Social Media, Violence, and Social Isolation Among At-Risk Adolescents: Exploring Ground Truth

项目摘要 在社交媒体使用急剧增加的同时，美国年轻人报告说， 受害和精神痛苦。治疗可修改的元素之间的关系在线社交 信息传递、精神痛苦和同伴受害还不清楚。这种缺乏明确性的部分原因是以前的工作 主要依赖于这些社会联系的“快照”，其中年轻人自我报告他们的社交媒体使用情况 和相关的经历。更密集的采样和实时表征 需要青少年的社会世界来为临床医生、青年和 父母这项工作在网上和面对面受害率高的青年中尤为紧迫。我们 先前从急诊科（艾德）招募并保留了高风险青年样本， 报告高横截面和纵向率的同伴受害，精神困扰，和社会媒体的使用， 进行干预和队列研究。本研究项目是根据PA 19-373开发的， 创新性地结合了我们之前的工作方法。我们将招募240名青少年（13-17岁） 在6个月的队列研究中，因任何医疗或损伤投诉而向艾德就诊。利用招聘， 抽样，和后续的方法类似，我们以前的工作，我们将集中收集在线社会信息 （“OSM”），面对面的互动（使用电子激活记录器，或“录音机”，收集片段 编码音频），自我感知的情绪，孤独，和同伴受害（使用生态瞬间 评估，或“EMA”）1个月。我们将在0、1、3和6个月时进行有效的自我报告调查。 最后，我们将收集从招募前2周至6个月研究结束的连续OSM数据。 我们将使用先进的计算建模，正如我们小组以前所做的那样，来调整和整合OSM， 和EMA的数据，并制定了有风险的青年的社会联系和孤立的细微差别的描述。我们 然后将研究他们的社会联系，同伴受害，和未来之间的关系， 心理健康，并将探讨人口和其他脆弱因素如何影响这一点 关系意义：与NICHD战略计划一致，我们的方法以及独特的 我们的研究团队的组成确保我们的研究旨在确定“行为目标”， 干预”。我们的研究结果将为未来的个人和人群干预提供信息，以改善 社会联系，减少同伴受害，并改善处于危险中的青少年的福祉。

PROJECT SUMMARY Concurrent with a dramatic rise in social media use, youth in the United States are reporting high rates of peer victimization and mental distress. Treatment-modifiable elements of the relationship between online social messaging, mental distress, and peer victimization are unclear. This lack of clarity is partly because prior work relies primarily on “snapshots” of these social connections, in which youth self-report on their social media use and related experiences at a single point in time. More intensive sampling and real-time characterization of adolescents’ social worlds is needed to develop better interventions and guidance for clinicians, youth, and parents. This work is particularly urgent among youth with high rates of online and in-person victimization. We have previously recruited and retained high-risk samples of youth from the emergency department (ED), who report high cross-sectional and longitudinal rates of peer victimization, mental distress, and social media use, for both intervention and cohort studies. This research project, developed in response to PA 19-373, proposes an innovative combination of methods from our prior work. We will enroll 240 adolescents (age 13-17) presenting to the ED for any medical or injury complaint in a 6-month cohort study. Using recruitment, sampling, and follow-up methods similar to our prior work, we will intensively collect online social messaging (“OSM”), in-person interactions (using the Electronically Activated Recorder, or “EAR”, which collects snippets of codable audio), and self-perceived mood, loneliness, and peer victimization (using ecological momentary assessments, or “EMA”) for 1 month. We will administer validated self-report surveys at 0, 1, 3, and 6 months. Finally, we will collect continuous OSM data from 2 weeks prior to recruitment to the end of the 6-month study. We will use advanced computational modeling, as previously piloted by our group, to align and integrate OSM, EAR, and EMA data, and develop nuanced descriptions of at-risk youth’s social connection and isolation. We will then examine the relationship between their social connectedness, peer victimization, and future psychological well-being, and will explore how demographic and other vulnerability factors influence this relationship. SIGNIFICANCE: Consistent with the NICHD strategic plan, our methodology as well as the unique composition of our research team ensures that our research is aimed at identification of “targets for behavioral intervention.” Our findings will inform future in-person and population-level interventions to improve patterns of social connectedness, reduce peer victimization, and improve well-being among at-risk adolescents.