分析Reddit上8种心理状况的自我披露，发现语言可见性在披露前就已显现。
How Mental Health Self-Disclosure Becomes Visible: Evidence from Eight Conditions on Reddit
- 通过对比披露前后语句，追踪用户语言中隐含的心理负担变化。
- 披露前一个月语言可见性最高，但社区互动几乎未跟随内容变化。
- 研究揭示平台互动指标与临床需求脱节，适合心理健康平台设计参考。
人们在社交媒体分享心理健康诊断，但这些语言如何在自我披露前后变得可见，以及社区参与度是否随之变化，尚未在多种病症中得到系统考察。本研究分析了来自739名用户的89,605篇Reddit帖子，针对八种心理状况，移除每位用户的诊断披露内容，并将其周围帖子对齐至该披露时间点作为锚点。结果显示，在披露前一年内，语言可见的心理负担在六种病症中于披露前一个月达到峰值，而创伤后应激障碍（PTSD）出现得更早，边缘型人格障碍则最晚；且这种可见性在披露后并未消退。主题“寻求临床解释”在五种病症中呈现显著的早期到晚期差异，但社区互动极少与之匹配：360个语言-互动相关性中仅有9个在校正后仍显著。因此，自我披露是一个可见性不均等过程中的节点，研究为社区实践和平台设计提供启示，即当前的互动指标无法真实反映临床需求。
原文摘要 · Abstract (English)
People share mental health diagnoses on social media, yet how such language becomes visible around their self-disclosure, and whether community engagement tracks it, remain unexamined across conditions. We analyze 89,605 Reddit posts from 739 users across eight conditions, removing each user's diagnosis disclosure and aligning their surrounding posts to that anchor. Within the pre-disclosure year, language-visible burden was highest in the month before disclosure for six conditions, earlier for post-traumatic stress disorder and furthest from it for borderline personality disorder, and remained visible afterward rather than resolving. The theme Seeking Clinical Explanations showed the largest early-to-late difference before disclosure in five conditions, yet engagement rarely tracked what users wrote: only 9 of 360 language--engagement correlations survived correction. Disclosure is therefore a waypoint in an unevenly visible process, and we offer implications for community practice and platform design where engagement metrics do not reflect clinical need.
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