Do You Have Depression? A Summative Content Analysis of Mental Health-related Content on TikTok

Overview

Journal Digit Health

Date 2025 Jan 22

PMID 39839955

Authors

Roxanne Turuba

Marco Zenone

Raman Srivastava

Jonathan Stea

Yuri Quintana

Nikki Ow

Kirsten Marchand

Amanda Kwan

Anna-Joy Ong

Xiaoxu Ding

Cassia Warren

Alessandro R Marcon

Jo Henderson

Steve Mathias

Skye Barbic

Affiliations

Soon will be listed here.

Abstract

Background: TikTok is a global social media platform with over 1 billion active users. Presently, there are few data on how TikTok users navigate the platform for mental health purposes and the content they view.

Objective: This study aims to understand the patterns of mental health-related content on TikTok and assesses the accuracy and quality of the advice and information provided.

Methods: We performed a summative content analysis on the top 1000 TikTok videos with the hashtag #mentalhealth between October 12 and 16, 2021. Six content themes were developed to code the data: (1) a personal story, perspective, or confessional, (2) advice and information, (3) emoting, (4) references to death, (5) references to science or research, and (6) a product or service for sale. Advice and information were further assessed by clinical experts.

Results: A total of 970 mental health-related videos were pulled for our analysis ( = 30 removed due to non-English content). The most prevalent content themes included a personal story, perspective, or confessional ( = 574), advice and information ( = 319), emoting ( = 198), references to death ( = 128). Advice and information were considered misleading in 33.0% of videos ( = 106), with misleading content performing better. Few videos included references to scientific evidence or research ( = 37).

Conclusion: Healthcare practitioners and researchers may consider increasing their presence on the platform to promote the dissemination of evidence-based information to a wider and more youth-targeted population. Interventions to reduce the amount of misinformation on the platform and increase people's ability to discern between anecdotal and evidence-based information are also warranted.

References

Stellefson M, Paige S, Chaney B, Chaney J . Evolving Role of Social Media in Health Promotion: Updated Responsibilities for Health Education Specialists. Int J Environ Res Public Health. 2020; 17(4). PMC: 7068576. DOI: 10.3390/ijerph17041153. View

Babar M, Loloi J, Patel R, Singh S, Azhar U, Maria P . Cross-sectional and comparative analysis of videos on erectile dysfunction treatment on YouTube and TikTok. Andrologia. 2022; 54(5):e14392. DOI: 10.1111/and.14392. View

Basch C, Donelle L, Fera J, Jaime C . Deconstructing TikTok Videos on Mental Health: Cross-sectional, Descriptive Content Analysis. JMIR Form Res. 2022; 6(5):e38340. PMC: 9164092. DOI: 10.2196/38340. View

Chandrashekar P . Do mental health mobile apps work: evidence and recommendations for designing high-efficacy mental health mobile apps. Mhealth. 2018; 4:6. PMC: 5897664. DOI: 10.21037/mhealth.2018.03.02. View

Rachul C, Marcon A, Collins B, Caulfield T . COVID-19 and 'immune boosting' on the internet: a content analysis of Google search results. BMJ Open. 2020; 10(10):e040989. PMC: 7592272. DOI: 10.1136/bmjopen-2020-040989. View

Riediger N, Dahl L, Biradar R, Mudryj A, Torabi M . A descriptive analysis of food pantries in twelve American states: hours of operation, faith-based affiliation, and location. BMC Public Health. 2022; 22(1):525. PMC: 8929468. DOI: 10.1186/s12889-022-12847-0. View

Kia H, Rutherford L, Jackson R, Grigorovich A, Ricote C, Scheim A . Impacts of COVID-19 on trans and non-binary people in Canada: a qualitative analysis of responses to a national survey. BMC Public Health. 2022; 22(1):1284. PMC: 9250198. DOI: 10.1186/s12889-022-13684-x. View

Fraticelli L, Smentek C, Tardivo D, Masson J, Clement C, Roy S . Characterizing the Content Related to Oral Health Education on TikTok. Int J Environ Res Public Health. 2021; 18(24). PMC: 8701928. DOI: 10.3390/ijerph182413260. View

Cinelli M, Quattrociocchi W, Galeazzi A, Valensise C, Brugnoli E, Schmidt A . The COVID-19 social media infodemic. Sci Rep. 2020; 10(1):16598. PMC: 7538912. DOI: 10.1038/s41598-020-73510-5. View

Turuba R, Cormier W, Zimmerman R, Ow N, Zenone M, Quintana Y . Exploring How Youth Use TikTok for Mental Health Information in British Columbia: Semistructured Interview Study With Youth. JMIR Infodemiology. 2024; 4:e53233. PMC: 11259762. DOI: 10.2196/53233. View

10.

La Sala L, Teh Z, Lamblin M, Rajaram G, Rice S, Hill N . Can a social media intervention improve online communication about suicide? A feasibility study examining the acceptability and potential impact of the #chatsafe campaign. PLoS One. 2021; 16(6):e0253278. PMC: 8205132. DOI: 10.1371/journal.pone.0253278. View

11.

Murdoch B, Marcon A, Downie D, Caulfield T . Media portrayal of illness-related medical crowdfunding: A content analysis of newspaper articles in the United States and Canada. PLoS One. 2019; 14(4):e0215805. PMC: 6478318. DOI: 10.1371/journal.pone.0215805. View

12.

Lorenzo-Luaces L, Dierckman C, Adams S . Attitudes and (Mis)information About Cognitive Behavioral Therapy on TikTok: An Analysis of Video Content. J Med Internet Res. 2023; 25:e45571. PMC: 10131691. DOI: 10.2196/45571. View

13.

Herrick S, Hallward L, Duncan L . "This is just how I cope": An inductive thematic analysis of eating disorder recovery content created and shared on TikTok using #EDrecovery. Int J Eat Disord. 2020; 54(4):516-526. DOI: 10.1002/eat.23463. View

14.

MacKinnon K, Kia H, Lacombe-Duncan A . Examining TikTok's Potential for Community-Engaged Digital Knowledge Mobilization With Equity-Seeking Groups. J Med Internet Res. 2021; 23(12):e30315. PMC: 8704107. DOI: 10.2196/30315. View

15.

Wang K, Varma D, Prosperi M . A systematic review of the effectiveness of mobile apps for monitoring and management of mental health symptoms or disorders. J Psychiatr Res. 2018; 107:73-78. DOI: 10.1016/j.jpsychires.2018.10.006. View

16.

Moore K . Mental Health Service Engagement Among Underserved Minority Adolescents and Young Adults: a Systematic Review. J Racial Ethn Health Disparities. 2018; 5(5):1063-1076. DOI: 10.1007/s40615-017-0455-9. View

17.

Hsieh H, Shannon S . Three approaches to qualitative content analysis. Qual Health Res. 2005; 15(9):1277-88. DOI: 10.1177/1049732305276687. View

18.

Yeung A, Ng E, Abi-Jaoude E . TikTok and Attention-Deficit/Hyperactivity Disorder: A Cross-Sectional Study of Social Media Content Quality. Can J Psychiatry. 2022; 67(12):899-906. PMC: 9659797. DOI: 10.1177/07067437221082854. View

19.

Zenone M, Kenworthy N, Barbic S . The Paradoxical Relationship Between Health Promotion and the Social Media Industry. Health Promot Pract. 2021; 24(3):571-574. PMC: 10160305. DOI: 10.1177/15248399211064640. View