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dc.contributor.authorMetsaranta, Ken_US
dc.contributor.authorKurki, Men_US
dc.contributor.authorValimaki, Men_US
dc.contributor.authorAnttila, Men_US
dc.identifier.citationJournal of medical Internet research, 20 Feb. 2019, v. 21, no. 2, e11711, p. 1-10en_US
dc.description.abstractBackground: Depression in adolescence is common. Less than half of the adolescents with depression receive mental health care; furthermore, treatment tends to be suspended, and its success rates are low. There is a need for these adolescents to have a safe place to share their thoughts. Studies have shown that writing may be a useful treatment method for people with mental health problems.en_US
dc.description.abstractObjective: This study aims to describe the use of an electronic diary (e-diary) among adolescents with depressive symptoms.en_US
dc.description.abstractMethods: This paper describes a substudy of a randomized controlled trial. We used a mixed-methods approach to understand the way in which e-diaries were used by participants in the intervention under the randomized controlled trial. Data were collected during 2008-2010 at 2 university hospitals in Finland. Study participants (N=89) were 15-17-year-old adolescents who had been referred to an adolescent outpatient psychiatric clinic due to depressive symptoms. Participants were instructed to use the e-diary at least once a week to describe their thoughts, feelings, and moods. The content of the e-diary data was analyzed using descriptive statistics and inductive content analysis.en_US
dc.description.abstractResults: Overall, 53% (47/89) of the adolescents used the e-diary. Most of them (39/47, 83%) logged into the program during the first week, and about one-third (19/47, 40%) logged into the e-diary weekly as suggested. The number of words used in the e-diary per each log ranged between 8 and 1442 words. The 3 topics most often written about in the e-diary were related to mental health problems (mental disorder), social interaction (relationship), and one's own development (identity). Conclusions: An e-diary may be a usable tool to reflect experiences and thoughts, especially among adolescents who have signs of depression. The results of this study can be used to develop user-centered electronic health applications that allow users to express their own thoughts and experiences in ways other than systematic mood monitoring.en_US
dc.description.sponsorshipSchool of Nursingen_US
dc.publisherJMIR Publications, Inc.en_US
dc.relation.ispartofJournal of medical Internet researchen_US
dc.rights©Kiki Metsäranta, Marjo Kurki, Maritta Valimaki, Minna Anttila. Originally published in the Journal of Medical Internet Research (, 20.02.2019.en_US
dc.rightsThis is an open-access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on, as well as this copyright and license information must be included.en_US
dc.rightsThe following publication Metsäranta K, Kurki M, Valimaki M, Anttila M. How Do Adolescents Use Electronic Diaries? A Mixed-Methods Study Among Adolescents With Depressive Symptoms. J Med Internet Res 2019;21(2):e11711, 10 pages is available at
dc.subjectElectronic diaryen_US
dc.subjectMental healthen_US
dc.subjectMobile phoneen_US
dc.subjectOutpatient careen_US
dc.titleHow do adolescents use electronic diaries? A mixed-methods study among adolescents with depressive symptomsen_US
dc.typeJournal/Magazine Articleen_US
dc.description.validate201905 bcrc-
Appears in Collections:Journal/Magazine Article
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