Massachusetts General Hospital, United States; Harvard Medical School, United States.
Central Michigan University, Department of Psychology, United States.
J Psychiatr Res. 2022 Nov;155:17-23. doi: 10.1016/j.jpsychires.2022.07.061. Epub 2022 Aug 1.
The standard of care among youth who are psychiatrically hospitalized typically involves smartphone confiscation for the duration of treatment. However, very little is known regarding how youth respond to this period of smartphone "deprivation," factors that may influence this response, and ensuing clinical effects. The present exploratory mixed-methods study sought to elucidate the experience of psychiatrically hospitalized adolescents as it relates to smartphone deprivation, and to evaluate the impact of this widespread treatment approach. Psychiatrically hospitalized adolescents (N = 181; Mean age = 15.29 years) completed qualitative and quantitative measures assessing the experience of smartphone deprivation during hospitalization. Associations among reactions to smartphone deprivation and smartphone and social media use patterns were explored. Analyses additionally evaluated whether reactions to smartphone deprivation were associated with clinical symptom severity (e.g., suicidal ideation, internalizing and externalizing symptoms) and readiness for psychotherapy. Negative reactions to smartphone deprivation were significantly positively correlated with daily smartphone hours, addictive patterns of use, and both negative and positive emotional responses to social media use. Reactions to smartphone deprivation were not associated with clinical symptom severity. However, negative reactions to smartphone deprivation were associated with lower readiness for therapy, while positive reactions were associated with greater readiness. This preliminary work illustrates the complexities of smartphone use in adolescents and the potential positive and negative effects of smartphone deprivation during psychiatric hospitalization. Future prospective research with adolescents should clarify optimal smartphone access during inpatient hospitalization.
在精神科住院的年轻人中，通常的护理标准包括在治疗期间没收智能手机。然而，对于年轻人如何应对这段时间的智能手机“剥夺”、可能影响这种反应的因素以及随后的临床效果，我们知之甚少。本探索性混合方法研究旨在阐明与智能手机剥夺有关的精神病住院青少年的体验，并评估这种广泛治疗方法的影响。精神病住院的青少年（N=181；平均年龄=15.29 岁）完成了定性和定量评估，评估他们在住院期间智能手机被剥夺时的体验。探讨了对智能手机剥夺的反应与智能手机和社交媒体使用模式之间的关联。分析还评估了对智能手机剥夺的反应是否与临床症状严重程度（例如，自杀意念、内化和外化症状）和心理治疗的准备情况相关。对智能手机剥夺的负面反应与每日使用智能手机的时间、成瘾性使用模式以及对社交媒体使用的负面和正面情绪反应呈显著正相关。对智能手机剥夺的反应与临床症状严重程度无关。然而，对智能手机剥夺的负面反应与较低的治疗准备程度相关，而积极的反应则与更高的治疗准备程度相关。这项初步工作说明了青少年智能手机使用的复杂性，以及在精神病住院期间智能手机剥夺的潜在积极和消极影响。未来对青少年的前瞻性研究应该阐明住院期间智能手机的最佳使用方法。
