Table 3.
Topics (clusters of co-occurring words) significantly associated with language used in Facebook posts of healthcare super-utilizers.
| Topic Theme | Highly correlated words in topic | Cohen’s D (95% CI) | Example posts |
|---|---|---|---|
| Confusion and negativity | ‘erked’, ‘pissed’, ‘upset’, ‘confused’, ‘annoyed’, ‘right’, ‘rite’, ‘now’ | 0.65 (0.38, 0.95) | “Soo erked right now!” |
| “I’m pissed right now” | |||
| “Is cryin rite now” | |||
| Self-reflection | ‘mind’, ‘thinking’, ‘alot, ‘much, ‘head’, ‘what’ | 0.63 (0.35, 0.91) | “Alot on my mind” |
| “Cant sleep, mind racing” | |||
| “Wishful thinking” | |||
| ‘need’, ‘some’, ‘new’, ‘asap’, ‘something’, ‘drink’, ‘serious’ | 0.50 (0.23, 0.78) | “I need a drink….. Damn oxycodone”. | |
| “I need a new hobby” | |||
| “Need new friends asap” | |||
| Avoidance | ‘wanna’, ‘away’, ‘far’, ‘stay’, ‘cry’, ‘walk’, ‘scream’ | 0.62 (0.34, 0.90) | “#phoneOff Don’t wanna be bothered” |
| “Just want 2 scream” | |||
| “Ugggg” | |||
| Seeking help and attention | ‘need’, ‘help’, ‘someone’, ‘please’, ‘come’, ‘save’ | 0.61 (0.33, 0.89) | “boredddd ugh somebody save me” |
| “Lord help me” | |||
| “Somebody Call Me” | |||
| ‘want’, ‘give’, ‘ask’, ‘whatever’, ‘deserve’, ‘chance’, ‘attention’ | 0.57 (0.30, 0.86) | “i dont want you but. i cant let you go!” | |
| “Want something to eat” | |||
| Sleep | ‘fall’, ‘sleep’, ‘asleep’, ‘bed’, ‘down’, ‘watch’, ‘lay’, ‘tv’ | 0.60 (0.32, 0.88) | “Goodnight fb Watchin TV Till I Fall Asleep.” |
| “Going bac tosleep” | |||
| ‘take’, ‘nap’, ‘care’, ‘woke’, ‘break’, ‘shower’, ‘sleepy’ | 0.51 (0.24, 0.79) | “Finally nap time!” | |
| “Taking a nap tired” | |||
| “ttyl fb nap time” | |||
| Self-agency and decision-making | ‘make’, ‘sure’, ‘things’, ‘move’, ‘decisions’, ‘trying’ | 0.56 (0.29, 0.85) | “Need to make better decisions….. seriously” |
| “Time to make some changes”. | |||
| “DECISIONS DECISIONS NOW WHAT IM GOIN TO DO” | |||
| “Check out my new business card” | |||
| ‘own’, ‘business’, ‘care’, ‘ppl’, ‘stop’, ‘worry’, ‘handle’ | 0.48 (0.21, 0.76) | “Handling business like an adult should…” | |
| “Time 2 stop bullshitting an handle my buisness” | |||
| Swearing | ‘f**k’, ‘s**t’, ‘nobody’, ‘give’, ‘everybody’, ‘point’ | 0.52 (0.24, 0.79) | “F**k Everybody Nobody Talk To Me” |
| “F**k it #shruggs” | |||
| ‘s**t’, ‘people’, f**king’, ‘dumb’, ‘stop’, ‘stupid’ | 0.44 (0.17, 0.72) | “I cant stop sleeping….always tired #ridiculous” | |
| “Ppl is so petty” | |||
| Psychosomatic symptoms | ‘pain’, ‘hurt’, ‘killing’, ‘stomach’, ‘ugh’, ‘feeling’, ‘pissed’ | 0.49 (0.22, 0.77) | “My stomach hurts:(“ |
| “Ouch ouch ouchhhhhh”. | |||
| “Tummy And Head Hurt,:’(“ | |||
| ‘better’, ‘feel’, ‘little’, ‘hope’, ‘makes’, ‘gets’, ‘worse’ | 0.57 (0.30, 0.85) | “Feeling neglected” | |
| “feeling real crappy” | |||
| “I feel unappreciated….” |
Effect size is measured using Cohen’s D. Topics were categorized into themes based on a review of the posts most associated with the topic. All categories shown are significant after Benjamini–Hochberg p-correction (p < 0.01).