BMC Psychiatry | |
Mental health related Internet use among psychiatric patients: a cross-sectional analysis | |
Christine Rummel-Kluge2  Friederike Trefflich1  Sophie Kalckreuth1  | |
[1] Department of Psychiatry and Psychotherapy, Faculty of Medicine, Leipzig University, Semmelweißstraße 10, Leipzig, 04103, Germany;Forschungszentrum der Stiftung Deutsche Depressionshilfe, Semmelweißstraße 10, Leipzig, 04103, Germany | |
关键词: Internet-based interventions; Social media; Information seeking; Availability; Psychiatry; Internet; | |
Others : 1090801 DOI : 10.1186/s12888-014-0368-7 |
|
received in 2014-09-12, accepted in 2014-12-17, 发布年份 2014 | |
【 摘 要 】
Background
The Internet is of great importance in today’s health sector, as most Internet users utilize online functions for health related purposes. Concerning the mental health care sector, little data exist about the Internet use of psychiatric patients. It is the scope of this current study to analyze the quantity and pattern of Internet usage among mental health patients.
Methods
Patients from all services of the Department of Psychiatry at a university hospital were surveyed by completing a 29-item questionnaire. The data analysis included evaluation of frequencies, as well as group comparisons.
Results
337 patients participated in the survey, of whom 79.5% were Internet users. Social media was utilized by less than half of the users: social networks (47.8%), forums (19.4%), chats (18.7%), blogs (12.3%). 70.9% used the Internet for mental health related reasons. The contents accessed by the patients included: information on mental disorders (57.8%), information on medication (43.7%), search for mental health services (38.8%), platforms with other patients (19.8%) and platforms with mental health professionals (17.2%).
Differences in the pattern of use between users with low, medium and high frequency of Internet use were statistically significant for all entities of social media (p < 0.01), search for mental health services (p = 0.017) and usage of platforms with mental health professionals (p = 0. 048).
The analysis of differences in Internet use depending on the participants’ type of mental disorder revealed no statistically significant differences, with one exception. Regarding the Internet’s role in mental health care, the participants showed differing opinions: 36.2% believe that the Internet has or may have helped them in coping with their mental disorder, while 38.4% stated the contrary.
Conclusions
Most psychiatric patients are Internet users. Mental health related Internet use is common among patients, mainly for information seeking. The use of social media is generally less frequent. It varies significantly between different user types and was shown to be associated with high frequency of Internet use. The results illustrate the importance of the Internet in mental health related contexts and may contribute to the further development of mental health related online offers.
【 授权许可】
2014 Kalckreuth et al.; licensee BioMed Central.
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
20150128163349505.pdf | 551KB | download | |
20150331050545137.pdf | 247KB | download | |
Figure 4. | 36KB | Image | download |
Figure 3. | 33KB | Image | download |
Figure 2. | 25KB | Image | download |
Figure 1. | 30KB | Image | download |
【 图 表 】
Figure 1.
Figure 2.
Figure 3.
Figure 4.
【 参考文献 】
- [1]McDaid D, Park A: Online Health: Untangling The Web. [http://www.bupa.com/media/44806/online_20health_20-_20untangling_20the_20web.pdf]
- [2]Andreassen HK, Bujnowska-Fedak MM, Chronaki CE, Dumitru RC, Pudule I, Santana S, Voss H, Wynn R: European citizens’ use of E-health services: a study of seven countries. BMC Public Health 2007, 7:53. BioMed Central Full Text
- [3]Wangberg S, Andreassen H, Kummervold P, Wynn R, Sorensen T: Use of the internet for health purposes: trends in Norway 2000–2010. Scand J Caring Sci 2009, 23:691-696.
- [4]Powell J, Clarke A: Internet information-seeking in mental health: population survey. Br J Psychiatry 2006, 189:273-277.
- [5]Styra R: The Internet’s impact on the practice of psychiatry. Can J Psychiatry 2004, 49:5-11.
- [6]Oh E, Jorm AF, Wright A: Perceived helpfulness of websites for mental health information. Soc Psychiat Epidemiol 2009, 44:293-299.
- [7]Klein JP, Berger T, Schroder J, Spath C, Meyer B, Caspar F, Lutz W, Greiner W, Hautzinger M, Rose M, Grafe V, Hohagen F, Andersson G, Vettorazzi E, Moritz S: The EVIDENT-trial: protocol and rationale of a multicenter randomized controlled trial testing the effectiveness of an online-based psychological intervention. BMC Psychiatry 2013, 13:239. BioMed Central Full Text
- [8]Buntrock C, Ebert DD, Lehr D, Cuijpers P, Riper H, Smit F, Berking M: Evaluating the efficacy and cost-effectiveness of web-based indicated prevention of major depression: design of a randomised controlled trial. BMC Psychiatry 2014, 14:25. BioMed Central Full Text
- [9]Kordy H, Backenstrass M, Hüsing J, Wolf M, Aulich K, Bürgy M, Puschner B, Rummel-Kluge C, Vedder H: Supportive monitoring and disease management through the internet: An internet-delivered intervention strategy for recurrent depression.Contemp Clin Trials 2013, 36(2):327–329.
