"I think people are powerful": The Sociality of Individuals Managing Depression

Proc ACM Hum Comput Interact. 2019 Nov;3(CSCW):41. doi: 10.1145/3359143. Epub 2019 Nov 7.

Abstract

Millions of Americans struggle with depression, a condition characterized by feelings of sadness and motivation loss. To understand how individuals managing depression conceptualize their self-management activities, we conducted visual elicitations and semi-structured interviews with 30 participants managing depression in a large city in the U.S. Midwest. Many depression support tools are focused on the individual user and do not often incorporate social features. However, our analysis showed the key importance of sociality for self-management of depression. We describe how individuals connect with specific others to achieve expected support and how these interactions are mediated through locations and communication channels. We discuss factors influencing participants' sociality including relationship roles and expectations, mood state and communication channels, location and privacy, and culture and society. We broaden our understanding of sociality in CSCW through discussing diffuse sociality (being proximate to others but not interacting directly) as an important activity to support depression self-management.

Keywords: Depression; communication channels; diffuse sociality; location; mental health support technology; relationship roles; self-management; sociality.