employ statistical modeling and natural language analysis to quantify the psychosocial shifts in behavioral, cognitive, and affective expression of grief in individuals who are "exposed" to (comment on) the counseling recommendations, compared to that in a matched control cohort. Drawing on crisis and psychology research, we find that the exposed individuals show greater grief, psycholinguistic, and social expressiveness, providing evidence of a healing response to crisis and thereby positive psychological effects of the counseling recommendations. We discuss the implications of our work in supporting post-crisis rehabilitation and intervention efforts on college campuses.

大学校园里的学生死亡,无论是由自杀还是不可控制的事件引起的,都会对学生的心理健康产生严重影响。因此,许多校园管理者实施危机后干预措施,以促进以学生为中心的心理健康支持。有关这些措施的信息,我们称之为“咨询建议”,通常通过包括社交媒体在内的电子渠道分享。然而,目前评估这些建议对危机后心理状态影响的能力是有限的。我们提出了一个因果分析框架来检验这些咨询建议在学生死亡后的影响。我们利用了174个Reddit校园社区和35万用户的4亿篇帖子的数据集。然后,我们使用统计模型和自然语言分析来量化“暴露”(评论)咨询建议的个体在行为、认知和情感表达方面的心理社会转变,并与匹配的对照队列进行比较。根据危机和心理学研究,我们发现暴露的个体表现出更大的悲伤,心理语言和社会表达能力,这为危机的治疗反应提供了证据,从而为咨询建议提供了积极的心理效果。我们讨论了我们的工作在支持大学校园危机后康复和干预工作的意义。
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引用次数: 0
"Is This an STD? Please Help!": Online Information Seeking for Sexually Transmitted Diseases on Reddit “这是性病吗?”请帮助!:在Reddit上寻找性传播疾病的在线信息
A. Nobles, C. Dreisbach, J. Keim-Malpass, Laura E. Barnes
Increasing incidence of sexually transmitted diseases (STDs) has prompted the public health and technology communities to innovate new measures to understand how individuals use Internet resources to attain relevant information, particularly for sensitive or stigmatized conditions. The purpose of this study is to examine recent health information seeking and needs of the r/STD community, a subreddit focused exclusively on STDs. We found that the majority of posts crowd-source information about intermediate, non-reportable STDs such as human papillomavirus (HPV). Crowdsourced information in this community focused on symptoms, treatment, as well as the social and emotional aspects of sexual health such as fear of misdiagnosis. From our analysis, it is clear that online communities focused on discussion of health symptoms have the ripe potential to influence information-seeking behavior and consumer action.
性传播疾病发病率的增加促使公共卫生界和技术界创新措施,以了解个人如何利用互联网资源获取相关信息,特别是敏感或污名化情况的信息。本研究的目的是研究r/STD社区(一个专门关注性病的reddit子社区)最近的健康信息寻求和需求。我们发现,大多数帖子都是关于中间的、不可报告的性传播疾病(如人乳头瘤病毒(HPV))的信息。这个社区的众包信息侧重于症状、治疗以及性健康的社会和情感方面,如对误诊的恐惧。从我们的分析来看,很明显,关注健康症状讨论的在线社区具有影响信息寻求行为和消费者行为的成熟潜力。
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引用次数: 24
"Is this a STD? Please help!": Online Information Seeking for Sexually Transmitted Diseases on Reddit. “这是性病吗?”请帮助!:在Reddit上寻找性传播疾病的在线信息。
Alicia L Nobles, Caitlin N Dreisbach, Jessica Keim-Malpass, Laura E Barnes

Increasing incidence of sexually transmitted diseases (STDs) has prompted the public health and technology communities to innovate new measures to understand how individuals use Internet resources to attain relevant information, particularly for sensitive or stigmatized conditions. The purpose of this study is to examine recent health information seeking and needs of the r/STD community, a subreddit focused exclusively on STDs. We found that the majority of posts crowd-source information about intermediate, non-reportable STDs such as human papillomavirus (HPV). Crowdsourced information in this community focused on symptoms, treatment, as well as the social and emotional aspects of sexual health such as fear of misdiagnosis. From our analysis, it is clear that online communities focused on discussion of health symptoms have the ripe potential to influence information-seeking behavior and consumer action.

