Content Moderator Startle Response
Content Moderator Startle Response
TaskUs
Rainer Mere
*The pre-print version of this paper is not the copy of record and may not exactly replicate the
final, authoritative version of the article. Please do not copy or cite without the authors’
permission.
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Abstract
posts meet platform policies, guidelines, community standards, and regional laws. While the
majority of posted UGC is deemed acceptable, a large amount of content remains, which is
classified as non-compliant and may include gore, violence, suicide, child sexual abuse material
(CSAM), and pornography, to name a few. Because of this, content moderators have a greater
prevalence of their nervous system activating a startle response, which can impact emotional,
Prior research on content moderators has failed to explore moderators' initial reactions to
content from the start of employment through tenure as the subjection to material and habituation
increases. This study takes an in-depth look at moderators' experiences from recruiting, through
training, and production to better understand the content moderators' startle response and factors
located in the Philippines employed by TaskUs Inc. and 40 content moderators located in Estonia
employed by Sutherland Global Services. Employee tenure ranged from 0-6 months. Succeeding
our analysis, transparency, understanding, and preparedness were major themes identified as the
critical factors found within both companies when exploring the activation of the startle response
and facilitation of habituation following content exposure. These themes were prevalent in the
various social media platforms in an effort to confirm that user posts comply with the set terms,
policies, guidelines, community standards, and applicable regional laws (Roberts, 2016; Steiger
et al., 2021). While the vast majority of posted UGC is deemed acceptable, a heightened volume
of non-compliant media remains in circulation (Steiger et al., 2021). Examples of this can
include gore, violence, murder, suicide, child abuse, sexual violence, and animal abuse (Roberts,
increases psychological and emotional distress (Steiger et al., 2021). According to prior research,
the startle response, or reflex, is significantly activated when exposed to unpleasant visual
stimuli (Hartman et al., 2021; Reagh & Knight, 2013). This response hinders an individual's
making and performance (Deuter et al., 2012; Martin et al., 2012; Vaidyanathan, 2014).
emotional responses diminish (i.e., habituation; Chen et al., 2014; Phelps et al., 2012; Valsamis
In addition to the graphic nature of the content, moderators have high quota demands.
Moderators are required to review 800-1,000 social media posts per day according to research
(Mukhopadhyay, 2020). Process time averages 20-30 seconds, increasing with complexity
(Mukhopadhyay, 2020). Assignment of material varies, with some queues consisting of specific
and steady, yet egregious content such as pornography or violence. Other queues are more
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unpredictable with randomization of harmless or benign; and graphic or disturbing content
automated moderation, artificial intelligence, and algorithms, which overshadows the human
element and the effects on moderators (Carmi, 2019; Chandrasekharan et al., 2019; Dang et al.,
2018). The few studies that do exist on the experience of content moderators primarily explored
prolonged exposure to content and the probability of developing adverse mental health effects
(Arsht & Etcovitch, 2018; Gorwa et al., 2020; Steiger, 2020; Steiger et al., 2021). Content
minimal attention. This study looks to fill this critical gap in the literature.
better understand their startle response and the development of habituation. The study was
examined through the lens of Schacter and Singer’s (1962) Two-factor Theory of Emotion,
which asserts that emotions are composed of two factors: physiological arousal and cognitive
appraisal. The theory postulates that when an individual experiences an emotion, physiological
arousal takes place (1962). The Two-factor Theory of Emotions is a manner in which to explain
the impact of the stress-strain relationship (Beg, 2015). The fundamentals of Socio-
Physicochemical theory propose that physical and emotional components are stimulated by
situational circumstances, even more so during extreme instances such as violence or terror (Beg,
2015).
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Methods
Participants
TaskUs Inc and 40 moderators located in Estonia employed by Sutherland Global Services, both
content-moderation service providers. Employee tenure ranged from 0-6 months. The content
moderators were assigned to categorized queues made up of various media types (images, video,
audio, & text) with a varied level of graphic content ranging from benign to graphic. Categorized
queues require the review of specific and reoccurring content with minimal deviation in assigned
themes.
