1 Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom.
2 Unit for Social and Community Psychiatry, WHO Collaborating Centre for Mental Health Service Development, Queen Mary University of London, London, United Kingdom.
Cyberpsychol Behav Soc Netw. 2019 May;22(5):336-343. doi: 10.1089/cyber.2018.0554. Epub 2019 Apr 4.
People with psychosis (PWP) have difficulties in establishing and maintaining social connections. An earlier systematic review on the use of online social networking (OSN) in psychosis found only 11 studies published before January 2014, but with promising findings. These studies showed no difference in OSN use between PWP and general population. Given the limited number of articles found and the rapid advances in OSN, we carried out an update review to assess evidence on how PWP use OSN. Several electronic databases were searched for the literature published between January 2014 and May 2018. Data from included studies were narratively synthesized. Thirteen additional studies examined the use of OSN in PWP in 2014-2018. Updated evidence confirms that PWP seem to use OSN at least as much as the general population, although only when not acutely unwell. PWP who are younger and have higher education level are more likely to use OSN. There was no evidence of worsening psychological symptoms due to OSN. Some studies showed patient-reported concerns about negative experiences and the inability to identify online social contacts. The use of OSN by PWP is a subject of increasing interest with a rapidly developing evidence base. The frequent use of OSN by PWP and the absence of evidence of symptom worsening are encouraging findings. This would justify the inclusion of OSN among the strategies to reduce social isolation in psychosis. Research methodologies should be improved by developing standardized measures to assess use and associated risks.
患有精神病的人（PWP）在建立和维持社交关系方面存在困难。一项关于在线社交网络（OSN）在精神病中的使用的早期系统综述发现，只有 11 项研究发表于 2014 年 1 月之前，但结果很有希望。这些研究表明，PWP 和普通人群在使用 OSN 方面没有差异。鉴于发现的文章数量有限，以及 OSN 的快速发展，我们进行了更新综述，以评估关于 PWP 使用 OSN 的证据。对 2014 年 1 月至 2018 年 5 月发表的文献进行了几个电子数据库的检索。对纳入研究的数据进行了叙述性综合。2014-2018 年期间，又有 13 项研究检查了 PWP 使用 OSN 的情况。更新的证据证实，PWP 似乎至少与普通人群一样使用 OSN，尽管只有在没有急性不适时才会这样。年龄较小和受过高等教育的 PWP 更有可能使用 OSN。没有证据表明 OSN 会导致心理症状恶化。一些研究表明，患者对负面体验和无法识别在线社交联系人表示担忧。PWP 使用 OSN 的现象越来越受到关注，其证据基础也在迅速发展。PWP 频繁使用 OSN，且没有证据表明症状恶化，这是令人鼓舞的发现。这将证明将 OSN 纳入减少精神病社会隔离的策略是合理的。应通过开发标准化措施来评估使用情况和相关风险，从而改进研究方法。
