#Schizophrenia: Use and misuse on Twitter

Background

The role and prevention of stigma in mental illness is an area of evolving research.
Aims

The present study is the first to examine the use and misuse of the word ‘schizophrenia’ on Twitter.com in comparison with another illness (diabetes) by analyzing Tweets that use the adjective and noun forms of schizophrenia and diabetes.
Method

Tweets containing one of four search terms (#schizophrenia, #schizophrenic, #diabetes, #diabetic) were collected over a forty-day time period. After establishing inter-rater reliability, Tweets were rated along three dimensions: medical appropriateness, negativity, and sarcasm. Chi square tests were conducted to examine differences in the distributions of each parameter across illnesses and across each word form (noun versus adjective).
Results

Significant differences were seen between the two illnesses (i.e., among “schizophrenia”, “schizophrenic”, “diabetes”, and “diabetic”) along each parameter. Tweets about schizophrenia were more likely to be negative, medically inappropriate, sarcastic, and used non-medically. The adjective (“schizophrenic”) was more often negative, medically inappropriate, sarcastic, and used non-medically than the noun “schizophrenia.” Schizophrenia tweets were more likely to be negative and sarcastic when used non-medically and in a medically inappropriate manner.
Conclusions

Our findings confirm the presence of a great deal of misuse of the term schizophrenia on Twitter, and that this misuse is considerably more pronounced by the adjectival use of the illness. These findings have considerable implications for efforts to combat stigma, particularly for youth anti-stigma efforts.
Keywords

Stigma; Social media; Twitter; Schizophrenia

It’s certainly my experience that filtering with #schizophrenia or just schizophrenia brings up a very high percentage of totally irrelevant and quite frankly mindless tweets.from attention seeking,highly narcissistic types.

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Wow… I don’t use any of that Twitter stuff… I think the people on it are pretty mindless anyway…

But this is still eye opening.

What pisses me off is the "You can make a fortune/financial “guru” type tweets that spamming twats use #schizophrenia for or drop schizophrenia into the tweet. I’ve posted some good stuff here via twitter but it’s hard separating the wheat from the chaff.

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