Onyeaka Henry, Firth Joseph, Ajayi Kobi Vanessa, Muoghalu Chioma, Holmes Karima, Nkemjika Stanley, Adeolu Funso, Anugwom Gibson, Eseaton Precious Obehi, Onyeaka Nelson C, Huffman Jeff, Torous John
Department of Psychiatry, Harvard Medical School, Boston MA, USA.
Department of Psychiatry, Massachusetts General/Mclean Hospital, Boston MA, USA.
J Mood Anxiety Disord. 2023 Jun 17;1:100006. doi: 10.1016/j.xjmad.2023.100006. eCollection 2023 Jun.
INTRODUCTION: Individuals with mental disorders have elevated risk factors for cardiovascular disease, and as a result, experience earlier mortality than the general population. Yet, evidence-based strategies and interventions to promote physical and cardiometabolic health in mental health contexts remains limited. Social media has emerged as a promising and readily affordable tool to expand the reach of mental health services, including the delivery of behavioral and physical health interventions. Despite its widespread availability, the potential for social media use to support positive lifestyle behaviors in mental health contexts remains relatively unexplored. We examined the potential for using social media tools for health promotion by people with anxiety or depression. METHODS: Using cross-sectional data from the 2017-2020 edition of the Health Information National Trends Survey (HINTS), we evaluated differences between individuals with self-reported history of diagnosed depression/anxiety and the general population concerning health-related usage of social media platforms. Multivariable logistic regression was performed to evaluate the association between social media usage and positive health behaviors. RESULTS: Overall, individuals with mental disorders were more likely than the general population to engage in health-related social media usage. Those with anxiety or depression who engaged in health-related social media usage were significantly more likely to; report intentions to quit smoking (OR 3.13, 95% CI 1.12 - 8.70; = 0.029) endorse past 12-month attempts at smoking cessation (OR 3.41, 95% CI 1.32 -8.82; = 0.012) and were more likely to meet national recommendation for weekly strength training (OR 1.49, 95% CI 1.11 - 2.00; = 0.008). CONCLUSIONS: People with anxiety or depression use social media for health purposes at rates higher than the general population. Our findings suggest that these tools can reach many people with mental disorders and offer a novel window of opportunity to promote physical health and positive lifestyle behavior change in this highly vulnerable population.
引言：患有精神障碍的个体患心血管疾病的风险因素升高，因此，其死亡率比普通人群更早。然而，在心理健康背景下促进身体健康和心脏代谢健康的循证策略和干预措施仍然有限。社交媒体已成为一种有前景且成本低廉的工具，可扩大心理健康服务的覆盖范围，包括提供行为和身体健康干预措施。尽管社交媒体广泛可用，但在心理健康背景下利用社交媒体支持积极生活方式行为的潜力仍相对未被探索。我们研究了焦虑或抑郁患者使用社交媒体工具促进健康的潜力。 方法：利用2017 - 2020年版《健康信息国家趋势调查》（HINTS）的横断面数据，我们评估了自我报告有诊断出的抑郁/焦虑病史的个体与普通人群在社交媒体平台健康相关使用方面的差异。进行多变量逻辑回归以评估社交媒体使用与积极健康行为之间的关联。 结果：总体而言，患有精神障碍的个体比普通人群更有可能参与与健康相关的社交媒体使用。那些参与与健康相关的社交媒体使用的焦虑或抑郁患者更有可能：报告戒烟意图（比值比3.13，95%置信区间1.12 - 8.70；P = 0.029）认可过去12个月尝试戒烟（比值比3.41，95%置信区间1.32 - 8.82；P = 0.012），并且更有可能达到每周力量训练的国家建议（比值比1.49，95%置信区间1.11 - 2.00；P = 0.008）。 结论：焦虑或抑郁患者出于健康目的使用社交媒体的比例高于普通人群。我们的研究结果表明，这些工具可以触及许多患有精神障碍的人，并为在这个高度脆弱的人群中促进身体健康和积极生活方式行为改变提供一个新的机会窗口。
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