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[弗拉芒语报纸中注意力缺陷多动障碍和自闭症谱系障碍的结构污名化比较研究]

[A comparative study of the structural stigmatisation of ADHD and autism spectrum disorder in Flemish newspapers].

作者信息

Baeyens D, Moniquet A, Danckaerts M, van der Oord S

出版信息

Tijdschr Psychiatr. 2017;59(5):269-277.

PMID:28593620
Abstract

Children and adults with adhd and autism spectrum disorder (asd) often find themselves being stigmatised. There is ample evidence of public stigma, but much less is known about negative coverage in the media, a phenomenon that can be regarded as a form of structural stigma.
AIM: To explore the different types of structural stigma that characterise the coverage of adhd and asd in Flemish newspapers.
METHOD: We used the online databases of seven Flemish newspapers in order to select articles on adhd (n=772) and asd (n=1940) published between 2010 and 2014. We divided these articles into separate categories relating to the domain of coverage (e.g. symptomatology, epidemiology, medical treatment) and valence (i.e. positive, neutral and negative).
RESULTS: We found significantly more negative than neutral/positive coverage of adhd than of asd (or 2.1). This finding was most striking in the domains of symptomatology (or 8.42), diagnostics (or 2.28) and medical treatment (or 9.40). Furthermore, with respect to articles specifically on adhd, the title of the article was significantly more negative than the actual message in the main article itself (χ2(2)=22.454, p < 0.001).
CONCLUSION: These findings show that Flemish newspapers need to adjust and correct their negative and inaccurate portrayal of symptomatology, diagnostics and treatment of adhd and, to a lesser extent, of asd. Readers of these newspapers also need to be given a less negative impression of adhd and asd.

摘要

患有注意力缺陷多动障碍(ADHD)和自闭症谱系障碍(ASD)的儿童及成人常常发现自己受到污名化。有充分证据表明存在公众污名,但对于媒体的负面报道却知之甚少,而这种现象可被视为一种结构性污名。

目的

探讨佛兰芒语报纸对ADHD和ASD报道中存在的不同类型的结构性污名。

方法

我们使用了七家佛兰芒语报纸的在线数据库,以挑选出2010年至2014年间发表的关于ADHD(n = 772)和ASD(n = 1940)的文章。我们将这些文章按照报道领域(如症状学、流行病学、医学治疗)和效价(即正面、中性和负面)分为不同类别。

结果

我们发现,与ASD相比,报纸对ADHD的负面报道显著多于中性/正面报道(比例为2.1)。这一发现在症状学领域(比例为8.42)、诊断领域(比例为2.28)和医学治疗领域(比例为9.40)最为明显。此外,对于专门关于ADHD的文章,文章标题的负面程度显著高于正文本身的实际内容(χ2(2)=22.454,p < 0.001)。

结论

这些发现表明,佛兰芒语报纸需要调整并纠正其对ADHD以及在较小程度上对ASD的症状学、诊断和治疗的负面且不准确的描述。这些报纸的读者也需要对ADHD和ASD形成不那么负面的印象。

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