Health New Media Res > Volume 8(1); 2024 > Article
Yang, Pham, Zhang, and Kriss: Talking about pain plainly: authentic expression of pain management on Reddit

Abstract

Verbal authenticity is the degree to which a person is monitoring self-expression that reflects one’s motivation. Though benefits of authentic expression are studied in interpersonal, social, and entrepreneurial success, few have explored authenticity within online health communities for social support and self-disclosure, especially when the health issues are stigmatized offline, such as living with chronic pain and opioid use. Given the health benefits authentic expression provides, the present study explored the discourse of pain management prevalent on Reddit.com and investigated the authentic expression patterns across its labeled communities: subreddits. Relevant messages (N = 57, 564) from posts and replies were collected and evaluated using the authenticity category developed by the Linguistic Inquiry and Word Count (LIWC) software. The analysis suggests that subreddits built for inviting inquiries such as “r/AskReddit” “r/AskDocs” had higher scores in terms of authentic expression, while others like “r/politics” “r/marvelstudios” had lower authenticity. Also, the more frequently a user posts and replies in a community, the more likely they expressed authentically for the post construction, but not for the reply authenticity. This study explicates the concept of authenticity by exploring what authentic expression means for health benefits in pain management. It also contributes to a growing body of studies focusing on the therapeutic effect of authentic expression in online health communities.

Introduction

Verbal authenticity is the degree to which a person is monitoring self-expression that reflects their core feelings, motives, and values (Kim et al., 2024; Markowitz et al., 2022; Pennebaker, 2013). Though benefits of authentic expression are studied in interpersonal, social, and entrepreneurial success (Markowitz et al., 2022), few have explored authenticity within online communities for social support and self-disclosure. In health communication, authentic expression is encouraged for well-being (Reinecke & Trepte, 2014) and for health promotional activities (Jenkins et al., 2020). With respect to health benefits, disclosure in line with one’s emotions, thoughts, and values enhances mental health and well-being in offline settings (Sheldon et al., 2012). Authenticity is also a communication strategy for online influencers to increase their credibility for their followers (Amos et al., 2008; Ilicic & Webster, 2016). The aspect of authenticity for health intervention is less studied.
One reason that authentic expression is informative in health interventions is the large volume of expression signals recorded by communication technology. Expression signals, extracted from our language production left on digital platforms, are widely studied in predicting health trajectories (Yang et al., 2023; Faraj et al., 2021; Mi et al., 2020; Rains & Meng, 2020; Kornfield et al., 2017). The underlying assumption is that the language production process reflects our mental states of motivations for behavioral change when coping with challenges in daily life (Pennebaker, 1997). The authenticity of verbal expression is one type of language feature that could increase our understanding of online support groups. Most prior research on online health communities focuses exploring language patterns expressed during social support for physical or mental health conditions in online communities (Kornfield et al., 2017; Stevens et al., 2021; Andy, 2021), without evaluating the message authenticity of an articulated message. However, the extent the social environment allows individuals to be authentic may serve as an inhibitor or accelerator of message exchange and other intended outcomes of social support. It is essential to examine whether a digital medium is encouraging authentic interactions.
The present research pursues to address the research vacuum of authentic expression in online support groups within the context of the ongoing opioid epidemic in the United States. Opioids have become a leading cause of death in the United States for years (Scholl et al., 2018), with opioid deaths peaking in 2022 and beginning to fall in 2023 (CDC, 2024). The beginning of the opioid epidemic, why it persists, and what should be done in response, are contested issues in the U.S. today (Quinones, 2015). Though there was policy change to restrict the misuse of pharmaceutical opioids, many Americans have sought out more potent, less pure, and more dangerous opioids (Kolodny et al., 2015). The underlying drivers of opioid addiction, including chronic pain, mental health issues and social isolation, still persist (Kepner et al., 2022). Those struggling with opioid addiction are motivated to find a place to share and seek support, especially among those with a lack of support from other sources (Namkoong et al., 2016; Feng et al., 2017). Therefore, online communities offer an opportunity to understand authentic expression about controversial and stigmatizing issues.

