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“破碎的灵魂”与“疯狂的斧头杀手”——德国媒体对抑郁和精神分裂症描述的 10 年变化。

'Broken souls' vs. 'mad ax man' - changes in the portrayal of depression and schizophrenia in the German media over 10 years.

机构信息

Department of Psychiatry and Psychotherapy, University of Leipzig Medical Centre, Leipzig, Germany.

Center for Public Mental Health, Gösing am Wagram, Gösing, Austria.

出版信息

Epidemiol Psychiatr Sci. 2024 Sep 18;33:e37. doi: 10.1017/S204579602400043X.

DOI:10.1017/S204579602400043X
PMID:39291371
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11450423/
Abstract

AIMS

Population studies show the stigma of depression to diminish, while the stigma of schizophrenia increases. To find out whether this widening gap is reflected in the media portrayal of both disorders, this study compares the portrayal of depression and schizophrenia in German print media in 2010 vs. 2020.

METHODS

We conducted a qualitative content analysis using a mixed deductive-inductive approach to establish a category system. In total, we analyzed 854 articles with the summative approach by Mayring.

RESULTS

The study found a widening gap in the portrayal of schizophrenia and depression in German media between 2010 and 2020. Schizophrenia was depicted increasingly negative between 2010 and 2020, covering more negative stereotypes and focusing on its biological causes. Depression received increased attention and more neutral and professional coverage, with a greater emphasis on psychosocial causes and discussion of treatment options.

CONCLUSIONS

By showing a widening gap the study highlights how media may shape public views on mental illnesses and reflects public attitudes at the same time. Media analyses from other nations have shown similar trends. This emphasizes the need for responsible reporting to combat stigma and promote understanding worldwide. Therefore, the authors recommend a balanced coverage that includes accurate professional information about all mental illnesses.

摘要

目的

人群研究表明,抑郁症的污名正在减轻,而精神分裂症的污名却在增加。为了了解这种差距的扩大是否反映在媒体对这两种疾病的描述中,本研究比较了 2010 年和 2020 年德国印刷媒体对抑郁症和精神分裂症的描述。

方法

我们采用混合演绎归纳法进行定性内容分析,以建立一个类别系统。我们总共使用迈林的总结法分析了 854 篇文章。

结果

研究发现,2010 年至 2020 年期间,德国媒体对精神分裂症和抑郁症的描述差距扩大。2010 年至 2020 年间,精神分裂症的描述越来越负面,涵盖了更多的负面刻板印象,并侧重于其生物学原因。抑郁症受到了更多的关注,报道更加中立和专业,更强调心理社会原因,并讨论了治疗选择。

结论

通过显示差距的扩大,该研究强调了媒体如何塑造公众对精神疾病的看法,并反映了公众的态度。来自其他国家的媒体分析也显示出了类似的趋势。这强调了需要进行负责任的报道,以在全球范围内消除污名化并促进理解。因此,作者建议进行平衡的报道,包括所有精神疾病的准确专业信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ce3/11450423/9e2ff63f85b4/S204579602400043X_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ce3/11450423/9e2ff63f85b4/S204579602400043X_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ce3/11450423/9e2ff63f85b4/S204579602400043X_fig1.jpg

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本文引用的文献

1
Changes in mental illness stigma over 30 years - Improvement, persistence, or deterioration?30 年来精神疾病污名的变化——改善、持续还是恶化?
Eur Psychiatry. 2022 Nov 4;65(1):e78. doi: 10.1192/j.eurpsy.2022.2337.
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Changes in continuum beliefs for depression and schizophrenia in the general population 2011-2020: a widening gap.2011 年至 2020 年一般人群中对抑郁症和精神分裂症的连续信念变化:差距扩大。
Soc Psychiatry Psychiatr Epidemiol. 2023 Jan;58(1):17-23. doi: 10.1007/s00127-022-02272-4. Epub 2022 Mar 19.
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Trends in Public Stigma of Mental Illness in the US, 1996-2018.
美国公众对精神疾病污名化的趋势,1996-2018 年。
JAMA Netw Open. 2021 Dec 1;4(12):e2140202. doi: 10.1001/jamanetworkopen.2021.40202.
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Mental disorders in the media: A retrospective study of newspaper coverage in the Chilean Press.媒体中的精神障碍:对智利报纸报道的回顾性研究。
Int J Soc Psychiatry. 2022 Nov;68(7):1351-1362. doi: 10.1177/00207640211023086. Epub 2021 Jul 13.
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Continuum beliefs and mental illness stigma: a systematic review and meta-analysis of correlation and intervention studies.连续体信念与精神疾病污名:相关性和干预研究的系统评价和荟萃分析。
Psychol Med. 2021 Apr;51(5):716-726. doi: 10.1017/S0033291721000854. Epub 2021 Apr 8.
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Improvement for most, but not all: changes in newspaper coverage of mental illness from 2008 to 2019 in England.改善大多数,但不是全部:2008 年至 2019 年英格兰报纸对精神疾病报道的变化。
Epidemiol Psychiatr Sci. 2020 Nov 5;29:e177. doi: 10.1017/S204579602000089X.
7
Icelandic inclusion, German hesitation and American fear: A cross-cultural comparison of mental-health stigma and the media.冰岛包容、德国犹豫、美国恐惧:心理健康污名化和媒体的跨文化比较。
Scand J Public Health. 2019 Mar;47(2):90-98. doi: 10.1177/1403494817750337. Epub 2018 Mar 30.
8
'People with Problems, Not Patients with Illnesses': Using Psychosocial Frameworks to Reduce the Stigma of Psychosis.“有问题的人,而非患病的病人”:运用社会心理框架减少对精神病的污名化
Isr J Psychiatry Relat Sci. 2017;54(1):24-28.
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Public discourse on mental health and psychiatry: Representations in Swedish newspapers.公众对心理健康和精神病学的讨论:瑞典报纸中的报道。
Health (London). 2018 May;22(3):298-314. doi: 10.1177/1363459317693405. Epub 2017 Apr 12.
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J Ment Health. 2017 Oct;26(5):426-430. doi: 10.1080/09638237.2016.1207231. Epub 2016 Nov 12.