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Using ecological momentary assessment to determine media use by individuals with and without major depressive disorder

Primack, BA and Silk, JS and DeLozier, CR and Shadel, WG and Dillman Carpentier, FR and Dahl, RE and Switzer, GE (2011) Using ecological momentary assessment to determine media use by individuals with and without major depressive disorder. Archives of Pediatrics and Adolescent Medicine, 165 (4). 360 - 365. ISSN 1072-4710

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Objective: To use ecological momentary assessment techniques to measure the association of major depressive disorder (MDD) with media use. Design: Data were collected using an ecological momentary assessment protocol with cellular telephone - based brief interviews. Setting: Participants received as many as 60 telephone calls from a trained staff member during 5 extendedweekends in an 8-week period. Participants: One hundred six adolescent participants who were part of a larger neurobehavioral study of depression in Pittsburgh from January 1, 2003, through December 31, 2008. Main Exposure: At each call, participants were asked whether they were using the following 5 types of media: television or movies, music, video games, Internet, and print media, such as magazines, newspapers, and books. Main Outcome Measures: We developed multivariable models to determine the independent association of each type of media use with MDD, controlling for sociodemographic variables. Results: Of the 106 participants, 46 were diagnosed as having MDD. In multivariable models controlling for age, sex, and race, each increasing quartile of audio use was associated with an 80% increase in the odds of having MDD (odds ratio,1.8; 95% confidence interval, 1.1-2.8; P=.01 for trend). Conversely, each increasing quartile of print media use was associated with a 50% decrease in the odds of having MDD (odds ratio,0.5; 95% confidence interval, 0.3-0.9; P=.009 for trend). Conclusions: Major depressive disorder is positively associated with popular music exposure and negatively associated with reading print media such as books. Further research elucidating the directionality and strength of these relationships may help advance understanding of the relationships between media use and MDD. ©2011 American Medical Association. All rights reserved.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Primack, BAbprimack@pitt.eduBPRIMACK
Silk, JSjss4@pitt.eduJSS4
DeLozier, CR
Shadel, WGwgs1@pitt.eduWGS1
Dillman Carpentier, FR
Dahl, RE
Switzer, GEgswitzer@pitt.eduGSWITZER
Centers: Other Centers, Institutes, Offices, or Units > Center for Research on Media, Technology, and Health
Date: 1 April 2011
Date Type: Publication
Journal or Publication Title: Archives of Pediatrics and Adolescent Medicine
Volume: 165
Number: 4
Page Range: 360 - 365
DOI or Unique Handle: 10.1001/archpediatrics.2011.27
Schools and Programs: Dietrich School of Arts and Sciences > Psychology
School of Medicine > Medicine
School of Medicine > Psychiatry
School of Medicine > Pediatrics
Refereed: Yes
ISSN: 1072-4710
MeSH Headings: Adolescent; Adolescent Behavior--psychology; Case-Control Studies; Child; Child Behavior--psychology; Cohort Studies; Communications Media--utilization; Depressive Disorder, Major--epidemiology; Depressive Disorder, Major--psychology; Female; Health Surveys; Humans; Male; Risk Factors
Other ID: NLM NIHMS277337, NLM PMC3074228
PubMed Central ID: PMC3074228
PubMed ID: 21464384
Date Deposited: 28 Jul 2014 16:51
Last Modified: 02 Feb 2019 15:59


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