The Differential Impact of Social Media Use on Middle and High School Students: A Retrospective Study

The Differential Impact of Social Media Use on Middle and High School Students: A Retrospective Study
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DOI:
10.1089/cap.2019.0071
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发表时间:
2019-06-24
影响因子:
1.9
通讯作者:
Croarkin, Paul E.
Croarkin, Paul E.
中科院分区:
医学3区
文献类型:
--
作者:
Shafi, Reem M. A.;Nakonezny, Paul A.;Croarkin, Paul E.

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背景:社交媒体的使用现在是青少年生活和发展的一个中心方面。关于社交媒体使用在儿童和青少年中的临床意义知之甚少,这些儿童和青少年表现为精神病入院的急性危机。本研究旨在比较初中和高中学生使用社交媒体对精神病发病率结果的潜在影响。据推测,在社交媒体用户中,高中生的精神病发病率高于中学生。研究方法:研究小组从患有急性精神病的青少年(12 - 17岁)中提取了临床和人口统计学数据,这些青少年也记录了社交媒体的使用(N = 56)。教育状况,初中(n = 21)与高中(n = 35),作为一个独立的变量进行了检查。精神药物的使用,自伤行为,自杀风险和自杀意念作为因变量进行logistic回归模型。结果如下:与使用社交媒体的中学生相比,使用社交媒体的高中生使用精神药物和自我伤害行为的预测几率显着更大。与使用社交媒体的中学生相比,使用社交媒体的高中生有更大的自杀风险和自杀意念的预测几率,尽管没有统计学意义。结论:社交媒体的使用可能是精神病评估中需要考虑的一个重要因素。目前的研究结果表明,与中学生相比,高中生使用社交媒体与更高的精神病发病率相关。进一步的研究可以阐明社交媒体使用和特定年龄风险的发展路线。
Background: Social media use is now a central aspect of adolescent life and development. Little is known about the clinical implications of social media use in children and adolescents presenting in acute crisis for psychiatric admission. This study sought to compare the potential effects of social media use among middle and high school students on outcomes of psychiatric morbidity. It was hypothesized that among social media users, high school students would have greater psychiatric morbidity compared with middle school students. Methods: The research team extracted clinical and demographic data from adolescents (aged 12-17 years) presenting for acute psychiatric admission who also had documented social media use (N = 56). Educational status, middle school (n = 21) versus high school (n = 35), was examined as an independent variable. Psychotropic medication use, self-injurious behavior, suicide risk, and suicidal ideation were examined as dependent variables in logistic regression models. Results: High school students using social media had significantly greater predicted odds of psychotropic medication use and self-injurious behavior compared with students in middle school who used social media. High school students using social media had greater, although not statistically significant, predicted odds of suicide risk and suicidal ideation compared with middle school students using social media. Conclusions: Social media use is likely an important factor to consider in psychiatric evaluations. The present findings suggest that social media use in high school students is associated with greater psychiatric morbidity compared with middle school students. Further research could illuminate the developmental lines of social media use and age-specific risks.