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Record W4409595513 · doi:10.1016/j.actpsy.2025.105015

Self-diagnosis in the age of social media: A pilot study of youth entering mental health treatment for mood and anxiety disorders

2025· article· en· W4409595513 on OpenAlexafffund
Sarah Armstrong, Elizabeth Osuch, Michael Wammes, Owen Chevalier, Stephanie Kieffer, Medina Meddaoui, Lauren Rice

Bibliographic record

VenueActa Psychologica · 2025
Typearticle
Languageen
FieldPsychology
TopicDigital Mental Health Interventions
Canadian institutionsWestern UniversityLawson Health Research InstituteLondon Health Sciences Centre
FundersWestern University
KeywordsAnxietyMoodMental healthPsychologySocial anxietyClinical psychologyPsychiatryMood disorders

Abstract

fetched live from OpenAlex

AIM: To understand young adult patients' perspectives around the importance of mental health diagnoses and use of online material to self-diagnose. METHODS: Prior to first appointment with a clinician, 57 patients at First Episode Mood and Anxiety Program answered questions about viewing mental health content online. They were asked their opinions regarding the importance of a diagnosis and if they believed they had a diagnosis not previously given by a clinician. Participants also completed the Social Media Engagement Scale for Adolescents (SMES-A). RESULTS: All participants reported viewing mental health content online, and social media sites were more commonly viewed than academically-oriented sites. Value placed on diagnosis was correlated with frequency of viewing mental health content online. Most patients reported believing they had diagnoses that were not previously given by a clinician (i.e., a self-diagnosis). Of these, most indicated social media contributed to this belief. Self-diagnosis was correlated with frequency of viewing mental health content on YouTube as well as score on the SMES-A. CONCLUSIONS: Young adults seeking mental healthcare indicated that information gleaned from social media was often used to self-diagnose. A diagnosis was found to be important for youth seeking mental health treatment and social media use appeared to be an associated factor. This research highlights attitudes about social media and diagnosis in youth entering mental health treatment.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.590
Threshold uncertainty score0.440

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.085
GPT teacher head0.416
Teacher spread0.331 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations17
Published2025
Admission routes2
Has abstractyes

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