All study procedures were compliant with the code of conduct, legal regulations, and
ethical guidelines of TaskUs Inc and Sutherland Global Services. It is important to note that,
throughout the entire duration of the study, the research teams at both companies remained
independent entities that did not report directly to departments that may oversee content
moderation employees (e.g., Operations). As a result, the researcher teams were not invested in
particular outcomes of the study and could therefore evaluate the data objectively. That is,
special efforts were made to minimize conflict of interest. To further ensure the ethics and
objectivity of this study, an external researcher and licensed counselor from a Carnegie R1
To gather candidates, the researchers distributed a flier detailing the study and requested
participants through both companies' employee email distros. Employees were explicitly
informed that (1) participation would be completely voluntary; (2) their continued employment
or performance review would not be contingent upon their participation; (3) their responses
would be stored securely and not shared with anyone beyond the research teams (e.g., not with
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their supervisors); and (4) their participation would not be associated with monetary
compensation. For employees who indicated interest, the researchers met with all volunteers to
discuss the purpose of the study in greater detail. All interested participants were sent a link that
contained the consent form. The form included the introduction and purpose of the study, risks
and benefits, procedures, confidentiality statement, voluntary nature of the study, participant
rights, and contact information of the researchers, and a 27-item, open-ended questionnaire (see
details below). After the study, participants were thanked, debriefed, and provided with mental
health resources. No adverse outcomes (e.g., mental health deterioration) were observed as a
Questionnaire
Prior to analysis, questions were placed into the following domains: Training; Production;
Current Cases; and General Experiences. Participants were given a prompt or question and were
Training
These included questions about their thoughts (“Tell me your initial thoughts in your first few
weeks of training”), feelings (“What were some of the emotions you experienced during training,
what caused those feelings, and what was occurring at those times?”), and after-effects (“How
did the exposure to graphic content impact the rest of your workday and your day after your shift
ended?”).
Production
During production, content moderators review UGC. This set of questions focuses on the
transition from training to application (“What are some differences you can identify between the
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jobs/cases you encountered in training versus now in production?”); and changes from training
content to real-world application (“How have your thoughts, feelings, physical sensations, and
reactions about the content changed since moving from training to production?”).
Current Cases
Participants were asked a set of questions about their reactions to the most recent queue
of UGC. These questions focused on how difficult the moderation process is (“What makes a
job/case easy to review? What makes a job/case difficult to review?”); how moderators adapt to
UGC (“What has helped you adapt or become more comfortable with the content?”); and the
effects of content moderation on performance (“What is your average time completing a job in
General Experiences
Participants were asked several questions about their overall experience with content
moderation. Here, questions related to pre-expectation versus the reality of their job-role
(“In what ways was this job similar and different to what was explained to you during the
recruitment process? What were some things you did not expect to experience?”); reactions to
the job (“Tell me about the time you had to take a break from work due to the material? Please
describe the content and what you were thinking and feeling (emotions and physical
sensations),” “What types of material are you worried about encountering (or used to be)?”);
strategies to mitigate the effects of the content (“What skills, techniques, or resources did you
use so you could move back into your workflow?”); and participants’ sense of adjustment (“I am
curious if you feel you have adjusted to the work? What are your thoughts on adjustment, what
assisted you in adjusting to the work, and how long did it take to adjust?”).
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Results
Analysis
The study was conducted through the lens of the Two-factor Theory of Emotion
(Schacter & Singer, 1962) and via a bottom-up, deductive, thematic content analysis. The
thematic content analysis approach is appropriate for survey data and when attempting to
understand the phenomenological experience of participants. As we did not enter the study with
a hypothesis, we let the results manifest from the data (i.e., a bottom-up approach).
followed the traditional steps used in thematic content analysis (Kiger &Varpio, 2020; Maguire
& Delahunt, 2017): familiarization, coding, generating themes, reviewing themes, and defining
themes. Familiarization refers to reviewing, understanding, and becoming comfortable with the
responses. We then examined the data closely and assigned codes to specific responses or
portions of responses. Following that, we grouped the coded data into categories. After carefully
reviewing the coded responses and associated categories, we then began the process of
identifying themes. This involved condensing similar categories into broader, generalizable
themes. These themes were then reviewed by comparing them to the responses to ensure that the
themes were supported by the data. Finally, we appropriately labeled and defined the themes that
A number of themes were identified through the content analysis. This section presents a
stratified explanation of each theme as it pertains to training, production, current cases, and
general experiences collectively across both companies. Table 1 provides a list of identified
themes.