Pain Management & Opioid Use

The misuse of opioids started with chronic pain management in the U.S. healthcare system. In the 1970s, the American Pain Society declared pain as “the fifth vital sign” (Wailoo, 2015) and it became a medical norm to use opioids (Rosenblum et al., 2008). The rise of using pain medicine was aided by major marketing campaigns from companies like Purdue Pharma, which falsely claimed OxyContin was nonaddictive (Pezalla et al., 2017). Further, physicians who rely on incentives to treat pain were evaluated on patient satisfaction, leading to the “pill-mill” phenomenon (Currie & Schwandt, 2021).
In the late 1990’s, restrictions on prescribing opioids for chronic non-cancer pain were implemented to curb their overuse (Manchikanti et al., 2012), sparking a rise in illicit opioid use. Individuals who were addicted to opioids for pain treatment went through withdrawal symptoms when their prescriptions were no longer filled, which led many to look for alternatives like heroine and fentanyl (Dasgupta et al., 2018). Thus, even though the volume of opioid prescriptions has dropped since 2010, opioid-related deaths have continually increased due to the COVID-19 pandemic stress and the closure of treatment clinics (Gomes et al., 2021; Manchikanti et al., 2021). In addition, very few people with opioid use disorders (OUDs) will receive treatment, and those in treatment often relapse (Chih et al., 2014). New technologies and existing social networks support individuals struggling with or without professional mental health support.

Authentic Expression and Pain Management on Reddit

The reason why language production is informative for timely intervention derives from the “expressive writing” paradigm (Pennebaker, 1997; Donnelly & Murray, 1991). The core idea of the paradigm is that expression relieves mental inhibition, which is detrimental to our health. In online health communities, expressing one’s challenges often elicits social support from other users (Liu et al., 2017; Lapidot-Lefler & Barak, 2012). One study identified seven expression types prevalent in an online support forum: emotional support, informational support, insight disclosure, gratitude expression, change talk, universality, and negative affect (Yang et al., 2023). However, limited research explores the role of authenticity in expression for health benefits. A recent literature review found only 22 studies focused on understanding the credibility and authenticity of social content in health communication (Jenkins et al., 2020).
In addition, authentic expression on social media is notably biased towards positivity over negativity, known as the “positivity bias” on social media (Reinecke & Trepte, 2014). Namely, online users are likely to produce content that is true and positive, in comparison to that of true but negative (Reinecke & Trepte, 2014). Not only positive expression was more prevalent online (Utz, 2011), people with better offline well-being were more likely to express themselves in a positive and authentic way online, thus in turn harnessing the positive benefit of authentic expression (Reinecke & Trepte, 2014). The inclination of positive authentic expression hurdles social support seeking as users that are experiencing negative life events in the condition of necessity, such as striving for financial support, grieving for loss, or going through an emotional breakdown. The positivity norm of social media environment may restrict people who like to solicit support through expressing their negative experiences. In turn, the emotional inhibition may worsen their physical and mental health conditions (Pennebaker, 1997).
Online sources that promote anonymity circumvent many social pressures that exist in online networks tied to the offline environment. The present study focuses on Reddit, a community-based social media platform that allows participants to post, reply, upvote, downvote and share content in various modalities without connecting their online profiles with their offline identities (Widman, 2022). Compared to other social media platforms, Reddit is known for anonymous engagement that encourages the freedom of expression (De Choudhury & De, 2014). It is also known for user generated communities around specific topic forums known as “subreddits”, denoted by the prefix “r/”. For instance, “r/politics” is described as “for news and discussion about U.S. politics” (https://www.reddit.com/r/politics/) on its home page. Users who navigated in this forum can post, reply, and share content pertinent to the U.S. politics. Once users submit a post, it can be voted “up” or “down” by the community members. Posts with more upvotes are shown at the top of the subreddit forum. Thousands of subreddits exist on Reddit to facilitate users (“Redditors”) discussion interests. Internet sites similar to Reddit in other countries are Tianya in China, Daum Café in South Korea, and 5ch.net in Japan.
The anonymity, interactivity, and openness of Reddit is notably advantageous to discussing opioid use and pain management issues, given that message creators have less concern when revealing the negative experiences. It is speculated that the option of being anonymous means participants can worry less about exposure of their potentially stigmatized social identity. The perception of safety to disclose may encourage authentic expression, allowing one to reflect the feelings and thoughts of the true self. Exploring the role of Reddit in facilitating authentic expression addresses a research gap in the expressive paradigm. Therefore, the first and primary goal of this study is to describe how authentic expression be observed on Reddit.
