{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T12:26:17Z","timestamp":1777551977907,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100016981","name":"Necmettin Erbakan \u00dcniversitesi","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100016981","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["DIGITAL HEALTH"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Fibromyalgia is a chronic pain syndrome affecting 2\u20134% of the global population. Social media platforms host patient narratives and public discussions that can complement traditional evidence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To characterize English-language YouTube discourse on fibromyalgia over 2015\u20132025, describing longitudinal and seasonal engagement patterns and sentiment dynamics, while outlining platform- and translation-related methodological considerations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cross-sectional analysis was conducted on YouTube videos referencing fibromyalgia (2015\u20132025) identified via English keywords. When non-English videos appeared, relevant comments were processed using a documented translation pipeline prior to analysis. Counts of videos, comments, and words were summarized; seasonal groups were compared. Sentiment classification (negative\/neutral\/positive) was performed using an automated model; searches were repeated in anonymized sessions to gauge recommendation-system effects, and a small in-study manual validation was conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 941 videos and 30,896 comments (1,505,579 words) were analyzed. Engagement peaked in spring (12,125 comments) and summer (8899). Neutral sentiment predominated across seasons (62.1\u201366.3%), with relatively higher positive proportions in summer (25.3%). Seasonal differences in engagement were statistically significant in nonparametric comparisons. Manual validation indicated good overall performance of the sentiment model, with reduced accuracy on translated comments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>English-language YouTube discussions on fibromyalgia increased over the decade and exhibited seasonal patterns. Findings should be interpreted as platform-specific and noncausal, given recommendation-system influences, language constraints, and automated sentiment limitations. Nevertheless, social media analytics can inform patient-centered communication and hypotheses for future research.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20552076261435082","type":"journal-article","created":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T08:12:57Z","timestamp":1773648777000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A decade of English-language YouTube discourse on fibromyalgia (2015\u20132025): Seasonal patterns, sentiment dynamics, and methodological considerations"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9697-6184","authenticated-orcid":false,"given":"Mustafa Turgut","family":"Yildizgoren","sequence":"first","affiliation":[{"name":"Necmettin Erbakan University, Faculty of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatih","family":"Bagcier","sequence":"additional","affiliation":[{"name":"Basaksehir Cam and Sakura Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bulent","family":"Alyanak","sequence":"additional","affiliation":[{"name":"G\u00f6lc\u00fck Necati \u00c7elik State Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Burak Tayyip","family":"Dede","sequence":"additional","affiliation":[{"name":"Prof. Dr Cemil Tasc\u0131o\u011flu City Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mustafa Huseyin","family":"Temel","sequence":"additional","affiliation":[{"name":"Sultan 2.Abdul Hamid Khan Educational and Research Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,16]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"72","article-title":"Unraveling the Complex web of fibromyalgia: a narrative review","volume":"60","author":"Al Sharie S","year":"2024","unstructured":"Al Sharie S, Varga SJ, Al-Husinat L, et al. Unraveling the Complex web of fibromyalgia: a narrative review. Medicina (Kaunas) 2024; 60: 72.","journal-title":"Medicina (Kaunas)"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2008.12.003"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2014.3266"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.5606\/ArchRheumatol.2016.5908"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.2147\/PRBM.S178240"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20140"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.100594"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2016.08.012"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2022.152060"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2008.06.005"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-023-17585-5"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.2196\/23205"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1186\/s42358-021-00210-7"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.medcli.2022.04.009"},{"key":"e_1_3_3_16_2","unstructured":"The Impact of Changing Seasons on Fibromyalgia: From Summer to Fall. Fibromyalgia Association Canada. 2024. https:\/\/fibrocanada.ca\/en\/impact-of-changing-seasons-on-fibromyalgia\/."},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12242511"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-025-07697-1"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.2196\/45858"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/1756-185X.14043"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1080\/17538157.2021.1990934"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-024-07687-5"}],"container-title":["DIGITAL HEALTH"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20552076261435082","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/20552076261435082","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20552076261435082","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T17:56:30Z","timestamp":1777398990000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/20552076261435082"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":21,"alternative-id":["10.1177\/20552076261435082"],"URL":"https:\/\/doi.org\/10.1177\/20552076261435082","relation":{},"ISSN":["2055-2076","2055-2076"],"issn-type":[{"value":"2055-2076","type":"print"},{"value":"2055-2076","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2]]},"article-number":"20552076261435082"}}