Public Health Masters Programme, School of Medicine, University of Limerick, Ireland.
Drug Deaddiction and Treatment Centre, Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Int J Soc Psychiatry. 2023 Dec;69(8):2097-2109. doi: 10.1177/00207640231190304. Epub 2023 Aug 31.
Emerging literature suggests the role of social media in substance use disorders (SUD). This study aimed to explore the content of YouTube videos for persons on SUD treatment/recovery, describing the users' exposure and engagement metrics and understanding viewers' perspectives.
We generated a set of 10 key phrases to search on YouTube. Eighty eligible videos were analyzed using a mixed-methods approach. Content analysis of all videos and thematic analysis of 30 videos were done using the three most viewed videos from each key phrase. The reliability of videos was assessed using a modified DISCERN. The total number of views, likes, dislikes, and comments were noted and created engagement metrics. The linguistic analysis of viewers' comments was done to assess their perspectives.
Sixty-three (78.8%) videos were from the US, and 59 (73.8%) were intended for persons or families with substance misuse. Persons in recovery uploaded 23 (28.7%) videos. We identified five themes - reasons for using drugs, symptoms of addiction, consequences of drug use, how to stop drug use, and expressed tone in the language. The positivity and relative positivity ratios were highest for videos developed by persons in recovery. There was a negative correlation between the relative positivity ratio and content fostering internalized stigma. Words with negative emotional experiences dominated the viewers' comments.
YouTube content on SUD treatment and recovery is popular and revolves around the biopsychosocial understanding of addiction. There is an urgent need for a language policy and regulation of non-scientific content.
新兴文献表明社交媒体在物质使用障碍（SUD）中的作用。本研究旨在探索 SUD 治疗/康复者观看的 YouTube 视频内容，描述用户的曝光度和参与度指标，并了解观众的观点。
我们生成了一组 10 个用于在 YouTube 上搜索的关键词短语。使用混合方法对 80 个符合条件的视频进行分析。使用每个关键词短语中观看次数最多的 3 个视频对所有视频进行内容分析，并对 30 个视频进行主题分析。使用改良后的 DISCERN 评估视频的可靠性。记录总观看次数、点赞数、不喜欢数和评论数，并创建参与度指标。对观众评论进行语言分析，以评估他们的观点。
63 个（78.8%）视频来自美国，59 个（73.8%）视频针对有物质滥用问题的个人或家庭。23 个（28.7%）视频由康复者上传。我们确定了五个主题——使用药物的原因、成瘾症状、药物使用的后果、如何停止药物使用以及语言表达的语气。由康复者制作的视频的正性和相对正性比最高。相对正性比与强化内化污名化的内容之间存在负相关。观众评论中以表达负面情绪体验的词汇为主。
YouTube 上关于 SUD 治疗和康复的内容很受欢迎，围绕着对成瘾的生物心理社会理解展开。迫切需要制定语言政策和规范非科学内容。
