SN  Vol.3 No.4 , July 2014
Facebook and Diagnosis of Depression: A Mixed Methods Study
Abstract: A mixed-methods research design was employed to investigate the association between depression and Facebook use. An online questionnaire was completed by 135 participants from a medium-sized Australian university. Follow-up semi-structured interviews were conducted with 4 of 10 participants who volunteered to be interviewed. Although 25% of students were identified as at-risk for depression, quantitative analyses revealed no significant differences in Facebook use for at-risk versus not at-risk participants. None of the 5 at-risk students who volunteered to be interviewed actually responded to repeated attempts to make an interview time, whereas 4/5 not-at-risk students were interviewed. Notably, discrepancies in Facebook use reported in self- report questionnaire and interview data were revealed, which have implications for researchers when interpreting self-report Facebook usage data.
Cite this paper: Skues, J. , Banagan, R. and Wise, L. (2014) Facebook and Diagnosis of Depression: A Mixed Methods Study. Social Networking, 3, 187-195. doi: 10.4236/sn.2014.34023.

[1]   Field, T., Diego, M., Pelaez, M., et al. (2012) Depression and Related Problems in University Students. College Student Journal, 46, 193-202.

[2]   Hunt, J. and Eisenberg, D. (2010) Mental Health Problems and Help-Seeking Behavior among College Students. Journal of Adolescent Health, 46, 3-10.

[3]   Alloy, L.B., Abramson, L.Y., Smith, J.M., et al. (2006) Role of Parenting and Maltreatment Histories in Unipolar and Bipolar Mood Disorders: Mediation by Cognitive Vulnerability to Depression. Clinical Child and Family Psychology Review, 9, 23-64.

[4]   Andrews, B.M. and Wilding, J.M. (2004) The Relation of Depression and Anxiety to Life-Stress and Achievement in Students. British Journal of Psychology, 95, 509-521.

[5]   Bayram, N. and Bilgel, N. (2008) The Prevalence and Socio-Demographic Correlations of Depression, Anxiety and Stress among a Group of University Students. Social Psychiatry and Psychiatric Epidemiology, 43, 667-672.

[6]   Bitsika, V., Sharpley, C.F. and Hartley, L. (2010) The Specific Environmental Antecedents of Anxiety and Depression among Australian University Students: Development of the Effects of University Study on Lifestyle Questionnaire. The International Journal of Educational and Psychological Assessment, 42, 2-18.

[7]   Khawaja, N.G. and Duncanson, K. (2008) Using the University Student Depression Inventory to Investigate the Effect of Demographic Variables on Students’ Depression. Australian Journal of Guidance and Counselling, 18, 195-209.

[8]   Steptoe, A., Tsuda, A., Tanaka, Y. and Wardle, J. (2007) Depressive Symptoms, Socio-Economic Background, Sense of Control, and Cultural Factors in University Students from 23 Countries. International Journal of Behavioral Medi- cine, 14, 97-107.

[9]   Vázquez, F. and Blanco, V. (2008) Prevalence of DSM-IV Major Depression among Spanish University Students. The Journal of American College Health, 57, 165-172.

[10]   Deroma, V.M., Leach, J.B. and Leverett, J.P. (2009) The Relationship between Depression and College Academic Performance. College Student Journal, 43, 325-334.

[11]   Keyes, C.S., Eisenberg, D., Perry, G.S., et al. (2012) The Relationship of Level of Positive Mental Health with Current Mental Disorders in Predicting Suicidal Behavior and Academic Impairment in College Students. The Journal of American College Health, 60, 126-133.

[12]   Liem, J., Lustig, K. and Dillon, C. (2010) Depressive Symptoms and Life Satisfaction among Emerging Adults: A Comparison of High School Dropouts and Graduates. Journal of Adult Development, 17, 33-43.

[13]   Monahan, C.J., Bracken-Minor, K.L., McCausland, C.M., et al. (2012) Health-Related Quality of Life among Heavy- Drinking College Students. American Journal of Health Behavior, 36, 289-299.

[14]   Gollust, S., Eisenberg, D. and Golberstein, E. (2008) Prevalence and Correlates of Self-Injury among University Stu- dents. The Journal of American College Health, 56, 491-498.

[15]   Garlow, S.J., Rosenberg, J., Moore, J.D., et al. (2008) Depression, Desperation, and Suicidal Ideation in College Stu- dents: Results from the American Foundation for Suicide Prevention College Screening Project at Emory University. Depression and Anxiety, 25, 482-488.

[16]   Cheung, C.M.K., Chiu, P. and Lee, M.K.O. (2010) Online Social Networks: Why Do Students Use Facebook? Computers in Human Behaviour, 27, 1337-1343.

[17]   Pempek, T.A., Yermolayeva, Y.A. and Calvert, S.L. (2009) College Students’ Social Networking Experiences on Facebook. Journal of Applied Developmental Psychology, 30, 227-238.

[18]   Amichai-Hamburger, Y. and Ben-Artzi, E. (2003) Loneliness and Internet Use. Computers in Human Behaviour, 19, 71-80.

