Rhydderch D, Krooupa A-M, Shefer G, Goulden R, Williams P, Thornicroft A, Rose D, Thornicroft G, Henderson C
Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
MRC-Epidemiology Unit, School of Clinical Studies, University of Cambridge, Cambridge, UK.
Acta Psychiatr Scand. 2016 Aug;134 Suppl 446(Suppl Suppl 446):45-52. doi: 10.1111/acps.12606.
This study evaluates English newspaper coverage of mental health topics between 2008 and 2014 to provide context for the concomitant improvement in public attitudes and seek evidence for changes in coverage.
Articles in 27 newspapers were retrieved using keyword searches on two randomly chosen days each month in 2008-2014, excluding 2012 due to restricted resources. Content analysis used a structured coding framework. Univariate logistic regression models were used to estimate the odds of each hypothesised element occurring each year compared to 2008.
There was a substantial increase in the number of articles covering mental health between 2008 and 2014. We found an increase in the proportion of antistigmatising articles which approached significance at P < 0.05 (OR = 1.21, P = 0.056). The decrease in stigmatising articles was not statistically significant (OR = 0.90, P = 0.312). There was a significant decrease in the proportion of articles featuring the stigmatising elements 'danger to others' and 'personal responsibility', and an increase in 'hopeless victim'. There was a significant proportionate increase in articles featuring the antistigmatising elements 'injustice' and 'stigma', but a decrease in 'sympathetic portrayal of people with mental illness'.
We found a decrease in articles promoting ideas about dangerousness or mental illness being self-inflicted, but an increase in articles portraying people as incapable. Yet, these findings were not consistent over time.
本研究评估2008年至2014年英文报纸对心理健康话题的报道情况，为公众态度的同步改善提供背景信息，并寻找报道变化的证据。
在2008 - 2014年每月随机选择的两天使用关键词搜索检索27家报纸上的文章，由于资源限制排除2012年。内容分析采用结构化编码框架。使用单变量逻辑回归模型估计与2008年相比每年每个假设元素出现的几率。
2008年至2014年期间，报道心理健康的文章数量大幅增加。我们发现反污名化文章的比例有所上升，在P < 0.05时接近显著水平（OR = 1.21，P = 0.056）。污名化文章的减少没有统计学意义（OR = 0.90，P = 0.312）。具有“对他人有危险”和“个人责任”等污名化元素的文章比例显著下降，而“绝望的受害者”相关文章有所增加。具有“不公正”和“污名”等反污名化元素的文章比例显著增加，但“对患有精神疾病者的同情描绘”相关文章减少。
我们发现宣扬危险性或精神疾病是自我造成的观念的文章有所减少，但将人们描绘为无能力的文章有所增加。然而，这些发现随时间并不一致。
