Mental Health Literacy: Impact of Newspaper Report on Increasing Recognition of Psychotic Prodrome

精神健康知識：報紙報導對於提高認識精神病前驅症狀之影響

劉震鐘(Chen-Chung Liu) ； 邱玉蟬(Yu-Chan Chiu) ； 丘彥南(Yen-Nan Chiu) ； 賴孟泉(Meng-Chuan Lai) ； 胡海國(Hai-Gwo Hwu)

《台灣精神醫學》 23卷4期 (2009/12) Pp. 320-330

https://doi.org/10.29478/TJP.200912.0008

摘要

Background: Two waves of newspaper report of cases depicting favorable outcomes of early identification and intervention of a schizophrenic prodrome were released to facilitate identification of subjects at risk of psychosis. Methods: This study is a naturalistic observation of subjects who made appointments to a special clinic for risk assessment during November 1, 2006 to December 31, 2007 of a teaching hospital in Taipei. Results: We found that after the first wave of news report, the number of new appointments per session was significantly increased from 2.3 to 4.3 (t=2.94, df=42, p=0.0053), and that after the second wave of news report, the number was also significantly increased (6.7 new appointments/session, t=4.93, df=42, p＜0.001). But the second wave subjects included fewer (37%) eligible for case recruitment compared to the first wave (67%) and comparison (57 %) (χ^2=8.17, p=0.017). The subjects after the second wave were found to be much younger than the first wave (19.5±3.9 vs. 22.1±4.2 years old; t=-2.77, df=75, p=0.007) and the comparison group (21±4.1; t=-2.04, df=129, p=0.043). Conclusion: Newspaper reports drew attention in the lay public and prompted them to seek for assessment, yet the impact was affected by the subtle differences in reporting. For a relatively uncommon and ill-defined clinical entity with the prodromal state of psychosis, we suggest that approaches using media report should be finely tuned to facilitate audience's self-identification and referral. This observation adds information in understanding mental health literacy in the public in Taiwan.

關鍵字

精神分裂症前驅症狀 ； 報紙報導 ； 影響 ； 精神健康知識

並列摘要

Background: Two waves of newspaper report of cases depicting favorable outcomes of early identification and intervention of a schizophrenic prodrome were released to facilitate identification of subjects at risk of psychosis. Methods: This study is a naturalistic observation of subjects who made appointments to a special clinic for risk assessment during November 1, 2006 to December 31, 2007 of a teaching hospital in Taipei. Results: We found that after the first wave of news report, the number of new appointments per session was significantly increased from 2.3 to 4.3 (t=2.94, df=42, p=0.0053), and that after the second wave of news report, the number was also significantly increased (6.7 new appointments/session, t=4.93, df=42, p＜0.001). But the second wave subjects included fewer (37%) eligible for case recruitment compared to the first wave (67%) and comparison (57 %) (χ^2=8.17, p=0.017). The subjects after the second wave were found to be much younger than the first wave (19.5±3.9 vs. 22.1±4.2 years old; t=-2.77, df=75, p=0.007) and the comparison group (21±4.1; t=-2.04, df=129, p=0.043). Conclusion: Newspaper reports drew attention in the lay public and prompted them to seek for assessment, yet the impact was affected by the subtle differences in reporting. For a relatively uncommon and ill-defined clinical entity with the prodromal state of psychosis, we suggest that approaches using media report should be finely tuned to facilitate audience's self-identification and referral. This observation adds information in understanding mental health literacy in the public in Taiwan.

並列關鍵字

schizophrenic prodrome ； newspaper report ； impact ； mental health literacy

參考文獻

Chung KF,Chan JH(2004).Can a less pejorative Chinese translation for schizophrenia reduce stigma? A study of adolescents' attitudes toward people with schizophrenia.Psychiatry Clin Neurosci.58,507-515.

Clement S,Foster N(2008).Newspaper reporting on schizophrenia: a content analysis of five national newspapers at two time points.Schizophr Res.98,178-183.

Cornblatt B,Lencz T,Obuchowski M(2002).The schizophrenia prodrome: treatment and high-risk perspectives.Schizophr Res.54,177-186.

Cornblatt BA,Lencz T,Smith CW,Correll CU,Auther AM,Nakayama E(2003).The schizophrenia prodrome revisited: a neurodevelopmental perspective.Schizophr Bull.29,633-651.

Cougnard A,Salmi LR,Salamon R,Verdoux H.(2005).A decision analysis model to assess the feasibility of the early detection of psychosis in the general population.Schizophr Res.74,27-36.