- [10]Titov N, Dear BF, Schwencke G, Andrews G, Johnston L, Craske MG, McEvoy P: Transdiagnostic internet treatment for anxiety and depression: a randomised controlled trial. Behav Res Ther 2011, 49:441-452.
- [11]Hedman E, Ljótsson B, Lindefors N: Cognitive behavior therapy via the Internet: a systematic review of applications, clinical efficacy and cost–effectiveness. Expert Rev Pharmacoeconomics Outcomes Res 2012, 12:745-764.
- [12]Andersson G, Bergstrom J, Hollandare F, Carlbring P, Kaldo V, Ekselius L: Internet-based self-help for depression: randomised controlled trial. Br J Psychiatry 2005, 187:456-461.
- [13]Perini S, Titov N, Andrews G: Clinician-assisted Internet-based treatment is effective for depression: randomized controlled trial. Aust NZ J Psychiatry 2009, 43:571-578.
- [14]Kessler D, Lewis G, Kaur S, Wiles N, King M, Weich S, Sharp DJ, Araya R, Hollinghurst S, Peters TJ: Therapist-delivered internet psychotherapy for depression in primary care: a randomised controlled trial. Lancet 2009, 374:628-634.
- [15]Andersson G, Cuijpers P: Internet-based and other computerized psychological treatments for adult depression: a meta-analysis. Cogn Behav Ther 2009, 38:196-205.
- [16]Cuijpers P, Donker T, Johansson R, Mohr DC, van Straten A, Andersson G: Self-guided psychological treatment for depressive symptoms: a meta-analysis. PLoS One 2011, 6:e21274.
- [17]Johansson R, Andersson G: Internet-based psychological treatments for depression. Expert Rev Neurotherapeutics 2012, 12:861-870.
- [18]Moritz S, Schilling L, Hauschildt M, Schroder J, Treszl A: A randomized controlled trial of internet-based therapy in depression. Behav Res Ther 2012, 50:513-521.
- [19]Williams AD, Andrews G, Andersson G: The Effectiveness of Internet Cognitive Behavioural Therapy (iCBT) for depression in primary care: a quality assurance study. PLoS One 2013, 8:e57447.
- [20]Hedman E, Ljótsson B, Kaldo V, Hesser H, El Alaoui S, Kraepelien M, Andersson E, Rück C, Svanborg C, Andersson G, Lindefors N: Effectiveness of Internet-based cognitive behaviour therapy for depression in routine psychiatric care.J Affect Dis 2013, 155:49–58.
- [21]Proudfoot J, Clarke J, Birch M, Whitton AE, Parker G, Manicavasagar V, Harrison V, Christensen H, Hadzi-Pavlovic D: Impact of a mobile phone and web program on symptom and functional outcomes for people with mild-to-moderate depression, anxiety and stress: a randomised controlled trial. BMC Psychiatry 2013, 13:312. BioMed Central Full Text
- [22]Andrews G, Cuijpers P, Craske MG, McEvoy P, Titov N, Baune BT: Computer therapy for the anxiety and depressive disorders is effective, acceptable and practical health care: a meta-analysis. PLoS ONE 2010, 5:e13196.
- [23]Mewton L, Wong N, Andrews G: The effectiveness of internet cognitive behavioural therapy for generalized anxiety disorder in clinical practice. Depress Anxiety 2012, 29:843-849.
- [24]Stott R, Wild J, Grey N, Liness S, Warnock-Parkes E, Commins S, Readings J, Bremner G, Woodward E, Ehlers A, Clark DM: Internet-delivered cognitive therapy for social anxiety disorder: a development pilot series. Behav Cogn Psychother 2013, 41:383-397.
- [25]Bauer S, Kordy H: E-Mental-Health: Neue Medien in der psychosozialen Versorgung. Springer Medizin Verlag Heidelberg, Berlin, Heidelberg; 2008.
- [26]Alonso J, Angermeyer MC, Bernert S, Bruffaerts R, Brugha TS, Bryson H, Girolamo G de, Graaf R, Demyttenaere K, Gasquet I, Haro JM, Katz SJ, Kessler RC, Kovess V, Lépine JP, Ormel J, Polidori G, Russo LJ, Vilagut G, Almansa J, Arbabzadeh-Bouchez S, Autonell J, Bernal M, Buist-Bouwman MA, Codony M, Domingo-Salvany A, Ferrer M, Joo SS, Martínez-Alonso M, Matschinger H et al.: Prevalence of mental disorders in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project.Acta Psychiatr Scand Suppl 2004:21–27
- [27]Fryers T, Melzer D, Jenkins R: Social inequalities and the common mental disorders: a systematic review of the evidence. Soc Psychiatry Psychiatr Epidemiol 2003, 38:229-237.