性传播疾病发病率的增加促使公共卫生界和技术界创新措施,以了解个人如何利用互联网资源获取相关信息,特别是敏感或污名化情况的信息。本研究的目的是研究r/STD社区(一个专门关注性病的reddit子社区)最近的健康信息寻求和需求。我们发现,大多数帖子都是关于中间的、不可报告的性传播疾病(如人乳头瘤病毒(HPV))的信息。这个社区的众包信息侧重于症状、治疗以及性健康的社会和情感方面,如对误诊的恐惧。从我们的分析来看,很明显,关注健康症状讨论的在线社区具有影响信息寻求行为和消费者行为的成熟潜力。
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引用次数: 0
Loyalty in Online Communities. 在线社区的忠诚度。
William L Hamilton, Justine Zhang, Cristian Danescu-Niculescu-Mizil, Dan Jurafsky, Jure Leskovec

Loyalty is an essential component of multi-community engagement. When users have the choice to engage with a variety of different communities, they often become loyal to just one, focusing on that community at the expense of others. However, it is unclear how loyalty is manifested in user behavior, or whether certain community characteristics encourage loyalty. In this paper we operationalize loyalty as a user-community relation: users loyal to a community consistently prefer it over all others; loyal communities retain their loyal users over time. By exploring a large set of Reddit communities, we reveal that loyalty is manifested in remarkably consistent behaviors. Loyal users employ language that signals collective identity and engage with more esoteric, less popular content, indicating that they may play a curational role in surfacing new material. Loyal communities have denser user-user interaction networks and lower rates of triadic closure, suggesting that community-level loyalty is associated with more cohesive interactions and less fragmentation into subgroups. We exploit these general patterns to predict future rates of loyalty. Our results show that a user's propensity to become loyal is apparent from their initial interactions with a community, suggesting that some users are intrinsically loyal from the very beginning.

忠诚是多社区参与的重要组成部分。当用户可以选择加入各种不同的社区时,他们通常会只忠于一个社区,而牺牲其他社区。然而,目前尚不清楚忠诚度是如何在用户行为中表现出来的,或者是否某些社区特征鼓励了忠诚度。在本文中,我们将忠诚度作为一种用户-社区关系进行操作:忠诚于一个社区的用户始终比其他社区更喜欢这个社区;随着时间的推移,忠实的社区会留住忠实的用户。通过研究大量的Reddit社区,我们发现忠诚表现在非常一致的行为上。忠诚的用户使用表达集体身份的语言,并参与更深奥、不太流行的内容,这表明他们可能在新材料的出现中发挥策展作用。忠诚的社区有更密集的用户-用户互动网络和更低的三合一关闭率,这表明社区层面的忠诚与更紧密的互动和更少的分裂成子群体有关。我们利用这些一般模式来预测未来的忠诚度。我们的研究结果表明,用户的忠诚倾向从他们最初与社区的互动中就可以明显看出,这表明一些用户从一开始就具有内在的忠诚。
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引用次数: 0
The Language of Social Support in Social Media and Its Effect on Suicidal Ideation Risk 社交媒体中的社会支持语言及其对自杀意念风险的影响
M. Choudhury, Emre Kıcıman
Online social support is known to play a significant role in mental well-being. However, current research is limited in its ability to quantify this link. Challenges exist due to the paucity of longitudinal, pre- and post mental illness risk data, and reliable methods that can examine causality between past availability of support and future risk. In this paper, we propose a method to measure how the language of comments in Reddit mental health communities influences risk to suicidal ideation in the future. Incorporating human assessments in a stratified propensity score analysis based framework, we identify comparable subpopulations of individuals and measure the effect of online social support language. We interpret these linguistic cues with an established theoretical model of social support, and find that esteem and network support play a more prominent role in reducing forthcoming risk. We discuss the implications of our work for designing tools that can improve support provisions in online communities.
众所周知,网络社会支持在心理健康方面发挥着重要作用。然而,目前的研究在量化这种联系的能力方面是有限的。由于缺乏纵向的、精神疾病前后的风险数据,以及可靠的方法来检查过去可获得的支持与未来风险之间的因果关系,因此存在挑战。在本文中,我们提出了一种方法来衡量Reddit心理健康社区的评论语言如何影响未来自杀意念的风险。在基于分层倾向评分分析的框架中结合人类评估,我们确定了可比较的个体亚群,并测量了在线社会支持语言的效果。我们用既定的社会支持理论模型来解释这些语言线索,并发现尊重和网络支持在降低即将到来的风险方面发挥了更突出的作用。我们讨论了我们的工作对设计工具的影响,这些工具可以改善在线社区的支持规定。
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引用次数: 153
The Language of Social Support in Social Media and its Effect on Suicidal Ideation Risk. 社交媒体中的社会支持语言及其对自杀意念风险的影响。
Munmun De Choudhury, Emre Kıcıman

Online social support is known to play a significant role in mental well-being. However, current research is limited in its ability to quantify this link. Challenges exist due to the paucity of longitudinal, pre- and post mental illness risk data, and reliable methods that can examine causality between past availability of support and future risk. In this paper, we propose a method to measure how the language of comments in Reddit mental health communities influences risk to suicidal ideation in the future. Incorporating human assessments in a stratified propensity score analysis based framework, we identify comparable subpopulations of individuals and measure the effect of online social support language. We interpret these linguistic cues with an established theoretical model of social support, and find that esteem and network support play a more prominent role in reducing forthcoming risk. We discuss the implications of our work for designing tools that can improve support provisions in online communities.

