a The Media School , Indiana University, Bloomington , Bloomington , IN, USA.
J Health Commun. 2018;23(1):52-60. doi: 10.1080/10810730.2017.1411994. Epub 2017 Dec 18.
Depression accounts for nearly 400 million disability days per year, and has been identified as the definitive public health priority in the decades to come (Greenberg et al., 2015). Despite the passage of the 2008 Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act, which requires coverage of mental health services, behavioral health and substance-use disorders to be equal to physical health coverage, individuals face numerous barriers when seeking help for depression. This research tests whether changing the way stories frame depression affects how audience members attribute responsibility for depression and their intentions to participate in civic engagement activities supporting policy solutions. Findings from this study contradict earlier scholarship and have implications for how information about depression and policy solutions are framed for the public including how to develop health policy messaging when working with the news media. Suggestions for future research are included.
抑郁症每年导致近 4 亿残疾日,并且已经被确定为未来几十年的明确公共卫生重点(Greenberg 等人,2015 年)。尽管 2008 年的保罗·韦尔斯通和皮特·多梅尼奇心理健康平等和成瘾公平法案已经通过,要求精神健康服务、行为健康和药物使用障碍的覆盖范围与身体健康覆盖范围相等,但个人在寻求抑郁症治疗时面临着许多障碍。这项研究检验了改变故事框架抑郁症的方式是否会影响观众将抑郁症的责任归因以及他们参与支持政策解决方案的公民参与活动的意愿。这项研究的结果与早期的学术研究相悖,对如何为公众构建有关抑郁症和政策解决方案的信息具有启示意义,包括在与新闻媒体合作时制定卫生政策信息的方法。本研究还提出了一些未来研究的建议。