Smartphone, Social Media, and Mental Health App Use in an Acute Transdiagnostic Psychiatric Sample
Smartphone, Social Media, and Mental Health App Use in an Acute Transdiagnostic Psychiatric Sample
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DOI：
10.2196/13364
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发表时间：
2019-06-10
影响因子：
5
通讯作者：
Bjorgvinsson, Throstur
中科院分区：
文献类型：
--
作者：
Beards, Courtney;Silverman, Alexandra L.;Bjorgvinsson, Throstur
背景：尽管精神病人群中智能手机的拥有率很高，但很少有数据表明精神疾病患者使用智能手机。特别是，很少有研究调查智能手机的兴趣和使用对心理健康的影响。目的：本研究旨在(1)表征具有高智能手机拥有率的急性跨诊断精神病样本中智能手机应用程序和社交媒体的一般使用情况，(2)表征当前使用智能手机应用程序以支持心理健康的参与和兴趣，以及(3)测试智能手机使用的人口统计学和临床预测因素。方法：调查由所有参加成人部分医院计划的患者完成，没有排除标准。主要结果是使用一般和心理健康智能手机应用程序的频率（智能手机使用调查）以及使用社交媒体和查看手机行为的频率（移动技术参与量表）。结果：总体而言，322名患者（平均年龄33.49岁，SD 13.87岁，57%为女性）报告他们最常用的应用程序功能是发短信、电子邮件和社交媒体。年轻人更频繁地使用大多数类型的应用程序。基线抑郁和焦虑症状与应用程序使用频率无关。参与者报告说，医疗保健、日历和短信应用程序对他们的心理健康最有利，而社交媒体应用程序对他们的心理健康影响最大。大多数患者报告有兴趣（73.9%[238/322]）和愿意（81.3%[262/322]）使用智能手机应用程序来监测他们的心理健康状况。目前，不到一半（44%）的患者在智能手机上下载了心理健康应用程序，其中正念和冥想应用程序是最常见的类型。结论：对使用心理健康应用程序的高度兴趣和意愿，加上目前仅有的适度使用报告，表明精神病学人群中存在潜在的未满足的治疗机会。有可能优化非精神健康专用应用程序，以更好地支持精神疾病患者的需求，并设计一波新的精神健康应用程序，以满足这些人群的需求，以及他们在日常生活中使用智能手机的方式。
Background: Despite high rates of smartphone ownership in psychiatric populations, there are very little data available characterizing smartphone use in individuals with mental illness. In particular, few studies have examined the interest and use of smartphones to support mental health.Objective: This study aimed to (1) characterize general smartphone app and social media usage in an acute transdiagnostic psychiatric sample with high smartphone ownership, (2) characterize current engagement and interest in the use of smartphone apps to support mental health, and (3) test demographic and clinical predictors of smartphone use.Methods: The survey was completed by all patients attending an adult partial hospital program, with no exclusion criteria. The primary outcomes were frequency of use of general and mental health smartphone apps (smartphone use survey) and the frequency of social media use and phone-checking behavior (mobile technology engagement scale).Results: Overall, 322 patients (aged mean 33.49, SD 13.87 years; 57% female) reported that their most frequently used app functions were texting, email, and social media. Younger individuals reported more frequent use across most types of apps. Baseline depression and anxiety symptoms were not associated with the frequency of app use. Participants reported health care, calendar, and texting apps as most supportive of their mental health and social media apps as most negatively affecting their mental health. Most patients reported an interest in (73.9% [238/322]) and willingness to use (81.3% [262/322]) a smartphone app to monitor their mental health condition. Less than half (44%) of the patients currently had a mental health app downloaded on their smartphone, with mindfulness and meditation apps being the most common type.Conclusions: The high interest in and willingness to use mental health apps, paired with the only moderate current reported usage, indicate a potential unmet treatment opportunity in psychiatric populations. There is potential to optimize non-mental health-specific apps to better support the needs of those with mental illness and to design a new wave of mental health apps that match the needs of these populations as well as the way they use smartphones in daily life.