JCNRJournal of Clinical and Nursing Research2208-36852208-3693Bio-Byword Scientific Publishing Pty. Ltd.10.26689/jcnr.v9i6.11050ArticleSocial Alienation in Adolescents with Depression from an Interaction Perspective: A Qualitative Researchhttps://artdesignp.com/journal/JCNR/9/6/10.26689/jcnr.v9i6.11050LiPeiqing,MiaoQunfang,NingHanyi,XuYijing2025962025-07-07Objective: This study aims to explore the experiences of social alienation among adolescents with depression, providing practical This study aims to explore the experiences of social alienation among adolescents with depression, providing practical guidance for improving their interpersonal relationships and facilitating their reintegration into society. Methods: This qualitative research was conducted following the conventional content analysis method. 20 adolescents with depression were employed to select from June to August 2024 for face-to-face semi-structured interviews. The collected data were analyzed using Colaizzi's seven-step method. Results: Three themes and eight sub-themes were analyzed and identified: individual level (feelings of helplessness and powerlessness, cognitive distortion, avoidance and withdrawal), family level (lack of family awareness, family conflict), social level (limitations of academic stress and social circle, lack and degradation of skills, generalization of virtual reality, social “stigma”). Conclusion: Adolescents with depression experience complex social alienation. Healthcare providers should enhance their self-awareness and social adaptation skills, improve family dynamics, and provide a comprehensive range of services and services to help them to cope with the challenges of depression. Healthcare providers should enhance their self-awareness and social adaptation skills, improve family dynamics, strengthen communication, bolster family support systems, and collaborate to develop comprehensive social networks and psychological services. This will create a supportive social atmosphere to help adolescents gradually alleviate their feelings of social alienation.

Singh S, Zaki R, Farid N, 2019, A Systematic Review of Depression Literacy: Knowledge, Help-Seeking and Stigmatising Attitudes Among Adolescents. Journal of Adolescence, 74(1): 154–172.

Shorey S, Ng E, Wong C, 2022, Global Prevalence of Depression and Elevated Depressive Symptoms Among Adolescents: A Systematic Review and Meta‐Analysis. British Journal of Clinical Psychology, 61(2): 287–305.

Fu X, Zhang K, 2023, Report on National Mental Health Development in China (2021–2022). Social Sciences Academic Press, China.

Calati R, Ferrari C, Brittner M, et al, 2019, Suicidal Thoughts and Behaviors and Social Isolation: A Narrative Review of the Literature. Journal of Affective Disorders, 245(15): 653–667.

Liang Y, Hao G, Wu M, et al., 2022, Social Isolation in Adults With Cancer: An Evolutionary Concept Analysis. Frontiers in Psychology, 13: 973640.

Zhang L, Zhang Y, 2015, A Review of Research on Social Alienation of Vulnerable Groups. Journal of Changchun University of Science and Technology, 28(6): 45–50.

Emond B, West R, 2003, Cyberpsychology: A Human-Interaction Perspective Based on Cognitive Modeling. CyberPsychology & Behavior, 6(5): 527–536.

Jiang L, Su Q, Zheng H, et al., 2024, Analysis of Social Alienation and Its Influencing Factors in Patients With Type 2 Diabetes. Chongqing Medical Journal, 53(7): 1115–1120.

Liu M, 2024, Analysis of the Current Situation and Influencing Factors of Social Alienation in Schizophrenia Patients. Modern Nurse, 31(7): 158–161.

Xu Y, Xie S, Lu Y, et al., 2024, Social Alienation and Its Influencing Factors Among Patients Undergoing Maintenance Hemodialysis. Journal of Nursing Science, 39(7): 86–90.

Liang Y, Lin Y, Huang L, et al., 2022, Research on Status and Influencing Factors of Social Alienation in Cervical Cancer Survivors. Journal of Nursing Science, 37(16): 64–67.

Ruan J, Zhou Y, 2018, Analysis of Nursing Literature Describing Qualitative Research in China. Chinese Journal of Practical Nursing, 34(24): 1911–1916.

Li F, Zhou Y, 2016, Analysis of Phenomenological Literature in Nursing in China. Chinese Journal of Nursing, 51(6): 765–768.

Xiong S, Chen F, Li X, 2023, Study on the Sense of Alienation and Influencing Factors in Adolescents With Depression. Journal of Clinical Psychiatry, 33(5): 381–383.

Liu M, 2019, Using an Example to Illustrate Colaizzi’s Phenomenological Data Analysis Method. Journal of Nursing Science, 34(11): 90–92.

Lopez K, Willis D, 2004, Descriptive Versus Interpretive Phenomenology: Their Contributions to Nursing Knowledge. Qualitative Health Research, 14(5): 726–735.

