Sampogna Gaia, Di Vincenzo Matteo, Luciano Mario, Della Rocca Bianca, Albert Umberto, Carmassi Claudia, Carrà Giuseppe, Cirulli Francesca, Dell'Osso Bernardo, Nanni Maria Giulia, Pompili Maurizio, Sani Gabriele, Tortorella Alfonso, Volpe Umberto, Fiorillo Andrea
Department of Psychiatry, University of Campania "L. Vanvitelli", Naples, Italy.
Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.
Front Psychiatry. 2023 Jul 27;14:1226414. doi: 10.3389/fpsyt.2023.1226414. eCollection 2023.
On January 30, 2020, the World Health Organization (WHO) declared the status of pandemic due to the COVID-19 infection. The initial phases of the pandemic were characterized by uncertainty and public fears. In order to cope with such unexpected conditions, people adopted different coping strategies, including search for information, accessing Internet, and using social media. The present study based on the COMET collaborative research network aims to: (1) assess use of Internet and of social media among the Italian general population; (2) explore differences in web usage between people with pre-existing mental disorders and the general population; (3) identify changes over time in social media usage along the phase 1 of the pandemic; (4) identify the clinical, socio-demographic and contextual predictors of excessive use of social media. A significant increase in time spent on Internet, with an average time of 4.8 ± 0.02 h per day, was found in the global sample of 20,720 participants. Compared with the general population, Internet use was significantly higher in people with pre-existing mental disorders (5.2 ± 0.1 h vs. 4.9 ± 0.02; < 0.005). According to the multivariate logistic regression model, the risk of excessive use of social media and Internet was significantly higher in people with moderate levels of depressive symptoms (OR: 1.26, CI 95%: 0.99 to 1.59, < 0.0.005); while protective factors were being students (OR: 0.72, CI 95%: 0.53 to 0.96, < 0.0029) and living in central Italy (OR: 0.46, CI 95%: 0.23 to 0.90, < 0.002). The evaluation of social media and Internet use by the general population represents a first step for developing specific protective and supportive interventions for the general population, including practical suggestions on how to safely use Internet and social media.
2020年1月30日，世界卫生组织（WHO）宣布新型冠状病毒肺炎（COVID-19）感染为大流行状态。大流行的初期阶段具有不确定性和公众恐惧的特点。为了应对这种意外情况，人们采取了不同的应对策略，包括搜索信息、上网和使用社交媒体。本研究基于COMET合作研究网络，旨在：（1）评估意大利普通人群对互联网和社交媒体的使用情况；（2）探讨患有既往精神障碍的人群与普通人群在网络使用方面的差异；（3）确定在大流行第一阶段社交媒体使用随时间的变化；（4）确定社交媒体过度使用的临床、社会人口统计学和背景预测因素。在20720名参与者的全球样本中，发现上网时间显著增加，平均每天为4.8±0.02小时。与普通人群相比，患有既往精神障碍的人群的互联网使用显著更高（5.2±0.1小时对4.9±0.02小时；<0.005）。根据多变量逻辑回归模型，抑郁症状中等水平的人群过度使用社交媒体和互联网的风险显著更高（比值比：1.26，95%置信区间：0.99至1.59，<0.005）；而保护因素是学生身份（比值比：0.72，95%置信区间：0.53至0.96，<0.0029）和居住在意大利中部（比值比：0.46，95%置信区间：0.23至0.90，<0.002）。对普通人群的社交媒体和互联网使用情况进行评估是为普通人群制定具体保护和支持性干预措施的第一步，包括关于如何安全使用互联网和社交媒体的实用建议。
