Tag Archives: depression

Facebook Depression?

Posted on by
Reply

In an online survey, the Center on Media and Child Health correlated the use of Facebook among college students, their feelings of envy and depression.

The study included 736 college students (68% female) enrolled in introductory journalism courses. Their mean age was 19 years,

The study found that heavy Facebook users were significantly more likely to experience symptoms of depression. Apparently, envy was the mediating factor. Users who did not feel envy when using Facebook were less likely to experience depression.

Ironically, a separate study by the Pew Foundation found that more than 80% of people on social networking sites exaggerate their profiles or outright lie.

My take: Perhaps if the budding journalists were aware of that, many would be less depressed. The congenitally honest seem to put themselves not only at a disadvantage, but at higher risk as well.

Media Multitasking and Depression

Posted on by
Reply

shutterstock_104973152In my two previous posts, I explored the relationship between depression and Internet addiction, then depression and television viewing. Academic researchers have found positive correlations in both cases. This caused me to wonder whether a relationship existed between depression and multitasking.

Increase in Multitasking

Overall media use among America’s youth increased by 20% over the past decade. However, the amount of time spent multitasking with media (simultaneously interacting with more than one form of media) increased by 119% during the same time period [1].

Study Links Multitasking to Depression

Mark W. Becker, Reem Alzahabi, and Christopher J. Hopwood of Michigan State University published a study called Media Multitasking Is Associated with Symptoms of Depression and Social Anxiety in the February, 2013, issue of the journal Cyberspychology, Behavior and Social Networking. They studied 319 people and found that media multitasking was associated with higher rates of depression.

The authors couldn’t tell whether multitasking led to higher stress and depression or whether depressed people distracted themselves with multitasking to avoid coping with negative emotions. Given the relationships previously discussed between television viewing, Internet addiction and and depression, I have formulated an opinion on the relationship.

My Take

I personally subscribe to the theory, which Becker and his colleagues cite at the beginning of their study, that multitasking may be replacing face-to-face interactions [2], resulting in lower quality social interactions [3,4] and impaired psychosocial functioning [5,6].

Talking face-to-face and working side-by-side with friends and family is an infinitely richer and more rewarding experience than self-entertainment through media multitasking. It’s like the difference between healthy food and junk food.

Instead of working out their problems with others or honing their social skills, teens escape into a world of media multitasking. This world doesn’t argue with them, mock them, bully them or ostracize them. It’s a pleasant form of escapism that numbs the senses by overloading them. It’s fun. It’s entertaining. It’s much easier than dealing with the real world. And it doesn’t have the stigma or costs associated with drugs or alcohol.

Kids can even pretend to be doing their homework while working on their laptops. The noise coming from TV, music, and video games combines with the distraction of social networks, emails and texts to help them forget whatever is causing their depression. Being able to multitask is even considered a positive trait among many in business.

Multitasking isn’t all bad unless it turns into an addiction, such as a shopping addiction. Shopping addicts shop because their purchases give them a pleasant buzz. Then, when the bill comes due (which they can’t pay), it deepens their depression, leads to more shopping and a downward spiral. A similar mechanism may be at work with multitasking for the segment of the population prone to depression.

We’ve all fallen into the trap from time to time of mistaking activity for achievement. We succumb to the tyranny of the urgent and the easy over the important. Answering emails, texts, and checking social networks somehow seems more important than that big long-term project due at the end of the week.

The scary thing about 10.5 hours of multimedia exposure per day with kids and teenagers is that it happens at a time when their cognitive and thought processes are being formed. To the extent that it becomes a habit or an addiction, the pattern becomes hard to break.

Statistics On Depression

Depression takes a huge toll on America’s health and productivity.  According to Mental Health America, It affects more than 21 million American children and adults annually and is the leading cause of disability in the United States for individuals ages 15 to 44. Lost productive time among U.S. workers due to depression is estimated to be in excess of $31 billion per year. It is also the principal cause of more than 38,000 suicides in the U.S. each year.

____________________________

  1. Rideout V, Foehr U, Roberts D., Generation M2: Media in the Lives of 8- to 18-Year-Olds. Menlo Park, CA: Henry J. Kaiser Family Foundation. 2010.
  2. Nie NH. Sociability, interpersonal relations, and the Internet: Reconciling conflicting findings. American Behavioral Scientist Special Issue: The Internet in everyday life. 2001;45(3):420-35.
  3.  Lee PSN, Leung L, Lo V, Xiong C, Wu T. Internet communication versus face-to-
    face interaction in quality of life. Social Indicators Research. 2011;100(3):375-89.
  4.  Moody EJ. Internet use and its relationship to loneliness. CyberPsychology & Behavior. 2001;4(3):393-401.
  5.  Kraut R, Patterson M, Lundmark V, Kiesler S, Mukophadhyay T, Scherlis W. Internet paradox: A social technology that reduces social involvement and psychological well-being? American Psychologist. 1998;53(9):1017-31.
  6. Shapira NA, Lessig MC, Goldsmith TD, et al. Problematic internet use: Proposed classification and diagnostic criteria. Depression and Anxiety. 2003;17(4):207-16.

