Exploring Depression Symptom References on Facebook among College Freshmen: A Mixed Methods Approach

Depression is common among older adolescents and can be challenged to identify. The purpose of this study was to evaluate Facebook displayed depression references and their association with depression and peer perception. First-year college students’ Facebook profiles were categorized as Depression Displayers or Non-Displayers. Participants completed a depression screen and were interviewed regarding Facebook displayed depression references. Analyses included logistic regression and qualitative analysis. Among 132 participants (70% response rate), the average age was 18.4 years (SD 0.49) and approximately half were males (48.5%). Depression Displayers were twice as likely (OR 2.1, 95% CI: 1.01 - 4.5, p = 0.04) to meet clinical criteria for depression. Qualitative analysis revealed that depression references were viewed as support-seeking or attention-seeking. Displayed depression references were associated with depression; these disclosures may be support-seeking efforts subject to varying interpretations by peers.

[1]  A. Strauss,et al.  The discovery of grounded theory: strategies for qualitative research aldine de gruyter , 1968 .

[2]  B. Compas,et al.  A prospective study of life events, social support, and psychological symptomatology during the transition from high school to college , 1986, American journal of community psychology.

[3]  Thomas D. Snyder,et al.  Digest of Education Statistics , 1994 .

[4]  R. Kessler,et al.  Social consequences of psychiatric disorders, I: Educational attainment. , 1995, The American journal of psychiatry.

[5]  J. Creswell.  Qualitative inquiry and research design: choosing among five traditions. , 1998 .

[6]  D. Ford,et al.  Internet support groups for depression: a 1-year prospective cohort study. , 2002, The American journal of psychiatry.

[7]  D. Russell,et al.  Adult Attachment, Social Self-Efficacy, Self-Disclosure, Loneliness, and Subsequent Depression for Freshman College Students: A Longitudinal Study , 2005 .

[8]  Uma Rao,et al.  Links between depression and substance abuse in adolescents: neurobiological mechanisms. , 2006, American journal of preventive medicine.

[9]  E. Brown,et al.  Adolescent substance abuse and psychiatric comorbidities. , 2006, The Journal of clinical psychiatry.

[10]  P. Peppard,et al.  Association of alcohol consumption and sleep disordered breathing in men and women. , 2007, Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine.

[11]  Daniel Eisenberg,et al.  Help-Seeking and Access to Mental Health Care in a University Student Population , 2007, Medical care.

[12]  Cliff Lampe,et al.  The Benefits of Facebook "Friends: " Social Capital and College Students' Use of Online Social Network Sites , 2007, J. Comput. Mediat. Commun..

[13]  D. Boyd.  Why Youth (Heart) Social Network Sites: The Role of Networked Publics in Teenage Social Life , 2007 .

[14]  N. Hall,et al.  Perceived (Academic) Control and Scholastic Attainment in Higher Education , 2007 .

[15]  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.

[16]  D. Christakis,et al.  Research Ethics in the MySpace Era , 2008, Pediatrics.

[17]  Nicholas Christakis,et al.  The Taste for Privacy: An Analysis of College Student Privacy Settings in an Online Social Network , 2008, J. Comput. Mediat. Commun..

[18]  Laura E. Buffardi,et al.  Narcissism and Social Networking Web Sites , 2008, Personality & social psychology bulletin.

[19]  Craig Ross,et al.  Personality and motivations associated with Facebook use , 2009, Comput. Hum. Behav..

[20]  Thomas D. Snyder,et al.  Digest of Education Statistics, 2008. NCES 2009-020. , 2009 .

[21]  Daniel Eisenberg,et al.  Stigma and Help Seeking for Mental Health Among College Students , 2009, Medical care research and review : MCRR.

[22]  George Mendelson,et al.  Book Reviews , 1995 .

[23]  Uma Rao,et al.  Characteristics, correlates, and outcomes of childhood and adolescent depressive disorders , 2009, Dialogues in clinical neuroscience.

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

[25]  Daniel Eisenberg,et al.  Persistence of mental health problems and needs in a college student population. , 2009, Journal of affective disorders.

[26]  D. Eisenberg,et al.  Mental health problems and help-seeking behavior among college students. , 2010, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[27]  S. Griffiths,et al.  Brief report: Predictors of heavy Internet use and associations with health-promoting and health risk behaviors among Hong Kong university students. , 2010, Journal of adolescence.

[28]  Teresa Correa,et al.  Who interacts on the Web?: The intersection of users' personality and social media use , 2010, Comput. Hum. Behav..

[29]  D. Eisenberg,et al.  Review article Mental Health Problems and Help-Seeking Behavior Among College Students , 2010 .

[30]  Elizabeth D. Cox,et al.  Feeling bad on Facebook: depression disclosures by college students on a social networking site , 2011, Depression and anxiety.

[31]  J. Piette,et al.  Efficacy of peer support interventions for depression: a meta-analysis. , 2011, General hospital psychiatry.

[32]  Dimitri A. Christakis,et al.  A Pilot Evaluation of Associations Between Displayed Depression References on Facebook and Self-reported Depression Using a Clinical Scale , 2011, The Journal of Behavioral Health Services & Research.

[33]  Janet B W Williams,et al.  Diagnostic and Statistical Manual of Mental Disorders , 2013 .