Finding Relevant Psychoeducation Content for Adolescents Experiencing Symptoms of Depression: Content Analysis of User-Generated Online Texts

BackgroundSymptoms of depression are frequent in youth and may develop into more severe mood disorders, suggesting interventions should take place during adolescence. However, young people tend not to share mental problems with friends, family, caregivers, or professionals. M...

Full description

Bibliographic Details
Main Authors: Kim K Dysthe, Ole R Haavet, Jan I Røssberg, Petter B Brandtzaeg, Asbjørn Følstad, Atle Klovning
Format: Article
Language:English
Published: JMIR Publications 2021-09-01
Series:Journal of Medical Internet Research
Online Access:https://www.jmir.org/2021/9/e28765
_version_ 1797735657543565312
author Kim K Dysthe
Ole R Haavet
Jan I Røssberg
Petter B Brandtzaeg
Asbjørn Følstad
Atle Klovning
author_facet Kim K Dysthe
Ole R Haavet
Jan I Røssberg
Petter B Brandtzaeg
Asbjørn Følstad
Atle Klovning
author_sort Kim K Dysthe
collection DOAJ
description BackgroundSymptoms of depression are frequent in youth and may develop into more severe mood disorders, suggesting interventions should take place during adolescence. However, young people tend not to share mental problems with friends, family, caregivers, or professionals. Many receive misleading information when searching the internet. Among several attempts to create mental health services for adolescents, technological information platforms based on psychoeducation show promising results. Such development rests on established theories and therapeutic models. To fulfill the therapeutic potential of psychoeducation in health technologies, we lack data-driven research on young peoples’ demand for information about depression. ObjectiveOur objective is to gain knowledge about what information is relevant to adolescents with symptoms of depression. From this knowledge, we can develop a population-specific psychoeducation for use in different technology platforms. MethodsWe conducted a qualitative, constructivist-oriented content analysis of questions submitted by adolescents aged 16-20 years to an online public information service. A sample of 100 posts containing questions on depression were randomly selected from a total of 870. For analysis, we developed an a priori codebook from the main information topics of existing psychoeducational programs on youth depression. The distribution of topic prevalence in the total volume of posts containing questions on depression was calculated. ResultsWith a 95% confidence level and a ±9.2% margin of error, the distribution analysis revealed the following categories to be the most prevalent among adolescents seeking advice about depression: self-management (33%, 61/180), etiology (20%, 36/180), and therapy (20%, 36/180). Self-management concerned subcategories on coping in general and how to open to friends, family, and caregivers. The therapy topic concerned therapy options, prognosis, where to seek help, and how to open up to a professional. We also found young people dichotomizing therapy and self-management as opposite entities. The etiology topic concerned stressors and risk factors. The diagnosis category was less frequently referred to (9%, 17/180). ConclusionsSelf-management, etiology, and therapy are the most prevalent categories among adolescents seeking advice about depression. Young people also dichotomize therapy and self-management as opposite entities. Future research should focus on measures to promote self-management, measures to stimulate expectations of self-efficacy, information about etiology, and information about diagnosis to improve self-monitoring skills, enhancing relapse prevention.
first_indexed 2024-03-12T13:02:12Z
format Article
id doaj.art-39492a952631498c9a6db86ff2726b4e
institution Directory Open Access Journal
issn 1438-8871
language English
last_indexed 2024-03-12T13:02:12Z
publishDate 2021-09-01
publisher JMIR Publications
record_format Article
series Journal of Medical Internet Research