Heavy television viewing among teens increases risk of depression later in life

Posted on by
Reply

Teenagers who watch a large amount of television are significantly more likely to become depressed later in life according to a longitudinal study published in the Archives of General Psychiatry.

The 2009 study titled Association Between Media Use in Adolescence and Depression in Young Adulthood was conducted by Brian A. Primack, MD, EdM, MS, Brandi Swanier, BA, Anna M. Georgiopoulos, MD, Stephanie R. Land, PhD, and Michael J. Fine, MD, MSc

shutterstock_72027346

Objective and Methodology

These researchers sought to assess the association between media exposure in adolescence and depression in young adulthood. They used a nationally representative sample – the National Longitudinal Survey of Adolescent Health (Add Health) – to investigate the relationship between electronic media exposure in 4142 adolescents who were not depressed at baseline and development of depression seven years later. Initially, the teens were asked how many hours they had spent watching television each week. They reported an average of 2.3 hours. Seven years later (at an average age of 21.8), participants were screened again. More than 300, 7.4 percent had developed symptoms consistent with depression.

Findings: More TV Increases Risk of Depression

“Those reporting more television use had significantly greater odds of developing depression for each additional hour of daily television use. In addition, those reporting more total media exposure had significantly greater odds of developing depression for each additional hour of daily use.”

While the researchers did not find a consistent relationship between development of depressive symptoms and exposure to pre-recorded video, computer games, or radio, they did find a statistically significant correlation at the 95% confidence level with television.

Interestingly, they also found that men were more likely than women to develop depression given the same total media exposure.

How Television May Cause Depression

Results suggest that media exposure may influence development of depression through a variety of factors. Some are related to the medium itself, others to content.

Relating to the medium itself, the researchers theorize that:

  • Time spent passively watching television could displace more positive interaction with family and friends
  • The audio and video could energize the senses in ways that contribute to poor sleep.
  • Excessive viewing could interfere with development of good thinking skills, and potentially contribute to cognitive distortions.

Regarding potential links related to content, the researchers point to facts such as:

  • Large amounts of advertising which may present adolescents with unattainable images
  • Role models that exhibit high degrees of risk taking behaviors
  • Stereotypical characters that may affect self-image
  • Anxiety-provoking shows.

Why is this so crucial? The authors point to other studies that show:

  • Depression is the leading cause of nonfatal disability worldwide.1
  • Because onset of depression is common in adolescence and young adulthood,2, 3 it coincides with a pivotal period of physical and psychological development.
  • Depression can lead to poorer psychosocial functioning, lower life and career satisfaction, more interpersonal difficulty, greater need for social support, other related psychiatric conditions such as anxiety, and increased risk of suicide.4, 5

My Take

It should be noted that since this study was conducted four years ago, television viewing among teens has increased. Many now use it as a background medium while multitasking. Through multitasking, teens are now exposed to an average of 10.5 hours of media content per day – up TWO HOURS per day from an average of 8.5 hours when these researchers conducted their study.

To be sure, not all of those 10.5 hours are spent on television, but the trend is alarming – especially when you conider that internet addiction (IA) is also becoming a problem among teens and that IA has also been linked to depression. (See previous post.) This could help explain, in part, a 400% increase in the use of antidepressants reported by the CDC.

In my next post, I’ll explore the relationship between multitasking and depression.

_______________________________________

  1. Lopez AD, Mathers CD, Ezzati M, Jamison DT, Murray CJ. Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data. Lancet. 2006;367(9524):1747–1757. [PubMed]
  2. Blazer DG, Kessler RC, McGonagle KA, Swartz MS. The prevalence and distribution of major depression in a national community sample: the National Comorbidity Survey. Am J Psychiatry. 1994;151(7):979–986. [PubMed]
  3. Commission on Adolescent Depression and Bipolar Disorder . Depression and bipolar disorder. In: Evans DL, Foa EB, Gur RE, et al., editors. Treating and Preventing Adolescent Mental Health Disorders: What We Know and What We Don’t Know: A Research Agenda for Improving the Mental Health of Our Youth. Oxford University Press; New York, NY: 2005.
  4. Paradis AD, Reinherz HZ, Giaconia RM, Fitzmaurice G. Major depression in the transition to adulthood: the impact of active and past depression on young adult functioning. J Nerv Ment Dis. 2006;194(5):318–323. [PubMed]
  5. Reinherz HZ, Giaconia RM, Hauf AM, Wasserman MS, Silverman AB. Major depression in the transition to adulthood: risks and impairments. J Abnorm Psychol. 1999;108(3):500–510. [PubMed]

Internet addiction and depression

Posted on by
Reply

Is there a link between internet addiction and depression? I have often observed that Internet addicts seem less sociable than others – more focused on electronic interaction than physical interaction. I wonder if electronic interaction is somehow less satisfying emotionally and if that could contribute to depression.

