■妄想症是一系列与恐惧相关的经历,跨越诊断类别,并受社会和认知因素的影响。社交媒体和其他类型的媒体使用与偏执狂相关的程度尚不清楚。
■我们的目标是在人内和人与人之间检查媒体使用和偏执狂之间的关联。
■参与者是409名被诊断为精神分裂症谱系或双相情感障碍的个体。测量包括基线时的社会人口统计学和临床特征,然后在30天内每天收集3次生态瞬时评估(EMA)。EMA评估了偏执狂和5种类型的媒体使用:社交媒体,电视,音乐,阅读或写作,以及其他互联网或计算机使用。使用广义线性混合模型来检查偏执狂作为每种类型的媒体使用的函数,反之亦然。
■在409名参与者中,以下子组报告了至少1次媒体使用情况:261次(63.8%)使用社交媒体,385(94.1%)看电视,292(71.4%)听音乐,191(46.7%)用于阅读或写作,280(68.5%)用于其他互联网或计算机用途。性别,小鼠群体,教育程度,精神分裂症和双相情感障碍的诊断与媒体使用的可能性有差异。社交媒体使用与偏执狂之间存在个人内在联系:使用社交媒体与偏执狂随后减少5.5%(倍数变化0.945,95%CI0.904-0.987)相关。反向关联,从偏执狂到社交媒体使用的后续变化,没有统计学意义。其他类型的培养基使用与妄想症没有显着相关。
■这项研究表明,社交媒体的使用与偏执狂的适度减少有关,也许反映了社会关系的临床益处。然而,结构劣势和个别因素可能会阻碍媒体活动的可及性,媒体使用的心理健康相关因素可能会随着使用内容和环境的变化而进一步变化。
UNASSIGNED: Paranoia is a
spectrum of fear-related experiences that spans diagnostic categories and is influenced by social and cognitive factors. The extent to which social media and other types of media use are associated with paranoia remains unclear.
UNASSIGNED: We aimed to examine associations between media use and paranoia at the within- and between-person levels.
UNASSIGNED: Participants were 409 individuals diagnosed with schizophrenia
spectrum or bipolar disorder. Measures included sociodemographic and clinical characteristics at baseline, followed by ecological momentary assessments (EMAs) collected 3 times daily over 30 days. EMA evaluated paranoia and 5 types of media use: social media, television, music, reading or writing, and other internet or computer use. Generalized linear mixed models were used to examine paranoia as a function of each type of media use and vice versa at the within- and between-person levels.
UNASSIGNED: Of the 409 participants, the following subgroups reported at least 1 instance of media use: 261 (63.8%) for using social media, 385 (94.1%) for watching TV, 292 (71.4%) for listening to music, 191 (46.7%) for reading or writing, and 280 (68.5%) for other internet or computer use. Gender, ethnoracial groups, educational attainment, and diagnosis of schizophrenia versus bipolar disorder were differentially associated with the likelihood of media use. There was a within-person association between social media use and paranoia: using social media was associated with a subsequent decrease of 5.5% (fold-change 0.945, 95% CI 0.904-0.987) in paranoia. The reverse association, from paranoia to subsequent changes in social media use, was not statistically significant. Other types of media use were not significantly associated with paranoia.
UNASSIGNED: This study shows that social media use was associated with a modest decrease in paranoia, perhaps reflecting the clinical benefits of social connection. However, structural disadvantage and individual factors may hamper the accessibility of media activities, and the mental health correlates of media use may further vary as a function of contents and contexts of use.