Lincoln Y, Guba E, 1985, Naturalistic Inquiry. Sage Publications, Newbury Park, California: 1–382.

Liu J, He X, Li S, et al., 2023, Social Avoidance and Adolescents’ Suicide Ideation: A Moderated Mediation Model. Studies of Psychology and Behavior, 21(5): 675–681.

Yang L, 2024, The Effect of Psychological Suggestion Therapy Combined With Cognitive-Behavioral Intervention on Cognitive Bias and Suicidal Ideation in Patients With Depression. The Medical Forum, 28(8): 118–121.

Li J, Huang Y, Ran M, et al., 2018, Community-Based Comprehensive Intervention for People With Schizophrenia in Guangzhou, China: Effects on Clinical Symptoms, Social Functioning, Internalized Stigma and Discrimination. Asian Journal of Psychiatry, 34: 21–30.

Zhu B, Wu H, Lv S, et al., 2024, Association Between Illness Perception and Social Alienation Among Maintenance Hemodialysis Patients: The Mediating Role of Fear of Progression. PLOS One, 19(4): e0301666.

Zhang B, 2019, Application of Group Psychological Nursing in Improving the Shame of Adolescent Schizophrenia Patients. Modern Nurse, 26(8): 88–90.

Lo TW, Chan GH, 2023, Understanding the Life Experiences of Elderly in Social Isolation From the Social Systems Perspective: Using Hong Kong as an Illustrating Example. Frontiers in Psychiatry, 14: 111413

Liu Q, Zhang L, Xia X, et al., 2023, The Influence of Social Alienation on Maintenance Hemodialysis Patients’ Coping Styles: Chain Mediating Effects of Family Resilience and Caregiver Burden. Frontiers in Psychiatry, 14: 1105334.

Li W, Tang Y, Cui Q, 2022, The Level and Factors Associated With Social Isolation Among Stable Schizophrenic Patients. Journal of Nursing Science, 37(9): 77–79.

Tan X, Wen L, Yang B, et al., 2018, Effects of a Group Self-Assertiveness Training Intervention on Stigma of Patients With Schizophrenia. Chinese Journal of Nursing, 53(10): 1168–1173.

Granrud M, Anderzèn-Carlsson A, Bisholt B, et al., 2019, Public Health Nurses’ Perceptions of Interprofessional Collaboration Related to Adolescents’ Mental Health Problems in Secondary Schools: A Phenomenographic Study. Journal of Clinical Nursing, 28(15–16): 2899–2910.

Qiao Y, Zhang Q, Cui W, et al., 2019, The Effect of Mental Health Education Diverse Family Therapy on Social and Family Functioning in Patients With Schizophrenia. China Journal of Health Psychology, 27(2): 165–169.

Kardefelt-Winther D, 2014, A Conceptual and Methodological Critique of Internet Addiction Research: Towards a Model of Compensatory Internet Use. Computers in Human Behavior, 31: 351–354.

Sun L, Luo C, Zhou Y, et al., 2019, The Correlation Between Depressive Symptoms and Internet Addiction Behavior Among Middle School Students in Shanghai. Chinese Journal of School Health, 40(3): 445–447.

Pan Y, Chen Y, Wei H, 2024, Value of Living Skill Training Combined With Emotional Skill Training in Preventing Non-Suicidal Self-Injury Behaviors and Improving Mobile Social Media Dependence in Adolescents With Depressive Disorder. Journal of Clinical Psychiatry, 34(4): 314–316.

Xiao K, 2022, The Influence of Adolescents’ Family Intimacy and Adaptability, Alienation on Internet Dependence, thesis, Inner Mongolia Normal University, 2022.

Peng Q, 2024, Research on the Influence of Cyber Violence on College Students’ Online Social Avoidance Behavior, thesis, Nanchang University.

Liang H, Yu H, Zhen C, 2024, The Relationship Between Peer Relationships and Academic Stress Among Primary and Secondary School Students: The Moderating Effect of Grade. Mental Health Education in Primary and Secondary School, 2024(26): 16–20.

Pan L, 2024, The Effects of Academic Stress on Adolescent Depression: The Moderating Role of Family Adversity and the Brain Structural Research, thesis, Shandong Normal University.

Wu Y, Yan Z, Fornah L, et al., 2023, The Mediation Effect of Social Support Between Stigma and Social Alienation in Patients With Stroke. Frontiers in Public Health, 11: 1290177.

Wu H, 2022, Research on the Experience of Family Stigma and Countermeasures for Patients With Severe Adolescent Mental Illness, thesis, East China University of Political Science and Law.