Woloshyn Vera, Savage Michael J
Brock University, Canada.
Digit Health. 2020 Jun 12;6:2055207620932336. doi: 10.1177/2055207620932336. eCollection 2020 Jan-Dec.
Many individuals use YouTube™ to seek out information and share first-hand experiences about mental illnesses, as well as to gain a sense of community. YouTube™ use may be especially appealing when offline supports are lacking or difficult to access, and when there is a fear of stigmatisation. Borderline personality disorder (BPD), also referred to as emotionally unstable personality disorder (EUPD), is a complex and often stigmatised mental-health disorder. The primary objective of this study was to describe the dominant messages that individuals who self-identify with the diagnosis of BPD present through YouTube™ videos.
The content analysis method was used to review 349 first-person YouTube™ uploads. Videos were coded for information regarding video and vlogger characteristics, video type, vlogger motivation and video content. Associations between video features including upload date and style and vlogger experience and motivation were examined.
Findings indicate that more people who self-identify as being diagnosed with BPD are creating YouTube™ videos about their experiences, and these videos have shifted over time from being mostly anonymous multimedia productions to being monologues where the vlogger speaks directly to their audience. Discussions related to DSM-5 symptoms, treatment, effective coping and hope for the future are elements found in the uploads.
The nature and content of BPD first-person YouTube™ uploads has increased and changed over time. Increased awareness of these changes may assist mental-health practitioners to support clients and direct them to explore uploads that offer hope and promote engagement in help-seeking and effective coping behaviours.
许多人使用YouTube™来寻找有关精神疾病的信息并分享第一手经验,以及获得一种社区感。当缺乏或难以获得线下支持,以及存在被污名化的恐惧时,使用YouTube™可能特别有吸引力。边缘型人格障碍(BPD),也被称为情绪不稳定人格障碍(EUPD),是一种复杂且常被污名化的心理健康障碍。本研究的主要目的是描述自我认同为BPD诊断的个体通过YouTube™视频呈现的主要信息。
采用内容分析法对349个第一人称的YouTube™上传视频进行审查。对视频和博主特征、视频类型、博主动机和视频内容等信息进行编码。研究了包括上传日期和风格在内的视频特征与博主经验和动机之间的关联。
研究结果表明,越来越多自我认同被诊断为BPD的人正在制作关于他们经历的YouTube™视频,并且这些视频随着时间的推移已从大多是匿名的多媒体作品转变为博主直接与观众对话的独白。上传内容中包含与《精神疾病诊断与统计手册》第五版(DSM-5)症状、治疗、有效应对以及对未来的希望相关的讨论。
BPD第一人称YouTube™上传视频的性质和内容随着时间的推移有所增加和变化。对这些变化的更多认识可能有助于心理健康从业者支持客户,并引导他们探索提供希望并促进寻求帮助和有效应对行为参与度的上传内容。