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Previously submitted to: JMIR Mental Health (no longer under consideration since Mar 14, 2018)

Date Submitted: Dec 22, 2017
Open Peer Review Period: Dec 26, 2017 - Mar 14, 2018
(closed for review but you can still tweet)

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An Exploration of Eating Disorders and Emotional States: An Infodemiological Study of Tweets Among Followers of Pro-Eating Disorder Sites

  • Katie L Whitney; 
  • Laura Hovey; 
  • Christine Partington; 
  • Christophe Giraud-Carrier; 
  • Michael D. Barnes; 
  • Hanson Carl L.

Background:

Studies have shown that individuals with eating disorders (ED) often suffer from negative emotional arousal as well. Increasingly, studies have been utilizing social media as a tool to better understanding public health issues.

Objective:

The aim of the study was to explore whether Twitter users who show signs of ED also show signs of negative emotional states and can be identified by their tweets.

Methods:

Using the Twitter API, six pro-ED Twitter accounts were identified. Twenty-percent of account followers were randomly extracted and screened for ED-related content (N=2139). Tweets from identified followers were analyzed using LIWC and MALLET to test for signs of depression. Machine learning was used to build a model to classify individuals as having an eating disorder or not based on the language used in their Tweets.

Results:

Twitter users with ED mentioned terms related to negative emotions, anxiety, anger, and sadness significantly more often than non-ED Twitter users; they also mentioned terms related to positive emotion less often. It was found that word clusters formed by ED users’ tweets were related to negative arousal and self-harm. It was also determined that people with eating disorders can be accurately classified using machine learning (sensitivity: 0.89, specificity: 0.94, positive predictive value: 0.94, negative predictive value: 0.88).

Conclusions:

Users who show signs of ED on Twitter also show signs of negative emotions on Twitter, and models induced with machine learning can accurately differentiate those with eating disorders from those without.


 Citation

Please cite as:

Whitney KL, Hovey L, Partington C, Giraud-Carrier C, Barnes MD, Carl L. H

An Exploration of Eating Disorders and Emotional States: An Infodemiological Study of Tweets Among Followers of Pro-Eating Disorder Sites

JMIR Preprints. 22/12/2017:9727

DOI: 10.2196/preprints.9727

URL: https://preprints.jmir.org/preprint/9727

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