Interpreting Multimodal Communication at Scale in Short-Form Video: Visual, Audio, and Textual Mental Health Discourse on TikTok

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Autori principali: Zha, Mingyue, Chang, Ho-Chun Herbert
Natura: Preprint
Pubblicazione: 2026
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author Zha, Mingyue
Chang, Ho-Chun Herbert
author_facet Zha, Mingyue
Chang, Ho-Chun Herbert
contents Short-form video platforms integrate text, visuals, and audio into complex communicative acts, yet existing research analyzes these modalities in isolation, lacking scalable frameworks to interpret their joint contributions. This study introduces a pipeline combining automated multimodal feature extraction with Shapley value-based interpretability to analyze how text, visuals, and audio jointly influence engagement. Applying this framework to 162,965 TikTok videos and 814,825 images about social anxiety disorder (SAD), we find that facial expressions outperform textual sentiment in predicting viewership, informational content drives more attention than emotional support, and cross-modal synergies exhibit threshold-dependent effects. These findings demonstrate how multimodal analysis reveals interaction patterns invisible to single-modality approaches. Methodologically, we contribute a reproducible framework for interpretable multimodal research applicable across domains; substantively, we advance understanding of mental health communication in algorithmically mediated environments.
format Preprint
id arxiv_https___arxiv_org_abs_2601_15278
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Interpreting Multimodal Communication at Scale in Short-Form Video: Visual, Audio, and Textual Mental Health Discourse on TikTok
Zha, Mingyue
Chang, Ho-Chun Herbert
Multimedia
Short-form video platforms integrate text, visuals, and audio into complex communicative acts, yet existing research analyzes these modalities in isolation, lacking scalable frameworks to interpret their joint contributions. This study introduces a pipeline combining automated multimodal feature extraction with Shapley value-based interpretability to analyze how text, visuals, and audio jointly influence engagement. Applying this framework to 162,965 TikTok videos and 814,825 images about social anxiety disorder (SAD), we find that facial expressions outperform textual sentiment in predicting viewership, informational content drives more attention than emotional support, and cross-modal synergies exhibit threshold-dependent effects. These findings demonstrate how multimodal analysis reveals interaction patterns invisible to single-modality approaches. Methodologically, we contribute a reproducible framework for interpretable multimodal research applicable across domains; substantively, we advance understanding of mental health communication in algorithmically mediated environments.
title Interpreting Multimodal Communication at Scale in Short-Form Video: Visual, Audio, and Textual Mental Health Discourse on TikTok
topic Multimedia
url https://arxiv.org/abs/2601.15278