TY - JOUR AU - Takahashi, Yoshimitsu AU - Uchida, Chiyoko AU - Miyaki, Koichi AU - Sakai, Michi AU - Shimbo, Takuro AU - Nakayama, Takeo PY - 2009 DA - 2009/7/23 TI -互联网上的同伴支持社交网络服务对有抑郁倾向的人的潜在好处和危害:定性内容分析和社会网络分析JO - J Med Internet Res SP - e29 VL - 11 IS - 3kw -社交网络服务(SNS) KW -互联网KW -抑郁KW -同伴支持KW -社交网络KW -定性方法KW -内容分析KW -混合方法AB -背景:抑郁症的互联网同伴支持小组正在变得流行，可能会受到越来越多的社交网络服务(SNS)的影响。然而，人们对社交媒体的参与者特征、社交关系以及使用原因知之甚少。此外，社交网络参与对抑郁症患者的影响尚不清楚。目的:基于定性内容分析和社会网络分析等混合方法策略的并发三角测量设计，探讨社交网络对抑郁症的潜在益处和危害。方法:2007年在日本的一个自述抑郁倾向的社交网络上对参与者进行了横断面互联网调查，包括收集社交网络日志文件和问卷。定量数据，包括用户统计、抑郁状态和SNS评估(阳性与不阳性)，进行统计分析。采用定性内容分析的归纳方法，对有关社交网络参与利弊的开放式问题的回答进行描述性内容分析。基于扎根理论的方法，内容被组织成代码、概念、类别和故事情节。社会关系来源于“朋友”的数据，采用社会网络分析，基于社会网络理论计算人际交往的网络度量和程度。 Each analysis and integration of results were performed through a concurrent triangulation design of mixed methods strategy. Results: There were 105 participants. Median age was 36 years, and 51% (36/71) were male. There were 37 valid respondents; their number of friends and frequency of accessing the SNS were significantly higher than for invalid/nonrespondents (P = .008 and P = .003). Among respondents, 90% (28/31) were mildly, moderately, or severely depressed. Assessment of the SNS was performed by determining the access frequency of the SNS and the number of friends. Qualitative content analysis indicated that user-selectable peer support could be passive, active, and/or interactive based on anonymity or ease of use, and there was the potential harm of a downward depressive spiral triggered by aggravated psychological burden. Social network analysis revealed that users communicated one-on-one with each other or in small groups (five people or less). A downward depressive spiral was related to friends who were moderately or severely depressed and friends with negative assessment of the SNS. Conclusions: An SNS for people with depressive tendencies provides various opportunities to obtain support that meets users’ needs. To avoid a downward depressive spiral, we recommend that participants do not use SNSs when they feel that the SNS is not user-selectable, when they get egocentric comments, when friends have a negative assessment of the SNS, or when they have additional psychological burden. SN - 1438-8871 UR - //www.mybigtv.com/2009/3/e29/ UR - https://doi.org/10.2196/jmir.1142 UR - http://www.ncbi.nlm.nih.gov/pubmed/19632979 DO - 10.2196/jmir.1142 ID - info:doi/10.2196/jmir.1142 ER -