research-article

Cross-Cultural Differences in the Use of Online Mental Health Support Forums

Authors:

Sachin R. Pendse,

Kate Niederhoffer,

Amit SharmaAuthors Info & Claims

Proceedings of the ACM on Human-Computer Interaction, Volume 3, Issue CSCW

Article No.: 67, Pages 1 - 29

https://doi.org/10.1145/3359169

Published: 07 November 2019 Publication History

Abstract

Online mental health forums facilitate supportive relationships between peers that transcend national and cultural boundaries. While past work in medical anthropology indicates a central role of cultural identity in how individuals frame their mental well-being and distress, little research has been done to investigate the role of culture in seeking and providing mental health support on online forums. Using data from two mental health forums, we analyze cross-cultural differences in mental health expression between people from different countries. We characterize these differences along three dimensions--identity, language use, and support behavior. Through comparing usage of the platform by individuals from three Asian countries with their counterparts from primarily Western countries, we find that individuals from these less-represented countries mention their own country more often when expressing distress, use fewer clinical language terms, and are more likely to provide support to people from the same country as them, as expected from past work on mental health in these countries. Contrary to past work, however, we find that the use of clinical mental health language is not affected over time by interacting with others in an international forum. While these findings are useful for understanding the role of culture in mental health support, they also have practical design implications for online forums. We find that the three dimensions of cultural differences we analyze are correlated with receiving effective support, and make design recommendations that can improve quality of support for the people in the minority on these forums.

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cover image Proceedings of the ACM on Human-Computer Interaction

Proceedings of the ACM on Human-Computer Interaction Volume 3, Issue CSCW

November 2019

5026 pages

EISSN:2573-0142

DOI:10.1145/3371885

Editors:
Airi Lampinen
Stockholm University, Sweden
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Northwestern University, USA
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FXPAL, USA

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Ahmed NLiu XAl-Hazwani IHuang E(2024)Cultural Dimensions and Mental Health Technology: A Systematic Review of Hofstede's Dimensions in Shaping Mental Health ExperiencesExtended Abstracts of the 2024 CHI Conference on Human Factors in Computing Systems10.1145/3613905.3650842(1-13)Online publication date: 11-May-2024
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https://dl.acm.org/doi/10.1145/3613904.3642642
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