SOCIAL MEDIA EXPOSURE AND MENTAL HEALTH DURING COVID-19 OUTBREAK
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Abstract
OBJECTIVE: To investigate relationship of social media exposure with prevalence of depression and anxiety among general public in Lahore, Pakistan during the COVID-19 outbreak.
METHODS: A web-based cross-sectional study was conducted via Google forms in June–July 2020 among Pakistani citizens aged ≥18 years. Purposive convenient sampling was done. The questionnaire constituted socio-demographic data, information regarding social media exposure, and scales to assess depression and anxiety. Social media exposure was measured by a questionnaire based on previous literature while depression and anxiety were measured by WHO-Five Well-Being Index (WHO-5) and Generalized Anxiety Disorder (GAD-7) scale respectively. Differences in depression and anxiety between groups and their associations with their social media use were examined through Chi-square test.
RESULTS: Out of 516 participants who completed the questionnaire, 447 (86.6%) had frequent exposure to social media. Facebook (n=345; 66.9%) and WhatsApp (n=224; 43.4%) were the most used platforms to obtain COVID-19 related news. The prevalence of depression, anxiety, and combined depression and anxiety in the sample was 46.3% (n=239), 45.5% (n=235), and 29.7% (n=153) respectively. Statistically significant association was observed between depression and social media exposure (p<0.001) and the combination of depression and anxiety and social media exposure (p<0.05), but not with anxiety. About 56.0% (n=289) participants believed that publishing more COVID-19 related news leads to fear and panic.
CONCLUSION: People with frequent social media exposure during COVID-19 experienced detrimental effects on mental health. The awareness about limiting social media exposure during the pandemic and psychological support is required to safeguard their well-being.
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References
Gao J, Zheng P, Jia Y, Chen H, Mao Y, Chen S, et al. Mental health problems and social media exposure during COVID-19 outbreak. PloS One 2020 16;15(4):e0231924. https://doi.org/10.1371/journal.pone.0231924
Singh P, Manisha A. Social Media: A tool for Socialization during Lockdown in Delhi and NCR. Int J Transform Media Mass Commun 2020;5(1):14-20.
Cellini N, Canale N, Mioni G, Costa S. Changes in sleep pattern, sense of time and digital media use during COVID‐19 lockdown in Italy. J Sleep Res 2020:e13074. https://doi.org/10.1111/jsr.13074.
Ahmad AR, Murad HR. The impact of social media on panic during the COVID-19 pandemic in Iraqi Kurdistan: online questionnaire study. J Med Internet Res 2020;22(5):e19556. https://doi.org/10.2196/19556.
Jungmann SM, Witthöft M. Health anxiety, cyberchondria, and coping in the current COVID-19 pandemic: Which factors are related to coronavirus anxiety? J Anxiety Disord 2020:102239. https://doi.org/10.1016/j.janxdis.2020.102239.
Purgato M, Gastaldon C, Papola D, van Ommeren M, Barbui C, Tol WA. Psychological therapies for the treatment of mental disorders in low- and middle-income countries affected by humanitarian crises. Cochrane Database Syst Rev 2018:CD0111849. https://doi.org/10.1002/14651858.CD011849.pub2.
Neria Y, Sullivan GM. Understanding the mental health effects of indirect exposure to mass trauma through the media. JAMA 2011;306(12):1374-5. https://doi.org/10.1001/jama.2011.1358
Davis M, Lohm D, Flowers P, Waller E, Stephenson N. “We became sceptics”: fear and media hype in general public narrative on the advent of pandemic influenza. Sociol Inq 2014;84(4):499-518. https://doi.org/10.1111/soin.12058.
World Health Organization (WHO). WHO Collaborating Centre in Mental Health. Chinese version of the WHO-Five Well-Being Index. Accessed on: July 13, 2020. Available from URL: http://www.who-5.org
Spitzer RL, Kroenke K, Williams JB, Lowe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med 2006; 166(10): 1092-7.
Ellison NB, Steinfield C, Lampe C. The benefits of Facebook “friends:” Social capital and college students’ use of online social network sites. J Comput Mediat Commun 2007 1;12(4):1143-68. https://doi.org/1111/j.1083-6101.2007.00367.x.
Shensa A, Escobar-Viera CG, Sidani JE, Bowman ND, Marshal MP, Primack BA. Problematic social media use and depressive symptoms among US young adults: A nationally-representative study. Soc Sci Med 2017;182:150-7. https://doi.org/10.1016/j.socscimed.2017.03.061.
Keles B, McCrae N, Grealish A. A systematic review: the influence of social media on depression, anxiety and psychological distress in adolescents. Int J Adolesc Youth 2020;25(1):79-93. https://doi.org/10.1080/02673843.2019.1590851
Sharma M, Yadav K, Yadav N, Ferdinand KC. Zika virus pandemic—analysis of Facebook as a social media health information platform. Am Int J Infect Control 2017;45(3):301-2. https://doi.org/10.1016/j.ajic.2016.08.022.
Allington D, Duffy B, Wessely S, Dhavan N, Rubin J. Health-protective behaviour, social media usage and conspiracy belief during the COVID-19 public health emergency. Psych Med 2020:1-7. https://doi.org/10.1017/S003329172000224X.
Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psych Res 2020 Apr:112954. https://doi.org/10.1016/j.psychres.2020.112954.
Ji D, Ji YJ, Duan XZ, Li WG, Sun ZQ, Song XA, et al. Prevalence of psychological symptoms among Ebola survivors and healthcare workers during the 2014-2015 Ebola outbreak in Sierra Leone: a cross-sectional study. Oncotarget 2017;8(8):12784. https://doi.org/10.18632/oncotarget.14498.
Lee SM, Kang WS, Cho AR, Kim T, Park JK. Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients. Comp Psych 2018;87:123-7. https://doi.org/10.1016/j.comppsych.2018.10.003.
Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet 2020 Feb 26. https://doi.org/10.1016/S0140-6736(20)30460-8.
Aqeel M, Shuja KH, Abbas J, Rehna T, Ziapour A. The Influence of Illness Perception, Anxiety and Depression Disorders on Students Mental Health during COVID-19 Outbreak in Pakistan: A Web-Based Cross-Sectional Survey. Preprint https://doi.org/10.21203/rs.3.rs-30128/v1
Salman M, Raza MH, Mustafa ZU, Khan TM, Asif N, Tahir H,et al. The psychological effects of COVID-19 on frontline healthcare workers and how they are coping: a web-based, cross-sectional study from Pakistan. medRxiv preprint 2020. https://doi.org/10.1101/2020.06.03.20119867.
Liu M, Zhang J, Hu E, Yang H, Cheng C, Yao S. Combined patterns of physical activity and screen-related sedentary behavior among Chinese adolescents and their correlations with depression, anxiety and self-injurious behaviors. Psych Res Behav Manag 2019;12:1041. https://doi.org/10.2147/PRBM.S220075.
Pinto AJ, Dunstan DW, Owen N, Bonfá E, Gualano B. Combating physical inactivity during the COVID-19 pandemic. Nat Rev Rheumatol 2020:1-2. https://doi.org/10.1038/s41584-020-0427-z.
Levenson JC, Shensa A, Sidani JE, Colditz JB, Primack BA. The association between social media use and sleep disturbance among young adults. Prev Med 2016;85:36-41. https://doi.org/10.1016/j.ypmed.2016.01.001.
Chen Q, Min C, Zhang W, Wang G, Ma X, Evans R. Unpacking the black box: How to promote citizen engagement through government social media during the COVID-19 crisis. Comput Hum 2020:106380. https://doi.org/10.1016/j.chb.2020.106380.