This study aims to explore the evolutionary pattern of discussion topics over time in an online depression self-help community.
Using the Latent Dirichlet Allocation (LDA) method, the authors analyzed 17,534 posts and 138,567 comments posted over 8 years on an online depression self-help group in China and identified the major discussion topics. Based on significant changes in the frequency of posts over time, the authors identified five stages of development. Through a comparative analysis of discussion topics in the five stages, the authors identified the changes in the extent and range of topics over time. The authors discuss the influence of socio-cultural factors on depressed individuals' health information behavior.
The results illustrate an evolutionary pattern of topics in users' discussion in the online depression self-help group, including five distinct stages with a sequence of topic changes. The discussion topics of the group included self-reflection, daily record, peer diagnosis, companionship support and instrumental support. While some prominent topics were discussed frequently in each stage, some topics were short-lived.
While most prior research has ignored topic changes over time, the study takes an evolutionary perspective of online discussion topics among depressed individuals. The authors provide a nuanced account of the progression of topics through five distinct stages, showing that the community experienced a sequence of changes as it developed. Identifying this evolutionary pattern extends the scope of research on depression therapy in China and offers a deeper understanding of the support that individuals with depression seek, receive and provide online.