spelling doaj.art-39492a952631498c9a6db86ff2726b4e2023-08-28T19:10:18ZengJMIR PublicationsJournal of Medical Internet Research1438-88712021-09-01239e2876510.2196/28765Finding Relevant Psychoeducation Content for Adolescents Experiencing Symptoms of Depression: Content Analysis of User-Generated Online TextsKim K Dysthehttps://orcid.org/0000-0001-9292-7986Ole R Haavethttps://orcid.org/0000-0002-6847-8727Jan I Røssberghttps://orcid.org/0000-0003-4115-9133Petter B Brandtzaeghttps://orcid.org/0000-0002-9010-0800Asbjørn Følstadhttps://orcid.org/0000-0003-2763-0996Atle Klovninghttps://orcid.org/0000-0002-2917-1845 BackgroundSymptoms of depression are frequent in youth and may develop into more severe mood disorders, suggesting interventions should take place during adolescence. However, young people tend not to share mental problems with friends, family, caregivers, or professionals. Many receive misleading information when searching the internet. Among several attempts to create mental health services for adolescents, technological information platforms based on psychoeducation show promising results. Such development rests on established theories and therapeutic models. To fulfill the therapeutic potential of psychoeducation in health technologies, we lack data-driven research on young peoples’ demand for information about depression. ObjectiveOur objective is to gain knowledge about what information is relevant to adolescents with symptoms of depression. From this knowledge, we can develop a population-specific psychoeducation for use in different technology platforms. MethodsWe conducted a qualitative, constructivist-oriented content analysis of questions submitted by adolescents aged 16-20 years to an online public information service. A sample of 100 posts containing questions on depression were randomly selected from a total of 870. For analysis, we developed an a priori codebook from the main information topics of existing psychoeducational programs on youth depression. The distribution of topic prevalence in the total volume of posts containing questions on depression was calculated. ResultsWith a 95% confidence level and a ±9.2% margin of error, the distribution analysis revealed the following categories to be the most prevalent among adolescents seeking advice about depression: self-management (33%, 61/180), etiology (20%, 36/180), and therapy (20%, 36/180). Self-management concerned subcategories on coping in general and how to open to friends, family, and caregivers. The therapy topic concerned therapy options, prognosis, where to seek help, and how to open up to a professional. We also found young people dichotomizing therapy and self-management as opposite entities. The etiology topic concerned stressors and risk factors. The diagnosis category was less frequently referred to (9%, 17/180). ConclusionsSelf-management, etiology, and therapy are the most prevalent categories among adolescents seeking advice about depression. Young people also dichotomize therapy and self-management as opposite entities. Future research should focus on measures to promote self-management, measures to stimulate expectations of self-efficacy, information about etiology, and information about diagnosis to improve self-monitoring skills, enhancing relapse prevention.https://www.jmir.org/2021/9/e28765
spellingShingle Kim K Dysthe
Ole R Haavet
Jan I Røssberg
Petter B Brandtzaeg
Asbjørn Følstad
Atle Klovning
Finding Relevant Psychoeducation Content for Adolescents Experiencing Symptoms of Depression: Content Analysis of User-Generated Online Texts
Journal of Medical Internet Research
title Finding Relevant Psychoeducation Content for Adolescents Experiencing Symptoms of Depression: Content Analysis of User-Generated Online Texts
title_full Finding Relevant Psychoeducation Content for Adolescents Experiencing Symptoms of Depression: Content Analysis of User-Generated Online Texts
title_fullStr Finding Relevant Psychoeducation Content for Adolescents Experiencing Symptoms of Depression: Content Analysis of User-Generated Online Texts
title_full_unstemmed Finding Relevant Psychoeducation Content for Adolescents Experiencing Symptoms of Depression: Content Analysis of User-Generated Online Texts
title_short Finding Relevant Psychoeducation Content for Adolescents Experiencing Symptoms of Depression: Content Analysis of User-Generated Online Texts
title_sort finding relevant psychoeducation content for adolescents experiencing symptoms of depression content analysis of user generated online texts
url https://www.jmir.org/2021/9/e28765
work_keys_str_mv AT kimkdysthe findingrelevantpsychoeducationcontentforadolescentsexperiencingsymptomsofdepressioncontentanalysisofusergeneratedonlinetexts
AT olerhaavet findingrelevantpsychoeducationcontentforadolescentsexperiencingsymptomsofdepressioncontentanalysisofusergeneratedonlinetexts
AT janirøssberg findingrelevantpsychoeducationcontentforadolescentsexperiencingsymptomsofdepressioncontentanalysisofusergeneratedonlinetexts
AT petterbbrandtzaeg findingrelevantpsychoeducationcontentforadolescentsexperiencingsymptomsofdepressioncontentanalysisofusergeneratedonlinetexts
AT asbjørnfølstad findingrelevantpsychoeducationcontentforadolescentsexperiencingsymptomsofdepressioncontentanalysisofusergeneratedonlinetexts
AT atleklovning findingrelevantpsychoeducationcontentforadolescentsexperiencingsymptomsofdepressioncontentanalysisofusergeneratedonlinetexts