Bipolar Disorder Affects Behavior and Social Skills on the Internet
Bipolar Disorder Affects Behavior and Social Skills on the Internet
复制标题
双相情感障碍影响互联网上的行为和社交技能
作者：
Thaís Martini;L. Czepielewski;A. Fijtman;Leonardo A Sodré;B. Wollenhaupt;Caroline Silveira Pereira;M. Vianna;P. Goi;A. Rosa;F. Kapczinski;M. Kunz;M. Kauer
背景双相情感障碍（BD）是导致功能、认知和社会损害的重要原因。然而，关于功能和社交技能的经典研究并没有调查BD如何影响互联网上的行为。鉴于数字时代已经改变了人们的沟通方式，本研究旨在调查BD患者的互联网使用模式。方法采用横断面研究方法，对30例BD I或II型患者和30例匹配的对照组进行评估。根据DSM-IV，患者没有急性情绪发作。一个标准的协议检查社会人口变量和社会行为在互联网上，通过Facebook的朋友数量（FBN）和离线联系人的一生估计数量（社交网络数量，SNN）进行评估。结果BD患者SNN（p<0.001）和FBN（p = 0.036）显著低于对照组。 此外，与互联网使用相关的变量在患者中显著降低，例如，Facebook上的密切联系人（p = 0.021）、互联网经验（p = 0.020）和社交网站相关术语知识（p = 0.042）。 此外，患者的预期互联网使用模式比率较低（基于其年龄），包括SNS知识较差（p = 0.018）和互联网使用频率较低（p = 0.010）。 讨论这项研究表明，BD患者在现实世界的设置和互联网上显示较小的社交网络。此外，患者倾向于使用互联网和社交网站的频率较低，对互联网和社交媒体的了解也比健康对照组差，低于他们这一代人的预期。患者和对照组之间的这些显着差异表明，BD对社会关系和功能的影响延伸到电子媒体。
Background Bipolar disorder (BD) is a significant cause of functional, cognitive, and social impairment. However, classic studies of functioning and social skills have not investigated how BD may impact behavior on the Internet. Given that the digital age has been changing the way people communicate, this study aims to investigate the pattern of Internet use in patients with BD. Methods This cross-sectional study assessed 30 patients with BD I or II and 30 matched controls. Patients were not in an acute mood episode, according to DSM-IV. A standard protocol examined sociodemographic variables and social behavior on the Internet, assessed by Facebook number of friends (FBN) and lifetime estimated number of offline contacts (social network number, SNN). Results SNN (p<0.001) and FBN (p = 0.036) of patients with BD were significantly lower than those of controls. Also, variables related with Internet use were significantly lower in patients, e.g., close contacts on Facebook (p = 0.021), Internet experience (p = 0.020), and knowledge of terms associated with social networking sites (p = 0.042). Also, patients showed lower rates of the expected pattern of Internet use (based on their age generation), including a poorer knowledge of SNS (p = 0.018) and a lower frequency of Internet use (p = 0.010). Discussion This study suggests that patients with BD show smaller social networks both in real-world settings and on the Internet. Also, patients tend to use the Internet and social networking sites less frequently and show a poorer knowledge of Internet and social media than healthy controls, below the expected for their generation. These significant differences between patients and controls suggest that the effects of BD on social relationships and functioning extend to electronic media.
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：
3.7
作者：
Gurung, RAR;Taylor, SE;Seeman, TE
通讯作者：
Seeman, TE