精神障碍的自我诊断:Reddit 上的态度定性研究。

IF 2.6 2区 医学 Q2 INFORMATION SCIENCE & LIBRARY SCIENCE
Rosie Underhill, Lucy Foulkes
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引用次数: 0

摘要

越来越多的人,尤其是青少年,被诊断出患有精神疾病,这引起了人们的关注。然而,对这一现象的实证研究却很有限:为什么会出现这种现象,其代价和好处是什么,以及对正在经历痛苦的人有什么影响。为了解决这个问题,本研究采用了反思性主题分析法来探讨讨论网站 Reddit 上人们对精神障碍自我诊断的态度。从 1195 条用户评论中,我们发现了五个主题:(1)谁是诊断专家的问题很紧张;(2)自我诊断是在一个难以接近的系统中实现自我理解的途径;(3)社交媒体上的青少年才是问题所在;(4)自我诊断可能成为自我实现,以及(5)现在没有人被相信。总之,这些主题突出表明,人们对自我诊断为精神障碍的人相当愤怒、嘲弄和批评,尤其是对在社交媒体上或通过社交媒体进行自我诊断的青少年。这些发现对于理解如何支持和肯定那些(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,具有重要的意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Self-Diagnosis of Mental Disorders: A Qualitative Study of Attitudes on Reddit.

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) There is tension over who is the expert in diagnosis; (2) Self-diagnosis is a route to self-understanding in an inaccessible system; (3) Teenagers on social media are the problem; (4) Self-diagnosis can become self-fulfilling, and (5) Now no one is believed. 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.

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来源期刊
CiteScore
6.80
自引率
6.20%
发文量
109
期刊介绍: QUALITATIVE HEALTH RESEARCH is an international, interdisciplinary, refereed journal for the enhancement of health care and to further the development and understanding of qualitative research methods in health care settings. We welcome manuscripts in the following areas: the description and analysis of the illness experience, health and health-seeking behaviors, the experiences of caregivers, the sociocultural organization of health care, health care policy, and related topics. We also seek critical reviews and commentaries addressing conceptual, theoretical, methodological, and ethical issues pertaining to qualitative enquiry.
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