RQ1: What are the patterns of authentic expression when people talk about pain management and opioid use on Reddit?
The investment of personal time into a virtual community is associated with individuals’ intrinsic motivation to interact with members within the same digital space (Wang et al., 2012). A study for peer support forum also found that the longer the users engaged with expression, their shared feelings with other members - known as “universality” - increased over time (Yang et al., 2023). If recurrence of community engagement may to establish a sense of belonging regardless of being a message producer or receiver, it is reasonable to deduct that the more frequent Redditors produce messages in the chosen community, the more likely they will develop sense of sharing and attachment. However, it remains uncertain whether authentic expression will vary along with more message contributions. Plausibly, authentic expression will increase with community engagement since both the two factors are positively linked to improved psychosocial well-being (Rodgers & Chen, 2005). Therefore, we hypothesize that frequency of post and replies will predict authenticity.
H1: Greater volume of posts and replies for a user will positively predict indicators of authenticity in the user’s language.
Topic modeling is adopted to identify specific concerns when users discussed their health issues online, such as themes surrounding weight loss on Reddit (Liu & Yin, 2020), Covid-19 vaccination (Melton et al., 2021), and maternal health (Park & Conway, 2017). If authentic expression is to examine how we express ourselves in accordance with our inner mind, investigations on the topics of opioid use and pain management will capture what we expressed that led the online conversations in health communities. By grasping issues dominating online discourse, health interventions can be informed for content strategies pursuant to Redditors’ interest.
RQ2: Which topics can be identified in the posts and replies related to opioid use and pain management on Reddit?
User network structure in subreddit is formed through the post - reply interactions. Network structure derived from online community interactions has captivated scholarly attention given that health intervention projects often leverage social network features to provide social support, access information resources, and reshape social norms (Cobb et al., 2010; Kossinets & Watts, 2006). For example, research found that the smoking cessation forum QuitNet followed the core-periphery structure, in which smokers formed a large cluster at the inferior position of a network mapping while nonsmokers grouped together in the network center (Cobb et al., 2010). These discoveries informed health practitioners about subgroup attributes, especially for detecting community members who are in need of network-level interventions. For the present study, examining basic network features of Reddit discussion on opioid use and pain management subreddits will inform future health interventions. The differences between out-degree (i.e., post) and in-degree (i.e., reply) for Redditors can tell which subreddits have gathered more interactive users, an informative signal to understand where greater engagement could be encouraged, or to help individuals find the most well-connected subreddits.
RQ3: What are the network structures among users who explicitly talk about pain management and opioids in Reddit?
In addition to examining basic network structures, the present paper aims audience duplication across subreddits. Understanding audience duplication can uncover audience behaviors across platforms and facilitate content distribution based on audiences’ trajectories (Xu, 2021; Fletcher & Nielsen, 2017; Headen et al., 1977). The underlying reason to inspect audience duplication is to sort out the common users shared by two media platforms. In our study, the duplicated audiences are Redditors who posted across subreddits, indicating a pattern of users who actively posted messages related to pain management
Ksiazek (2011) categorized two types of audience duplication from the network perspectives: absolute duplication and primary duplication. Absolute duplication is the duplication shared by a pair of nodes without sequential orders whereas primary duplication implicates the directionality from one media to another (Ksiazek, 2011). Though primary duplication reveals more information about the directionality, the present study adopts the absolute duplication approach due to the inability to identify the sequential navigation of Redditors, as the engagement patterns can only be observed when timestamps from the log data are available. Moreover, adopting the absolute duplication matrix is sufficient to understand the relations between subreddits and their sharing of Redditors for authentic expression. By identifying subreddits with the largest group of common users, researchers are able to prioritize supportive health interventions for conversation focus of pain management. The present study also aims to find out how authentic expression is associated with the common users shared between two subreddits. Resolving this question will chart the course on which Reddit communities to prioritize for health interventions.
RQ4: Which subreddits have overlapping users discussing pain management issues? Does authentic expression differ between two subreddits with absolute duplications?

