Lin Chung-Ying, Broström Anders, Griffiths Mark D, Pakpour Amir H
Department of Rehabilitation Sciences, Faculty of Health & Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden.
Internet Interv. 2020 Sep;21:100345. doi: 10.1016/j.invent.2020.100345. Epub 2020 Aug 27.
Due to the serious situation of the novel coronavirus disease 2019 (COVID-19) worldwide, many countries have implemented policies to minimize the spread of COVID-19 infection. However, some of these policies prevent people from physical contact. Consequently, many individuals may rely on social media to obtain information concerning COVID-19. Unfortunately, social media use (especially problematic social media use) may give rise to psychological distress. Therefore, this study thus examined potential psychopathology to explain the association between problematic social media use, psychological distress, and insomnia.
Utilizing an online survey, a sample of Iranian young adults (n = 1078 with 628 males; mean age = 26.24 years [SD ± 7.41]) completed questions and psychometric scales concerning psychological distress, insomnia, problematic social media use, fear of COVID-19, and COVID-19 misunderstanding.
Problematic social media use was significantly associated with psychological distress both directly and indirectly. The indirect effects were through fear of COVID-19 (unstandardized coefficient [B] = 0.177; Bootstrapping SE = 0.026) and COVID-19 misunderstanding (B = 0.060; Bootstrapping SE = 0.014). Problematic social media use was significantly associated with insomnia both directly and indirectly. The indirect effect was through fear of COVID-19 (B = 0.062; Bootstrapping SE = 0.019) but not COVID-19 misunderstanding (B = 0.012; Bootstrapping SE = 0.014).
DISCUSSION/CONCLUSION: Due to the pressure of the COVID-19 outbreak, individuals are highly likely to develop psychological distress and insomnia. Apart from developing appropriate health policies to minimize the spread of COVID-19 infection, healthcare providers should design appropriate online campaigns to eliminate people's fear of COVID-19 and to diminish misunderstanding concerning COVID-19.
由于2019年新型冠状病毒病（COVID-19）在全球的严峻形势，许多国家实施了政策以尽量减少COVID-19感染的传播。然而，其中一些政策阻碍了人们的身体接触。因此，许多人可能会依赖社交媒体来获取有关COVID-19的信息。不幸的是，使用社交媒体（尤其是有问题的社交媒体使用）可能会导致心理困扰。因此，本研究旨在探讨潜在的精神病理学，以解释有问题的社交媒体使用、心理困扰和失眠之间的关联。
通过在线调查，对一组伊朗年轻人（n = 1078，其中男性628名；平均年龄 = 26.24岁[标准差±7.41]）进行了调查，他们完成了有关心理困扰、失眠、有问题的社交媒体使用、对COVID-19的恐惧以及对COVID-19的误解的问题和心理测量量表。
有问题的社交媒体使用与心理困扰直接和间接均显著相关。间接影响是通过对COVID-19的恐惧（非标准化系数[B] = 0.177；自抽样标准误 = 0.026）和对COVID-19的误解（B = 0.060；自抽样标准误 = 0.014）。有问题的社交媒体使用与失眠直接和间接均显著相关。间接影响是通过对COVID-19的恐惧（B = 0.062；自抽样标准误 = 0.019），但不是通过对COVID-19的误解（B = 0.012；自抽样标准误 = 0.014）。
讨论/结论：由于COVID-19疫情的压力，个体极有可能出现心理困扰和失眠。除了制定适当的卫生政策以尽量减少COVID-19感染的传播外，医疗保健提供者还应设计适当的在线宣传活动，以消除人们对COVID-19的恐惧，并减少对COVID-19的误解。
