PDF(Pubmed)
Abstract：
UNASSIGNED: The persistent stigma associated with mental health conditions is a major challenge worldwide. Celebrities may improve this by openly discussing their own mental health issues, potentially influencing public attitudes and encouraging individuals to seek treatment for these conditions.
UNASSIGNED: To evaluate the impact of celebrity mental health disclosures on the incidence and prevalence of panic disorder diagnosis in South Korea.
UNASSIGNED: This cohort study included the entire South Korean population from January 2004 to December 2021, as reflected in the National Health Insurance Service data. Analysis was conducted from May 2022 through January 2024.
UNASSIGNED: Time periods analyzed included the timeframe before (from January 2004 to December 2010) and after the public disclosures of panic disorder by 3 high-profile Korean celebrities between December 2010 and January 2012 (from January 2011 to December 2021).
UNASSIGNED: Monthly incidence and prevalence of panic disorder, defined by the presence of a clinical diagnosis of the condition. Trends were assessed using interrupted time series analysis with autoregressive integrated moving average models. To assess public interest in panic disorder, trends in search data were analyzed, examining the association between the timing of increased searches and changes in the incidence and prevalence of panic disorder. Data on obsessive-compulsive disorder (OCD) were included as a control.
UNASSIGNED: The study covered the entire population of South Korea, including 48 559 946 individuals in January 2004 and 52 593 886 individuals in December 2021. Before 2011, the mean (SD) annual prevalence of panic disorder was stable at 560 (140) persons per 100 000 persons per year. The celebrity disclosure in December 2010 was associated with higher monthly incidence rates of panic disorder, as measured by insurance claims data, changes that were observed in both the level (5.8 persons; 95% CI, 2.2-9.5 persons) and slope (0.78 persons per month; 95% CI, 0.19-1.40 persons per month) per 100 000 persons. By 2021, the observed annual prevalence per 100 000 persons reached 7530 persons, an increase of 775.6% compared with the 860 persons (95% CI, 330-1400 persons) estimated if the disclosures had not occurred. Internet searches anticipated changes in monthly prevalence with a lag of 2 or 3 months (F = 4.26, P = .02 and F = 3.11, P = .03, respectively). The celebrity disclosures had no significant association with the incidence or prevalence of OCD.
UNASSIGNED: In this observational cohort study, celebrity disclosure of mental health conditions was associated with a sustained reduction in stigma, as reflected in increased help-seeking behavior for the condition over more than a decade. This underscores the influential role celebrities can play in shaping public health perceptions and behaviors, offering valuable insights for the development of future mental health policies and public awareness campaigns.
UNASSIGNED: To evaluate the impact of celebrity mental health disclosures on the incidence and prevalence of panic disorder diagnosis in South Korea.
UNASSIGNED: This cohort study included the entire South Korean population from January 2004 to December 2021, as reflected in the National Health Insurance Service data. Analysis was conducted from May 2022 through January 2024.
UNASSIGNED: Time periods analyzed included the timeframe before (from January 2004 to December 2010) and after the public disclosures of panic disorder by 3 high-profile Korean celebrities between December 2010 and January 2012 (from January 2011 to December 2021).
UNASSIGNED: Monthly incidence and prevalence of panic disorder, defined by the presence of a clinical diagnosis of the condition. Trends were assessed using interrupted time series analysis with autoregressive integrated moving average models. To assess public interest in panic disorder, trends in search data were analyzed, examining the association between the timing of increased searches and changes in the incidence and prevalence of panic disorder. Data on obsessive-compulsive disorder (OCD) were included as a control.
UNASSIGNED: The study covered the entire population of South Korea, including 48 559 946 individuals in January 2004 and 52 593 886 individuals in December 2021. Before 2011, the mean (SD) annual prevalence of panic disorder was stable at 560 (140) persons per 100 000 persons per year. The celebrity disclosure in December 2010 was associated with higher monthly incidence rates of panic disorder, as measured by insurance claims data, changes that were observed in both the level (5.8 persons; 95% CI, 2.2-9.5 persons) and slope (0.78 persons per month; 95% CI, 0.19-1.40 persons per month) per 100 000 persons. By 2021, the observed annual prevalence per 100 000 persons reached 7530 persons, an increase of 775.6% compared with the 860 persons (95% CI, 330-1400 persons) estimated if the disclosures had not occurred. Internet searches anticipated changes in monthly prevalence with a lag of 2 or 3 months (F = 4.26, P = .02 and F = 3.11, P = .03, respectively). The celebrity disclosures had no significant association with the incidence or prevalence of OCD.
