Narratives of Anxiety and Depression on YouTube: A Corpus-Based Thematic Analysis

Xinxin Huang , Yee Chin Gan , Ayeshah Syed

Language and Health ›› 2024, Vol. 2 ›› Issue (2) : 10029

PDF (618KB)
Language and Health ›› 2024, Vol. 2 ›› Issue (2) :10029 DOI: 10.1016/j.laheal.2024.09.001
Research article
research-article
Narratives of Anxiety and Depression on YouTube: A Corpus-Based Thematic Analysis
Author information +
History +
PDF (618KB)

Abstract

Anxiety and depression (A & D) are among the most common mental health disorders faced globally and are often linked. Despite their high prevalence and association with suicidal thoughts and actions, many individuals affected by A & D refrain from seeking mental health support due to feelings of fear and shame. Online narrative communication, thus, emerges as a valuable avenue for addressing this gap, offering firsthand accounts and insights from individuals with lived experiences of A & D. Such public sharing also serves as a source of information and support for individuals experiencing A & D. This study set out to provide a comprehensive description of content in personal A & D stories posted on YouTube channels, to fulfil two objectives: to identify recurring lexical patterns and collocations in A & D stories, and to explore predominant thematic elements within the storytelling medium. We applied corpus-based thematic analysis, incorporating statistical analysis of linguistic patterns via AntConc and qualitative thematic analysis of 23 narrative YouTube videos identified using search terms ‘anxiety story ’ and ‘depression story ’. A top frequency wordlist was compiled, and the concordance lines of these words were examined to uncover key thematic elements of authentic A & D narratives to yield a better understanding of these stories. Five main thematic groups were identified across the A & D videos, where users ’ reported A & D experiences included pivotal moments during the illness, enduring emotional strain, proactive help-seeking, support from loved ones, and uplifting messages to the audience. The findings shed light on the salient linguistic patterns and common themes in authentic A & D narrative videos shared online. These insights can be valuable for developing a deeper understanding of A & D narrative construction, shedding light on the experiences during illness and potential audience interpretations on YouTube.

Keywords

Mental health narratives / Social media / Personal narratives / Online communication / Thematic analysis

Cite this article

Download citation ▾
Xinxin Huang, Yee Chin Gan, Ayeshah Syed. Narratives of Anxiety and Depression on YouTube: A Corpus-Based Thematic Analysis. Language and Health, 2024, 2(2): 10029 DOI:10.1016/j.laheal.2024.09.001

登录浏览全文

4963

注册一个新账户 忘记密码

Funding

This research received no external funding.

CRediT authorship contribution statement

Xinxin Huang: Conceptualization, Data curation, Formal analysis, Writing-original draft, Methodology, Investigation. Yee Chin Gan: Conceptualization, Data curation, Formal analysis, Investigation, Methodology, Software, Supervision, Validation, Writing-review & editing, Project administration. Ayeshah Syed: Data curation, Formal analysis, Methodology, Validation, Writing-review & editing.

Declaration of competing interest

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Data availability

Data will be made available on request.

References

[1]

Altameemi Y., & Altamimi M. (2023). Thematic Analysis: A corpus-based method for understanding themes/topics of a corpus through a classification process using long short-term memory (LSTM) (Article) Applied Sciences, 13 (5), 3308. https://doi.org/10.3390/app13053308.

[2]

Ahmed Y. A., Ahmad M. N., Ahmad N., & Zakaria N. H. (2019). Social media for knowledge-sharing: A systematic literature review. Telematics and Informatics, 37, 72-112. https://doi.org/10.1016/j.tele.2018.01.015

[3]

Anthony L. (2023). AntConc (4.2.4) [Computer software]. Tokyo, Japan: Waseda University. https://www.laurenceanthony.net/software.

[4]

Baquero E. P. (2018). A descriptive analysis of the most viewed YouTube videos related to depression. 2018 National Conference on Health Communication, Marketing, and Media (September 11-13). https://doi.org/10.7916/d86m4k9p

[5]

Balcombe L. (2023). The impact of YouTube on Mental Health. Retrieved from https://enlighten.griffith.edu.au/the-impact-of-youtube-on-mental-health/.AccessedFebruary20,2024.

[6]

Balcombe L., & De Leo D. (2023). The impact of YouTube on loneliness and mental health. Informatics, 10 (2), 39. https://doi.org/10.3390/informatics10020039

[7]

Basch C. H., Donelle L., Fera J., & Jaime C. (2022). Deconstructing TikTok videos on mental health: Cross-sectional, descriptive content analysis (Article) JMIR Formative Research, 6 (5), Article e38340. https://doi.org/10.2196/38340.

