Jan-Are K. Johnsen

Social support in a wired world: Use of online mental health forums in Norway

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%) in the age range 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 discuss 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 service used. A clear majority want professionals to take an active role in these types of forum. Comments from respondents indicate that forums may have an empowering effect. We believe that online interaction can have unique benefits for people suffering from mental disorders. Professionals will need new knowledge and perceptions of their roles, and public authorities will have to decide their role in influencing the quality of services offered, and the social values conveyed, to those who seek help through the Internet.

Online group interaction and mental health: An analysis of three online discussion forums

The present study examined interactions on three Norwegian online discussion forums, and attempted to identify differences in interactions and plausible outcomes of thematically dissimilar forums. Four categories were applied to the forums in order to distinguish potentially constructive and destructive uses. Interaction along the constructive-destructive dimension was contingent upon the themes discussed, as well as the level and nature of professional involvement. Interaction adhering to a destructive dimension was identified only in relation to the forum for eating disorders. Discovering to what extent theme and professional involvement influence interactions in discussion forums might guide further professional involvement in online group settings and the design of appropriate online environments.

Why do blue-eyed men prefer women with the same eye color?

The human eye color blue reflects a simple, predictable, and reliable genetic mechanism of inheritance. Blue-eyed individuals represent a unique condition, as in their case there is always direct concordance between the genotype and phenotype. On the other hand, heterozygous brown-eyed individuals carry an allele that is not concordant with the observed eye color. Hence, eye color can provide a highly visible and salient cue to the child’s heredity. If men choose women with characteristics that promote the assurance of paternity, then blue-eyed men should prefer and feel more attracted towards women with blue eyes. To test these predictions, close-up photos of young women and adult men with either blue or brown eyes were rated for their attractiveness by young women and men observers with either blue or brown eyes (N=88). The eye color in the photographs of each model was manipulated so that a same face would be shown with either the natural eye color (e.g., blue) or with the other color (e.g., brown). Both blue-eyed and brown-eyed female participants showed no difference in their attractiveness ratings for male models of either eye color. Similarly, brown-eyed men showed no preference for either blue-eyed or brown-eyed female models. However, blue-eyed men rated as more attractive the blue-eyed women than the brown-eyed ones. We interpret the latter preference in terms of specific mate selective choice of blue-eyed men, reflecting strategies for reducing paternity uncertainty. In a second study, a group of young adults (N=443) of both sexes and different eye colors (blue, brown, and green) were asked to report the eye and hair color of their romantic partners. Their responses indicated the presence of assortative mating by eye color as well as, to a less degree, for hair color. Most importantly, blue-eyed male respondents were the group with the largest proportion of partners of same eye color. These findings 1) indicate that blue-eyed men do prefer women with the same eye color and 2) specifically suggest the presence of a male adaptation for the detection of extra-pair paternity based on eye color, as a phenotypically based assurance of paternity (i.e., when the father’s and offspring’s phenotypes match) as well as a defense against cuckoldry (i.e., when the phenotypes do not match).

Language use in an internet support group for smoking cessation: development of sense of community

The use of the internet for health purposes is increasing, as is the number of sites and online communities aimed at helping people to stop smoking. Some of the effects of online communities may be mediated through a sense of community. By using the computer-program Linguistic Inquiry and Word Count with a Norwegian dictionary, we investigated whether there was a development of sense of community in a forum related to a Norwegian smoking cessation intervention, by examining the use of self-referencing vs. collective referencing words. Data from a 4-year period, including in total 5242 web pages, were included. There was a significant increase in the use of collective words over time and a significant decrease in the use of self-referencing words. The increase in the use of collective words suggests that there appears to be a development of a sense of community in the forum over time. More research is needed to study the importance of an online sense of community.

Physician Response Time When Communicating With Patients Over the Internet

Background Patients want to use electronic communication to access health services more easily. Health authorities in several countries see this as a way to improve health care. Physicians appear to have conflicting opinions regarding the suitability of electronic communication in clinical settings. Objectives The aim of our study was to measure how long it actually takes physicians to answer questions from patients through an electronic communication channel, and whether some of the questions are especially time consuming. Methods We monitored electronic patient–physician communication. A total of 1113 messages from 14 participating physicians from 7 medical offices were analyzed. The length of questions and answers, and the time physicians spent answering the questions were recorded and analyzed. Results Physicians spent an average of 2.3 minutes (median 2 minutes) answering questions from patients. The patients’ questions had an average length of 507.1 characters (95% CI 487.4–526.9, SD 336.2), while physicians’ answers averaged 119.9 characters (95% CI 189.8–210.0, SD 172.6). The results show that the influence of patient question length on time spent responding was negligible. For the shortest 25% of the questions the answer time was 2.1 minutes (95% CI 1.9–2.3), while it was 2.4 minutes (95% CI 2.2–2.7) for the longest 25%. Even extremely long questions had a minimal impact on the time spent answering them. A threefold increase in question length from patients resulted in only an 18% increase in physician response time. Conclusions The study shows the potential clinical usefulness of electronic communication between patients and health care services by demonstrating the potential for saving time.

