Evidence map›Paper›PMID 41757173›Full record

ArticlemedRxiv : the preprint server for health sciences2026

Reddit posts reveal how natural environments affect social anxiety in young people.

Karen O'Connor, Sophia Hernandez, Ana Lucia Schmidt, Patrick D Shirey, Graciela Gonzalez-Hernandez

Abstract readPreprint
In one paragraph

Article in medRxiv : the preprint server for health sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Karen O'ConnorDepartment of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0001-7709-3813
Sophia HernandezDepartment of Geology and Environmental Science, University of Pittsburgh, Pittsburgh, PA.
Ana Lucia SchmidtRoche Innovation Center Basel, F. Hoffmann-La Roche Ltd., Basel, Switzerland.ORCID 0000-0002-3352-5677
Patrick D ShireyDepartment of Geology and Environmental Science, University of Pittsburgh, Pittsburgh, PA.ORCID 0000-0001-5933-5022
Graciela Gonzalez-HernandezDepartment of Computational Biomedicine, Cedars-Sinai Medical Center, West Hollywood, CA.ORCID 0000-0002-6416-9556

Funding

Social Media Mining for PharmacovigilanceR01LM011176 · NLM · UNIVERSITY OF PENNSYLVANIA · PI GONZALEZ HERNANDEZ, GRACIELA, SHEN, LI · 2012 to 2021
$4.5M
NLM NIH HHS R01 LM011176
6 · The paper itself

Abstract

Social anxiety disorder affects over one-third of young people globally and is characterized by intense fear of social situations and concern about judgment from others. While effective treatments exist, many individuals remain undiagnosed or delay seeking treatment, highlighting the importance of identifying complementary strategies. Natural environments have shown benefit for mental health, yet their therapeutic potential for social anxiety remains understudied from the patient's perspective. We analyzed Reddit posts from adolescents and young adults in a social anxiety community to explore their experiences with green and blue spaces. From over 535,000 posts, we identified 1,887 nature-related posts through computational and manual review. The results showed a complex relationship between natural environments and social anxiety symptoms. While many users reported that being in the outdoors and outdoor activities helped reduce their anxiety and improved their moods, others described the environments as triggering due to fears of being observed or judged. Our findings suggest that natural environments may be perceived as helpful, accessible options for managing social anxiety, particularly when combined with physical activity. However, interventions must be carefully designed to address the unique social evaluation concerns that distinguish social anxiety from other anxiety disorders. These insights could inform the development of nature-based approaches that complement traditional treatments.

Identifiers

PMID41757173
PMCPMC12934833

What OpenQuestion holds

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LicenceCC BY-ND
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Registered trials

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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.