Abstract：
There have been increasing calls for schizophrenia to be renamed to reduce negative associations with the diagnosis. \'Psychosis\' is one proposed alternative, yet some research suggests this has greater negative connotations. This study compared the use of both terms within UK newspapers longitudinally to assess which is more negatively portrayed in the media.
Using LexisLibrary News, six UK newspaper archives were searched for the terms \'schizophrenia\' and \'psychosis\' in articles published between 2000 and 2019; the included article total was n = 9802. Articles were analysed using Linguistic Inquiry and Word Count software.
A two-level multilevel model was created of newspaper articles nested within newspapers. Adding predictors revealed that diagnostic term was a significant predictor of the emotional tone of articles (β = -2.30, SE = 0.51, p < .001, 95 % CI -3.30 to -1.30), with \'psychosis\' having a more negative tone than \'schizophrenia.\' Tabloids were shown to have a significantly more negative tone than broadsheets (β = -9.32, SE = 1.04, p < .001, 95 % CI -11.36 to -7.28), and emotional tone of writing had become more negative over time (β = -0.26, SE = 0.04, p < .001, 95 % CI -0.34 to -0.18).
These findings suggest \'psychosis\' is associated with greater negativity than \'schizophrenia\' within UK newspapers, and may be a poor substitute term to reduce stigma. As article tone worsened for both diagnoses over time, increased stigma reduction campaigns are required to target negativity within the media.
Using LexisLibrary News, six UK newspaper archives were searched for the terms \'schizophrenia\' and \'psychosis\' in articles published between 2000 and 2019; the included article total was n = 9802. Articles were analysed using Linguistic Inquiry and Word Count software.
A two-level multilevel model was created of newspaper articles nested within newspapers. Adding predictors revealed that diagnostic term was a significant predictor of the emotional tone of articles (β = -2.30, SE = 0.51, p < .001, 95 % CI -3.30 to -1.30), with \'psychosis\' having a more negative tone than \'schizophrenia.\' Tabloids were shown to have a significantly more negative tone than broadsheets (β = -9.32, SE = 1.04, p < .001, 95 % CI -11.36 to -7.28), and emotional tone of writing had become more negative over time (β = -0.26, SE = 0.04, p < .001, 95 % CI -0.34 to -0.18).
These findings suggest \'psychosis\' is associated with greater negativity than \'schizophrenia\' within UK newspapers, and may be a poor substitute term to reduce stigma. As article tone worsened for both diagnoses over time, increased stigma reduction campaigns are required to target negativity within the media.
摘要：
背景：越来越多的人呼吁将精神分裂症改名以减少与诊断的负相关。“精神病”是一种提议的替代方案，然而，一些研究表明，这具有更大的负面含义。这项研究纵向比较了英国报纸中这两个术语的使用，以评估媒体对这两个术语的描述更为负面。
方法：使用LexisLibrary新闻，在2000年至2019年间发表的文章中，搜索了六份英国报纸档案中的术语“精神分裂症”和“精神病”;包括的文章总数为n=9802.使用语言查询和字数软件对文章进行分析。
结果：创建了嵌套在报纸中的报纸文章的两级多级模型。添加预测因子显示，诊断术语是文章情绪语气的重要预测因子（β=-2.30，SE=0.51，p<.001，95％CI-3.30至-1.30），“精神病”比“精神分裂症”更消极。与宽页相比，小报的负面色调明显更高（β=-9.32，SE=1.04，p<.001，95％CI-11.36至-7.28），随着时间的推移，写作的情绪语气变得更加消极(β=-0.26，SE=0.04，p<.001，95%CI-0.34至-0.18)。
结论：这些发现表明，在英国报纸中，“精神病”比“精神分裂症”与更大的消极情绪有关，并且可能是减少污名的不良替代术语。随着时间的推移，两种诊断的文章语气都恶化了，需要增加减少污名的运动，以针对媒体内部的消极情绪。
方法：使用LexisLibrary新闻，在2000年至2019年间发表的文章中，搜索了六份英国报纸档案中的术语“精神分裂症”和“精神病”;包括的文章总数为n=9802.使用语言查询和字数软件对文章进行分析。
结果：创建了嵌套在报纸中的报纸文章的两级多级模型。添加预测因子显示，诊断术语是文章情绪语气的重要预测因子（β=-2.30，SE=0.51，p<.001，95％CI-3.30至-1.30），“精神病”比“精神分裂症”更消极。与宽页相比，小报的负面色调明显更高（β=-9.32，SE=1.04，p<.001，95％CI-11.36至-7.28），随着时间的推移，写作的情绪语气变得更加消极(β=-0.26，SE=0.04，p<.001，95%CI-0.34至-0.18)。
结论：这些发现表明，在英国报纸中，“精神病”比“精神分裂症”与更大的消极情绪有关，并且可能是减少污名的不良替代术语。随着时间的推移，两种诊断的文章语气都恶化了，需要增加减少污名的运动，以针对媒体内部的消极情绪。