[8]

Batterham P. J., & Calear A. L. (2017). Preferences for internet-based mental health interventions in an adult online sample: Findings from an online community survey. Article e7722 JMIR mental health, 4 (2). https://doi.org/10.2196/mental.7722.

[9]

Baquero E. P. (2018). A descriptive analysis of the most viewed YouTube videos related to depression. (Unpublished Doctoral dissertation) Columbia University.

[10]

Bonabi H., Müller M., Ajdacic-Gross V., Eisele J., Rodgers S., Seifritz E., Rössler W., & Rüsch N. (2016). Mental health literacy, attitudes to help seeking, and perceived need as predictors of mental health service use: A longitudinal study. The Journal of Nervous and Mental Disease, 204 (4), 321-324. https://doi.org/10.1097/NMD.0000000000000488

[11]

Brezina V. (2018). Statistical choices in corpus-based discourse analysis. In Corpus approaches to discourse (pp. 259-280). Routledge,.

[12]

Braun V., & Clarke V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3 (2), 77-101. https://doi.org/10.1191/1478088706qp063oa

[13]

Bucci S., Schwannauer M., & Berry N. (2019). The digital revolution and its impact on mental health care. Psychology and Psychotherapy: Theory, Research and Practice, 92 ( 2), 277-297. https://doi.org/10.1111/papt.12222

[14]

Bullingham L., & Vasconcelos A. C. (2013). ‘The presentation of self in the online world ’ : Goffman and the study of online identities. Journal of Information Science, 39 (1), 101-112. https://doi.org/10.1177/0165551512470051

[15]

Chen Y., Lee C., & Ang P. S. (2024). The connection between pronouns and distorted thinking: Depressed selves in an online depression community. Journal of Modern Languages, 34 (1), 32-53. https://doi.org/10.22452/jml.vol34no1.3

[16]

Choi B., Kim H., & Huh-Yoo J. (2021). Seeking mental health support among college students in video-based social media: Content and statistical analysis of YouTube videos (Article) JMIR formative research, 5 (11), Article e31944. https://doi.org/10.2196/31944.

[17]

Chou W. Y. S., Hunt Y., Folkers A., & Augustson E. (2011). Cancer survivorship in the age of YouTube and social media: A narrative analysis. Article 21569. Journal of Medical Internet Research, 13 (1). https://doi.org/10.2196/jmir.1569

[18]

Chung C., & Pennebaker J. (2007). The psychological functions of function words, 343-359. http://homepage.psy.utexas.edu/homepage/faculty/pennebaker/reprints/chung&jwp.pdf.

[19]

De Choudhury M., & De S. (2014). Mental health discourse on Reddit: Self-disclosure, social support, and Anonymity. Proceedings of the International AAAI Conference on Weblogs and Social Media, 8 (1), 71-80. https://doi.org/10.1609/icwsm.v8i1.14526

[20]

Devendorf A., Bender A., & Rottenberg J. (2020). Depression presentations, stigma, and mental health literacy: A critical review and YouTube content analysis (Article) Clinical Psychology Review, 78, Article 101843. https://doi.org/10.1016/j.cpr.2020.101843.

[21]

Dombrowski K. (2019). Almost everywhere in the world, mental illness is a taboo subject. Retrieved from https://www.dandc.eu/en/article/almost-everywhere-world-mental-illness-taboo-subject.AccessedonJuly7,2023.

[22]

Firth J., Cotter J., Torous J., Bucci S., Firth J. A., & Yung A. R. (2015). Mobile phone ownership and endorsement of “ mHealth ” among people with psychosis: A meta-analysis of cross-sectional studies. Schizophrenia Bulletin, 42 (2), 448-455. https://doi.org/10.1093/schbul/sbv132

[23]

Gaus Q., Jolliff A., & Moreno M. A. (2021). A content analysis of YouTube depression personal account videos and their comments. Article 100050 Computers in Human Behavior Reports, 3. https://doi.org/10.1016/j.chbr.2020.100050.

[24]

Glick G., Druss B., Pina J., Lally C., & Conde M. (2016). Use of mobile technology in a community mental health setting. Journal of Telemedicine and Telecare, 22 (7), 430-435. https://doi.org/10.1177/1357633×15613236

[25]

Hunt, D., & Harvey K. (2015). Health communication and corpus linguistics:Using corpus tools to analyse eating disorder discourse online. In P. Baker, & Eds.), Corpora and Discourse Studies. Palgrave Advances in Language and Linguistics (pp. 134-154). London: Palgrave Macmillan.

