Department of Psychology, Faculty of Arts and Social Sciences, International University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
Psychiatry Clinic, Manisa Mental Health and Diseases Hospital, Manisa, Turkey.
Int J Soc Psychiatry. 2020 Aug;66(5):496-503. doi: 10.1177/0020764020919791. Epub 2020 May 11.
Although excessive use of social networking site (SNS) is related to undesired effects on healthy individual's psychological well-being, there is a huge gap in studies performed with individuals who suffer from various mental disorders.
The main goal of this study is to examine the association between problematic utilization of SNSs and depressive symptoms across patients diagnosed with major depressive disorder (MDD).
111 patients diagnosed with MDD (diagnoses confirmed via the Structured Clinical Interview for DSM-5-Clinician Version (SCID-5/CV)) and 108 healthy controls (HCs) were recruited for the study. Montgomery-Asberg Depression Rating Scale (MADRS) and Bergen Social Media Addiction Scale (BSMAS) were administered by both MDD and HC groups. Group comparisons were estimated with multivariate analysis of covariance (MANCOVA) analyses. To identify the relationship between SNS addiction and depressive symptoms, the Pearson correlations were performed, and finally, we computed the multiple linear regression analyses to determine whether SNS addiction predicts depressive symptoms.
The results revealed that MDD group is more addicted to SNS relative to HC. In addition, depressive symptoms were significantly predicted by 'relapse' subdimension and the overall score of SNS addiction in the MDD group.
Our study illustrated the detrimental effects of excessive SNSs usage on depressive symptoms in MDD particularly for the individuals in 'relapse' state of SNS addiction. The mental health workers should consider the usage patterns of SNSs in patients diagnosed with MDD during their clinical observation and management.
尽管过度使用社交网站（SNS）与健康个体的心理健康不良影响有关，但在患有各种精神障碍的个体中进行的研究存在很大差距。
本研究的主要目的是检查在被诊断患有重度抑郁症（MDD）的患者中，SNS 问题性使用与抑郁症状之间的关联。
招募了 111 名被诊断患有 MDD（通过 DSM-5 临床医师版（SCID-5/CV）结构临床访谈确认诊断）和 108 名健康对照组（HC）的患者。MDD 和 HC 组均进行了蒙哥马利-阿斯伯格抑郁评定量表（MADRS）和卑尔根社交媒体成瘾量表（BSMAS）的评估。使用多元协方差分析（MANCOVA）分析来估计组间比较。为了确定 SNS 成瘾与抑郁症状之间的关系，进行了 Pearson 相关性分析，最后，我们进行了多元线性回归分析，以确定 SNS 成瘾是否可以预测抑郁症状。
结果表明，与 HC 相比，MDD 组对 SNS 的成瘾程度更高。此外，在 MDD 组中，“复发”亚维度和 SNS 成瘾的总体评分显著预测了抑郁症状。
我们的研究说明了过度使用 SNS 对 MDD 患者的抑郁症状的有害影响，特别是对处于 SNS 成瘾“复发”状态的个体。精神健康工作者在对 MDD 患者进行临床观察和管理时，应考虑到他们对 SNS 的使用模式。