UNASSIGNED: In this observational cohort study, celebrity disclosure of mental health conditions was associated with a sustained reduction in stigma, as reflected in increased help-seeking behavior for the condition over more than a decade. This underscores the influential role celebrities can play in shaping public health perceptions and behaviors, offering valuable insights for the development of future mental health policies and public awareness campaigns.
摘要：
■与精神健康状况相关的持续污名化是全球面临的重大挑战。名人可以通过公开讨论自己的心理健康问题来改善这一点，可能影响公众的态度，并鼓励个人寻求治疗这些条件。
■评估名人心理健康披露对韩国恐慌症诊断的发病率和患病率的影响。
■这项队列研究包括2004年1月至2021年12月的整个韩国人口，这反映在国民健康保险服务数据中。从2022年5月到2024年1月进行了分析。
分析的时间段包括2010年12月至2012年1月（2011年1月至2021年12月）之前（2004年1月至2010年12月）的3名韩国名人公开披露恐慌症的时间范围。
■恐慌症的每月发病率和患病率，由疾病的临床诊断定义。使用中断时间序列分析和自回归综合移动平均模型评估趋势。为了评估公众对恐慌症的兴趣，对搜索数据的趋势进行了分析，检查增加搜索时间与惊恐障碍发生率和患病率变化之间的关系。强迫症（OCD）的数据作为对照。
■这项研究涵盖了韩国的全部人口，包括2004年1月的48559946人和2021年12月的52593886人。在2011年之前，恐慌症的平均年患病率（SD）稳定在每年每10万人560（140）人。2010年12月的名人披露与恐慌症的每月发病率较高有关，以保险索赔数据衡量，在每100000人中观察到的水平（5.8人；95％CI，2.2-9.5人）和斜率（每月0.78人；95％CI，每月0.19-1.40人）的变化。到2021年，观察到的每10万人的年患病率达到7530人，如果未进行披露，则与估计的860人（95％CI，330-1400人）相比，增加了775.6％。互联网搜索预计每月患病率会发生变化，滞后2或3个月（分别为F=4.26，P=.02和F=3.11，P=.03）。名人披露与强迫症的发生率或患病率没有显着关联。
■在这项观察性队列研究中，名人披露精神健康状况与耻辱的持续减少有关，这反映在十多年来这种情况下寻求帮助的行为增加。这强调了名人在塑造公共卫生观念和行为方面可以发挥的重要作用。为制定未来的精神卫生政策和公众意识运动提供有价值的见解。
■评估名人心理健康披露对韩国恐慌症诊断的发病率和患病率的影响。
■这项队列研究包括2004年1月至2021年12月的整个韩国人口，这反映在国民健康保险服务数据中。从2022年5月到2024年1月进行了分析。
分析的时间段包括2010年12月至2012年1月（2011年1月至2021年12月）之前（2004年1月至2010年12月）的3名韩国名人公开披露恐慌症的时间范围。
■恐慌症的每月发病率和患病率，由疾病的临床诊断定义。使用中断时间序列分析和自回归综合移动平均模型评估趋势。为了评估公众对恐慌症的兴趣，对搜索数据的趋势进行了分析，检查增加搜索时间与惊恐障碍发生率和患病率变化之间的关系。强迫症（OCD）的数据作为对照。
■这项研究涵盖了韩国的全部人口，包括2004年1月的48559946人和2021年12月的52593886人。在2011年之前，恐慌症的平均年患病率（SD）稳定在每年每10万人560（140）人。2010年12月的名人披露与恐慌症的每月发病率较高有关，以保险索赔数据衡量，在每100000人中观察到的水平（5.8人；95％CI，2.2-9.5人）和斜率（每月0.78人；95％CI，每月0.19-1.40人）的变化。到2021年，观察到的每10万人的年患病率达到7530人，如果未进行披露，则与估计的860人（95％CI，330-1400人）相比，增加了775.6％。互联网搜索预计每月患病率会发生变化，滞后2或3个月（分别为F=4.26，P=.02和F=3.11，P=.03）。名人披露与强迫症的发生率或患病率没有显着关联。
■在这项观察性队列研究中，名人披露精神健康状况与耻辱的持续减少有关，这反映在十多年来这种情况下寻求帮助的行为增加。这强调了名人在塑造公共卫生观念和行为方面可以发挥的重要作用。为制定未来的精神卫生政策和公众意识运动提供有价值的见解。
