How patients with schizophrenia use the internet: qualitative study.
How patients with schizophrenia use the internet: qualitative study.
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DOI：
10.2196/jmir.1550
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发表时间：
2010-12-19
影响因子：
7.4
通讯作者：
Amering M
中科院分区：
文献类型：
--
作者：
Schrank B;Sibitz I;Unger A;Amering M
互联网是精神疾病患者获取健康信息的重要来源。人们对精神分裂症患者在涉及与疾病相关的问题时如何使用互联网知之甚少。缺乏关于他们的具体需求、困难以及与互联网使用相关的后果的数据。 我们的目的是调查精神分裂症患者与健康相关的互联网使用的性质和主观后果。 总共进行了 26 次半结构化访谈，并以 4 人为一组进行定性分析，直至达到理论饱和。 研究结果表明，互联网是精神分裂症患者获取疾病相关信息的一个有影响力的来源。他们在互联网上的行为的许多方面与未患有精神疾病的人相似。重要的是，精神分裂症患者特有的问题是刺激溢出、无法处理大量信息、难以集中注意力、缺乏精力、偏执想法、症状挑衅，以及在康复过程中需要远离与疾病相关的话题。互联网信息被主观地认为有可能显着改变患者对药物的态度以及他们与医生的关系。 这些发现让我们深入了解精神分裂症患者如何处理与疾病相关的互联网信息。这些数据可以有助于基于互联网的干预措施的不断发展，并提供优化传统治疗方案的新方法。
The Internet is an important source of health information for people with psychiatric conditions. Little is known about the way patients with schizophrenia use the Internet when it comes to issues related to their illness. Data on their specific needs, difficulties, and the consequences related to Internet use are lacking. Our objective was to investigate the nature and subjective consequences of health-related Internet use among patients with schizophrenia. In all, 26 individual semistructured interviews were conducted and analyzed qualitatively in groups of 4 until theoretical saturation was achieved. Study results suggest that the Internet is an influential source of illness-related information for patients with schizophrenia. Many aspects of their behavior around the Internet resemble those of individuals not afflicted by mental illness. Importantly, problems specific to patients with schizophrenia were stimulus overflow, an inability to deal with the abundance of information, difficulties with concentration, lack of energy, paranoid ideas, symptom provocation, and the need to distance themselves from illness-related topics as part of the recovery process. Internet information was subjectively perceived as having the potential to significantly change patients’ attitudes toward medication and their relationships with doctors. These findings provide insight into how individuals with schizophrenia handle illness-related Internet information. The data could contribute to the continuous development of Internet-based interventions and offer novel approaches to optimizing traditional treatment options.
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作者：
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