Evidence map›Paper›PMID 33273468›Full record

ArticleNPJ schizophrenia2020

Identifying signals associated with psychiatric illness utilizing language and images posted to Facebook.

Michael L Birnbaum, Raquel Norel, Anna Van Meter, Asra F Ali, Elizabeth Arenare, Elif Eyigoz, Carla Agurto, Nicole Germano, John M Kane, Guillermo A Cecchi

Open access · goldAbstract read
In one paragraph

Article in NPJ schizophrenia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
6.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.

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  5. Language-dependent expression of anxiety and depression symptoms in Japanese-English bilinguals.Clinical psychological science : a journal of the Association for Psychological Science · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Michael L BirnbaumThe Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY, USA. Mbirnbaum@northwell.edu.ORCID http://orcid.org/0000-0002-4285-7868
Raquel NorelIBM Research, Thomas J. Watson Research Center, Yorktown Heights, NY, USA.ORCID http://orcid.org/0000-0001-7737-4172
Anna Van MeterThe Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY, USA.ORCID http://orcid.org/0000-0003-0012-206X
Asra F AliThe Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY, USA.
Elizabeth ArenareThe Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY, USA.
Elif EyigozIBM Research, Thomas J. Watson Research Center, Yorktown Heights, NY, USA.
Carla AgurtoIBM Research, Thomas J. Watson Research Center, Yorktown Heights, NY, USA.
Nicole GermanoThe Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY, USA.
John M KaneThe Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY, USA.
Guillermo A CecchiIBM Research, Thomas J. Watson Research Center, Yorktown Heights, NY, USA.ORCID http://orcid.org/0000-0003-1013-8348
Northwell Health · USIBM Research - Thomas J. Watson Research Center · US

Funding

The Digital Phenotype of Bipolar Disorder: Harnessing Technology to Identify Bipolar Mood Symptoms - Revision - 1K23MH120505 · NIMH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI VAN METER, ANNA ROBINSON · 2019 to 2024
$1.0M
NIMH NIH HHS K23 MH120505
6 · The paper itself

Abstract

Prior research has identified associations between social media activity and psychiatric diagnoses; however, diagnoses are rarely clinically confirmed. Toward the goal of applying novel approaches to improve outcomes, research using real patient data is necessary. We collected 3,404,959 Facebook messages and 142,390 images across 223 participants (mean age = 23.7; 41.7% male) with schizophrenia spectrum disorders (SSD), mood disorders (MD), and healthy volunteers (HV). We analyzed features uploaded up to 18 months before the first hospitalization using machine learning and built classifiers that distinguished SSD and MD from HV, and SSD from MD. Classification achieved AUC of 0.77 (HV vs. MD), 0.76 (HV vs. SSD), and 0.72 (SSD vs. MD). SSD used more (P < 0.01) perception words (hear, see, feel) than MD or HV. SSD and MD used more (P < 0.01) swear words compared to HV. SSD were more likely to express negative emotions compared to HV (P < 0.01). MD used more words related to biological processes (blood/pain) compared to HV (P < 0.01). The height and width of photos posted by SSD and MD were smaller (P < 0.01) than HV. MD photos contained more blues and less yellows (P < 0.01). Closer to hospitalization, use of punctuation increased (SSD vs HV), use of negative emotion words increased (MD vs. HV), and use of swear words increased (P < 0.01) for SSD and MD compared to HV. Machine-learning algorithms are capable of differentiating SSD and MD using Facebook activity alone over a year in advance of hospitalization. Integrating Facebook data with clinical information could one day serve to inform clinical decision-making.

Identifiers

PMID33273468
PMCPMC7713057
OpenAlexW3108029205

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.