Department of Psychiatry, University of Toronto, Canada; Child & Youth Psychiatry, the Centre for Addiction and Mental Health, Canada.
Department of Clinical Neurosciences, Psychiatry, Pediatrics and Community Health Sciences, University of Calgary, Program Lead, Tourette and Pediatric Movement Disorders, Canada.
Compr Psychiatry. 2023 Feb;121:152362. doi: 10.1016/j.comppsych.2022.152362. Epub 2022 Dec 12.
There has been an increasing recognition among both medical and psychological professionals, as well as the public media, of a concerning trend for child and adolescent users of audiovisual-based, algorithmic social media platforms (e.g., TikTok) to present with or claim functional psychiatric impairment that is inconsistent with or distinct from classic psychiatric nosology. In this short communication, we provide a detailed historical overview of this transdiagnostic phenomenon and suggest a conceptual model to organize thinking and research examining it. We then discuss the implications of our suggested model for accurate assessment, diagnosis, and medical-psychiatric treatment. We believe there is an urgent need for focused empirical research investigation into this concerning phenomenon that is related to the broader research and discourse examining social media influences on mental health.
越来越多的医学和心理专业人士以及大众媒体认识到,一个令人担忧的趋势是,使用基于视听的算法社交媒体平台(例如 TikTok)的儿童和青少年用户出现或声称存在与经典精神病学分类不一致或不同的功能性精神障碍。在这篇简短的交流文章中,我们提供了对这种跨诊断现象的详细历史概述,并提出了一个概念模型来组织思考和研究。然后,我们讨论了我们建议的模型对准确评估、诊断和医学-心理治疗的影响。我们认为,迫切需要对这一令人关注的现象进行有针对性的实证研究,这与更广泛的研究和关于社交媒体对心理健康影响的讨论有关。