{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:46:05Z","timestamp":1787024765131,"version":"build-2736575974"},"reference-count":64,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Med Internet Res"],"abstract":"\n Background<\/jats:title>\n Depression is common during adolescence. Early intervention can prevent it from developing into more progressive mental disorders. Combining information technology and clinical psychoeducation is a promising way to intervene at an earlier stage. However, data-driven research on the cognitive response to health information targeting adolescents with symptoms of depression is lacking.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study aimed to fill this knowledge gap through a new understanding of adolescents\u2019 cognitive response to health information about depression. This knowledge can help to develop population-specific information technology, such as chatbots, in addition to clinical therapeutic tools for use in general practice.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n The data set consists of 1870 depression-related questions posted by adolescents on a public web-based information service. Most of the posts contain descriptions of events that lead to depression. On a sample of 100 posts, we conducted a qualitative thematic analysis based on cognitive behavioral theory investigating behavioral, emotional, and symptom responses to beliefs associated with depression.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Results were organized into four themes. (1) Hopelessness, appearing as a set of negative beliefs about the future, possibly results from erroneous beliefs about the causal link between risk factors and the course of depression. We found beliefs about establishing a sturdy therapy alliance as a responsibility resting on the patient. (2) Therapy hesitancy seemed to be associated with negative beliefs about therapy prognosis and doubts about confidentiality. (3) Social shame appeared as a consequence of impaired daily function when the cause is not acknowledged. (4) Failing to attain social interaction appeared to be associated with a negative symptom response. In contrast, actively obtaining social support reduces symptoms and suicidal thoughts.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n These results could be used to meet the clinical aims stated by earlier psychoeducation development, such as instilling hope through direct reattribution of beliefs about the future; challenging causal attributions, thereby lowering therapy hesitancy; reducing shame through the mechanisms of externalization by providing a tentative diagnosis despite the risk of stigmatizing; and providing initial symptom relief by giving advice on how to open up and reveal themselves to friends and family and balance the message of self-management to fit coping capabilities. An active counseling style advises the patient to approach the social environment, demonstrating an attitude toward self-action.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/37289","type":"journal-article","created":{"date-parts":[[2023,1,24]],"date-time":"2023-01-24T11:14:54Z","timestamp":1674558894000},"page":"e37289","source":"Crossref","is-referenced-by-count":3,"title":["Analyzing User-Generated Web-Based Posts of Adolescents\u2019 Emotional, Behavioral, and Symptom Responses to Beliefs About Depression: Qualitative Thematic Analysis"],"prefix":"10.2196","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9292-7986","authenticated-orcid":false,"given":"Kim Kristoffer","family":"Dysthe","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4115-9133","authenticated-orcid":false,"given":"Jan 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