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Exploring Melasma Patients' Needs Through Social Media: A Qualitative Study.

Xinjin Liu1,2, Xu Liu1,2, Yanbing Han1,2

  • 1Department of Dermatology, West China Hospital, Sichuan University, Chengdu, 610041, People's Republic of China.

Patient Preference and Adherence
|August 11, 2025
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Summary

Patients with melasma seek effective, affordable treatments and daily care advice online. AI analysis of social media reveals unmet needs in treatment, prevention, and mental health support for melasma patients.

Keywords:
artificial intelligencedigital healthmelasmapatient educationsocial media

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Area of Science:

  • Dermatology and Computational Social Science
  • Artificial Intelligence in Healthcare
  • Patient-Reported Outcomes

Background:

  • Melasma is a common hyperpigmentation disorder affecting quality of life.
  • Social media platforms are increasingly used by patients to discuss health concerns.
  • Understanding patient needs online can inform healthcare strategies.

Purpose of the Study:

  • To identify primary concerns and unmet needs of melasma patients.
  • To utilize qualitative analysis and AI-based keyword extraction for insights.
  • To analyze patient discussions on social media platforms.

Main Methods:

  • Qualitative study of public melasma patient discussions on Facebook and Baidu (Jan 2014-Oct 2024).
  • AI-powered keyword extraction and classification using ChatGPT-4o.
  • Analysis of 1106 posts, identifying 284 unique tags and 2434 keywords.

Main Results:

  • Treatment and prevention were key topics, with demand for effective, long-term, affordable options.
  • Daily care and mental health comprised 29.2% of discussions (skincare, sun protection, lifestyle).
  • Etiology, clinical features, diagnosis, and differentiation were less frequently discussed.

Conclusions:

  • AI analysis identified critical patient concerns regarding melasma.
  • Healthcare professionals should enhance digital patient education and combat misinformation.
  • Integrating mental health support and AI interventions is crucial for melasma care.