» Articles » PMID: 36729571

The Empowering Role of Web-Based Help Seeking on Depressive Symptoms: Systematic Review and Meta-analysis

Overview
Publisher JMIR Publications
Date 2023 Feb 2
PMID 36729571
Authors
Affiliations
Soon will be listed here.
Abstract

Background: Most research on web-based help seeking for mental health problems has focused on the antecedents of this behavior. Therefore, little is known about the outcomes of web-based help seeking in general or in specific mental health issues.

Objective: This study was a systematic review and meta-analysis of the literature on the antecedents and consequences of web-based help-seeking behaviors for depressive symptoms.

Methods: A systematic literature search was carried out in 6 scientific databases, leading to 48 studies (for a total of 314,921 participants) included in the qualitative synthesis and 19 included in the meta-analysis.

Results: The results indicated a positive relationship between depressive symptoms and web-based help-seeking behaviors through online support groups (r=0.089; P=.009), and Generation Z (r=0.102; P=.008) tended to participate in support groups more than previous generations. In addition, web-based help seeking was positively related to empowerment (r=0.245; P=.004). Other forms of support reported included the internet and specific self-help tools, but no significant relationships were found with depressive symptoms.

Conclusions: More studies examining the outcomes are needed, together with a more rigorous assessment of web-based help-seeking behaviors. Ultimately, we propose a summary framework for the literature on this topic, including the antecedents, patterns of use, and outcomes of web-based help seeking in the context of depressive symptoms.

Citing Articles

Clusters of Patient Empowerment and Mental Health Literacy Differentiate Professional Help-Seeking Attitudes in Online Mental Health Communities Users.

Bizzotto N, de Bruijn G, Schulz P Health Expect. 2025; 28(1):e70153.

PMID: 39815681 PMC: 11735741. DOI: 10.1111/hex.70153.


The Impact of Linguistic Signals on Cognitive Change in Support Seekers in Online Mental Health Communities: Text Analysis and Empirical Study.

Li M, Gu D, Li R, Gu Y, Liu H, Su K J Med Internet Res. 2025; 27:e60292.

PMID: 39808783 PMC: 11775492. DOI: 10.2196/60292.


Facebook Groups for Multiracial People: A Latent Profile Analysis Reveals Unique User Subtypes and Links with Depressive Symptoms.

Godard R, Holtzman S Affect Sci. 2024; 5(4):468-476.

PMID: 39649456 PMC: 11624174. DOI: 10.1007/s42761-024-00268-8.


Navigating online health information: Insights into consumer influence and decision-making strategies-An overview of reviews.

Crespo-Gonzalez C, Benrimoj S, Frommer M, Dineen-Griffin S Digit Health. 2024; 10:20552076241286815.

PMID: 39493637 PMC: 11528751. DOI: 10.1177/20552076241286815.


The "Loci" of Misinformation and Its Correction in Peer- and Expert-Led Online Communities for Mental Health: Content Analysis.

Bizzotto N, Schulz P, de Bruijn G J Med Internet Res. 2023; 25:e44656.

PMID: 37721800 PMC: 10546261. DOI: 10.2196/44656.


References
1.
Moore D, Ayers S, Drey N . A Thematic Analysis of Stigma and Disclosure for Perinatal Depression on an Online Forum. JMIR Ment Health. 2016; 3(2):e18. PMC: 4909386. DOI: 10.2196/mental.5611. View

2.
Johansson V, Islind A, Lindroth T, Angenete E, Gellerstedt M . Online Communities as a Driver for Patient Empowerment: Systematic Review. J Med Internet Res. 2021; 23(2):e19910. PMC: 7902187. DOI: 10.2196/19910. View

3.
Nafradi L, Nakamoto K, Schulz P . Is patient empowerment the key to promote adherence? A systematic review of the relationship between self-efficacy, health locus of control and medication adherence. PLoS One. 2017; 12(10):e0186458. PMC: 5645121. DOI: 10.1371/journal.pone.0186458. View

4.
Shalaby R, Agyapong V . Peer Support in Mental Health: Literature Review. JMIR Ment Health. 2020; 7(6):e15572. PMC: 7312261. DOI: 10.2196/15572. View

5.
Han J, Hou J, Kim E, Gustafson D . Lurking as an active participation process: a longitudinal investigation of engagement with an online cancer support group. Health Commun. 2013; 29(9):911-23. PMC: 4469645. DOI: 10.1080/10410236.2013.816911. View