关键词: Loneliness Online social network Psychosis Schizophrenia Social isolation

Mesh : Humans Psychotic Disorders / rehabilitation psychology Social Isolation / psychology Quality of Life Online Social Networking Social Networking

来  源:   DOI:10.1016/j.psychres.2024.116088

Abstract:
BACKGROUND: Social isolation is frequent in people with psychosis, contributing to negative health outcomes. Interventions including online social networking (OSN) may overcome some psychosis-related barriers and facilitate social interactions. However, evidence is currently sparse and needs to be collated in a systematic review to better understand effectiveness.
METHODS: Following PRISMA guidelines, this review yielded 9835 results. Eleven publications, reporting data from five RCTs and six non-controlled studies, met the inclusion criteria. Two independent reviewers undertook data extraction and quality assessment, with results narratively synthesised.
RESULTS: This review looked broadly at interventions including either purpose-build platforms for peer-to-peer interactions or existing OSN tools. Yet, we only identified interventions utilising purpose-designed platforms. Early small-scale studies suggested OSN interventions reduced social isolation, but larger effectiveness studies did not confirm these effects. No improvements in quality-of-life outcomes were identified.
CONCLUSIONS: Higher quality and longer-term studies did not support effectiveness of current OSN interventions in reducing social isolation or improving quality of life of people with psychosis. These interventions used purpose-built platforms and encouraged OSN between selected individuals, which may explain these outcomes. Future research may explore promoting safe use of mainstream OSN platforms to expand the social networks of individuals with psychosis.
摘要:
背景:社会隔离在精神病患者中很常见,导致负面健康结果。包括在线社交网络(OSN)在内的干预措施可以克服一些与精神病相关的障碍,并促进社交互动。然而,目前证据很少,需要在系统评价中进行整理,以更好地了解有效性.
方法:遵循PRISMA指南,这篇综述产生了9835个结果.十一份出版物,5项RCT和6项非对照研究的报告数据,符合纳入标准。两名独立审核员进行了数据提取和质量评估,结果以叙述方式综合。
结果:这篇综述广泛地研究了干预措施,包括用于对等交互的目的构建平台或现有的OSN工具。然而,我们只确定了利用目的设计平台的干预措施。早期的小规模研究表明,OSN干预减少了社会孤立,但更大的有效性研究并未证实这些效果.没有发现生活质量结果的改善。
结论:更高质量和更长期的研究不支持当前OSN干预措施在减少社会隔离或改善精神病患者生活质量方面的有效性。这些干预措施使用了专门构建的平台,并鼓励选定的个人之间的OSN,这可以解释这些结果。未来的研究可能会探索促进主流OSN平台的安全使用,以扩大精神病患者的社交网络。
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