众所周知,在线社交支持对心理健康起着重要作用。然而,目前的研究在量化这种联系方面能力有限。由于缺乏纵向的、前后的精神疾病风险数据,也缺乏可靠的方法来研究过去的支持与未来的风险之间的因果关系,因此研究面临着挑战。在本文中,我们提出了一种方法来衡量 Reddit 心理健康社区中的评论语言如何影响未来的自杀意念风险。我们在基于分层倾向得分分析的框架中纳入了人工评估,从而确定了可比的亚群个体,并测量了在线社会支持语言的影响。我们用已建立的社会支持理论模型来解释这些语言线索,并发现自尊和网络支持在降低即将到来的风险方面发挥着更突出的作用。我们讨论了我们的工作对设计工具的影响,这些工具可以改善在线社区中的支持服务。
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引用次数: 0
Self-Disclosure and Channel Difference in Online Health Support Groups 在线健康支持团体的自我表露与渠道差异
Diyi Yang, Zheng Yao, R. Kraut
Online health support groups are places for people to compare themselves with others and obtain informational and emotional support about their disease. To do so, they generally need to reveal private information about themselves and in many support sites, they can do this in public or private channels. However, we know little about how the publicness of the channels in health support groups influence the amount of self-disclosure people provide. Our work examines the extent members self-disclose in the private and public channels of an online cancer support group. We first built machine learning models to automatically identify the amount of positive and negative self-disclosure in messages exchanged in this community, with adequate validity (r>0.70). In contrast to findings from non-health-related sites, our results show that people generally self-disclose more in the public channel than the private one and are especially likely to reveal their negative thoughts and feelings publicly. We discuss theoretical and practical implications of our work.
在线健康支持小组是人们将自己与他人进行比较并获得有关其疾病的信息和情感支持的场所。要做到这一点,他们通常需要透露自己的私人信息,在许多支持网站上,他们可以通过公共或私人渠道做到这一点。然而,我们对健康支持团体中渠道的公开性如何影响人们提供的自我披露量知之甚少。我们的工作检查了在线癌症支持小组的私人和公共渠道中成员自我披露的程度。我们首先建立了机器学习模型来自动识别在这个社区中交换的消息中积极和消极的自我披露的数量,具有足够的有效性(r>0.70)。与非健康相关网站的调查结果相反,我们的研究结果表明,人们通常在公共渠道上比在私人渠道上更多地自我披露,尤其有可能公开透露他们的消极想法和感受。我们讨论了我们工作的理论和实践意义。
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引用次数: 36
Community Identity and User Engagement in a Multi-Community Landscape 多社区景观中的社区身份和用户参与
Justine Zhang, William L. Hamilton, Cristian Danescu-Niculescu-Mizil, Dan Jurafsky, J. Leskovec
A community's identity defines and shapes its internal dynamics. Our current understanding of this interplay is mostly limited to glimpses gathered from isolated studies of individual communities. In this work we provide a systematic exploration of the nature of this relation across a wide variety of online communities. To this end we introduce a quantitative, language-based typology reflecting two key aspects of a community's identity: how distinctive, and how temporally dynamic it is. By mapping almost 300 Reddit communities into the landscape induced by this typology, we reveal regularities in how patterns of user engagement vary with the characteristics of a community. Our results suggest that the way new and existing users engage with a community depends strongly and systematically on the nature of the collective identity it fosters, in ways that are highly consequential to community maintainers. For example, communities with distinctive and highly dynamic identities are more likely to retain their users. However, such niche communities also exhibit much larger acculturation gaps between existing users and newcomers, which potentially hinder the integration of the latter. More generally, our methodology reveals differences in how various social phenomena manifest across communities, and shows that structuring the multi-community landscape can lead to a better understanding of the systematic nature of this diversity.
一个社区的身份定义并塑造了它的内部动态。我们目前对这种相互作用的理解主要局限于从个别社区的孤立研究中收集的一瞥。在这项工作中,我们在各种各样的在线社区中对这种关系的本质进行了系统的探索。为此,我们引入了一种定量的、基于语言的类型学,反映了社区身份的两个关键方面:如何与众不同,以及它在时间上是如何动态的。通过将近300个Reddit社区映射到这种类型的景观中,我们揭示了用户参与模式如何随社区特征而变化的规律。我们的研究结果表明,新用户和现有用户与社区互动的方式强烈而系统地依赖于它所培养的集体身份的性质,这对社区维护者来说是非常重要的。例如,具有独特和高度动态身份的社区更有可能留住用户。然而,这样的小众社区在现有用户和新用户之间也表现出更大的文化适应差距,这可能会阻碍后者的整合。更一般地说,我们的方法揭示了不同社会现象在不同社区中表现的差异,并表明构建多社区景观可以更好地理解这种多样性的系统本质。
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引用次数: 62
期刊
Proceedings of the ... International AAAI Conference on Weblogs and Social Media. International AAAI Conference on Weblogs and Social Media
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