Mental health on the Internet: Online interaction patterns in mental health

The project investigated interaction patterns in Norwegian online discussion forums related to mental health. Two studies were performed. First, we explored differences between thematically distinct discussion forums. Second, we investigated the consequences of health-care professionals being involved in a discussion forum.

Project description

Possible differences between thematically different discussion forums were explored by content analysis. Some differences between the forums were found. It is argued that these differences are caused by both varying degrees of professional involvement in the forums, as well as the thematic difference. A higher incident of destructive interaction is found only in relation to the forum for eating disorders.

The study explored the use of the four major Norwegian mental health related online discussion forums: Who participate, why, and what implications usage may have. The objective was to provide a foundation for proposing relevant research questions and issues for public policy attention. A total of 492 responses to a web-based questionnaire were received and analysed.

A follow-up investigation looking more specifically at the influence health-care professionals have on the interaction in a discussion forum has also been performed.

Abstract from Nordic Journal of Psychiatry

This study explored the use of the four major Norwegian mental health related online discussion forums; who participate, why, and what implications use may have. The objective was to provide a basis for proposing relevant research questions and issues for public policy attention. A total of 492 responses to a web-based questionnaire were received. The respondents, predominantly women (78%) and in the age range of 18-35 years, found forum participation useful for information, and social contact and support. A majority (75%) found it easier to discuss personal problems online than face-to-face, and almost half say they discussed problems online that they do not discuss face-to-face. A majority would not have participated had they not had the option of using a pseudonym. Respondents perceive discussion groups as a supplement rather than a replacement of traditional mental health services, reporting no change in the amount or type of services used. A clear majority want professionals to take an active role in these types of forums. Comments from respondents indicate that forums may have an empowering effect. We think that online interaction can have unique benefits for persons suffering from mental disorders. Professionals will need new knowledge and perceptions of their roles. Public authorities will need to decide their role in influencing the quality of services offered, and the social values conveyed, to those who seek help through the Internet.

Project period

October 1999 - July 2000

Publications:

"Online group interaction and mental health: An analysis of three online discussion forums"
Johnsen, J. A., Rosenvinge, J. H. & Gammon D. Scandinavian Journal of psychology, 43, 445-449.

"Health-care professionals' participation in an online discussion forum: the impact on structure, content and interaction"
Johnsen, J-.A. K., Steinsvik, O. O., & Gammon, D. Journal of Technology in Human Services.

"Social support in a wired world: Use of mental health forums in Norway"
Kummervold, P. E./Gammon, D./Bergvik, S./Johnsen, J. A. K./Hasvold, T/Rosenvinge, J. (2002). Nordic Journal of Psychiatry, 56. s. 59-65.

Contact

Jan-Are Kolset Johnsen
Per Egil Kummervold

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