Methods

Data Collection

Data were collected from Reddit.com from 2010 to 2021 using the R package “RedditExtractoR”. Messages (i.e., posts and replies) mentioning the five key themes (“opiates”, “opioid”, “pain killer”, “pain medication”, and “pain reliever”) were crawled, along with respective a) user handles (i.e., Redditors), b) subreddit , c) upvote score, d) post score, e) reply score and f) URL. In total, 57, 564 messages were collected. Of the messages, 124 were initial posts and 57, 688 were replies .

Automated Text Analysis

Before having an integrated dataset for analysis, text from the posts and replies was processed by Linguistic Inquiry and Word Count (LIWC), a natural language processing tool that outputs linguistic scores corresponding to different social and psychological categories (Boyd et al., 2022) with high reliability (Kim et al., 2024). The LIWC authenticity score is calculated based on a series of words shown to predict individuals’ levels of honesty versus deception (Newman et al., 2003). Specifically, when people were lying, they tended to use less self-reference words (e.g., I, my, and mine) to disassociate themselves from their expression (Buller et al., 1996; Knapp & Comadena, 1979). The authenticity score generated by LIWC considered not only the self-reference words, but also the other two linguistic cues - negative affect and cognitive complexity (Newman et al., 2003). Instead of solely focusing on individual linguistic cues (i.e., “self-references or negative words or cognitive words”), the LIWC authenticity score accounts for all three features (i.e., “self-references and negative words and cognitive words”). The calculation integrating multiple linguistic cues was validated in a set of studies to understand social and psychological processing through words (Kim et al., 2024; Markowitz et al., 2022; Newman et al., 2003).
For example, in the present dataset, a message scoring high in authenticity was stating “Thank you for your post. You do a really great job of showing the complicated, non-black-and-white life we live” (Authentic score: 99). On the contrary, an example with low authenticity was “…I understand he’s grieving but I think I did the right thing for Baby Grinch. She was in so much pain…” (Authentic score: 14.44). The two differ on the proportional use of self-reference words such as “I”, negative emotion words (e.g., “grieving”, “pain”), and motion verbs (e.g., “do”, “did”). On the basis that deceptive verbal utterance often relates to fewer self-references, more negative affect words, and less cognitive complexity, the second message was graded lower in the authenticity category. More detailed explanations about which words are included in the index formula can be found in the LIWC coding book (https://www.liwc.app/help/liwc#Authenticity).
The zero-order correlations between authenticity and other relevant language categories were explored. Authenticity scores for replies were significantly related to several other linguistic features, including cognition and insight, but the effect size was moderate (refer to Figure 1). Similar findings were found for authentic expression in initial posts.

Data Analysis

We applied social network analysis (SNA) and regression models to address research questions and hypotheses. To have a comprehensive view of authentic expression not in quantitative format, we also add a supplementary analysis using Latent Dirichlet Allocation (LDA) topic modeling to see if there any topics are heavily discussed under the five key themes. Table 1 in the appendix lists all the statistic software used for analysis in this study.

Results

Authentic Expression Patterns (RQ1)

There were 46 subreddits included in our dataset and Table 1 displays the discussion topics and the average authenticity score in each community. The top three subreddits with highest authenticity scores are r/AskReddit, r/AskDoc, and r/Superstonks. The first two are the subsidy of the popular feature “Ask Me Anything” Reddit affords. The r/Superstonks is a community that labels itself as “A place for theoretical discussions about business and stocks - specifically GameStop Stock ($GME).” The bottom of the table 1 are subreddits with the lowest authentic score, the last three of which were r/politics, r/marvelstudios, r/RedditSessions. The RedditSessions is a content sharing community that creates streamed musical performances (https://www.reddit.com/r/RedditSessions/).
If taking the size of community (i.e., the number of subredditors) into consideration, among those with large number of users (i.e., number of messages over 1000 or number of Redditors over 1000), r/AskReddit still had the highest authentic score, implying messages produced in this community had less filtered/construed expression. In comparison, large subreddits like r/AmItheAsshole and r/politics scored the lowest authentic grading, 34.03 and 32.14 out of 100 scale separately.

Relationship between the Frequency of Expression and Authenticity (Hypothesis 1)

OLS regression was applied to test the H1 for the authenticity of initial posts and replies separately by each Redditor. Authenticity score was averaged by each Redditor, and the closeness centrality was created as the covariate in the model. The reason of controlling closeness centrality is to sort out the influence of a Redditor’s prior engagement in the community. The closeness centrality is an index that measures the multidirectional interactions of a participant in a network (Ganley & Lampe, 2009). In our study, it represents the extent of interactions a Redditors conversed with other participants on Reddit. The higher closeness centrality a Redditor has, the more likely he/she had interacted with the other Redditors on the same platform. We then added the number of posts and the number of replies each Redditor produced in the model for the authenticity score outcomes. Table 2 presents the results.
As Table 2 suggests, authentic expression was associated with the frequency of message production activities on Reddit. Specifically, authenticity in posting expression was significantly related to the number of posts (β = 14.85, p < 0.001), the number of replies (β = 0.001, p < 0.001), and the closeness centrality (β = 0.005, p < 0.001). If Redditors regularly posted and replied on Reddit, as well interacted across subreddits, they were likely to express their inner thoughts and feelings for post writing in a truthful way. However, as for the reply authenticity, a directional difference was observed. The frequency of replying behaviors was not necessarily related to authenticity expression for replies. Instead, they were negatively tied to authenticity expression in reply production (β = - 0.56, p < 0.01). It is noteworthy to observe a divergent pattern between post and reply authenticity in association of message production frequency on Reddit, which may imply that the initiation of posting, rather than the initiation of replies, encourages more authentic expression in the anonymous platform.

Dominant Topics of Pain Management on Reddit (RQ2)

To better understand what was discussed related to pain management on Reddit, Latent Dirichlet Allocation (LDA) topic modeling was applied for the 46 selected subreddits . Though no clear patterns emerged for “opioid” and “opiates,” there was a common theme for replies related to “pain reliever”, “pain management”, and “pain killer”. The shared topic is about relationship management that mentions social roles such as father, mother, daughter, husband, and, more broadly, people. Table 6 lists out the five themes for the three pain-related discussion.

