Evidence map›Paper›PMID 40693250›Full record

ArticleDigital health

Between support and strain: How do the illness narratives of patients with mental issues articulate the affordances of smartphones?

Zizhong Zhang, Qing Huang

Abstract read
In one paragraph

Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Zizhong ZhangCollege of Media and International Culture, Zhejiang University, Hangzhou, Zhejiang province, China.ORCID https://orcid.org/0000-0002-3768-670X
Qing HuangCollege of Media and International Culture, Zhejiang University, Hangzhou, Zhejiang province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study explores how smartphones are depicted in the illness narratives of patients with mental health issues, focusing on the roles smartphones play and their affordances within online depression communities. Methods: We analyzed discussions from an online depression group with over 60,000 members using Semantic Network Analysis (SNA) and Critical Discourse Analysis (CDA). Results: The study identified three key roles of smartphones-as information brokers, communication tools, and emotional valves-which correspond to affordances of visibility, connectivity, and persistence. These affordances both facilitate and constrain behaviors in illness narratives, revealing a double-edged sword effect where smartphones provide essential support and emotional relief but also exacerbate negative experiences such as anxiety and rumination. Conclusion: The findings bridge affordance theory and online narrative studies, deepening the understanding of media technologies' interplay with mental health. This study offers insights into how smartphone affordances shape lived experiences, contributing to the development of digital narrative therapy.

Indexed as

affordancecritical discourse analysisdepressionillness narrativessemantic network analysisSmartphone

Identifiers

PMID40693250
PMCPMC12277561

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.