Social Network & Media Effects on Mental Illness Stigma

描述(由申请人提供)：本修订申请响应了将精神健康服务研究与社会/行为科学(PA-99-073)相结合的呼吁，将媒体、偏见和社会接触理论的见解合并到一个模型中，该模型将社区接触详细描述为一个模型，该模型详细说明了社区和个人层面对精神病患者反应的影响。拟议的研究侧重于社区方面，探讨一种媒体(电视)和一种社会接触(个人接触)的性质和影响。我们提出了四个具体目标。首先，我们的目标是完善社区和个人层面对MI污名影响的跨学科理论框架(Aim I)第二，我们建议收集关于媒体信息、污名和社交网络联系的信息，方法是：a)对MI在一种媒体电视中的流行率、范围和性质(即，积极或消极)进行分类，使用内容分析方法分析七个市场(Aim Ila)9个频道1,640个电视小时的现有样本，以及b)采用调查研究方法，在具有代表性的地区样本(N=600)中测试MI污名相关性的系统模型，同时确定关键变量测量的有效性和可靠性，并为随后的实验检查确定受试者研究变量的基线水平(AIM LIB)。第三，我们建议经验性地考察MI患者正面和负面形象对个体的生理、认知、态度和情绪影响，并建立影响和生产特征之间的关系。我们使用实验方法和量身定制的分析技术来确定ILA编目的不同消息对社区个人(目标III，n=90)的影响的性质。第四，我们建议研究MI污名的改变是否以及如何受到MI正面和负面媒体形象的影响，以及这些影响是否被先前与MI患者的社交网络接触所缓和(目标IV)。这个最后阶段根据在I、II和III中收集的信息创建MI的负性和正性电视图像的合成，以开发和执行测试前和测试后的实验设计/分析(N=120)。

DESCRIPTION (provided by applicant): This revised application responds to calls to integrate mental health services research with social/behavioral science (PA-99-073) by merging insights from theories of media, prejudice, and social contact into a model which elaborates community contact into a model which elaborates community and individual-level influences on reactions to persons with mental illness (MI). The proposed study focuses on the community side, exploring the nature and influence of one type of media (television), and one type of social contact (personal contact). We propose four specific aims. First, we aim to refine an inter-disciplinary theoretical framework of the community and individual-level influences on MI stigma (Aim I) Second, we propose to collect information on media messages, stigma, and social network contact by a) cataloguing the prevalence, range and nature of messages (i.e., positive or negative) of MI in one medium, television, using content analysis methods to analyze an existing sample of 1,640 TV hours taped for 9 channels in seven markets (Aim Ila), and b) employing survey research methods, to test a systematic model of the correlates of MI stigma in a representative regional sample (N=600), simultaneously determining the validity and reliability of measures of crucial variables and establishing baseline levels on study variables among subjects for subsequent experimental examinations (Aim lib). Third, we propose to empirically examine the physiological, cognitive, attitudinal, and emotional impact of positive and negative images of persons with MI on individuals and to establish the relationships between impact and production features. We use experimental methods and tailored analytical techniques to ascertain the nature of the impact of different messages catalogued in Ila, on individuals from the community (Aim III, n=90). Fourth, we propose to examine if and how change in MI stigma is affected by exposure to a composite of positive and negative media images of MI, and if these effects are moderated by previous social network contact with persons with MI (Aim IV). This final stage creates a composite of negative and positive TV images of MI based on information collected in I, II and III to develop and carry out a pre- and post-test experimental design/analysis (N=120).