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Developmental Assets of Adolescents and Young Adults With Chronic Illness and Comorbid Depression: Qualitative Study Using YouTube
JMIR Mental Health ( IF 5.2 ) Pub Date : 2021-02-16 , DOI: 10.2196/23960
Katherine Zheng 1, 2 , Maureen George 2 , Eugene Roehlkepartain 3 , John Santelli 4 , Jean-Marie Bruzzese 2 , Arlene Smaldone 2
Affiliation  

Background: Developmental assets provide a framework for optimizing development among adolescents but have not been studied in adolescents with chronic illness and comorbid depression, which is a group at risk for poor health outcomes. YouTube postings provide valuable insights to understand this understudied population. Objective: This study aims to explore asset development from the perspectives of adolescents and young adults (AYAs) with chronic illness and comorbid depression. Methods: YouTube was searched using 12 chronic illnesses (eg, diabetes) coupled with “depression” as keywords. Videos were included if they were uploaded by AYAs aged between 11 and 29 years and discussed living with chronic illness and depression during adolescence. Video transcripts were coded deductively for 40 internal and external assets that constitute the Developmental Assets Framework. Categories not captured by deductive coding were identified using conventional content analysis. Categories and their respective assets were labeled as being discussed either negatively or positively. Results: In total, 31 videos from 16 AYAs met the inclusion criteria. A total of 7 asset categories, support, constructive use of time, boundaries and expectations (external assets), identity, commitment to learning, positive values, and social competence (internal assets), reflecting 25 (13 internal; 12 external) assets, were discussed. Internal assets, particularly relating to identity, were commonly discussed by AYAs either in a negative way or fluctuated between positive and negative perspectives. Conclusions: In this sample of AYAs with chronic illness and comorbid depression, internal assets were commonly discussed in a negative way. Future research is needed to better understand how assets develop and if the Developmental Assets Framework adequately represents the experiences of this population.

中文翻译:

患有慢性疾病和共病抑郁症的青少年和年轻人的发育资产:使用 YouTube 的定性研究

背景:发育资产提供了优化青少年发育的框架,但尚未在患有慢性疾病和共患抑郁症的青少年中进行研究,这是一个健康结果不佳的风险群体。YouTube 帖子提供了宝贵的见解,以了解这一未被充分研究的人群。目的:本研究旨在从患有慢性疾病和共病抑郁症的青少年和年轻成人 (AYA) 的角度探索资产发展。方法:使用 12 种慢性疾病(例如糖尿病)加上“抑郁症”作为关键字搜索 YouTube。如果视频由年龄在 11 至 29 岁之间的 AYA 上传并讨论了青春期患有慢性疾病和抑郁症的生活,则视频被包含在内。视频抄本针对构成发展资产框架的 40 项内部和外部资产进行了演绎编码。没有通过演绎编码捕获的类别使用传统的内容分析来识别。类别及其各自的资产被标记为正在讨论的负面或正面。结果:总共有来自 16 个 AYA 的 31 个视频符合纳入标准。共7个资产类别,支持、建设性地使用时间、边界和期望(外部资产)、身份、学习承诺、积极价值观和社会能力(内部资产),反映25项(13项内部资产;12项外部资产),进行了讨论。内部资产,特别是与身份相关的资产,通常被 AYA 以消极的方式讨论,或者在积极和消极的观点之间波动。结论:在这个患有慢性疾病和共病抑郁症的 AYA 样本中,内部资产通常以消极的方式讨论。未来的研究需要更好地了解资产是如何发展的,以及发展资产框架是否充分代表了这一群体的经历。
更新日期:2021-02-16
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