脸书、生活质量和灾后城市环境中的心理健康结果：拉奎拉地震的经验。
Facebook, quality of life, and mental health outcomes in post-disaster urban environments: the l'aquila earthquake experience.
机构信息
Section of Environmental Medicine and Clinical Epidemiology, Department of Applied Clinical Sciences and Biotechnology, University of L'Aquila , L'Aquila , Italy.
Section of Neuropsychology, Department of Life, Health and Environmental Sciences, University of L'Aquila , L'Aquila , Italy.
出版信息
Front Public Health. 2014 Dec 22;2:286. doi: 10.3389/fpubh.2014.00286. eCollection 2014.
BACKGROUND
An understudied area of interest in post-disaster public health is individuals' use of social networks as a potential determinant of quality of life (QOL) and mental health outcomes. A population-based cross-sectional study was carried out to examine whether continual use of online social networking (Facebook) in an adult population following a massive earthquake was correlated with prevalence of depression and post-traumatic stress disorders (PTSD) and QOL outcomes.
METHODS
Participants were a sample of 890 adults aged 25-54 who had been exposed to the L'Aquila earthquake of 2009. Definition of "user" required a daily connection to the Facebook online social network for more than 1 h per day from at least 2 years. Depression and PTSD were assessed using the Screening Questionnaire for Disaster Mental Health. QOL outcomes were measured using the World Health Organisation Quality of Life BREF (WHOQOL-BREF) instrument. Logistic regression was carried out to calculate the prevalence odds ratios (POR) for social network use and other covariates.
RESULTS
Two hundred and twenty one of 423 (52.2%) men, and 195 of 383 (50.9%) women, had been using Facebook as social network for at least 2 years prior to our assessment. Social network use correlated with both depression and PTSD, after adjusting for gender. A halved risk of depression was found in users vs. non-users (POR 0.50 ± 0.16). Similarly, a halved risk of PTSD in users vs. non-users (POR 0.47 ± 0.14) was found. Both men and women using online social networks had significantly higher QOL scores in the psychological and social domains of the WHOQOL-BREF.
CONCLUSION
Social network use among adults 25-54 years old has a positive impact on mental health and QOL outcomes in the years following a disaster. The use of social networks may be an important tool for coping with the mental health outcomes of disruptive natural disasters, helping to maintain, if not improve, QOL in terms of social relationships and psychological distress.
背景
在灾后公共卫生领域，一个研究较少的关注点是个人使用社交网络作为生活质量（QOL）和心理健康结果的潜在决定因素。本研究开展了一项基于人群的横断面研究，旨在检验在经历了一场大规模地震后，成年人持续使用在线社交网络（Facebook）是否与抑郁和创伤后应激障碍（PTSD）的患病率以及 QOL 结果相关。
方法
参与者是 890 名年龄在 25-54 岁之间的成年人，他们曾经历过 2009 年拉奎拉地震。“用户”的定义是每天至少需要连接到 Facebook 在线社交网络 1 小时以上，并且至少持续 2 年。使用灾难心理健康筛查问卷评估抑郁和 PTSD。使用世界卫生组织生活质量简表（WHOQOL-BREF）评估 QOL 结果。使用逻辑回归计算社交网络使用和其他协变量的患病率比值比（POR）。
结果
在我们评估之前，423 名男性中有 221 名（52.2%），383 名女性中有 195 名（50.9%）使用 Facebook 作为社交网络至少 2 年。调整性别后，社交网络使用与抑郁和 PTSD 均相关。与非使用者相比，使用者患抑郁的风险降低了一半（POR 0.50±0.16）。同样，与非使用者相比，使用者患 PTSD 的风险也降低了一半（POR 0.47±0.14）。使用在线社交网络的男性和女性在 WHOQOL-BREF 的心理和社会领域的 QOL 评分均显著较高。
结论
25-54 岁成年人使用社交网络对灾难后数年的心理健康和 QOL 结果有积极影响。使用社交网络可能是应对破坏性自然灾害心理健康结果的重要工具，有助于维持（如果不是改善）社交关系和心理困扰方面的 QOL。
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