Testing the effects of Facebook usage in an ethnically polarized setting.
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ABSTRACT:
SUBMITTER: Asimovic N
PROVIDER: S-EPMC8237683 | biostudies-literature |
REPOSITORIES: biostudies-literature
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Project description:Introduction:The present study investigated mechanisms that may contribute to the enhanced risk of narcissistic individuals to develop Facebook addiction. Methods:In a sample of 449 Facebook users (age: M(SD) = 31.07(9.52), range: 18-65) the personality trait narcissism, Facebook flow, intensity of Facebook use, and Facebook addiction were assessed by an online survey. Results:In a moderated mediation analysis, the positive relationship between narcissism and Facebook addiction was positively mediated by the level of flow experienced on Facebook. Intensity of Facebook use moderated the positive association between Facebook flow and Facebook addiction. Conclusions:Excessive Facebook use may cause psychological dependence. Narcissistic individuals are at enhanced risk for this form of dependence that is fostered by experience of flow during Facebook use and intensity of Facebook use. Current results should be taken into account, when assessing individuals at risk for pathological Facebook use and when planning specific interventions to deal with it.
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Project description:BackgroundLittle is known about the psychological outcomes of germline multigene panel testing, particularly among diverse patients and those with moderate-risk pathogenic variants (PVs).MethodsStudy participants (N = 1264) were counseled and tested with a 25- or 28-gene panel and completed a 3-month postresult survey including the Multidimensional Impact of Cancer Risk Assessment (MICRA).ResultsThe mean age was 52 years, 80% were female, and 70% had cancer; 45% were non-Hispanic White, 37% were Hispanic, 10% were Asian, 3% were Black, and 5% had another race/ethnicity. Approximately 28% had a high school education or less, and 23% were non-English-speaking. The genetic test results were as follows: 7% had a high-risk PV, 6% had a moderate-risk PV, 35% had a variant of uncertain significance (VUS), and 52% were negative. Most participants (92%) had a total MICRA score ≤ 38, which corresponded to a mean response of "never," "rarely," or only "sometimes" reacting negatively to results. A multivariate analysis found that mean total MICRA scores were significantly higher (more uncertainty/distress) among high- and moderate-risk PV carriers (29.7 and 24.8, respectively) than those with a VUS or negative results (17.4 and 16.1, respectively). Having cancer or less education was associated with a significantly higher total MICRA score; race/ethnicity was not associated with the total MICRA score. High- and moderate-risk PV carriers did not differ significantly from one another in the total MICRA score, uncertainty, distress, or positive experiences.ConclusionsIn a diverse population undergoing genetic counseling and multigene panel testing for hereditary cancer risk, the psychological response corresponded to test results and showed low distress and uncertainty. Further studies are needed to assess patient understanding and subsequent cancer screening among patients from diverse backgrounds.Lay summaryMultigene panel tests for hereditary cancer have become widespread despite concerns about adverse psychological reactions among carriers of moderate-risk pathogenic variants (mutations) and among carriers of variants of uncertain significance. This large study of an ethnically and economically diverse cohort of patients undergoing panel testing found that 92% "never," "rarely," or only "sometimes" reacted negatively to results. Somewhat higher uncertainty and distress were identified among carriers of high- and moderate-risk pathogenic variants, and lower levels were identified among those with a variant of uncertain significance or a negative result. Although the psychological response corresponded to risk, reactions to testing were favorable, regardless of results.
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