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Tytuł:
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A pilot study using ecological momentary assessment via smartphone application to identify adolescent problematic internet use.
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Autorzy:
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Gansner M; Department of Psychiatry, Cambridge Health Alliance, 1493 Cambridge St, Cambridge, MA, 02139 United States. Electronic address: .
Nisenson M; Department of Psychiatry, Cambridge Health Alliance, 1493 Cambridge St, Cambridge, MA, 02139 United States. Electronic address: .
Carson N; Department of Psychiatry, Cambridge Health Alliance, 1493 Cambridge St, Cambridge, MA, 02139 United States. Electronic address: .
Torous J; Department of Digital Psychiatry, Beth Israel Deaconess Medical Center, 330 Brookline Drive, Boston, Massachusetts 02215 USA.
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Źródło:
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Psychiatry research [Psychiatry Res] 2020 Nov; Vol. 293, pp. 113428. Date of Electronic Publication: 2020 Aug 23.
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Typ publikacji:
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Journal Article; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Publication: Limerick : Elsevier/North-Holland Biomedical Press
Original Publication: Amsterdam, Elsevier/North-Holland Biomedical Press.
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MeSH Terms:
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Ecological Momentary Assessment*
Adolescent Behavior/*psychology
Behavior, Addictive/*diagnosis
Behavior, Addictive/*psychology
Internet Use/*trends
Smartphone/*trends
Adolescent ; Behavior, Addictive/epidemiology ; Child ; Cross-Sectional Studies ; Female ; Humans ; Male ; Mental Disorders/diagnosis ; Mental Disorders/epidemiology ; Mental Disorders/psychology ; Pilot Projects ; Surveys and Questionnaires ; Young Adult
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Contributed Indexing:
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Keywords: Adolescent; Ecological momentary assessment; Internet; Psychology
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Entry Date(s):
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Date Created: 20200905 Date Completed: 20210215 Latest Revision: 20210215
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Update Code:
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20240104
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DOI:
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10.1016/j.psychres.2020.113428
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PMID:
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32889344
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For some youth, pathologic Internet use can cause significant distress and dysfunction, a phenomenon known as Problematic Internet Use (PIU). PIU has been associated with poorer health outcomes in adolescents with existing psychiatric illness but understanding PIU has been challenging due to research methodologies using cross-sectional, self-report data. This study assessed the feasibility of using app-based ecological momentary assessment (EMA) to provide more ecologically-valid data to identify and characterize the relationship between mood symptoms and PIU in adolescents in active mental health treatment. 25 youth (aged 12-23) were recruited to use an EMA app for 6 weeks. 96% of participants completed the study and the majority of participants completed surveys at least once weekly. Youth with anxiety disorders endorsed significantly greater benefit from using the app to monitor PIU. While PIU severity was positively correlated with worsened anxiety and depression, analyses of the temporal relationships between PIU and mood symptoms showed that anxiety symptoms were significantly improved after episodes of PIU. Overall results suggest that app-based EMA may be both acceptable and feasible to understand PIU in this population. Follow-up studies should consider personalization of study protocols and use of digital phenotyping methodology to collect more objective measurements of behavior.
(Copyright © 2020 Elsevier B.V. All rights reserved.)
