Read John
The University of Auckland, Auckland, New Zealand.
Soc Sci Med. 2008 Jan;66(1):99-109. doi: 10.1016/j.socscimed.2007.07.027. Epub 2007 Sep 10.
To investigate differences in the content of websites funded, and not funded, by drug companies, the top 50 websites about 'schizophrenia' in Google and Yahoo were analysed in relation to five variables: three scales relating to causes, treatments and violence, and two categorical variables about the condition being extremely severe and about linking coming off medication to violence. Fifty eight percent of the websites analysed received funding from drug companies. Drug company funded websites were significantly more likely to espouse bio-genetic rather than psycho-social causal explanations, to emphasise medication rather than psycho-social treatments, to portray 'schizophrenia' as a debilitating, devastating and long-term illness, and to link violence to coming off medication. They were neither more nor less likely to describe 'schizophrenics' as violent. These results suggest that the documented influence of the pharmaceutical industry over research, professional organisations, teaching institutions, clinical practice and regulatory bodies may now extend to public promotion, via the internet, of perspectives conducive to maximisation of sales.
为调查由制药公司资助和未资助的网站内容差异，对谷歌和雅虎上排名前50的关于“精神分裂症”的网站进行了分析，涉及五个变量：与病因、治疗和暴力相关的三个量表，以及关于病情极其严重和将停药与暴力联系起来的两个分类变量。分析的网站中有58%接受了制药公司的资助。由制药公司资助的网站更有可能支持生物遗传学而非心理社会因果解释，强调药物治疗而非心理社会治疗，将“精神分裂症”描绘成一种使人衰弱、具有毁灭性且长期的疾病，并将暴力与停药联系起来。它们在将“精神分裂症患者”描述为暴力方面的可能性并无差异。这些结果表明，制药行业对研究、专业组织、教学机构、临床实践和监管机构的影响有据可查，现在可能通过互联网扩展到有利于销售最大化的观点的公众推广。
