Online social networking in people with psychosis: A systematic review.
BACKGROUND
Online social networking might facilitate the establishment of social contacts for people with psychosis, who are often socially isolated by the symptoms and consequences of their disorder.


OBJECTIVE
We carried out a systematic review exploring available evidence on the use of online social networking in people with psychosis.


METHODS
The review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Included studies examined the use of the online social networking by people with an a priori diagnosis of psychosis (inclusive of bipolar disorder). Data from included studies were extracted and narratively synthesised.


RESULTS
A total of 11 studies, published between 2005 and 2013, reported data on online social networking in people with psychosis. People with psychosis seem to spend more time in chat rooms or playing online games than control groups. The use of other online tools, such as Facebook or communication through e-mail, is lower or the same than controls. Online social networking was used by patients with psychosis for establishing new relationships, maintaining relationships/reconnecting with people and online peer support.


CONCLUSIONS
Online social networking, in the form of forums or online chats, could play a role in strategies aimed at enhancing social networks and reduce the risk of isolation in this population.
Unit for Social and Community Psychiatry (World Health Organization Collaborating Centre for Mental Health Services Development), Newham Centre for Mental Health, Queen Mary University of London, London, UK.
Elizabeth
E
Highton-Williamson
Unit for Social and Community Psychiatry (World Health Organization Collaborating Centre for Mental Health Services Development), Newham Centre for Mental Health, Queen Mary University of London, London, UK.
Stefan
S
Priebe
Unit for Social and Community Psychiatry (World Health Organization Collaborating Centre for Mental Health Services Development), Newham Centre for Mental Health, Queen Mary University of London, London, UK d.giacco@qmul.ac.uk.
Domenico
D
Giacco
D001714:Bipolar Disorder; D006801:Humans; D020407:Internet / Q000706:statistics & numerical data*; D011618:Psychotic Disorders; D012934:Social Isolation; D060756:Social Networking; D012944:Social Support
Psychosis; bipolar disorder; computer-based communications; schizophrenia; social networking