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移动互联网使用,社会支持和抑郁症状之间的关系:社区居民之间的前性队列研究
Yingyue Xu1,2,3,4, Meiqi Wang1,2,3,4, Qixiu Li2,3
1Department of Social Medicine and Health Management, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.
Journal of medical Internet research
|November 14, 2025
概括
中国农村成年人增加移动互联网使用 (MIU) 改善了社会支持,这反过来减少了抑郁症状. 这突显了数字健康策略在改善服务不足社区心理健康方面的潜力.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 心理健康研究 心理健康研究
- 农村健康差异 农村健康差异
背景情况:
- 移动互联网使用 (MIU) 与心理健康,特别是抑郁症状之间的关系在纵向研究中仍然不清楚.
- 社会支持在MIU-抑郁症症状关系中的调解作用尚未得到充分研究,特别是在农村人口中.
- 现有的研究往往依赖于横截面数据,限制了对时间动态的理解.
研究的目的:
- 在中国农村地区调查MIU,社会支持和抑郁症状之间的纵向关联.
- 测试增加MIU预测随着时间的推移增强社会支持的假设.
- 检查社会支持是否调解了MIU和抑郁症状减少之间的联系.
主要方法:
- 这是一项2波纵向队列研究,间隔4年,涉及489名中国农村居民 (平均年龄63.3岁).
- 数据收集包括针对MIU模式的定制调查,感知社会支持量表和流行病学研究中心-抑郁症量表.
- 使用了先进的统计分析,包括最小绝对收缩和选择操作员 (LASSO) 回归和交叉滞后面板建模.
主要成果:
- 基线上MIU的增加与随访时感知到的社会支持的改善有关 (P=.049).
- 在社会支持和抑郁症状之间观察到双向关系;更高的社会支持预测了更少的抑郁症状 (P=.03),更高的抑郁症状预测了更低的社会支持 (P=.04).
- 社会支持完全调解了MIU和抑郁症状之间的关系,在MIU和抑郁症状之间没有发现跨时间点的直接影响.
结论:
- 移动互联网的使用可以积极影响社会支持,从而减轻农村老年人的抑郁症状.
- 研究结果支持开发基于移动的干预措施,促进社会互动,以改善服务不足地区的心理健康.
- 公共卫生倡议应整合数字素养培训,鼓励在线行为,加强现实世界的社会联系.
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