Stuart Heather
Department of Community Health and Epidemiology, Abramsky Hall, Queen's University, Kingston, ON K7L 3N6.
Can J Psychiatry. 2003 Nov;48(10):651-6. doi: 10.1177/070674370304801002.
To evaluate a media intervention designed to improve one newspaper's portrayal of mental illnesses, specifically, schizophrenia. The project was part of an international antistigma program, Open the Doors, organized by the World Psychiatric Association.
The media intervention attempted to influence news content directly by providing reporters with more accurate background information and helping them develop more positive story lines. The evaluation compared story content and length over a 24-month period: 8 months prior to the antistigma intervention and 16 months postintervention.
Positive stories outnumbered negative stories by a factor of 2 in both pre- and postperiods. Positive mental health stories increased by 33% in the postintervention period and their word count increased by an average of 25%. Stories about schizophrenia also increase by 33%, but their word count declined by 10%. At the same time, negative stories about mental illness increased by 25% and their word count by 100%. The greatest increase was in negative news about schizophrenia. Stigmatizing stories about schizophrenia increased by 46%, and their length increased from 300 to 1000 words per story per month.
The immediate effects of the media intervention were positive, resulting in more and longer positive news stories about mental illness and more positive news stories about schizophrenia. However, when considered from a broader perspective, locally focused efforts yielded meager results in light of the larger increases in negative news, particularly in negative news concerning people with schizophrenia--the target group for the program.
评估一项旨在改善一家报纸对精神疾病（特别是精神分裂症）描述的媒体干预措施。该项目是世界精神病学协会组织的国际反污名化项目“打开大门”的一部分。
媒体干预试图通过向记者提供更准确的背景信息并帮助他们构思更积极的故事情节来直接影响新闻内容。评估比较了24个月期间的新闻内容和篇幅：反污名化干预前8个月和干预后16个月。
在干预前后，正面报道的数量数量负面报道的数量比均为2比1。干预后时期，正面心理健康报道数量增加了33%，其字数平均增加了25%。关于精神分裂症的报道也增加了33%，但其字数减少了10%。与此同时，关于精神疾病的负面报道增加了25%，其字数增加了100%。增加最多的是关于精神分裂症的负面新闻。关于精神分裂症的污名化报道增加了46%，其篇幅从每月每篇300字增加到1000字。
媒体干预的直接效果是积极的，产生了更多、篇幅更长的关于精神疾病的正面新闻报道以及更多关于精神分裂症的正面新闻报道。然而，从更广泛的角度来看，鉴于负面新闻尤其是关于该项目目标群体精神分裂症患者的负面新闻大幅增加，针对当地的努力收效甚微。
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