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精神障碍的自我诊断:对Reddit上态度的定性研究

Self-Diagnosis of Mental Disorders: A Qualitative Study of Attitudes on Reddit.

作者信息

Underhill Rosie, Foulkes Lucy

机构信息

Department of Experimental Psychology, University of Oxford, Oxford, UK.

出版信息

Qual Health Res. 2025 Jun;35(7):779-792. doi: 10.1177/10497323241288785. Epub 2024 Oct 18.

Abstract

There is concern that a growing number of individuals, especially adolescents, are diagnosing themselves with mental disorders. However, there has been limited empirical research into this phenomenon: why it might happen, what the costs and benefits might be, and what the implications are for anyone who is experiencing distress. To address this, this study used reflexive thematic analysis to explore attitudes toward self-diagnosis of mental disorders as expressed on the discussion website Reddit. From 1195 user comments, five themes were generated: (1) ; (2) ; (3) ; (4) , and (5) . Together, these themes highlight that there is considerable anger, derision, and criticism targeted toward people who self-diagnose with mental disorders, and that this is particularly targeted toward adolescents who self-diagnose on or as a result of social media. The findings have important implications for understanding how to support and validate people, particularly adolescents, who (sometimes accurately) use diagnostic language to express how they are feeling.

摘要

人们担心越来越多的人,尤其是青少年,正在自行诊断自己患有精神障碍。然而,对于这一现象的实证研究有限:它为什么会发生、可能的成本和收益是什么,以及对任何经历痛苦的人有什么影响。为了解决这个问题,本研究使用反思性主题分析来探索在讨论网站Reddit上表达的对精神障碍自我诊断的态度。从1195条用户评论中,产生了五个主题:(1);(2);(3);(4),以及(5)。这些主题共同凸显出,针对自行诊断患有精神障碍的人存在相当多的愤怒、嘲笑和批评,而且这尤其针对那些在社交媒体上自行诊断或因社交媒体而自行诊断的青少年。这些发现对于理解如何支持和认可那些(有时准确地)使用诊断性语言来表达自己感受的人,尤其是青少年,具有重要意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f254/12056264/8b128b23758d/10.1177_10497323241288785-fig1.jpg

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