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Training Themes
Concerning the training phase, respondents reported overall enthusiasm, curiosity, and
preparedness for managing their roles. Within this stage, a range of emotions was identified
when addressing first exposure to media; however, generally, respondents remained neutral and
stabilized. Ways of adjustment conveyed included the training department’s capability to teach
Learning Enthusiasm
When asked about their initial thoughts in the first few weeks of training, new hires
stated, "excited to learn new things," "curious about the things we will encounter," and "you're
being taught the things you have never heard before, so it was really neat to me," with a large
majority of participants endorsing the sentiment of excitement regarding the opportunity to learn
new information and work as content moderators. For example, one moderator responded,
"enthusiastic about the world I am about to discover!" In addition, moderators deemed their work
meaningful and purposeful by safeguarding social media; yet, this specific theme emerged at a
greater frequency when working in the production phase versus onboarding with the company.
Readiness
Exploring thoughts, emotions, and physical sensations associated with first exposure to
egregious content, some moderators indicated no impact as they had prior experience viewing
similar media in their personal lives. As such, they were prepared for the sensitive media coming
into training. “I have exposure in my personal life and stuff I seen on social media, so it was an
easy transition for me.” Another went on to add their preferences for horror movies. “I really like
scary movies, and that has graphic contents. Because I watched a lot, it helped me with this
work.” Prior work experience was also found to increase preparedness, “I came from another
indicated no adversity and a smooth transition as they felt ready and eager but anxious. “Because
of training, I could manage my response, emotions, and thoughts of the content I am reviewing.”
Furthermore, candidates emphasize no difference in types and severity of content from training
to production. “Almost all content was discussed in training, and production only had slight
Leaving the training phase, content moderators appreciated the experience and in-depth
instruction provided by the trainers, which included clarifying protocols for actioning the correct
tags on material when reviewing cases and removing ambiguity. They felt training created a
foundation that could be relied upon when facing adversity or uncertainty. “For me the training
was really good. I learned a lot and in the times I’m having confusion I go back to the materials
to help me.”
While transitioning from training to production, the first signs of startle response and
habituation were found when moderators were responsible for maintaining specific metrics, and
the content volume increased. Questions related to production and current case themes
overlapped and are therefore combined as one section in relation to emerging themes. Further,
some individuals reported a conflict between what to anticipate and reality, with inconsistency
between training and production relating to content protocols and severity. This resulted in
increased process time with greater cognitive load. However, protective factors materialized in
the form of finding a sense of purpose that allowed moderators to cope with the changes.
Process Ambiguity
solidifying a fundamental understanding of the job, including processes, procedures, and type of
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content to expect, a select few desired more from the process once in the flow of production. The
moderators expressed concern regarding the largely theoretical approach of training, which
Respondents found training decks outdated and lacking in edgier, diverse examples as a
reference instead of the more assorted level of severity found in production. “There are lots more
variations in content and more intense in production than training.” Likewise, the training
modules were defined as black and white, meaning the review, violations, and decision-making
was more evident than the subjectivity of content in production. “Production has content that is
more diverse in the topic than in training. I believe it should contain more examples.”
Even with these discrepancies, the moderators conceded the impossibility of covering all
potential scenarios and media in training, as material populated in the queues is unpredictable
and ever-changing. Therefore, moderators focused on areas within their control, such as
knowledge of policies, procedures, and wellness interventions instructed. “You cannot learn
everything in training, having experience in production is needed to get used to the content and
Sense of Purpose
moderator's role and aided in the adjustment to content. Respondents saw themselves as
protectors and defenders charged with keeping social media a safer place and reducing societal
harm by removing controversial media. Additionally, the moderators believed that they could
bring justice to those afflicted by reviewing the content. "I take pride in what I do no matter how
hard it may be at times, I look back on the purpose why I do this job. And it is fulfilling."
Another moderator responded I always think about the reason I am doing it."
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Habituation
The participants endorsed habituation and adjustment to egregious content, with the
majority reporting the habituation timeframe ranging from 2 to 4 weeks. In this context,
habituation did not imply a lack of impact for unexpected or severe content but rather a decrease
in emotional, psychological, and physiological responses. For example, one participant stated, “I
get a little startled with the unexpected before, but now it does not affect me as much.”