[19]   Correa, T., Willard Hinsley, A. and de Zuniga, H.G. (2010) Who Interacts on the Web? The Intersection of Users’ Personality and Social Media Use. Computers in Human Behaviour, 26, 247-253.

[20]   Ross, C., Orr, E.S., Sisic, M., et al. (2009) Personality and Motivations Associated with Facebook Use. Computers in Human Behaviour, 25, 578-586.

[21]   Ryan, T. and Xenos, S. (2011) Who Use Facebook? An Investigation into the Relationship between the “Big Five”, Shyness, Narcissism, Loneliness, and Facebook Usage. Computers in Human Behaviour, 27, 1658-1664.

[22]   Wilson, K., Fornasier, S. and White, K.M. (2010) Psychological Predictors of Young Adults’ Use of Social Networking Sites. Cyberpsychology, Behaviour and Social Networking, 13, 173-177.

[23]   Ellison, N.B., Steinfield, C. and Lampe, C. (2007) The Benefits of Facebook “Friends”: Social Capital and College Students Use of Online Social Network Sites. Journal of Computer-Mediated Communication, 12, 1143-1168.

[24]   Kalpidou, M., Costin, D. and Morris, J. (2011) The Relationship between Facebook and the Well-Being of Under-graduate College Students. Cyberpsychology, Behaviour and Social Networking, 14, 183-189.

[25]   Mehdizadeh, S. (2010) Self-Presentation 2.0: Narcissism and Self-Esteem on Facebook. Cyberpsychology, Behavior, and Social Networking, 13, 357-363.

[26]   Kraut, R., Patterson, M., Lundmark, V., et al. (1998) Internet Paradox: A Social Technology That Reduces Social In- volvement and Psychological Well-Being? American Psychologist, 53, 1017-1031.

[27]   Buffardi, L.E. and Campbell, W.K. (2008) Narcissism and Social Networking Sites. Personality and Social Psychology Bulletin, 34, 1303-1314.

[28]   Pantic, I., Damjanovic, A., Todorovic, J., et al. (2012) Association between Online Social Networking and Depression in High School Students: Behavioural Physiology Viewpoint. Psychiatria Danubina, 24, 90-93.

[29]   Rosen, L.D., Whaling, K., Rab, S., et al. (2013) Is Facebook Creating “iDisorders”? The Link between Clinical Symp- toms of Psychiatric Disorders and Technology Use, Attitudes and Anxiety. Computers in Human Behaviour, 29, 1243-1254.

[30]   Moreno, M., Jelenchick, L.A. and Egan, K.G. (2011) Feeling Bad on Facebook: Depression Disclosures by College Students on a Social Networking Site. Depress Anxiety, 28, 447-455.

[31]   Moreno, M.A., Christakis, D.A., Egan, K.G., Jelenchick, L.A., Cox, E., Young, H., Villiard, H. and Becker, T. (2012) A Pilot Evaluation of Associations between Displayed Depression References on Facebook and Self-Reported Depression Using a Clinical Scale. Journal of Behavioral Health Services & Research, 39, 295-304.

[32]   Association, A.P. (2000) Diagnostic and Statistical Manual of Mental Disorders. American Psychiatric Association, Washington DC.

[33]   Kline, T.J.B. (2005) Psychological Testing: A Practical Approach to Design and Evaluation. Sage Publications, Thousand Oaks, CA.

[34]   ObjectPlanet Inc. (2011) Opinio 6.5 [Computer Software]. Oslo.

[35]   Lovibond, P.F. and Lovibond, S.H. (1995) The Structure of Negative Emotional States: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33, 335-343.

[36]   Hanson, W.E., Creswell, J.W., Clark, V.L.P., Petska, K.S. and Creswell, J.D. (2005) Mixed Methods Research Designs in Counseling Psychology. Journal of Counseling Psychology, 52, 224-235.

[37]   Skues, J.L., Williams, B. and Wise, L. (2012) The Effects of Personality Traits, Self-Esteem, Loneliness, and Narcissism on Facebook Use among University Students. Computers in Human Behavior, 28, 2414-1419.

[38]   Coxe, S., West, S.G. and Aiken, L.S. (2009) The Analysis of Count Data: A Gentle Introduction to Poisson Regression and Its Alternatives. Journal of Personality Assessment, 91, 121-136.

[39]   Field, A. (2005) Discovering Statistics Using SPSS. 2nd Edition, Sage Publications, Thousand Oaks.

[40]   Braun, V. and Clarke, V. (2006) Using Thematic Analysis in Psychology. Qualitative Research in Psychology, 3, 77- 101.

[41]   Turner, J.C. (1982) Towards a Cognitive Redefinition of the Social Group. In: Tajfel, H., Ed., Social Identity and Intergroup Relations, Cambridge University Press, Cambridge, 15-40.

[42]   Christofides, E., Muise, A. and Desmarais, S. (2009) Information Disclosure and Control on Facebook: Are They Two Sides of the Same Coin or Two Different Processes? Cyberpsychology and Behaviour, 12, 341-345.