language of motivation and emotion in an internet support group for smoking cessation: explorative use of automated content analysis to measure regulatory focus

The present study describes a novel approach to the identification of the motivational processes in text data extracted from an Internet support group (ISG) for smoking cessation. Based on the previous findings that a “prevention” focus might be more relevant for maintaining behavior change, it was hypothesized that 1) language use (ie, the use of emotional words) signaling a “promotion” focus would be dominant in the initiating stages of the ISG, and 2) that the proportion of words signaling a prevention focus would increase over time. The data were collected from the ISG site, spanning 4 years of forum activity. The data were analyzed using the Linguistic Inquiry and Word Count application. The first hypothesis – of promotion focus dominance in the initiating stages – was not supported during year 1. However, for all the other years measured, the data showed that a prevention failure was more dominant compared with a promotion failure. The results indicate that content analysis could be used to investigate motivational and language-driven processes in ISGs. Understanding the interplay between self-regulation, lifestyle change, and modern communication channels could be of vital importance in providing the public with better health care services and interventions.

Dental anxiety: a comparison of students of dentistry, biology, and psychology

Introduction Dental anxiety is an important challenge for many patients and clinicians. It is thus of importance to know more about dental students’ own experiences with dental anxiety and their understanding of dental anxiety. The aim was to investigate differences in dental anxiety levels between dental students, psychology students, and biology students at a Norwegian university. Materials and methods A total of 510 students of dentistry, psychology, and biology at the University of Tromsø received a questionnaire consisting of the Modified Dental Anxiety Scale, demographic questions, and questions relating to their last visit to the dentist/dental hygienist; 169 students gave complete responses. Nonparametric tests were used to investigate differences between the student groups. Results The respondents were 78% female and 22% male; their mean age was 24 years. The dental students showed a significantly lower degree of dental anxiety than the psychology (P<0.001) and biology students (P<0.001). A significant decrease in dental anxiety levels was found between novice and experienced dentistry students (P<0.001). Discussion The dental students had less dental anxiety compared to psychology students and biology students. Experienced dental students also had less dental anxiety than novice dental students. This could indicate that the dentistry program structure at the university may influence dental anxiety levels. Conclusion Dental anxiety seemed to be less frequent in dentistry students compared to students of biology or clinical psychology. The practice-oriented dentistry education at the university might contribute to the differences in anxiety levels between new and experienced dentistry students.

Use of SMS in Office Environments

Investigations of Short Messaging System (SMS) or texting have been directed at private use and mostly the adolescent population. The present paper investigates SMS in a representative sample of office environments in a Scandinavian town. The results indicate that SMS messaging is not integrated into office work, that the messages are highly informal, mostly from the private sphere and from persons well known to the receiver. Different explanations of the infrequent use of SMS in the workplace, e.g. cost sharing between employer and employee, are proposed. One explanation ties the difference in popularity in the private and business spheres to technical aspects of the system and its user interface. This explanation is based upon the Gricean concept of conversational implicature and Clark’s concept of common ground and is elaborated at length. This explanation suggests that SMS is an inherently informal communication system, ill suited to the business domain.

Media Preferences in Scenarios Involving Relationship Closeness and Information Valence: Evidence of Strategic Self-Presentation and Sex Differences

The study investigated strategic self-presentation (relationship closeness, information valence, and sex) on hypothetical choice of media used. 145 participants (73 women, 72 men; M age = 22.3 yr.) were randomly assigned to experimental conditions where they indicated their preference for communicating with either a friend or a stranger using Short Messaging Service (SMS), e-mail, or telephone, compared to face-to-face. Information valence was manipulated as a within-subjects variable by scenarios where information was self-referential and either negative or positive. Preference to mediated channels in the two scenarios was measured as an average of self-reported scores on a scale from 1–5 where 3 indicated face-to-face communication. Relationship closeness and scenario affected media preferences. Participants had higher preference scores for mediated channels when communicating with strangers than with friends and when sharing self-referential and negative information. Only womens preferences appeared to be affected by the manipulation of relationship closeness.