- [28]Wöller A: Internetnutzung von psychiatrischen Patienten.PhD thesis. University of Munich, Germany, Department of Psychiatry and Psychotherapy. Munich, Germany; 2005.
- [29]Khazaal Y, Chatton A, Cochand S, Hoch A, Khankarli MB, Khan R, Zullino DF: Internet use by patients with psychiatric disorders in search for general and medical informations. Psychiatr Q 2008, 79:301-309.
- [30]van Eimeren B, Frees B: Rasanter Anstieg des Internetkonsums - Onliner fast drei Stunden täglich im Netz. Ergebnisse der ARD/ZDF-Onlinestudie 2013.
- [31]Endicott J, Spitzer RL, Fleiss JL, Cohen J: The global assessment scale. A procedure for measuring overall severity of psychiatric disturbance. Arch Gen Psychiatry 1976, 33:766-771.
- [32]Guy W: ECDEU assessment manual for psychopharmacology. Revised (DHEW Publ No ADM 76–338). [https://archive.org/details/ecdeuassessmentm1933guyw]
- [33]Griffiths KM, Christensen H: Quality of web based information on treatment of depression: cross sectional survey. BMJ 2000, 321:1511-1515.
- [34]Khazaal Y, Chatton A, Cochand S, Zullino D: Quality of Web-based information on cocaine addiction. Patient Educ Couns 2008, 72:336-341.
- [35]Morel V, Chatton A, Cochand S, Zullino D, Khazaal Y: Quality of web-based information on bipolar disorder. J Affect Disord 2008, 110:265-269.
- [36]Reavley NJ, Jorm AF: The quality of mental disorder information websites: a review. Patient Educ Couns 2011, 85:e16.
- [37]Reavley NJ, Mackinnon AJ, Morgan AJ, Alvarez-Jimenez M, Hetrick SE, Killackey E, Nelson B, Purcell R, Yap MBH, Jorm AF: Quality of information sources about mental disorders: a comparison of Wikipedia with centrally controlled web and printed sources. Psychol Med 2012, 42:1753-1762.
- [38]Eysenbach G, Powell J, Kuss O, Sa E: Empirical studies assessing the quality of health information for consumers on the world wide web: a systematic review. JAMA 2002, 287:2691-2700.
- [39]Cline RJ, Haynes KM: Consumer health information seeking on the Internet: the state of the art. Health Educ Res 2001, 16:671-692.
- [40]International Telecommunication Union: The world in 2013: ICT Facts and Figures. [http://www.itu.int/en/ITU-D/Statistics/Documents/facts/ICTFactsFigures2013-e.pdf]
- [41]European Commission: Internet use statistics. [http://epp.eurostat.ec.europa.eu/statistics_explained/index.php/Internet_use_statistics_-_individuals#Internet_use_by_individuals]
- [42]Rummel-Kluge C, Kluge M, Kissling W: Frequency and relevance of psychoeducation in psychiatric diagnoses: results of two surveys five years apart in German-speaking European countries. BMC Psychiatry 2013, 13:170. BioMed Central Full Text
- [43]Van Uden-Kraan CF, Drossaert CH, Taal E, Smit WM, Moens HJ, Bernelot , Siesling S, Seydel ER, Van de Laar MAFJ: Health-related Internet use by patients with somatic diseases: frequency of use and characteristics of users. Inform Health Soc Care 2009, 34:18-29.
- [44]Beattie A, Shaw A, Kaur S, Kessler D: Primary-care patients’ expectations and experiences of online cognitive behavioural therapy for depression: a qualitative study. Health Expect 2009, 12:45-59.
- [45]Wilhelmsen M, Lillevoll K, Risør MB, Høifødt R, Johansen M, Waterloo K, Eisemann M, Kolstrup N: Motivation to persist with internet-based cognitive behavioural treatment using blended care: a qualitative study. BMC Psychiatry 2013, 13:296. BioMed Central Full Text
- [46]Waller R, Gilbody S: Barriers to the uptake of computerized cognitive behavioural therapy: a systematic review of the quantitative and qualitative evidence. Psychol Med 2009, 39:705-712.
- [47]Ebert D, Tarnowski T, Gollwitzer M, Sieland B, Berking M: A transdiagnostic internet-based maintenance treatment enhances the stability of outcome after inpatient cognitive behavioral therapy: a randomized controlled trial. Psychother Psychosom 2013, 82:246-256.
- [48]Ebert DD, Gollwitzer M, Riper H, Cuijpers P, Baumeister H, Berking M: For Whom Does It Work? Moderators of outcome on the effect of a transdiagnostic internet-based maintenance treatment after inpatient psychotherapy: randomized controlled trial. J Med Internet Res 2013, 15:e191.
- [49]Dear BF, Titov N, Schwencke G, Andrews G, Johnston L, Craske MG, McEvoy P: An open trial of a brief transdiagnostic internet treatment for anxiety and depression. Behav Res Ther 2011, 49:830-837.