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. 2025 Aug 25;27:e72490. doi: 10.2196/72490

Table 3. Axial coding of themes on the impact of visibility.

Theme, conceptualization, and category Category implications
The Climb Effect
 Self-reconstruction Self-visibility helps individuals reflect on painful experiences and promotes their self-reconstruction and enhancement of self-efficacy.
 A relational bond Social visibility fosters connections and emotional bonds among them, enhancing community stability.
 A form of power Public visibility is seen as a form of power, allowing them to combat social discrimination and access public resources through the platform.
The Slide Effect
 Reproduction of social exclusion Public visibility perpetuates social exclusion through the spiral of silence, ongoing stigma, and the presence of unsupportive users.
 Privacy concerns and misinformation It includes privacy breaches and misinformation.
 Leading to ego depletion Self-reflection is disrupted by external noise, such as stigmatizing content, and by constant self-comparison.