@文章{信息:doi/10.2196/21644，作者=“bieresser, Candice和Montano, Gerald和Miller, Elizabeth和Radovic, Ana”，标题=“青少年抑郁症的社交媒体使用和监测及其对COVID-19大流行的影响:父母和儿童视角的定性研究”，期刊=“JMIR儿科父母”，年=“2020”，月=“12月”，日=“8”，卷=“3”，数=“2”，页=“e21644”，关键词=“社交媒体;青少年;父母;抑郁症;信息披露;定性研究;背景:尽管青少年在日常生活中报告了许多使用社交媒体的积极经历，但患有抑郁症的青少年比没有抑郁症的青少年更容易受到使用社交媒体的风险的影响。父母通过监控孩子的SM活动来保护患有抑郁症的青少年免受SM使用的风险;然而，这与青少年在网络交流中对自主的需要产生了冲突。SM的使用和监测对抑郁症青少年及其父母的影响与COVID-19大流行特别相关，因为SM的使用率随着保持身体距离措施的实施而增加。 Objective: This study aims to explore parent and child perspectives regarding the use and function of SM in the daily lives of adolescents with depression and parents' perceptions of and experience with monitoring their child's SM use. Methods: We conducted qualitative interviews with adolescents with depression (n=23) and one parent of each adolescent (n=23) between July 2013 and September 2014. The adolescents were patients seeking treatment for depression in Pittsburgh, Pennsylvania. Data analysis included dyadic analysis of the adolescents' and parents' perspectives and qualitative descriptions of individual parent interviews to explore their experiences with SM use and monitoring. The construct of parental knowledge and factors hypothesized to contribute to parental knowledge, including adolescent disclosure, parental solicitation, and parental control, were used to guide the codebook and dyadic data analysis. Results: Dyadic analyses showed that parents and their children disagreed on the use and function of SM in the daily lives of adolescents with depression, with adolescents viewing SM as a forum for honest expression of their emotions, whereas parents felt that their children's posts were inconsequential and interfered with the adolescents' lives. Furthermore, parents reported using a wide range of strategies to gain knowledge of their child's SM use to monitor their safety on SM, including direct solicitation and indirect solicitation, such as keeping the child's passwords, asking friends or siblings about their child's SM use, and restricting SM behavior and access to devices. Conclusions: Clinicians should support adolescents with depression and their parents in finding common ground for an effective and acceptable monitoring approach. Resources are provided for clinicians navigating conversations about SM use and monitoring with adolescents with depression and their parents during the COVID-19 pandemic. ", issn="2561-6722", doi="10.2196/21644", url="http://pediatrics.www.mybigtv.com/2020/2/e21644/", url="https://doi.org/10.2196/21644", url="http://www.ncbi.nlm.nih.gov/pubmed/33289678" }