[26]

Jamet D., & Coupe C. (2023). How is mental illness discursively constructed and conceptualized in a corpus of online blogs? A corpus-linguistics case-study of discourses on mental illness. Anglophonia. French Journal of English Linguistics, 36. https://doi.org/10.4000/11qbl

[27]

Jaworska S., & Ryan K. (2018). Gender and the language of pain in chronic and terminal illness: A corpus-based discourse analysis of patients ’ narratives. Social Science & Medicine, 215, 107-114. https://doi.org/10.1016/j.socscimed.2018.09.002

[28]

Kalin N. H. (2020). The critical relationship between anxiety and depression. American Journal of Psychiatry, 177 (5), 365-367. https://doi.org/10.1176/appi.ajp.2020.20030305

[29]

Kinloch K., & Jaworska S. (2021). Your mind is part of your body: Negotiating the maternal body in online stories of postnatal depression on Mumsnet. Discourse, Context & Media, 39. https://doi.org/10.1016/j.dcm.2020.100456

[30]

Lachmar E. M., Wittenborn A. K., Bogen K. W., & McCauley H. L. (2017). Mydepressionlookslike: Examining public discourse about depression on Twitter. Article 8141. JMIR Mental Health, 4 (4). https://doi.org/10.2196/mental.8141

[31]

Li J., Tang L., & Pu Y. (2023). My story of depression: A content analysis of autobiographic videos on Douyin. Health Communication, 906-914. https://doi.org/10.1080/10410236.2023.2191887

[32]

McLellan A., Schmidt-Waselenchuk K., Duerksen K., & Woodin E. (2022). Talking back to mental health stigma: An exploration of YouTube comments on anti-stigma videos. Article 107214 Computers in Human Behavior, 131. https://doi.org/10.1016/j.chb.2022.107214.

[33]

Malova E., & Dunleavy V. (2021). Men have eating disorders too: An analysis of online narratives posted by men with eating disorders on YouTube. Eating Disorders, 30 (4), 437-452. https://doi.org/10.1080/10640266.2021.1930338

[34]

Ma W., & Liu Q. (2023). Language and health studies in the era of holistic health: Achievements and prospects. Language and Health. https://doi.org/10.1016/j.laheal.2023.11.001

[35]

MacLean S. A., Basch C. H., Reeves R., & Basch C. E. (2017). Portrayal of generalized anxiety disorder in YouTubeTM videos. International Journal of Social Psychiatry, 63 (8), 792-795. https://doi.org/10.1177/0020764017728967

[36]

McKee R. (2013). Ethical issues in using social media for health and health care research. Health Policy, 110, 298-301. https://doi.org/10.1016/j.healthpol.2013.02.0063

[37]

Moreno M. A., Goniu N., Moreno P. S., & Diekema D. (2013). Ethics of social media research: Common concerns and practical considerations. Cyberpsychology, Behavior and Social Networking, 16 ( 9), 708-713. https://doi.org/10.1089/cyber.2012.0334

[38]

Nor N. F. M., Jeffree N. B., & Nor H. A. M. (2021). Health is wealth: A corpus-driven analysis of the portrayal of mental health in Malaysian English online newspapers. GEMA Online Journal of Language Studies, 21 (2), 46-71. https://doi.org/10.17576/gema-2021-2102-03

[39]

National alliance on Mental Illness. (2018). The comorbidity of anxiety and depression. Retrieved from https://www.nami.org/Blogs/NAMI-Blog/January-2018/The-Comorbidity-of-Anxiety-and-Depression.AccessedonJanuary26,2024.

[40]

Naslund J. A., Aschbrenner K. A., Marsch L. A., & Bartels S. J. (2016). The future of mental health care: Peer-to-peer support and social media. Epidemiology and Psychiatric Sciences, 25 (2), 113-122. https://doi.org/10.1017/s2045796015001067

[41]

Naslund J. A., Bondre A., Torous J., & Aschbrenner K. A. (2020). Social media and mental Health: Benefits, risks, and opportunities for research and practice. Journal of Technology in Behavioral Science, 5 (3), 245-257. https://doi.org/10.1007/s41347-020-00134-x

[42]

Oliphant T. (2013). User engagement with mental health videos on YouTube. Journal of the Canadian Health Libraries Association / Journal De L’Association De Bibliothèques De La Santé Du Canada, 34 (3), 153-158. https://doi.org/10.5596/c13-057

[43]

Pavlova A., & Berkers P. (2020). Mental health discourse and social media: Which mechanisms of cultural power drive discourse on Twitter (Article) Social Science & Medicine, 263, Article 113250. https://doi.org/10.1016/j.socscimed.2020.113250.

