Article: The asymmetries of the biopsychosocial model of depression in lay discourses - Topic modelling online depression forums.
SSM - population health
2021 Volume 14, Page(s) 100785
Abstract: Background: One of the most comprehensive approaches to depression is the biopsychosocial model. From this wider perspective, social sciences have criticized the reductionist biomedical discourse, which has been dominating expert discourses for a long ... ...
Abstract | Background: One of the most comprehensive approaches to depression is the biopsychosocial model. From this wider perspective, social sciences have criticized the reductionist biomedical discourse, which has been dominating expert discourses for a long time. As these discourses determine the horizon of attributions and interventions, their lay interpretation plays a central role in the coping with depression. Methods: In order to map these patterns, online depression forums are analyzed with natural language processing methods, where computational tools are complemented with a qualitative approach. Latent Dirichlet Allocation topic model of depression-related posts from the most popular English-speaking online health discussion forums (N = ~70 000) reveals the monolog (attributions and self-disclosures) and interactive (consultations and quasi-therapeutic interactions) patterns. Results: Following the evaluation of various models 18 topics were differentiated: Conclusions: Biomedical discourse is underrepresented in lay discussions, while psychological discourse plays an overall dominant role. Even if actors are initially aware of the social mechanisms contributing to depression, they neglect these factors when it comes to considering the countermeasures. |
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Language | English |
Publishing date | 2021-03-29 |
Publishing country | England |
Document type | Journal Article |
ISSN | 2352-8273 |
ISSN | 2352-8273 |
DOI | 10.1016/j.ssmph.2021.100785 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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