Analyzing User-Generated Web-Based Posts of Adolescents' Emotional, Behavioral, and Symptom Responses to Beliefs About Depression: Qualitative Thematic Analysis.

Autor:	Dysthe KK; Department of General Practice/Family Medicine, University of Oslo, Oslo, Norway., Røssberg JI; Division of Psychiatric Treatment Research, Department of Psychiatry, University of Oslo, Oslo, Norway., Brandtzaeg PB; Department of Media and Communication, University of Oslo, Oslo, Norway.; SINTEF Digital, Sustainable Communication Technologies, Oslo, Norway, Oslo, Norway., Skjuve M; SINTEF Digital, Sustainable Communication Technologies, Oslo, Norway, Oslo, Norway., Haavet OR; Department of General Practice/Family Medicine, University of Oslo, Oslo, Norway., Følstad A; SINTEF Digital, Sustainable Communication Technologies, Oslo, Norway, Oslo, Norway., Klovning A; Department of General Practice/Family Medicine, University of Oslo, Oslo, Norway.
Jazyk:	angličtina
Zdroj:	Journal of medical Internet research [J Med Internet Res] 2023 Jan 24; Vol. 25, pp. e37289. Date of Electronic Publication: 2023 Jan 24.
DOI:	10.2196/37289
Abstrakt:	Background: Depression is common during adolescence. Early intervention can prevent it from developing into more progressive mental disorders. Combining information technology and clinical psychoeducation is a promising way to intervene at an earlier stage. However, data-driven research on the cognitive response to health information targeting adolescents with symptoms of depression is lacking. Objective: This study aimed to fill this knowledge gap through a new understanding of adolescents' cognitive response to health information about depression. This knowledge can help to develop population-specific information technology, such as chatbots, in addition to clinical therapeutic tools for use in general practice. Methods: The data set consists of 1870 depression-related questions posted by adolescents on a public web-based information service. Most of the posts contain descriptions of events that lead to depression. On a sample of 100 posts, we conducted a qualitative thematic analysis based on cognitive behavioral theory investigating behavioral, emotional, and symptom responses to beliefs associated with depression. Results: Results were organized into four themes. (1) Hopelessness, appearing as a set of negative beliefs about the future, possibly results from erroneous beliefs about the causal link between risk factors and the course of depression. We found beliefs about establishing a sturdy therapy alliance as a responsibility resting on the patient. (2) Therapy hesitancy seemed to be associated with negative beliefs about therapy prognosis and doubts about confidentiality. (3) Social shame appeared as a consequence of impaired daily function when the cause is not acknowledged. (4) Failing to attain social interaction appeared to be associated with a negative symptom response. In contrast, actively obtaining social support reduces symptoms and suicidal thoughts. Conclusions: These results could be used to meet the clinical aims stated by earlier psychoeducation development, such as instilling hope through direct reattribution of beliefs about the future; challenging causal attributions, thereby lowering therapy hesitancy; reducing shame through the mechanisms of externalization by providing a tentative diagnosis despite the risk of stigmatizing; and providing initial symptom relief by giving advice on how to open up and reveal themselves to friends and family and balance the message of self-management to fit coping capabilities. An active counseling style advises the patient to approach the social environment, demonstrating an attitude toward self-action. (©Kim Kristoffer Dysthe, Jan Ivar Røssberg, Petter Bae Brandtzaeg, Marita Skjuve, Ole Rikard Haavet, Asbjørn Følstad, Atle Klovning. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 24.01.2023.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu