ASSOCIATION BETWEEN SOCIAL MEDIA USE AND DEPRESSION AMONG U.S. YOUNG ADULTS.
ASSOCIATION BETWEEN SOCIAL MEDIA USE AND DEPRESSION AMONG U.S. YOUNG ADULTS.
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DOI：
10.1002/da.22466
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发表时间：
2016-04
影响因子：
7.4
通讯作者：
Primack BA
中科院分区：
文献类型：
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作者：
Lin LY;Sidani JE;Shensa A;Radovic A;Miller E;Colditz JB;Hoffman BL;Giles LM;Primack BA
社交媒体（SM）的使用在美国年轻人中越来越多，其与心理健康的关系仍不清楚。这项研究评估了SM使用和抑郁症之间的关联在全国代表性样本的年轻人。我们调查了1,787名19至32岁的成年人关于SM使用和抑郁症的情况。参与者通过随机数字拨号和基于地址的抽样招募。SM的使用通过自我报告的每天花费在SM上的总时间，每周访问次数和基于Pew互联网研究问卷的全球频率评分进行评估。使用患者报告结局测量信息系统（PROMIS）抑郁量表简表评估抑郁。使用样本权重进行卡方检验和有序逻辑回归。加权样本为50.3%女性和57.5%白色。与那些每天花费在SM上的总时间最低的四分位数的参与者相比，在控制所有协变量后，最高四分位数的参与者患抑郁症的几率显著增加（AOR=1.66，95%CI =1.14-2.42）。与最低四分位数相比，每周SM站点访问次数最高四分位数的个体和总体频率评分较高的个体抑郁的几率显著增加（AOR=2.74，95%CI =1.86-4.04; AOR=3.05，95%CI =2.03-4.59）。所有独立变量与抑郁症之间的关联都具有强烈的线性剂量反应趋势。结果对所有敏感性分析均具有稳健性。SM的使用与抑郁症的增加显著相关。鉴于SM的扩散，确定这种关联的机制和方向对于为解决SM使用和抑郁症的干预措施提供信息至关重要。
Social media (SM) use is increasing among U.S. young adults, and its association with mental well-being remains unclear. This study assessed the association between SM use and depression in a nationally-representative sample of young adults. We surveyed 1,787 adults ages 19 to 32 about SM use and depression. Participants were recruited via random digit dialing and address-based sampling. SM use was assessed by self-reported total time per day spent on SM, visits per week, and a global frequency score based on the Pew Internet Research Questionnaire. Depression was assessed using the Patient-Reported Outcomes Measurement Information System (PROMIS) Depression Scale Short Form. Chi-squared tests and ordered logistic regressions were performed with sample weights. The weighted sample was 50.3% female and 57.5% White. Compared to those in the lowest quartile of total time per day spent on SM, participants in the highest quartile had significantly increased odds of depression (AOR=1.66, 95% CI=1.14–2.42) after controlling for all covariates. Compared with those in the lowest quartile, individuals in the highest quartiles of SM site visits per week and those with a higher global frequency score had significantly increased odds of depression (AOR=2.74, 95% CI=1.86–4.04; AOR=3.05, 95% CI=2.03–4.59, respectively). All associations between independent variables and depression had strong, linear, dose-response trends. Results were robust to all sensitivity analyses. SM use was significantly associated with increased depression. Given the proliferation of SM, identifying the mechanisms and direction of this association is critical for informing interventions that address SM use and depression.