ArticleFrontiers in psychiatry2026
Symptom expression and coping strategies in women-focused attention-deficit/hyperactivity disorder communities: a comparative natural language analysis of Reddit.
Article in Frontiers in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Attention-deficit/hyperactivity disorder (ADHD) in women remains underrecognized despite increasing evidence of gender-specific symptom patterns and treatment experiences. Using computational text analysis, this study examined how ADHD is expressed and managed in two Reddit communities: r/adhdwomen and r/ADHD. Methods: We collected and analyzed 3,383 unique, publicly available posts (r/adhdwomen: n = 1,414; r/ADHD: n = 1,969) using GPT-assisted natural language processing and statistical comparison methods. To ensure consistent output while identifying patterns of symptom expression and coping strategies, we set the model's randomness parameter to 0.2 and ran it using Python 3.11. Results: Both groups frequently discussed core DSM-5 symptoms (inattention, hyperactivity/impulsivity). However, posts in r/adhdwomen contained more references to emotional dysregulation and internalizing symptoms (53.0% vs 47.3%, false discovery rate [FDR]-adjusted Conclusion: The women-focused ADHD community (r/adhdwomen) more frequently discussed emotional dysregulation and internalizing symptoms as well as hormonal and life cycle influences than the general ADHD community (r/ADHD). Although the two communities showed similar overall frequencies of coping strategy categories, they partly differed in the recurring combinations of strategies discussed within posts. These findings should be interpreted as community-level discourse patterns rather than direct differences between women and men with ADHD because r/ADHD is a mixed-gender general ADHD community rather than a male comparison group. Social media text can be used as a supplementary source for understanding how ADHD-related experiences and coping strategies are discussed in everyday peer contexts.
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