[44]

Partington A., Duguid A., & Taylor C. (2013). Patterns and meanings in discourse: Theory and practice in corpus-assisted discourse studies (CADS). John Benjamins.

[45]

Petty S., Allen S., Pickup H., & Woodier B. (2023). A blog-based study of autistic adults ’ experiences of aloneness and connection and the interplay with well-being: Corpus-based and thematic analyses. Autism in Adulthood, 5 (4), 437-449. https://doi.org/10.1089/aut.2022.0073

[46]

Pretorius C., Chambers D., Cowan B., & Coyle D. (2019). Young people seeking help online for mental health: Cross-Sectional Survey study. JMIR Mental Health, 6 (8), Article e13524. https://doi.org/10.2196/13524

[47]

Riessman C. (2005). Narrative analysis. Narrative, memory & everyday life (pp. 1-7). Huddersfield: University of Huddersfield,.

[48]

Roberts L. D. (2015). Ethical issues in conducting qualitative research in online communities. Qualitative Research in Psychology, 12 (3), 314-325. https://doi.org/10.1080/14780887.2015.1008909

[49]

Sadler K., Vizard T., Ford T., Goodman A., Goodman R., & McManus S. (2018). Mental Health of Children and Young People in England. 2017: Trends and characteristics. Leeds, UK: NHS Digital,. https://openaccess.city.ac.uk/id/eprint/23650/.

[50]

Saha K., Torous J., Caine E. D., & De Choudhury M. (2020). Psychosocial effects of the COVID-19 pandemic: Large-scale quasi-experimental study on social media. Article 22600 Journal of Medical Internet Research, 22 (11). https://doi.org/10.2196/22600.

[51]

Salzmann-Erikson M., & Hiçdurmaz D. (2017). Use of social media among individuals who suffer from post-traumatic stress: A qualitative analysis of narratives. Qualitative health research, 27 (2), 285-294. https://doi.org/10.1177/1049732315627364

[52]

Tiller J. W. (2013). Depression and anxiety. The Medical Journal of Australia, 199 (6), S 28-S31. https://doi.org/10.5694/mja12.10628

[53]

Trotzek M., Koitka S., & Friedrich C.M. (2018). Word Embeddings and Linguistic Metadata at the CLEF 2018 Tasks for Early detection of Depression and Anorexia. CLEF (Working Notes). http://ceur-ws.org/Vol-2125/paper_68.pdf.

[54]

Uban A., Chulvi B., & Rosso P. (2021). An emotion and cognitive based analysis of mental health disorders from social media data. Future Generation Computer Systems, 124, 480-494. https://doi.org/10.1016/j.future.2021.05.032

[55]

Wartella E., Rideout V., Montague H., Beaudoin-Ryan L., & Lauricella A. (2016). Teens, health and technology: A national survey. Media and Communication, 4 (3), 13-23. https://doi.org/10.17645/mac.v4i3.515

[56]

Wicks P. (2014). The ALS Ice Bucket Challenge-Can a splash of water reinvigorate a field? Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration/Amyotrophic Lateral Sclerosis & Frontotemporal Degeneration, 15 (7-8), 479-480. https://doi.org/10.3109/21678421.2014.984725

[57]

World Health Organization. (2017). Depression and Other common mental disorders: Global health estimates. World Health Organization. Retrieved from https://www.who.int/publications/i/item/depression-global-health-estimates.

[58]

World Health Organization. (2023). Depressive disorder (depression). Retrieved from https://www.who.int/news-room/fact-sheets/detail/depression.WorldHealthOrganization.AccessedonJuly07,2023.

[59]

World Health Organization. (2022). Mental health at work. World Health Organization. Retrieved from https://www.who.int/teams/mental-health-and-substance-use/promotion-prevention/mental-health-in-the-workplace.AccessedonJuly7,2023.

[60]

Zhou Z., & Cheng Q. (2022). Relationship between online social support and adolescents ’ mental health: A systematic review and meta-analysis. Journal of Adolescence, 94 (3), 281-292. https://doi.org/10.1002/jad.12031

PDF (618KB)

0

Accesses

0

Citation

Detail

Sections
Recommended

/