Association Between LGB Sexual Orientation and Depression Mediated by Negative Social Media Experiences: National Survey Study of US Young Adults.
Association Between LGB Sexual Orientation and Depression Mediated by Negative Social Media Experiences: National Survey Study of US Young Adults.
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负面社交媒体经验介导的LGB性取向和抑郁症之间的关联：美国年轻人的国家调查研究。
DOI：
10.2196/23520
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发表时间：
2020-12-03
影响因子：
5.2
通讯作者：
Marshal MP
中科院分区：
文献类型：
--
作者：
Escobar-Viera CG;Shensa A;Sidani J;Primack B;Marshal MP
女同性恋、男同性恋和双性恋（LGB）人群受抑郁症的影响不成比例，社交媒体使用率很高。负面的社交媒体体验可能会改变LGB人群的抑郁症状。我们试图评估负面社交媒体体验对LGB取向和抑郁症之间关联的潜在影响。本研究旨在评估负面社交媒体体验对LGB取向与抑郁之间关联的潜在影响。我们对美国18-30岁的年轻人进行了一项基于网络的全国抽样调查。我们使用9项患者健康问卷评估了受访者的LGB取向，负面社交媒体体验和抑郁症。我们使用广义结构方程模型来评估LGB取向对抑郁症的直接和间接影响（通过负面的社交媒体体验），同时控制相关的人口统计学和个人特征。我们发现LGB取向通过负面社交媒体体验对抑郁症状有条件间接影响（ab路径）（a：观察系数0.229; P<0.001;偏倚校正自举95%CI 0.162-0.319; B：观察系数2.158; P<0.001;偏倚校正自举95%CI 1.840-2.494）。结果显示，在LGB受访者中，对于那些在过去一年中报告负面社交媒体体验的人，这些体验增加1个单位与抑郁症增加0.494个单位相关。我们的研究结果表明，LGB年轻人抑郁症的发病率较高，部分原因是负面的社交媒体体验;这些结果可以帮助患者/提供者了解未来与社交媒体使用相关的心理健康风险和保护因素。减少这些经验和增加LGB人群中积极的社交媒体体验可能会减轻这一人群的抑郁症。
Lesbian, gay, and bisexual (LGB) persons are disproportionately affected by depression and have high social media use rates. Negative social media experiences may modify depressive symptoms among LGB persons. We sought to assess the potential influence of negative social media experiences on the association between LGB orientation and depression. The aim of this study was to assess the potential influence of negative social media experiences on the association between LGB orientation and depression. We performed a web-based survey of a national sample of US young adults aged 18-30 years. We assessed the respondents’ LGB orientation, negative social media experiences, and depression using the 9-item Patient Health Questionnaire. We used generalized structural equation modeling to assess both the direct and indirect effects (via negative social media experiences) of LGB orientation on depression while controlling for relevant demographic and personal characteristics. We found a conditional indirect effect (ab path) of LGB orientation on depressive symptoms via negative social media experience (a: observed coefficient 0.229; P<.001; bias-corrected bootstrapped 95% CI 0.162-0.319, and b: observed coefficient 2.158; P<.001; bias-corrected bootstrapped 95% CI 1.840-2.494). The results show that among LGB respondents, for those who reported negative social media experiences in the past year, a 1 unit increase in these experiences was associated with a 0.494 unit increase in depressive symptomatology. Our results suggest that higher rates of depression among LGB young adults are partially explained by negative social media experiences; these results could help inform future patient/provider conversations about mental health risk and protective factors related to social media use. Reducing these experiences and increasing positive social media experiences among LGB persons may mitigate depressive symptomatology in this population.
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影响因子：
4.4
作者：
King M;Semlyen J;Tai SS;Killaspy H;Osborn D;Popelyuk D;Nazareth I
通讯作者：
Nazareth I
影响因子：
9.9
作者：
Coyne, Sarah M.;Rogers, Adam A.;Booth, McCall
通讯作者：
Booth, McCall
影响因子：
0.5
作者：
Kroenke, K;Spitzer, RL
通讯作者：
Spitzer, RL
影响因子：
4.9
作者：
Fish JN;Pasley K
通讯作者：
Pasley K
影响因子：
4.9
作者：
Marshal, Michael P.;Dermody, Sarah S.;Cheong, JeeWon;Burton, Chad M.;Friedman, Mark S.;Aranda, Frances;Hughes, Tonda L.
通讯作者：
Hughes, Tonda L.