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

项目总结 在社交媒体使用率急剧上升的同时，美国的年轻人报告说，他们的同龄人比例很高 受害者和精神痛苦。治疗--在线社交之间关系的可修改因素 短信、精神困扰和同龄人受害尚不清楚。这种缺乏清晰度的部分原因是之前的工作 主要依赖于这些社会关系的“快照”，在这些快照中，年轻人自我报告他们使用社交媒体的情况 和相关体验在单个时间点。更密集的采样和实时表征 需要青少年的社交世界来为临床医生、青年和 父母。这项工作在网上和当面受害比例较高的青年中尤为紧迫。我们 曾从急诊科招募和保留高危青年样本， 报告称，同龄人受害、精神困扰和使用社交媒体的横向和纵向比率很高， 用于干预和队列研究。这项研究项目是根据PA 19-373开发的，提出了 从我们以前的工作中创新的方法组合。我们将招收240名青少年(13-17岁) 在为期6个月的队列研究中，向ED提交任何医疗或伤害投诉。通过招聘， 采样和跟踪方法与我们之前的工作类似，我们将密集收集在线社交消息 (“OSM”)，面对面的互动(使用电子激活的记录器，或“EAR”，它收集片段 可编码音频)、自我感知情绪、孤独感和同伴受害(使用生态瞬间 评估，或“EMA”)1个月。我们将在0个月、1个月、3个月和6个月进行有效的自我报告调查。 最后，我们将收集从招募前两周到为期6个月的研究结束的连续OSM数据。 我们将使用我们小组之前试验的高级计算建模来调整和集成OSM， EAR和EMA数据，并对高危青年的社会联系和孤立进行细致入微的描述。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，并将探索人口和其他脆弱性因素如何影响这一点 两性关系。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了我们的研究旨在识别 干预。“我们的发现将为未来的面对面和人口层面的干预提供信息，以改善 社会联系，减少同伴受害，改善高危青少年的幸福感。

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.