The need for personal connection is one of our deepest needs. But connecting online lacks many of the elements that make physical interaction so satisfying. You can’t see people smile, shake their hands, or hug them. And you can’t smell the cookies they baked for you. Electronic interaction lacks many of the positive aspects of physical interaction. It is better than nothing, but a poor surrogate for the real thing. The electronic interaction, while good in itself, underscores physical disconnectedness.

Recently, I came across articles on two trend studies that brought this issue into focus.

  • The CDC’s National Center for Health Statistics reported a 400% increase in the use of anti-depressant drugs in the period between 1988-94 and 2005-08.
  • The Pew Foundation reported exponential growth in Internet social networking during the latter period. See chart below.

Social networking site use by age group

So I looked for research to see if these two things were, in fact, related.

In 2010, the journal Psychopathology published a study called, “The Relationship between Excessive Internet Use and Depression: A Questionnaire-Based Study of 1,319 Young People and Adults” by C. M. Morrison and H. Gore from the University of Leeds in the UK.

The authors studied the link between Internet addiction (AI) and depression among 1,319 respondents. They found a close relationship between AI tendencies and depression, such that IA respondents were more depressed. Among their conclusions:

Those who regard themselves as dependent on the Internet report high levels of depressive symptoms. Those who show symptoms of IA are likely to engage proportionately more than the normal population in sites that serve as a replacement for real-life socialising.

“The internet now plays a huge part in modern life, but its benefits are accompanied by a darker side,” said lead author of the report Dr. Catriona Morrison. “There is a small subset of the population who find it hard to control how much time they spend online, to the point where it interferes with their daily activities.”

“Our research indicates that excessive internet use is associated with depression, but what we don’t know is which comes first – are depressed people drawn to the internet or does the internet cause depression? What is clear, is that for a small subset of people, excessive use of the internet could be a warning signal for depressive tendencies.”

In 2007, Psychopathology published another study called “Depression and Internet Addiction in Adolescents” by J.H. Ha, S.Y. Kim, S.C. Bae, H. Kim, M. Sim, and I.K. Lyoo, and S.C. Cho.

This group studied 452 Korean adolescents. First, they evaluated subjects for their severity of Internet addiction. Second, they investigated correlations between Internet addiction and depression, alcohol dependence and obsessive-compulsive symptoms. They also found that Internet addiction was significantly associated with depressive symptoms and obsessive-compulsive symptoms. Their data suggests the need to evaluate underlying depression in the treatment of Internet-addicted adolescents.

This year, Psyopathology also published another study on the subject. It was a survey of previously published academic research called, “The Association between Pathological Internet Use and Comorbid Psychopathology: A Systematic Review.” The authors of this study were: V. Carli, T. Durkee, D. Wasserman, G. Hadlaczky, R. Despalins, E. Kramarz, C. Wasserman, M. Sarchiapone, C.W. Hoven, R Brunner and M. Kaess.

They evaluated all of the studies about pathological Internet use (PIU) on MEDLINE, PsycARTICLES, PsychINFO, Global Health, and Web of Science. They found relationships to depression, anxiety, symptoms of attention deficit and hyperactivity disorder (ADHD), obsessive-compulsive symptoms, and hostility/aggression.

The majority of research was conducted in Asia. Of the twenty articles they reviewed, 75% reported significant correlations of PIU with depression, 57% with anxiety, 100% with symptoms of ADHD, 60% with obsessive-compulsive symptoms, and 66% with hostility/aggression. The strongest correlations were observed between PIU and depression; the weakest was hostility/aggression.

 My Take

Could it be that lonely, depressed people self-medicate by socializing on the Internet to make themselves feel less lonely? In the end, do they only makes themselves more depressed by isolating themselves from family, friends and support networks?

The advertising industry trade journal Ad Age reports that:

Time spent with computers has tripled over the past decade among kids age 8 to 18. The bulk of this group’s time is spent on social media, followed by games, video sites and instant messaging. The average kid packs a total of 10 hours and 45 minutes worth of media content into a daily seven and a half hours of media exposure.

Facebook may be a great way to stay in touch with friends, but it’s not quite the same thing as a hug. An email to your brother or sister isn’t quite the same thing as having dinner with him or her. An online role playing game with someone in another state isn’t quite the same thing as a pickup game of basketball down at the local playground. Or playing catch with your dad. Or baking with your mom and watching the smiles as an apple pie comes out of the oven.

