Social networking online to recover from opioid use disorder: A study of community interactions
Social networking online to recover from opioid use disorder: A study of community interactions
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DOI：
10.1016/j.drugalcdep.2017.09.010
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发表时间：
2017-12-01
影响因子：
4.2
通讯作者：
Cavazos-Rehg, Patricia A.
中科院分区：
文献类型：
--
作者：
D'Agostino, Alexandra R.;Optican, Allison R.;Cavazos-Rehg, Patricia A.
背景：社交媒体日益成为健康讨论和支持的场所，特别是对于弱势群体而言。本研究调查了一个针对鸦片成瘾康复者的在线 Reddit 社区的用户生成内容。方法：2016 年 8 月 19 日从该在线社区收集了 100 个 Reddit 帖子及其评论。帖子按照精神障碍诊断和统计手册 (DSM-5) 概述的阿片类药物使用障碍 (OUD) 标准以及其他常见主题进行定性编码。评论被编码以表达不同的治疗因素（即灌输希望、普遍性、传递信息和利他主义）。所有帖子和评论均针对作者的成瘾阶段（即使用、退出、恢复）进行编码。结果：73 个独特的用户名创作了 100 个帖子。在 73 个用户中，33% (24/73) 在帖子中描述了足够的症状，以满足 OUD 的 DSM-V 标准（16/73 或 22% 轻度严重，7/73 或 10% 中度严重，1/73 或 1% 高严重。在 100 个帖子中，43% (43/100) 的帖子请求建议，24% 寻求支持(24/100) 的帖子对这 100 个帖子发表了 511 条评论，几乎所有评论都包含至少一种独特的治疗因素 (486/511, 95%)，其中利他主义是最常见的 (341/511, 67%)。 结论：这项研究为在线康复社区上生成的支持性内容提供了有效性，同时也揭示了小组成员之间自我报告的与 OUD 斗争的讨论。研究应探索将基于社交媒体的同伴支持纳入传统成瘾治疗的可行性。
Background: Social media has increasingly become a venue for health discourse and support, particularly for vulnerable individuals. This study examines user-generated content of an online Reddit community targeting individuals recovering from opiate addiction.Methods: 100 Reddit posts and their comments were collected from the online community on August 19, 2016. Posts were qualitatively coded for opioid use disorder (OUD) criteria as outlined by the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), as well as other common themes. Comments were coded for expression of distinct therapeutic factors (i.e., instillation of hope, universality, imparting information, and altruism). All posts and comments were coded for addiction phase of the author (i.e., using, withdrawing, recovering).Results: 73 unique usernames authored the 100 posts. Among the 73 usernames, 33% (24/73) described enough symptoms in their posts to meet DSM-V criteria for OUD (16/73 or 22% mild severity, 7/73 or 10% moderate severity, and 1/73 or 1% high severity. Among the 100 posts, advice was requested in 43% (43/100) of the posts and support was sought in 24% (24/100) of the posts. There were 511 comments made on the 100 posts, nearly all of which contained at least one distinct therapeutic factor (486/511, 95%) with altruism being the most common (341/511, 67%).Conclusions: This research provides validity to the supportive content generated on an online recovery-oriented community, while also revealing discussions of self-reported struggles with OUD among group members. Future research should explore the feasibility of incorporating social media-based peer support into traditional addiction treatments.