利用 Skype 克服忧郁：全国代表性样本的纵向数据。

Using Skype to Beat the Blues: Longitudinal Data from a National Representative Sample.

机构信息

VA Portland Health Care System, HSR&D Center to Improve Veteran Involvement in Care; Department of Psychiatry, Oregon Health & Science University; School of Public Health, Oregon Health & Science University and Portland State University.

School of Public Health, Oregon Health & Science University and Portland State University.

出版信息

Am J Geriatr Psychiatry. 2019 Mar;27(3):254-262. doi: 10.1016/j.jagp.2018.10.014. Epub 2018 Oct 29.

DOI:10.1016/j.jagp.2018.10.014

PMID:30442532

Abstract

OBJECTIVES

This study aimed to determine whether use of certain types of online communication technology is associated with subsequent depressive symptoms.

DESIGN

Nationally representative, population-based prospective cohort.

SETTING

Data were obtained from the 2012 and 2014 waves of the Health and Retirement Study (HRS).

PARTICIPANTS

1,424 community-residing older adults (mean age, 64.8) in the United States.

MEASUREMENTS

We examined associations between use of four communication technologies (email, social networks, video chat, and instant messaging) in 2012 and depressive symptoms (eight-item Center for Epidemiologic Studies Depression scale) at two-year follow-up.

RESULTS

564 participants (39.6%) did not use any communication technologies, 314 (22.1%) used email only, and 255 (17.9%) used video chat (e.g., Skype). Compared to non-users (13.1%, 95% CI: 9.5-16.7%) or those who used only email (14.3%, 95% CI: 10.1-18.5%), users of video chat had approximately half the probability of depressive symptoms (6.9%, 95% CI: 3.5-10.3%, Wald Chi test, Chi=13.82, p < 0.001; 7.6%, 95% CI: 3.6-11.6, Wald Chi test, Chi=13.56, p < 0.001). Use of email, social media, and instant messaging were not associated with a lower risk of depression.

CONCLUSIONS

Older adults who use video chat such as Skype, but not other common communication technologies, have a lower risk of developing depression.

摘要

目的

本研究旨在确定使用某些类型的在线通讯技术是否与随后出现的抑郁症状相关。

设计

具有全国代表性的、基于人群的前瞻性队列研究。

地点

数据来自 2012 年和 2014 年的健康与退休研究（HRS）。

参与者

1424 名居住在社区的美国老年人（平均年龄 64.8 岁）。

测量方法

我们调查了 2012 年使用四种通讯技术（电子邮件、社交网络、视频聊天和即时通讯）与两年后抑郁症状（八项流行病学研究中心抑郁量表）之间的关联。

结果

564 名参与者（39.6%）不使用任何通讯技术，314 名参与者（22.1%）仅使用电子邮件，255 名参与者（17.9%）使用视频聊天（如 Skype）。与非使用者（13.1%，95%置信区间：9.5-16.7%）或仅使用电子邮件的使用者（14.3%，95%置信区间：10.1-18.5%）相比，视频聊天使用者出现抑郁症状的可能性约为一半（6.9%，95%置信区间：3.5-10.3%，Wald Chi 检验，Chi=13.82，p<0.001；6.9%，95%置信区间：3.6-11.6，Wald Chi 检验，Chi=13.56，p<0.001）。使用电子邮件、社交媒体和即时通讯与较低的抑郁风险无关。