Network Description among Redditors (RQ3)

First, message production at the post and reply levels for each user (i.e., node) was separated. Table 3 shows the average network statistics for the user and user network when their messages contained one of the five key terms. An active node is a user who produced at least seven messages, including posts and replies. Among the five terms, there are more Redditors who actively posted or replied using “opiates” than rather than other pain-related categories. They also have larger number of degree (i.e., posts and replies). However, Redditors who talked about “opiates” did not often engage with multiple subreddits based on its lowest closeness centrality. Instead, they tended to possess higher betweenness centrality, suggesting that Redditors discussing “opiates” was either an authority figure in their communities or they were on the periphery between two subreddits (e.g., participation at occasional levels across subreddits). The interpretation of the above network statistics was derived from Abbasi’s research (2012) for our study context.
In order to decide whether the network feature differences of the five keywords are significant, we applied one-way ANOVA for degree and closeness centrality. As presented in Table 5, the significant results only occurred to the closeness centrality, meaning that the closeness centrality was construed differently by Redditors talking about the five themes. However, as the η2 only equals 0.008 in terms of effect size, the differences between the five pain talk networks were not large, indicating that disclosure network surrounding the five key words was different at a small scale.

Shared Users between Subreddits (RQ4)

Table 6 shows the summary of audience duplication between subreddits for shared users over or equal ten. The results provide insight into which subreddits to be prioritized. Among messages that contained one of the opioid and pain related keywords, subreddits “news” and “science” shared the most common users (n = 47), followed by “AmItheAsshole” with “TwoXChromosomes” (n = 27), and “TwoXChromosomes” with “science” (n = 21). Reflecting upon the description of the three paired in Table 1, it is interesting to notice that both “AmItheAsshole” and “TwoXChromosomes” are the Reddit communities built for disclosing life challenges. “AmItheAsshole” described itself as a forum encouraging personal stories to seek judgement and justification, while “TwoXChromosomes” welcomed discussion related to women and the rights of all genders. The results may indicate that Redditors discussing pain management issues can diverge in their motivations for information support (e.g., news and science) versus emotional support (e.g., justification and judgment).
In terms of authentic expression, there were five pairs of subreddits with duplicated audience having the highest score above 50 on average. They were the “AmItheAsshole” and “TwoXChromosomes”, “news” and “technology”, “TwoX-Chromosomes” and “science”, “IAmA” and “news”, “Music” and “science”. The higher authentic score may mean that users had a trust in the online community and might be willing to disclose their true feelings when dealing with opioid use and pain management in daily life. The overlapping audience between subreddits provides knowledge about where to reach the audience who can encounter the intervention multiple times.

Discussion

Theoretically, the present research contributed to understanding authentic expression about pain management and opioid addiction on Reddit and revealed the different extent of authentic expression within the platform. RQ1 investigated different patterns of verbal authenticity across subreddits and H1 detected the divergence of authenticity in post versus reply production. The more frequently a user posts and replies, the more authentic their posts are. In contrast, the regularity of message production is negatively associated with authenticity in reply expression. When talking about pain reliever”, “pain management”, and “pain killer”, Redditors were likely to use words such as “mother” “daughter” “people” that may imply social relationships or identities in their messages, implying that interpersonal relationship may be companied with pain management issues (RQ2). There are also more Redditors who actively posted or replied using “opiates” than rather than other pain-related categories as it has larger number of degree (RQ3). Subreddits like “AmItheAsshole”, “science”, “TwoXChromosomes” need the attention of health intervention as they shared the most common users (RQ4).
For pain management, authentic expression is an essential component in therapeutic benefit, as inappropriate pain management can lead to opioid use disorders (OUDs) and substance abuse. The results from authenticity pattern detection (RQ1) signals that when the audience use Reddit for question asking about opioid or pain management, they are likely to produce content more authentic than using Reddit for discussion, debate, and opinion sharing. For example, subreddit “AskReddit” “r/AskDocs” had a higher average authentic score than “politics”, suggesting that our articulation intentions (inquiry versus argumentation) may influence the extent of authentic expression. This finding also echoes a study that examined how people posted about an issue or concern on Facebook, and subsequently posed it differently to Google, potentially reflecting their inner concerns (Stephens-Davidowitz, 2017). Studying audience duplication between subreddits provided insight into which subreddits need to prioritize health interventions. For instance, as the results revealed that subreddits AmItheAsshole and TwoXChromosomes shared the most same audience, communication strategists may deliver messages about behavioral therapy for pain management (instead of drug use) in these two communities first to reach relevant audience meanwhile collecting evidence for the intervention effectiveness before implementing the intervention on other Reddit users at a larger scale.

