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Social Media and Social Functioning in Psychosis: A Systematic Review
Jone Bjornestad1, Wenche Ten Velden Hegelstad2, Henrik Berg3
1Department of Social Studies, Faculty of Social Sciences, University of Stavanger, Stavanger, Norway.
Measures of social functioning in psychosis often overlook online social activity. This study found that most social functioning measures do not include social media, challenging their real-world applicability for individuals with psychosis.
Area of Science:
- Psychiatry
- Psychology
- Digital Health
Background:
- Individuals with psychosis are significant users of social media platforms.
- Current measures of social functioning may not adequately capture the online social interactions of individuals with psychosis.
Purpose of the Study:
- To investigate the extent to which social media activity is incorporated into measures of social functioning for individuals diagnosed with psychosis or at ultrahigh risk (UHR) for psychosis.
Main Methods:
- A systematic literature search was conducted across multiple databases (Epistemonikos, Cochrane, DARE, MEDLINE, Embase, PsycINFO) for empirical studies published between 2004 and 2019.
- Studies were included if they assessed offline and/or online social functioning in individuals meeting criteria for psychosis or UHR, and were published in English.
Main Results:
- Out of 11,844 initial articles, 597 met the inclusion criteria, identifying 58 distinct social functioning measures.
- Reliability and validity data for these measures were generally limited.
- Critically, only one measure was found to incorporate social media activity.
Conclusions:
- The ecological validity of current social functioning measures is questionable due to the omission of social media activity, which is a key component of modern social life for individuals with psychosis.
- Revision of these measures to include online social activity is essential to accurately reflect the social reality of persons with psychosis and prevent clinical misinterpretations.
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