Potential benefits and harms of a peer support social network service on the internet for people with depressive tendencies: qualitative content analysis and social network analysis.
Potential benefits and harms of a peer support social network service on the internet for people with depressive tendencies: qualitative content analysis and social network analysis.
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DOI：
10.2196/jmir.1142
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发表时间：
2009-07-23
影响因子：
7.4
通讯作者：
Nakayama T
中科院分区：
文献类型：
--
作者：
Takahashi Y;Uchida C;Miyaki K;Sakai M;Shimbo T;Nakayama T
针对抑郁症的互联网同伴支持团体越来越受欢迎，并且可能会受到越来越多的社交网络服务 (SNS) 的影响。然而，人们对 SNS 中的参与者特征、社交关系以及使用原因知之甚少。此外，SNS 参与对抑郁症患者的影响尚不清楚。目的是基于混合方法策略的并发三角测量设计（包括定性内容分析和社交网络分析），探讨 SNS 对抑郁症的潜在益处和危害。 2007 年，日本在 SNS 上对自我报告有抑郁倾向的人进行了一项横断面的互联网调查，其中包括收集 SNS 日志文件和问卷。对定量数据进行了统计分析，其中包括用户人口统计数据、抑郁状态和 SNS 评估（积极与不积极）。使用定性内容分析的归纳方法，对有关 SNS 参与的优点和缺点的开放式问题的回答的描述性内容进行了分析。基于扎根理论方法，内容被组织成代码、概念、类别和故事情节。社会关系源自“朋友”的数据，通过社交网络分析进行分析，其中基于社交网络理论计算网络度量和人际交往程度。结果的每次分析和整合都是通过混合方法策略的并发三角测量设计来执行的。共有 105 名参与者。中位年龄为 36 岁，其中 51% (36/71) 为男性。有效受访者 37 人；他们的朋友数量和访问 SNS 的频率显着高于无效/无响应者 (P = .008 和 P = .003)。在受访者中，90% (28/31) 患有轻度、中度或重度抑郁。通过确定SNS的访问频率和好友数量来进行SNS的评估。定性内容分析表明，用户可选择的同伴支持可以是被动的、主动的和/或基于匿名或易用性的交互式，并且存在因心理负担加重而引发的抑郁螺旋下降的潜在危害。社交网络分析显示，用户之间进行一对一交流或以小组形式（五人或更少）进行交流。抑郁螺旋下降与中度或重度抑郁的朋友以及对社交网络服务负面评价的朋友有关。为有抑郁倾向的人提供的 SNS 提供了各种获得满足用户需求的支持的机会。为了避免抑郁螺旋式下降，我们建议参与者在感觉 SNS 不可选择、收到以自我为中心的评论、朋友对 SNS 做出负面评价或有额外心理负担时不要使用 SNS。
Internet peer support groups for depression are becoming popular and could be affected by an increasing number of social network services (SNSs). However, little is known about participant characteristics, social relationships in SNSs, and the reasons for usage. In addition, the effects of SNS participation on people with depression are rather unknown. The aim was to explore the potential benefits and harms of an SNS for depression based on a concurrent triangulation design of mixed methods strategy, including qualitative content analysis and social network analysis. A cross-sectional Internet survey of participants, which involved the collection of SNS log files and a questionnaire, was conducted in an SNS for people with self-reported depressive tendencies in Japan in 2007. Quantitative data, which included user demographics, depressive state, and assessment of the SNS (positive vs not positive), were statistically analyzed. Descriptive contents of responses to open-ended questions concerning advantages and disadvantages of SNS participation were analyzed using the inductive approach of qualitative content analysis. Contents were organized into codes, concepts, categories, and a storyline based on the grounded theory approach. Social relationships, derived from data of “friends,” were analyzed using social network analysis, in which network measures and the extent of interpersonal association were calculated based on the social network theory. Each analysis and integration of results were performed through a concurrent triangulation design of mixed methods strategy. There were 105 participants. Median age was 36 years, and 51% (36/71) were male. There were 37 valid respondents; their number of friends and frequency of accessing the SNS were significantly higher than for invalid/nonrespondents (P = .008 and P = .003). Among respondents, 90% (28/31) were mildly, moderately, or severely depressed. Assessment of the SNS was performed by determining the access frequency of the SNS and the number of friends. Qualitative content analysis indicated that user-selectable peer support could be passive, active, and/or interactive based on anonymity or ease of use, and there was the potential harm of a downward depressive spiral triggered by aggravated psychological burden. Social network analysis revealed that users communicated one-on-one with each other or in small groups (five people or less). A downward depressive spiral was related to friends who were moderately or severely depressed and friends with negative assessment of the SNS. An SNS for people with depressive tendencies provides various opportunities to obtain support that meets users’ needs. To avoid a downward depressive spiral, we recommend that participants do not use SNSs when they feel that the SNS is not user-selectable, when they get egocentric comments, when friends have a negative assessment of the SNS, or when they have additional psychological burden.
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影响因子：
39.2
作者：
Berg, AO;Allan, JD;Woolf, SH
通讯作者：
Woolf, SH
DOI：
10.1136/bmj.a2338
发表时间：
2008-12-04
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Fowler JH;Christakis NA
通讯作者：
Christakis NA
影响因子：
158.5
作者：
Christakis, Nicholas A.;Fowler, James H.
通讯作者：
Fowler, James H.
影响因子：
3.8
作者：
Elo, Satu;Kyngaes, Helvi
通讯作者：
Kyngaes, Helvi
影响因子：
158.5
作者：
Christakis, Nicholas A.;Fowler, James H.
通讯作者：
Fowler, James H.