Limitations

Albeit the aforementioned contributions to academics, the study has two limitations. Firstly, the package “RedditExtractoR” for data collection is not inclusive, meaning not all the messages mentioning the five key words were gathered. Particularly, the tool limited the number of threads and replies according to the Reddit API rule (Package ‘RedditExtractoR’, 2023). As “RedditExtractoR” still remains one of the main tools for Reddit data collection (Hintz & Betts, 2022), results generated from the current study can pave the way for further research such as studying specific subreddits with significant high or low authentic expression scores via other available data collection methods. The second limitation is that we solely used LIWC to measure the authentic expression score, which excluded other coding methods, such as human coding and machine learning approach. Though LIWC is widely recognized and well established for gauging verbal authenticity (Kim et al., 2024; Markowitz et al., 2022), the results can be substantiated via a triangulation approach for verbal authenticity measurement. Future research can introduce more diverse but consistent operationalizations to explore the conceptual dimensions of verbal authenticity in other platforms such TikTok (Yang et al., 2023).
In conclusion, the present study delves into Reddit, a popular anonymous social media platform for support seeking and provision, to disentangle the extent of authentic expression in the context of pain management and opioid use. The revelation of authenticity differences and findings about duplicated audiences across subreddits provided evidence about which subgroups need to be attended to (e.g., forums related to justice for personal situations like AmItheAsshole and rights of all genders like TwoXChromosomes). Findings from the present study will set the stage for researching authentic expression on comparable platforms in other countries where anonymous online media is widely used for social support.

Notes

Data Availability Statment

The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.

Funding Information

This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

Acknowledgements

We are grateful to Dr. James Pennebaker and Dr. David Markowitz for their helpful suggestion on this manuscript. We also want to thank the reviewers and the editor of the journal Health & New Media Research, who invested their time to provide constructive suggestions and detailed feedback that added so much value to our work.

