Using online social media, Facebook, in screening for major depressive disorder among college students

This study explored the feasibility of using Internet social networking media in an online program for Major Depressive Disorder (MDD) screening and psychoeducation targeting college students. A Facebook advertisement targeted students at five colleges in the United States to complete a mental health research survey that screened for MDD using the Patient Health Questionnaire-9 (PHQ-9). Students who screened positive for MDD were offered an eight- week follow-up survey. Of the 259 students who consented to participate in the study, 26.7% screened positive for MDD, while only 14.2% were receiving treatment. The use of Facebook to advertise for online screening for MDD required very little start-up time, and the average cost was $11.45 per subject recruited. It is feasible to use online, commercially available social networking media such as Facebook for online screening for MDD among college students. However, conducting online screening and offering treatment resources alone did not increase treatment rate in this population.

[1]  Christopher M. Wharton,et al.  The Association Between Mental Health and Acute Infectious Illness Among a National Sample of 18- to 24-Year-Old College Students , 2008, Journal of American college health : J of ACH.

[2]  C. Mohr,et al.  Coping-anxiety and coping-depression motives predict different daily mood-drinking relationships. , 2009, Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors.

[3]  R. Dellavalle,et al.  Social internet sites as a source of public health information. , 2009, Dermatologic clinics.

[4]  Emily Christofides,et al.  More Information than You Ever Wanted: Does Facebook Bring Out the Green-Eyed Monster of Jealousy? , 2009, Cyberpsychology Behav. Soc. Netw..

[5]  R. Spitzer,et al.  The PHQ-9: validity of a brief depression severity measure. , 2001, Journal of general internal medicine.

[6]  S. Michie,et al.  Using the Internet to Promote Health Behavior Change: A Systematic Review and Meta-analysis of the Impact of Theoretical Basis, Use of Behavior Change Techniques, and Mode of Delivery on Efficacy , 2010, Journal of medical Internet research.

[7]  Q. Mcnemar.  Note on the sampling error of the difference between correlated proportions or percentages , 1947, Psychometrika.

[8]  D. Ford,et al.  Screening the public for depression through the Internet. , 2001, Psychiatric services.

[9]  H. E. Rawson,et al.  Stress, anxiety, depression, and physical illness in college students. , 1994, The Journal of genetic psychology.

[10]  P. Gutierrez,et al.  Testing a model of suicide ideation in college students. , 2005, Suicide & life-threatening behavior.

[11]  Bethany A. Koestner,et al.  Depression, desperation, and suicidal ideation in college students: results from the American Foundation for Suicide Prevention College Screening Project at Emory University , 2008, Depression and anxiety.

[12]  John Raacke,et al.  MySpace and Facebook: Applying the Uses and Gratifications Theory to Exploring Friend-Networking Sites , 2008, Cyberpsychology Behav. Soc. Netw..

[13]  R. Spitzer,et al.  Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. , 1999, JAMA.

[14]  M. Silverman,et al.  Aspects of suicidal behavior, depression, and treatment in college students: results from the spring 2000 national college health assessment survey. , 2005, Suicide & life-threatening behavior.

[15]  Daniel Eisenberg,et al.  Prevalence and correlates of depression, anxiety, and suicidality among university students. , 2007, The American journal of orthopsychiatry.

[16]  F. Griffiths,et al.  Why Are Health Care Interventions Delivered Over the Internet? A Systematic Review of the Published Literature , 2006, Journal of medical Internet research.

[17]  Linda J. Palm,et al.  Attributional Style, Depression, and Grade Point Averages of College Students , 1998, Psychological reports.

[18]  Henry Chung,et al.  A literature review of studies of depression and treatment outcomes among U.S. College students since 1990. , 2009, Psychiatric services.

[19]  Bethany A. Koestner,et al.  An Interactive Web-Based Method of Outreach to College Students at Risk for Suicide , 2008, Journal of American college health : J of ACH.

[20]  Jennifer L. Pomeranz,et al.  The Delivery of Public Health Interventions via the Internet: Actualizing Their Potential , 2011 .

[21]  Katherine M. White,et al.  Psychological Predictors of Young Adults' Use of Social Networking Sites , 2009, Cyberpsychology Behav. Soc. Netw..

[22]  K. Herman,et al.  Depression and academic impairment in college students. , 1996, Journal of American college health : J of ACH.

[23]  W. Hawkins,et al.  Depression and maladaptive eating practices in college students. , 1992, Women & health.

[24]  A. Farmer,et al.  Social networking sites: a novel portal for communication , 2009, Postgraduate Medical Journal.

[25]  Ping Sun,et al.  Internet Accessibility and Usage among Urban Adolescents in Southern California: Implications for Web-Based Health Research , 2005, Cyberpsychology Behav. Soc. Netw..

[26]  John E. Roberts,et al.  Non-treatment-related sudden gains in depression: the role of self-evaluation. , 2007, Behaviour research and therapy.