An electronic social life is at best a surrogate experience for personal connection. Just like the personal handwritten letters that people used to write, electronic interaction often results in bittersweet feelings: sweet because you’re connecting, bitter because you’re still apart.

This can lead to emotional burn out for Internet addicts. They find themselves going online more and more to get the same sense of connection they once felt. But the emotional mailbox is empty. The increased time they spend online simply underscores their separation from family and friends. Kind of depressing, huh? The answer may not be in pills. It may be in logging onto life.

“A rape for my appetizer, a mass murder for my entree and a nuclear crisis for dessert!”

Posted on by

shutterstock_83392015So whatever happened to the days when you could eat at a restaurant without a half dozen televisions distracting you. Last week, after getting up at 4 AM one day and working frantically to meet deadlines all morning, I lunched at an Asian restaurant. The food came with a heaping helping of CNN, Headline News, local news, ESPN, soap operas and more. As I waited for my order to arrive, the televisions bombarded me with stories about:

  • A mass shooting of school children
  • An ex-cop allegedly turned cop killer
  • A large increase in gun sales
  • The rape and slaying of a child
  • A serial arsonist
  • The North Korean nuclear threat
  • The Iranian nuclear threat
  • The War on Drugs
  • The War on Terror
  • The War on Afghanistan
  • Alleged sexual abuse by priests
  • The doping crisis in cycling
  • Brain injuries in football
  • An approaching asteroid big enough to wipe out all life on earth

With those, I had a side order of a Cialis commercial – “Just so I could be ready for the moment” when my main course arrived.  The main course was a flambé of “Johnny left Sally after Sally had Jimmy’s baby” on a soap opera.

Frankly, this menu of the world’s woes left me with a little heartburn. Instead of miso soup, I got my fill of misery. To cap off the experience, the Muzak was turned up so loud I could barely hear my luncheon partner. We were forced to  stare at a panoply of pain scrolling across screen after screen. I wonder if this is what it’s like to live inside a depressed person’s head – inescapable, recurring videos reminding you of pain everywhere you turn.

To google for answers! In 2012, the journal Cyberpsychology, Behavior, and Social Networking published a study called Media Multitasking Is Associated with Symptoms of Depression and Social Anxiety by Mark W. Becker, Ph.D., Reem Alzahabi, B.S., and Christopher J. Hopwood, Ph.D. from the Department of Psychology at Michigan State University.

The researchers found that media multitasking was associated with higher depression and social anxiety symptoms. They say:
“The unique association between media multitasking and these measures of psychosocial dysfunction suggests that the growing trend of multitasking with media may represent a unique risk factor for mental health problems related to mood and anxiety.”

The researchers noted that spending too much time in front of screens can mean less time spent on social activities when people deal with each other face to face. (See Rick Janacek’s post yesterday, “Texting: The Death of Conversation?”)

While the researchers found a high correlation between media multitasking and depression/anxiety, they did not determine whether multitasking caused the symptoms or whether already-depressed-and-anxious people were simply turning to multitasking for distraction.

How many people engage in media multitasking? A survey by Nielsen released in December of 2012 showed that 36 percent of those between 35 and 54 used a tablet while watching television, and that 44 percent of those between 55-64 did the same. Approximately 40 percent of Americans now use smartphones and tablets while watching TV. Tweeting about TV rose 29 percent in just the first six months of 2012.

In 2009, the Los Angeles Times reported on researchers at the University of Pittsburgh and Harvard Medical School who looked at the media habits of 4,142 healthy adolescents. They calculated that each additional hour of TV watched per day boosted the odds of becoming depressed by 8%. This is important because this age group spends on average more than 7 hours per day with media, and more than 10 hours per day when multitasking is factored in. The researchers described several possible explanations.

  • TV watching reduced time for organized after-school activities and other pursuits thought to reduce the risk of depression.
  • TV watching displaced sleep, an important factor in emotional growth.
  • Programs and ads may have made teens feel inadequate and stirred feelings of depression.
  • Exposure to violent, disturbing images may depress people.

This brings us back full circle to my lunch at the Asian restaurant in Houston. Researching this topic reminded me of a much different experience I had decades ago at a Japanese restaurant in Chicago called Azuma House. Upon entering Azuma House, one was greeted by the tranquil sounds of running water and a bamboo flute. You were then led to a private, quiet dining room and served by gracious hostesses in kimonos whose ritual bows made you feel like a king or queen. The atmosphere helped people connect with each other all night long as sumptuous course after course was served.

It was a welcome retreat from the pressures of the workaday world. My, how times have changed! It’s kind of depressing.