Figure 1.
Correlation Metrix among LIWC features
hnmr-2024-00038f1.jpg
Table 1.
Distribution of Average Authentic Expression Score across Subreddits for Pain Management
Subreddit Name (r/…) Brief Description Average authentic score for the replies No. of messages No. of Redditors
AskReddit r/AskReddit is a public online forum to ask and answer thought-provoking questions. 53.81 1940 1510
AskDocs r/AskDocs is a public online forum that aims to provide suggestions to a medical issue. It claims that all flaired medical professionals on this subreddit are verified by the forum moderator. 52.85 942 433
Superstonk r/Superstonk is a public online forum for theoretical discussions about GameStop stock ($GME). 52.81 491 379
pics r/pics is a public online forum for sharing photographs, pictures, and other images. 52.67 436 385
TrueOffMyChest r/TrueOffMyChest is a public online forum for sharing personal experiences and thoughts, specifically excluding opinions, relationship advice, or preaching. 51.96 901 764
movies r/Movies is a public online forum dedicated to providing a comprehensive platform for discussing and sharing news about major film releases, focusing on informative content and initiating discussions rather than mere entertainment. 50.37 445 382
EscapefromTarkov r/EscapefromTarkov is an unofficial public online forum for the video game Escape From Tarkov developed by BattleState Games. 49.73 464 358
TwoXChromosomes r/TwoXChromosomes is a public online forum that welcomes both serious and casual content from women's perspectives, supporting the rights of all genders. 49.49 3496 2658
Music r/Music is the forum focusing on music discussion. 49.45 845 710
Games r/Games is a public online forum for informative and engaging content about gaming, focusing on fostering discussions rather than merely entertaining. 48.74 1253 890
YouShouldKnow r/YouShouldKnow is a public online forum for sharing insightful tips and important information that can help improve everyday life, raise awareness on various topics, or provide practical solutions. 48.02 410 306
dataisbeautiful r/dataisbeautiful is a public online forum for sharing aesthetic data visualizations that effectively communicate information. 47.03 388 339
IAmA r/IAmA is a public online forum where individuals discuss unique life experiences or extraordinary events that hold significant interest or importance. 46.8 3097 1985
indieheads r/indieheads is Reddit’s largest community for alternative, experimental, independent, and underground music. 45.88 488 62
wallstreetbets r/wallstreetbets is a public online forum for stock trading discussions with both high finance tools and a wild, unfiltered approach. 45.88 937 744
technology r/technology a public online forum for the news and discussions about the creation and use of technology and its surrounding issues. 45.25 424 362
Documentaries r/Documentaries is reddit's main public forum for documentary films only. 44.57 389 259
science r/science is a public online forum for sharing and discussing new scientific research across various fields. 44.39 3381 2538
cynicalbritofficial r/cynicalbritofficial is a platform for discussions on the contents of John Bain, popularly known as TotalBiscuit, a well-known video game critic and commentator. 44.25 438 414
CODZombies r/CODZombies is a developer-recognized community that focuses on discussing and sharing content related to Call of Duty Zombies, a first-person shooter survival mode game. 44.23 908 378
nosleep r/nosleep is a public online forum for sharing scary personal experiences. 44.1 423 294
GameDeals r/GameDeals is community for sharing and discussing game deals. 44.09 424 346
explainlikeimfive r/explainlikeimfive is an online forum and archive offering layperson-friendly explanations on a wide range of topic, encouraging a calm and straightforward approach to learning. 43.24 419 339
CrackWatch r/CrackWatch is a public online forum for video game piracy news. 42.38 415 148
news r/news is a public forum for discussion on news articles about current events in the United States and the rest of the world. 41.91 2694 2213
Foxhidesinfo r/Foxhidesinfo is a public forum dedicated to sharing information and discussions about what is perceived as undisclosed or underreported by Fox News. 41.79 372 182
AFL r/AFL is community for discussions, news, and information related to Australian football. 41.44 424 170
tifu r/tifu (Today I Fucked Up) is a subreddit where users share personal anecdotes about mistakes or embarrassing moments, typically happened on that day or in the recent past. 39.94 1209 994
MadeMeSmile r/MadeMeSmile is a public forum for sharing uplifting contents that bring joy and spread positivity. 39.91 923 841
SquaredCircle r/SquaredCircle is the largest community for professional wrestling on Reddit. 39.35 384 236
JusticeServed r/JusticeServed is a public online forum for sharing instances where justice has been rightly served, highlighting legal or social resolutions that align with a sense of moral or judicial correctness. 39.32 331 262
changemyview r/changemyview is a public online forum for constructive conversations on opinions might be flawed, encouraging users to engage openly and consider different viewpoints. 39 430 301
FlashTV r/FlashTV is a public online forum for the comic-book TV series starring Grant Gustin. 38.56 882 524
minnesotavikings r/minnesotavikings is a subreddit dedicated to the Minnesota Vikings NFL football team. 37.92 802 226
Gunners r/Gunners is a public forum for discussions about the Arsenal Football Club. 37.3 405 191
reddevils r/reddevils is a public forum for all discussions related to Manchester United. 37.08 460 319
conspiracy r/conspiracy is a public forum for open discussion and free thinking about various issues that intrigue and captivate users. 36.79 737 506
fantasyfootball r/fantasyfootball is a public online forum for fantasy football discussion, strategy, and advice. 36.63 2652 885
hiphopheads r/hiphopheads is a public online forum for the latest music, videos, and news of hip-hop & R&B artists. 35.04 759 398
todayilearned r/todayIlearned (TIL) is a public forum where users share interesting facts and knowledge they have just discovered. 34.81 453 377
soccer r/soccer is a public forum for news, results, and discussion about soccer. 34.33 790 405
AmItheAsshole r/AmItheAsshole is a public forum where users post specific personal situations to seek judgment and feedback from the community about whether their actions in those scenarios were justified. 34.03 6193 4230
confession r/confession is a public forum for admitting wrongdoings, acknowledging guilt, and alleviating conscience. 32.61 824 367
politics r/Politics is a public forum for news and discussions about U.S. politics. 32.14 2786 1892
marvelstudios r/marvelstudios s a public forum for discussions on Marvel Studios' films and series. 21.76 456 344
RedditSessions r/ RedditSessions is a platform for artists, musicians to share their live performances 20.43 436 180
Table 2.
OLS Regression on the Authenticity Score of Redditors (N = 32, 175)
Authenticity Score
Post
Comment
β Standardized β t β Standardized β t
Count of Posts 14.85*** (0.05) 0.85*** 288.72 19.53 (29.23) 0.004 0.67
Count of Replies 0.001*** (0.00) 0.014*** 3.51 -0.56** (0.21) -0.02 -2.71
Closeness Centrality 0.005* (0.00) 0.009* 2.26 -3.94** (1.15) -0.03 -3.43
Constant -0.01** (0.00) -2.73 45.79*** (1.25) 36.7
R 0.72 0.0004
R Adj. 0.72 0.0003
RMSE 0.06 35.79

Note. Standard deviations in parentheses.

