{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T18:50:24Z","timestamp":1793731824660,"version":"4.6.1"},"reference-count":62,"publisher":"Royal College of Psychiatrists","issue":"1","license":[{"start":{"date-parts":[[2023,1,9]],"date-time":"2023-01-09T00:00:00Z","timestamp":1673222400000},"content-version":"unspecified","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur. Psychiatr."],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S0924933822023598_sec1\">\n\t    <jats:title>Background<\/jats:title>\n\t    <jats:p>Electroconvulsive therapy (ECT) is an effective and safe medical procedure that mainly indicated for depression, but is also indicated for patients with other conditions. However, ECT is among the most stigmatized and controversial treatments in medicine. Our objective was to examine social media contents on Twitter related to ECT to identify and evaluate public views on the matter.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S0924933822023598_sec2\" sec-type=\"methods\">\n\t    <jats:title>Methods<\/jats:title>\n\t    <jats:p>We collected Twitter posts in English and Spanish mentioning ECT between January 1, 2019 and October 31, 2020. Identified tweets were subject to a mixed method quantitative\u2013qualitative content and sentiment analysis combining manual and semi-supervised natural language processing machine-learning analyses. Such analyses identified the distribution of tweets, their public interest (retweets and likes per tweet), and sentiment for the observed different categories of Twitter users and contents.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S0924933822023598_sec3\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>\u201cHealthcare providers\u201d users produced more tweets (25%) than \u201cpeople with lived experience\u201d and their \u201crelatives\u201d (including family members and close friends or acquaintances) (10% combined), and were the main publishers of \u201cmedical\u201d content (mostly related to ECT\u2019s main indications). However, more than half of the total tweets had \u201cjoke or trivializing\u201d contents, and such had a higher like and retweet ratio. Among those tweets manifesting personal opinions on ECT, around 75% of them had a negative sentiment.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S0924933822023598_sec4\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>Mixed method analysis of social media contents on Twitter offers a novel perspective to examine public opinion on ECT, and our results show attitudes more negative than those reflected in studies using surveys and other traditional methods.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1192\/j.eurpsy.2022.2359","type":"journal-article","created":{"date-parts":[[2023,1,9]],"date-time":"2023-01-09T09:12:44Z","timestamp":1673255564000},"source":"Crossref","is-referenced-by-count":23,"title":["Assessment of beliefs and attitudes about electroconvulsive therapy posted on Twitter: An observational study"],"prefix":"10.1192","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6127-2788","authenticated-orcid":false,"given":"L.","family":"de Anta","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1987-0394","authenticated-orcid":false,"given":"M. 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