Measuring attitudes towards mental health using social media: investigating stigma and trivialisation.

Measuring attitudes towards mental health using social media: investigating stigma and trivialisation.
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DOI:
10.1007/s00127-018-1571-5
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发表时间:
2019-01
影响因子:
4.4
通讯作者:
Cella M
Cella M
中科院分区:
医学2区
文献类型:
--
作者:
Robinson P;Turk D;Jilka S;Cella M

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有许多针对心理健康耻辱的运动。然而,评估这些措施在改变观念方面的有效性是复杂的。社交媒体可用于评估耻辱程度并突出新趋势。这项研究使用社交媒体平台 Twitter 来调查一系列心理和身体健康状况下的污名化和轻视态度。使用自动化软件在 50 天内的 10 个 72 小时窗口中收集与 5 种心理健康状况和 5 种身体健康状况相关的推文(即消息)。考虑根据条件随机选择推文进行分析。推文根据其主题以及是否存在侮辱和轻视态度进行分类。对所有污名化和琐碎化的推文进行了定性主题分析。总共收集了 1,059,258 条推文,并从该样本中随机选择每种条件 1300 条推文进行分析。总体而言,与身体状况(分别为 8.1% 和 6.8%)相比,心理健康状况更容易受到污名化(12.9%)和轻视(14.3%)。在精神健康状况中,最受侮辱的疾病是精神分裂症(41%),而最受轻视的是强迫症(33%)。我们的研究结果表明,心理健康耻辱在社交媒体上很常见。琐碎化也很常见,这表明虽然社会可能更愿意讨论心理健康问题,但应注意确保讨论得当。这项研究进一步证明了社交媒体可用于衡量公众对心理健康状况的态度的潜力。
There are numerous campaigns targeting mental health stigma. However, evaluating how effective these are in changing perceptions is complex. Social media may be used to assess stigma levels and highlight new trends. This study uses a social media platform, Twitter, to investigate stigmatising and trivialising attitudes across a range of mental and physical health conditions. Tweets (i.e. messages) associated with five mental and five physical health conditions were collected in ten 72-h windows over a 50-day period using automated software. A random selection of tweets per condition was considered for the analyses. Tweets were categorised according to their topic and presence of stigmatising and trivialising attitudes. Qualitative thematic analysis was performed on all stigmatising and trivialising tweets. A total of 1,059,258 tweets were collected, and from this sample 1300 tweets per condition were randomly selected for analysis. Overall, mental health conditions were found to be more stigmatised (12.9%) and trivialised (14.3%) compared to physical conditions (8.1 and 6.8%, respectively). Amongst mental health conditions the most stigmatised condition was schizophrenia (41%) while the most trivialised was obsessive compulsive disorder (33%). Our findings show that mental health stigma is common on social media. Trivialisation is also common, suggesting that while society may be more open to discussing mental health problems, care should be taken to ensure this is done appropriately. This study further demonstrates the potential for social media to be used to measure the general public’s attitudes towards mental health conditions.
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