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报纸对精神分裂症的报道:两个时间点上五家全国性报纸的内容分析

Newspaper reporting on schizophrenia: a content analysis of five national newspapers at two time points.

作者信息

Clement Sarah, Foster Nena

机构信息

Faculty of Health and Social Care, London South Bank University, 103 Borough Road, London, SE1 OAA, United Kingdom.

出版信息

Schizophr Res. 2008 Jan;98(1-3):178-83. doi: 10.1016/j.schres.2007.09.028. Epub 2007 Oct 24.

Abstract

AIM

This study aimed to assess change in the quality of reporting of schizophrenia in UK national daily newspapers, comparing 1996 with 2005.

METHODS

Five newspapers were searched using the PROQUEST database for articles published in 1996 or 2005 which contained the term 'schizo...'. 1196 articles were identified and rated against indicators of poor quality reporting. Derived from guidelines for media reporting on mental health the indicators were: metaphoric use of schizophrenia terms; use of stigmatising descriptors; use of equating descriptors; not including information putting the risk of violence into perspective in articles about violence; and use of the term 'release(d)' in articles about discharge from psychiatric hospital.

RESULTS

More recent year of publication was associated with a decrease in the odds of an article using a schizophrenia term metaphorically by a factor of 0.103 (95% CI 0.014-0.776), but this masked a pattern of decreasing use in broadsheets and increasing use in tabloids. The use of equating descriptors was significantly lower in 2005 in the univariate analysis (p<0.001), but this was no longer significant (p=0.558) when confounding variables were controlled for. There was no significant change in the use of stigmatising descriptors; the non-inclusion of information putting risk of violence into perspective, nor in the use of the term 'release(d)'.

CONCLUSIONS

There is little evidence that the quality of reporting of schizophrenia has changed over time. This suggests a need for the implementation of effective measures to bring newspaper reporting in line with current guidelines.

摘要

目的

本研究旨在评估英国全国性日报中精神分裂症报道质量的变化,对比1996年和2005年的情况。

方法

使用PROQUEST数据库搜索五份报纸,查找1996年或2005年发表的包含“精神分裂症……”一词的文章。共识别出1196篇文章,并根据质量差的报道指标进行评分。这些指标源自心理健康媒体报道指南,包括:精神分裂症术语的隐喻性使用;使用污名化描述词;使用等同性描述词;在关于暴力的文章中未纳入将暴力风险置于正确视角的信息;以及在关于从精神病院出院的文章中使用“释放”一词。

结果

较近期发表的文章中,使用精神分裂症术语进行隐喻的几率降低,系数为0.103(95%置信区间0.014 - 0.776),但这掩盖了大报中使用减少而小报中使用增加的模式。在单变量分析中,2005年等同性描述词的使用显著降低(p<0.001),但在控制混杂变量后不再显著(p = 0.558)。污名化描述词的使用、未纳入将暴力风险置于正确视角的信息以及“释放”一词的使用均无显著变化。

结论

几乎没有证据表明精神分裂症报道的质量随时间发生了变化。这表明需要采取有效措施,使报纸报道符合当前指南。

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