Are consumers of Internet health information "cyberchondriacs"? Characteristics of 24,965 users of a depression screening site.

Are consumers of Internet health information "cyberchondriacs"? Characteristics of 24,965 users of a depression screening site.
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DOI:
10.1002/da.20848
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发表时间:
2012-01
影响因子:
7.4
通讯作者:
Contreras, Omar
Contreras, Omar
中科院分区:
医学1区
文献类型:
--
作者:
Leykin, Yan;Munoz, Ricardo F.;Contreras, Omar

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在因特网上寻找保健信息的人数继续增加。这项研究的目的是了解在全球范围内寻找抑郁症信息的讲英语的个人中,重度抑郁症的患病率。创建了一个自动化在线情绪筛选网站,并通过Google AdWords做了一年的广告。参与者(N = 24,965)完成了抑郁症筛查措施,并根据他们的结果获得反馈。然后,参与者被邀请参加纵向情绪筛选研究。在完成筛查的24,965人中,66.6%的人目前患有重度抑郁症,44.4%的人表示目前有自杀倾向,7.8%的人报告最近(过去两周)有自杀企图。在同意参加纵向研究的人中(n = 1,327,来自86个国家),77.4%的人对过去的抑郁症筛查呈阳性,64.6%的人报告过去的自杀倾向,17.5%的人过去的自杀企图。然而,只有25%的抑郁症筛查阳性者和37.2%的自杀未遂者正在接受治疗。互联网健康信息的许多消费者可能确实需要治疗,而不是“网络成瘾者”。在线筛查,治疗和预防工作可能有可能为许多目前未经治疗的临床抑郁症和自杀的个人提供服务。
The number of individuals looking for health information on the Internet continues to expand. The purpose of the study was to understand the prevalence of major depression, among English-speaking individuals worldwide looking for information on depression online. An automated online Mood Screener website was created and advertised via Google AdWords, for one year. Participants (N = 24,965) completed a depression screening measure and received feedback based on their results. Participants were then invited to participate in a longitudinal mood screening study. Of the 24,965 who completed the screening, 66.6% screened positive for current major depression, 44.4% indicated current suicidality, and 7.8% reported a recent (past two weeks) suicide attempt. Of those consenting to participate in the longitudinal study (n = 1,327, from 86 countries), 77.4% screened positive for past depression, 64.6% reported past suicidality, and 17.5% a past suicide attempt. Yet, only 25% of those screening positive for current depression, and only 37.2% of those reporting a recent suicide attempt are in treatment. Many of the consumers of Internet health information may genuinely need treatment and are not “cyberchondriacs”. Online screening, treatment, and prevention efforts may have the potential to serve many currently untreated clinically depressed and suicidal individuals.
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