Association between social media use and depressive symptoms in middle-aged and older Chinese adults.

IF 5.8 1区 医学 Q1 PSYCHIATRY
Yanling Qi, Chenghe Zhang, Mei Zhou, Ruiyuan Zhang, Yuxiao Chen, Changwei Li
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Abstract

The burden of depressive symptoms among middle-aged and older Chinese during the COVID-19 pandemic is unclear, and the contribution of social media use to depressive symptoms in this population has not been studied. To address the gaps, we analyzed data from the China Health and Retirement Longitudinal Study, nationally representative biannual surveys among adults aged ≥45 years. Social media use and depressive symptoms were measured in the 2018 and 2020 surveys. We tested longitudinal associations between baseline (2018) social media activities and risk of depressive symptoms in two years among 9121 participants without depressive symptoms. We also evaluated whether social media activity could reduce depressive symptoms during this period among 5302 individuals with depressive symptoms at baseline. Depressive symptoms affected 36·0% of this population in 2020. Women, individuals living in rural areas, and residents of western China provinces were particularly affected. Among participants without depressive symptoms, engaging in social media activities at baseline was associated with a 24.0% (95% confidence interval [CI]: 10-36%) lower likelihood of developing depressive symptoms over the next two years. Among depressed participants, compared to individuals not using social media, those initiating three or more social media activities during this period had 1.24 (95% CI: 1.05-1.46) times higher chance of becoming non-depressed, and those using social media all the time were 1·36 (95% CI: 1·09-1·72) times more likely to become non-depressed. In conclusion, middle-aged and older Chinese adults have a substantial burden of depressive symptoms, and social media activities may help to prevent and reduce the symptoms.

中国中老年人使用社交媒体与抑郁症状之间的关系。
在 COVID-19 大流行期间,中国中老年人的抑郁症状负担尚不明确,而社交媒体的使用对这一人群抑郁症状的影响也尚未研究。为了填补这些空白,我们分析了中国健康与退休纵向研究(China Health and Retirement Longitudinal Study)的数据,该研究每半年对年龄≥45 岁的成年人进行一次具有全国代表性的调查。在 2018 年和 2020 年的调查中测量了社交媒体的使用情况和抑郁症状。我们在 9121 名无抑郁症状的参与者中测试了基线(2018 年)社交媒体活动与两年后抑郁症状风险之间的纵向关联。我们还评估了基线有抑郁症状的 5302 人在此期间的社交媒体活动是否能减轻抑郁症状。2020 年,有抑郁症状的人群占总人口的 36-0%。女性、农村人口和中国西部省份的居民尤其受到影响。在没有抑郁症状的参与者中,基线时参与社交媒体活动与未来两年内出现抑郁症状的可能性降低 24.0%(95% 置信区间 [CI]:10-36%)有关。在抑郁症患者中,与不使用社交媒体的人相比,那些在此期间开始三次或三次以上社交媒体活动的人变得不抑郁的几率要高 1.24 倍(95% 置信区间:1.05-1.46),而那些一直使用社交媒体的人变得不抑郁的几率要高 1-36 倍(95% 置信区间:1-09-1-72)。总之,中国中老年人的抑郁症状负担沉重,而社交媒体活动可能有助于预防和减轻抑郁症状。
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来源期刊
CiteScore
11.50
自引率
2.90%
发文量
484
审稿时长
23 weeks
期刊介绍: Psychiatry has suffered tremendously by the limited translational pipeline. Nobel laureate Julius Axelrod''s discovery in 1961 of monoamine reuptake by pre-synaptic neurons still forms the basis of contemporary antidepressant treatment. There is a grievous gap between the explosion of knowledge in neuroscience and conceptually novel treatments for our patients. Translational Psychiatry bridges this gap by fostering and highlighting the pathway from discovery to clinical applications, healthcare and global health. We view translation broadly as the full spectrum of work that marks the pathway from discovery to global health, inclusive. The steps of translation that are within the scope of Translational Psychiatry include (i) fundamental discovery, (ii) bench to bedside, (iii) bedside to clinical applications (clinical trials), (iv) translation to policy and health care guidelines, (v) assessment of health policy and usage, and (vi) global health. All areas of medical research, including — but not restricted to — molecular biology, genetics, pharmacology, imaging and epidemiology are welcome as they contribute to enhance the field of translational psychiatry.
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