*p ≤ .05,

**p ≤ .01,

***p ≤ .001.

Table 3.
LDA Topic Models
Theme - “Pain Medicine” Top 30 Terms within a Topic
Topic 1 pain, doctor, time, day, get, said, one, got, told, went, take, hospit(al), week, surgeri, start, women, bad, period, took, ask, serious, normal, everi, happen, hour, nurs, blood, stop, bodi, two
Topic 2 medic, use, ani, work, people, patient, help, mani, differ, health, effect, high, drug, veri, doe, take, treatment, state, condit, less, question, cannabi, actual, physic, chang, addict, onli, studi, caus, case
Topic 3 get, one, like, look, work, use, guy, onli, take, delet(e), money, yeah, call, pay, pretti, keep, amp, little(e), tri, drink, put, car, hand, walk, onc, shit, insur, bit, remov(e), new
Topic 4 want, nta, say, make, famili, babi, kid, someon, let, husband, child, yta, mother, daughter, don, person, friend, parent, understand, mom, give, tell, think, get, situat, son, wife, asshol(e), life, put
Topic 5 like, know, peopl(e), thing, feel, think, realli, good, make, much, thank, way, hope, someth, never, better, help, say, life, veri, read, see, best, post, lot, sure, tri, ever, love, hard
Theme - “Pain Reliever”
Topic 1 one, day, time, get, got, look, start, week, went, tri, sleep, hour, see, last, little(e), dream, two, turn, like, friend, rememb(e), end, final, later, cat, second, bit, home, head, onc
Topic 2 pain, use, doctor, take, get, help, work, medic, remov, addict, drug, differ, problem, onli, effect, high, much, caus, period, ani, health, issu, state, pay, find, hospit, less, side, mani, pill
Topic 3 get, make, good, thing, one, time, feel, babi, veri, like, know, realli, much, never, thank, better, women, abort, want, always, life, hope, give, bad, work, sure, made, birth, thought, decis
Topic 4 want, nta, kid, feel, care, mom, child, famili(y), love, know, dad, life, parent, take, husband, tell, mother, call, thing, think, let, situate, keep, children, understand, put, don, make, relationship, live
Topic 5 peopl(e), like, think, say, ani, someon(e), guy, mean, reason, post, way, actual, see, person, delet, comment, realli, read, someth, yeah, yes, believ, date, seem, point, game, human, know, said, doe
Theme - “Pain Killer”
Topic 1 pain, addict, get, doctor, opioid, take, drug, medic, patient, opiate, prescrib, pill, prescript, peopl(e), heroin, problem, day, only, chronic, mani, abus, med, treatment, give, without, dose, treat, help, everi, much
Topic 2 remov(e), compani, state, money, drug, delet, big, trump, pay, law, govern, countri, market, system, insur, amp, pharma, public, illeg, new, cost, profit, make, sell, american, vote, crisi, allow, health, busi
Topic 3 get, time, one, life, never, got, day, thank, shit, know, start, live, tri, friend, feel, hope, said, last, help
like, week, ever, onli, famili, ask, made, went, everi, love, call
Topic 4 use, ani, effect, drug, marijuana, differ, veri, cannabi, legal, doe, high, much, studi, smoke, weed, research, test, like, question, alcohol, one, actual, less, caus, product, mani, seem, cbd, increase(s), interest
Topic 5 peopl(e), like, think, make, say, thing, good, know, want, way, realli, person, someth, someon, work, see, lot, sure, mean, point, better, talk, don, tri, believ(e), they'r, yeah, anyon, hard, feel
Table 4.
Description of Network Features for the Pain Management Discussion
Active Nodes Average Degree Closeness Centrality Betweeness Centrality
Pain Killer 113 1.75 0.02 13.89
Pain Medication 87 1.68 0.02 4.33
Pain Reliever 65 1.60 0.03 3.68
Opiates 128 1.83 0.01 28.07
Opioid 43 1.581 0.04 3.79
Table 5.
ANOVA Results of Comparing Degree and Closeness Centrality for the Pain Management Discussion
Dependent Variables
Pain Killer
Pain Medication
Pain Reliever
Opiates
Opioid
η2
M SD M SD M SD M SD M SD
Degree 2.0 18.15 2.01 17.99 2.01 20.12 2.00 19.71 2.04 19.06 NA
Closeness Centrality 0.87 0.25 0.87 0.26 0.91 0.22 0.86 0.27 0.91 0.21 0.008
Table 6.
Audience Duplication across Subreddits and the Average Authentic Score
Subreddit 1 Subreddit 2 Number of Common Users Average Authentic Score of the Common Users
AmItheAsshole TwoXChromosomes 27 61.24
news technology 13 57.12
TwoXChromosomes science 21 55.46
IAmA news 13 52.96
Music science 10 50.81
IAmA politics 16 49.07
IAmA science 15 48.43
AmItheAsshole science 13 42.61
Documentaries science 10 42.48
AmItheAsshole news 10 41.38
science technology 17 37.96
news science 47 35.94
news politics 17 35.44
politics science 19 26.34

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