Although there are still instances when unanticipated content populates, leading to
impairment, the moderators report feeling more accustomed to and ready for the exposure when
working in specialized queues. They describe an increased capacity to manage the response and
process the information when working with categorized content with clustered concepts. “By the
time I moved to production, I am used to viewing sensitive content, though sometimes I am still
shocked at the media but doesn’t effect me much. I am able to handle it.” Another content
moderator added, “I could feel myself gradually becoming used to the job and content. Training,
Hindrance to Habituation
The primary factors that disrupted or slowed adaptation was associated with the
workflow. This included keeping up with the fast-paced environment of changing policies and
trends. Stress, fatigue, and cognitive overload were associated with these frequent updates. In an
effort to manage change, some moderators reported continuing work-related activities during
scheduled breaks. “Daily stress and fatigue can tear down mental fortitude due to random
changing protocols and shifts schedules it deteriorates your ability to focus and process graphic
content.”
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Concerning content, new, unexpected, intensely egregious content and subjects or topics
moderators were not trained to action altered their ability to adapt. Unfortunately, due to the
ever-changing world and current trends, training and established procedures cannot always
anticipate or account for everything a content moderator may face. When this occurs, moderators
rely on their established forms of support for assistance: wellness staff, managers, trainers, and
teammates.
Questions that fell within the “General Experiences” section are listed separately as they
address the recruiting process’s influence on adjustment. Respondents disclosed they were
provided adequate information related to the role requirements and risks involved with
moderation work, allowing them to conduct self-research on moderation and make an informed
decision on whether the role is suitable for themselves. Further, this section identified specific
Transparency
experience. They regarded the recruitment team as clear and accurate with their descriptions of
the job requirements and the potential exposure to sensitive content. These individuals felt as if
they were informed enough to grasp the nature of the job thoroughly. One moderator responded,
"During my recruitment process, they already told me that I'll be doing as a content moderator
handling disturbing content, so before I enter the training, I am prepared for the job."
coded dialogue from the recruiter. The respondents stated that the recruiters used words like
"confidential, sensitive media, or graphic" when referencing the content exposure leading to a
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subjective understanding. Furthermore, there was a failure in fully conveying the time exposed to
and spent reviewing graphic content. The subjectivity, diverse interpretation of terms, and high-
level overview left some feeling unprepared or unaware of the actual reality of work. One
participant wrote, "The interviewer disclosed I will be viewing sensitive medias but not much
more detail." Another responded, "I didn't expect that I had to view so much graphic media."
Concise explanations throughout the recruitment process assisted in the transition to training.
Preparation
After accepting the job offer but before starting training, a few employees researched on
their own to fully understand the day to day and requirements of a content moderator. This
personal quest for knowledge was said to be a key differentiator in increasing readiness.
However, other respondents regarded the content and the potential impact on them as unsettling.
After initial exposure to graphic content, disgust, shock, fear, anger, and sadness were the most
expressed emotions. Physical sensations included the body tensing, palpitations, perspiration,
preparedness, perceptions of expectations, and the actual reality of content exposure and its
impact. This disconnect led to a desire for more transparency and preparation early on.
Due to the ever-changing trends in media, even those tenured in the job reported
randomized content populating within their queues that fell far outside of their general
categorization. This resulted in a startle activation and required a break from the material. The
average duration of time necessary for recovery following the startle reflex lasted 30 seconds.
However, when the startle response was unattended, the fight, flight, or freeze response
activated, resulting in a need for “five to ten minutes” to return to baseline functioning. The most
prevalent media reported that led to startle response included violent acts, harm to others, and
child sexual abuse material, as evidenced by replies such as, “...if it’s too bloody or too gory to
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watch.” “It’s when I saw child abuse, I needed to pause for a few minutes and just listen to music
to divert my attention.”
the psychological health and safety programming facilitated by TaskUs and Sutherland Wellness
& Resiliency Departments in adjusting to the nature of content moderation. The program
sessions, e-learning courses, monthly outreach, and recommendations for tooling and breaking
Employees stressed the importance of engaging in wellness training where they could
acquire and develop the mastery to help them in times of crisis. Skills and exercises learned from
the wellness and resiliency departments that facilitated a return to baseline after startle activation
“Actually, because of all the wellness and interaction, I’m quite all good.” Access to the
Wellness & Resiliency program was said to be a vital asset assisting in the transition period from
training to production, and content moderators interviewed called for more wellness initiatives to
Discussion
This study addresses a gap in the literature and increases the understanding of
moderators’ initial experiences with content, startle response activation, and startle habituation.
