Association Between Social Networking Site Use Intensity and Depression Among Chinese Pregnant Women: Cross-sectional Study

BackgroundDespite extensive debates about the mental health impacts of the use of social networking sites (SNSs), including WeChat, the association and mechanisms between social interaction of WeChat use intensity and antenatal depression are unclear. ObjectiveWe...

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Main Authors: Rui Wang, Shengnan Cong, Lijuan Sha, Xiaoqing Sun, Rong Zhu, Jingyi Feng, Jianfang Wang, Xiaomei Tang, Dan Zhao, Qing Zhu, Xuemei Fan, Ziqi Ren, Aixia Zhang
Format: Article
Language:English
Published: JMIR Publications 2023-03-01
Series:Journal of Medical Internet Research
Online Access:https://www.jmir.org/2023/1/e41793
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author Rui Wang
Shengnan Cong
Lijuan Sha
Xiaoqing Sun
Rong Zhu
Jingyi Feng
Jianfang Wang
Xiaomei Tang
Dan Zhao
Qing Zhu
Xuemei Fan
Ziqi Ren
Aixia Zhang
author_facet Rui Wang
Shengnan Cong
Lijuan Sha
Xiaoqing Sun
Rong Zhu
Jingyi Feng
Jianfang Wang
Xiaomei Tang
Dan Zhao
Qing Zhu
Xuemei Fan
Ziqi Ren
Aixia Zhang
author_sort Rui Wang
collection DOAJ
description BackgroundDespite extensive debates about the mental health impacts of the use of social networking sites (SNSs), including WeChat, the association and mechanisms between social interaction of WeChat use intensity and antenatal depression are unclear. ObjectiveWe aimed to test the mediating roles of upward social comparison on social interaction of WeChat and rumination in the association between social interaction of WeChat use intensity and antenatal depression. MethodsA cross-sectional survey was conducted in four hospitals with the self-reported measures of social interaction of WeChat use intensity, upward social comparison on social interaction of WeChat, rumination, antenatal depression, and control variables. The mediation analysis was performed through Model 6 from the PROCESS macro 4.0 in SPSS 26. ResultsResults from 2661 participants showed that antenatal depression was unrelated to social interaction of WeChat use intensity (P=.54), but was significantly positively related to the attitude toward social interaction of WeChat (P=.01). The direct effect of attitude toward social interaction of WeChat use on antenatal depression was not statistically significant (β=–.03, P=.05). The results supported an indirect relationship between attitude toward social interaction of WeChat use and antenatal depression via (1) upward social comparison on social interaction of WeChat (indirect effect value=0.04, 95% CI 0.03 to 0.06); (2) rumination (indirect effect value=–0.02, 95% CI –0.04 to –0.01); and (3) upward social comparison on social interaction of WeChat and rumination in sequence (indirect effect value=0.07, 95% CI 0.06 to 0.08). ConclusionsOur findings highlight the necessity of focusing on attitudes toward SNS use, and the importance of upward social comparison and rumination in understanding the effect of SNS use on antenatal depression.
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spelling doaj.art-b68c7775d5f14fb78a740ba1980161a82023-08-28T23:46:20ZengJMIR PublicationsJournal of Medical Internet Research1438-88712023-03-0125e4179310.2196/41793Association Between Social Networking Site Use Intensity and Depression Among Chinese Pregnant Women: Cross-sectional StudyRui Wanghttps://orcid.org/0000-0002-2725-1999Shengnan Conghttps://orcid.org/0000-0002-3201-4656Lijuan Shahttps://orcid.org/0000-0002-6943-0506Xiaoqing Sunhttps://orcid.org/0000-0002-0786-8553Rong Zhuhttps://orcid.org/0000-0002-1263-6298Jingyi Fenghttps://orcid.org/0000-0001-6415-0911Jianfang Wanghttps://orcid.org/0000-0002-2394-6224Xiaomei Tanghttps://orcid.org/0000-0001-5914-4373Dan Zhaohttps://orcid.org/0000-0002-7073-4347Qing Zhuhttps://orcid.org/0000-0003-1842-1068Xuemei Fanhttps://orcid.org/0000-0002-6963-1156Ziqi Renhttps://orcid.org/0000-0002-6390-2437Aixia Zhanghttps://orcid.org/0000-0002-1266-0925 BackgroundDespite extensive debates about the mental health impacts of the use of social networking sites (SNSs), including WeChat, the association and mechanisms between social interaction of WeChat use intensity and antenatal depression are unclear. ObjectiveWe aimed to test the mediating roles of upward social comparison on social interaction of WeChat and rumination in the association between social interaction of WeChat use intensity and antenatal depression. MethodsA cross-sectional survey was conducted in four hospitals with the self-reported measures of social interaction of WeChat use intensity, upward social comparison on social interaction of WeChat, rumination, antenatal depression, and control variables. The mediation analysis was performed through Model 6 from the PROCESS macro 4.0 in SPSS 26. ResultsResults from 2661 participants showed that antenatal depression was unrelated to social interaction of WeChat use intensity (P=.54), but was significantly positively related to the attitude toward social interaction of WeChat (P=.01). The direct effect of attitude toward social interaction of WeChat use on antenatal depression was not statistically significant (β=–.03, P=.05). The results supported an indirect relationship between attitude toward social interaction of WeChat use and antenatal depression via (1) upward social comparison on social interaction of WeChat (indirect effect value=0.04, 95% CI 0.03 to 0.06); (2) rumination (indirect effect value=–0.02, 95% CI –0.04 to –0.01); and (3) upward social comparison on social interaction of WeChat and rumination in sequence (indirect effect value=0.07, 95% CI 0.06 to 0.08). ConclusionsOur findings highlight the necessity of focusing on attitudes toward SNS use, and the importance of upward social comparison and rumination in understanding the effect of SNS use on antenatal depression.https://www.jmir.org/2023/1/e41793
spellingShingle Rui Wang
Shengnan Cong
Lijuan Sha
Xiaoqing Sun
Rong Zhu
Jingyi Feng
Jianfang Wang
Xiaomei Tang
Dan Zhao
Qing Zhu
Xuemei Fan
Ziqi Ren
Aixia Zhang
Association Between Social Networking Site Use Intensity and Depression Among Chinese Pregnant Women: Cross-sectional Study
Journal of Medical Internet Research
title Association Between Social Networking Site Use Intensity and Depression Among Chinese Pregnant Women: Cross-sectional Study
title_full Association Between Social Networking Site Use Intensity and Depression Among Chinese Pregnant Women: Cross-sectional Study
title_fullStr Association Between Social Networking Site Use Intensity and Depression Among Chinese Pregnant Women: Cross-sectional Study
title_full_unstemmed Association Between Social Networking Site Use Intensity and Depression Among Chinese Pregnant Women: Cross-sectional Study
title_short Association Between Social Networking Site Use Intensity and Depression Among Chinese Pregnant Women: Cross-sectional Study
title_sort association between social networking site use intensity and depression among chinese pregnant women cross sectional study
url https://www.jmir.org/2023/1/e41793
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