School of Nursing, Nanjing Medical University, Nanjing, China.
Department of Gynecology, Women's Hospital of Nanjing Medical University, Nanjing Maternity and Child Health Care Hospital, Nanjing, China.
J Med Internet Res. 2023 Mar 15;25:e41793. doi: 10.2196/41793.
Despite extensive debates about the mental health impacts of the use of social networking sites (SNSs), including WeChat, the association and mechanisms between social interaction of WeChat use intensity and antenatal depression are unclear.
We aimed to test the mediating roles of upward social comparison on social interaction of WeChat and rumination in the association between social interaction of WeChat use intensity and antenatal depression.
A cross-sectional survey was conducted in four hospitals with the self-reported measures of social interaction of WeChat use intensity, upward social comparison on social interaction of WeChat, rumination, antenatal depression, and control variables. The mediation analysis was performed through Model 6 from the PROCESS macro 4.0 in SPSS 26.
Results from 2661 participants showed that antenatal depression was unrelated to social interaction of WeChat use intensity (P=.54), but was significantly positively related to the attitude toward social interaction of WeChat (P=.01). The direct effect of attitude toward social interaction of WeChat use on antenatal depression was not statistically significant (β=-.03, P=.05). The results supported an indirect relationship between attitude toward social interaction of WeChat use and antenatal depression via (1) upward social comparison on social interaction of WeChat (indirect effect value=0.04, 95% CI 0.03 to 0.06); (2) rumination (indirect effect value=-0.02, 95% CI -0.04 to -0.01); and (3) upward social comparison on social interaction of WeChat and rumination in sequence (indirect effect value=0.07, 95% CI 0.06 to 0.08).
Our findings highlight the necessity of focusing on attitudes toward SNS use, and the importance of upward social comparison and rumination in understanding the effect of SNS use on antenatal depression.
尽管关于使用社交网络平台（SNS），包括微信，对心理健康的影响存在广泛的争论，但微信使用强度的社交互动与产前抑郁之间的关联和机制尚不清楚。
本研究旨在检验微信使用强度的社交互动与沉思之间的上行社会比较在微信使用强度的社交互动与产前抑郁之间的关系中的中介作用。
采用横断面调查方法，在四家医院收集微信使用强度的社交互动、微信使用强度的社交互动上行社会比较、沉思、产前抑郁以及控制变量的自我报告测量数据。通过 SPSS 26 中的 PROCESS 宏 4.0 的 Model 6 进行中介分析。
来自 2661 名参与者的数据显示，产前抑郁与微信使用强度的社交互动无关（P=.54），但与对微信使用强度的社交互动的态度显著正相关（P=.01）。对微信使用强度的社交互动的态度对产前抑郁的直接影响不具有统计学意义（β=-.03，P=.05）。结果支持对微信使用强度的社交互动的态度与产前抑郁之间通过（1）微信使用强度的社交互动上行社会比较（间接效应值=0.04，95%CI 0.03-0.06）；（2）沉思（间接效应值=-0.02，95%CI-0.04 至-0.01）；以及（3）微信使用强度的社交互动上行社会比较和沉思依次进行（间接效应值=0.07，95%CI 0.06-0.08）的间接关系。
本研究结果强调了关注对 SNS 使用的态度的必要性，以及理解 SNS 使用对产前抑郁的影响时上行社会比较和沉思的重要性。