Previous studies on startle response pointed to the emotional, cognitive, and physiological
unconscious and protective response were identified in the experiences of content moderators.
Participants in the study were able to identify instances when their startle reflex became
activated. This occurred when they were exposed to unexpected graphic media. Disgust, shock,
fear, anger, and sadness were emotions they experienced. Physical sensations included body
time and described an increased ability to manage and process graphic media. Key elements that
reduced the prevalence of startle response included open and transparent conversations from
recruiters when describing content exposure and duties of the job to potential moderators. This
was supported by prevalent themes such as preparation and enthusiasm. Those candidates who
fully understood the reality of the job described an easier transition into training and entering
production. Additionally, when in training, content moderators greatly benefitted from in-depth
instruction and examples that were diverse in topic and severity; this was evidenced by the
following themes: Sense of Purpose and Readiness. Conversely, some individuals felt
When in production, most individuals reported impact by content exposure, yet the
majority noted adaptive adjustment to their work as evidenced by the theme of habituation.
Themes of factors that either harm or facilitate habituation were noted. For instance, the theme of
adaptive adjustment. Still, programmatic access and a sense of purpose substantially facilitated
habituation. Specifically, the psychological health and safety programs and initiatives assisted
This study suggests a need for further research exploring content moderators' responses
The results of this study support the necessary creation of strategic initiatives throughout the
requirements of content moderation. Each phase will also greatly benefit from the
distinct nature of the occupation. This includes verbally detailing examples of content that the
candidate has the potential to be exposed to (i.e., giving detailed examples of content to be
reviewed). Lastly, recruiters should emphasize the availability of wellness support, both
When considering elements and structure of training, wellness resources, and coping,
strategy integration is necessary throughout the training processes. Further interventions should
center on acclimation to the rapid pace and change of their work tasks and environment. When
illustrating examples of content, gradually increasing the graphic nature of the material can lead
to greater moderator preparedness, expectations, and ability to process such content. Further,
extending the duration of training allows the content moderator exposure to a variety of media,
topics, procedures, and policies; and decreases the pressure and cognitive overload experienced
while learning.
increases expectations and preparedness for unavoidable content, reducing the possibility of
shock and surprise. Next, moderators should be offered flexible content breaks to be used when
the individual is experiencing a startle. This allows the content moderator time to step away and
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recompose themselves. Operation leaders should emphasize the importance of mental health as
moderators may worry about not meeting metric standards and protocols.
No study is without its limitations. While this study’s conclusions are derived from
participant responses, those responses came from survey questions and not live interviews.
Future research on the lived experiences of content moderators should incorporate semi-
structured interviews to furth expound on participant responses. Consistent with all studies using
self-report methods, it is possible that self-report bias may exist. However, several steps were
taken to limit its potential impact on study findings. For instance, participants provided responses
via survey without a live observer. To further encourage honest responses, participants were
informed that their data would be secured and not shared beyond the research teams.
Second, results were acquired from two companies located in different countries. The
current study does not address the cultural differences pertaining to either the country of origin
or the company itself. The differences may have influenced how individuals interpret and adapt
to the content and address the potential risk of moral injury when reviewing material that falls
outside of their accepted cultural norms. We advise future researchers to look into these key
factors.
Future research should also focus on biofeedback and content moderation. The industry
and academics will greatly benefit from biofeedback research in the form of skin conductance
and heart-rate variability. This may provide objective and quantitative data that supplement the
current findings derived from subjective and qualitative data. Following the emerging theme of
The authors express deep gratitude for those content moderators who participated in the
research and so willingly shared their experiences. With this knowledge, we can better support
the well-being of all reviewers. Additionally, the authors would like to thank content moderators
worldwide for the tremendous and much-needed work that they do safeguarding the internet and
Conflict of interest
TaskUs Inc. and Sutherland Global Services employ the authors and content moderators
Funding Statement
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Hindrance to Factors that delay or impede “Daily stress and fatigue can tear
Habituation the moderators’ ability to down mental fortitude due to
positively adapt to a repeated random changing protocols and
threatening stimulus shifts schedules it deteriorates your
ability to focus and process graphic
content.”
Sense of Purpose Belief that the work “I take pride in what I do no matter
conducted is essential in how hard it may be at times, I look
protecting the end-user and back on the purpose why I do this
safeguarding the platform, job. And it is fulfilling.”
which results in a positive
outcome.
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