{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T16:06:33Z","timestamp":1781885193564,"version":"3.54.5"},"reference-count":47,"publisher":"Public Library of Science (PLoS)","issue":"4","license":[{"start":{"date-parts":[[2023,4,6]],"date-time":"2023-04-06T00:00:00Z","timestamp":1680739200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001597","name":"Irish Research Council for the Humanities and Social Sciences","doi-asserted-by":"publisher","award":["GOIPG\/2022\/1730"],"award-info":[{"award-number":["GOIPG\/2022\/1730"]}],"id":[{"id":"10.13039\/501100001597","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>Public perceptions of the determinants of mental illness have important implications for attitudes and stigma, but minimal previous research has explored how causal attributions are spontaneously invoked in everyday public discourse. This study investigated how causal explanations for mental illness are disseminated in popular Irish news media, in the two years before and after the onset of the COVID-19 pandemic. Keyword searches of a news media database identified 1,892 articles published between March 2018 to March 2022 that mentioned one of six categories of mental disorders: anxiety disorders, mood disorders, substance-related disorders, personality disorders, eating disorders, and psychotic disorders. Overall, 25% of the identified articles contained a causal explanation for mental illness. Inductive content analysis revealed the content and prevalence of eight types of causal explanations for mental disorders. Overall, attributions to life events\/experiences, the cultural\/societal environment, interpersonal relations, and health and lifestyle factors occurred more frequently than attributions to biological or psychological determinants. Life events\/experiences were the most common explanation for anxiety and personality disorders, cultural\/societal environment for eating disorders, and health\/lifestyle factors for mood and psychotic disorders. Interpersonal factors in mental illness aetiology became more salient following the COVID-19 pandemic. The findings emphasise the need for theory and research on lay explanations of mental disorders to account for diversity, both in the range of attributions invoked, and in how attributional patterns shift across time and mental disorders category.<\/jats:p>","DOI":"10.1371\/journal.pone.0284095","type":"journal-article","created":{"date-parts":[[2023,4,6]],"date-time":"2023-04-06T17:46:15Z","timestamp":1680803175000},"page":"e0284095","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":9,"title":["How does the public understand the causes of mental disorders? An analysis of Irish news media before and during the COVID-19 pandemic"],"prefix":"10.1371","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8346-4182","authenticated-orcid":true,"given":"Leigh","family":"Huggard","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cli\u00f3dhna","family":"O\u2019Connor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2023,4,6]]},"reference":[{"issue":"5","key":"pone.0284095.ref001","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1177\/0963721415588082","article-title":"Biogenetic explanations of mental disorder: The mixed-blessings model","volume":"24","author":"N Haslam","year":"2015","journal-title":"Curr Dir Psychol Sci"},{"issue":"1","key":"pone.0284095.ref002","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1146\/annurev-clinpsy-050718-095416","article-title":"Biomedical explanations of psychopathology and their implications for attitudes and beliefs about mental disorders","volume":"15","author":"MS Lebowitz","year":"2019","journal-title":"Annu Rev Clin Psychol"},{"key":"pone.0284095.ref003","first-page":"232","article-title":"Setting the agenda: Mass media and public opinion","author":"M McCombs","year":"2020","journal-title":"John Wiley & Sons"},{"issue":"3","key":"pone.0284095.ref004","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1016\/j.eurpsy.2004.12.005","article-title":"Media consumption and desire for social distance towards people with schizophrenia","volume":"20","author":"MC Angermeyer","year":"2005","journal-title":"Eur Psychiatry J Assoc Eur Psychiatr"},{"key":"pone.0284095.ref005","first-page":"240","article-title":"Mental health literacy: A review of what it is and why it matters","volume":"7","author":"A Furnham","year":"2018","journal-title":"Int Perspect Psychol Res Pract Consult"},{"key":"pone.0284095.ref006","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1037\/0003-066X.48.9.957","article-title":"On sin versus sickness: A theory of perceived responsibility and social motivation","volume":"48","author":"B. 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O\u2019Connor","year":"2021","journal-title":"Int J Environ Res Public Health"},{"issue":"1","key":"pone.0284095.ref028","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1093\/ijpor\/edh057","article-title":"Distinguishing Red and Green Biotechnology: Cultivation Effects of the Elite Press","volume":"17","author":"MW Bauer","year":"2005","journal-title":"Int J Public Opin Res"},{"issue":"5","key":"pone.0284095.ref029","doi-asserted-by":"crossref","first-page":"498","DOI":"10.1017\/S0140525X1300383X","article-title":"The social aetiology of essentialist beliefs","volume":"37","author":"C O\u2019Connor","year":"2014","journal-title":"Behav Brain Sci"},{"issue":"3","key":"pone.0284095.ref030","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1348\/014466602760344241","article-title":"Collective symbolic coping with new technology: Knowledge, images and public discourse","volume":"41","author":"W Wagner","year":"2002","journal-title":"Br J Soc Psychol"},{"issue":"3","key":"pone.0284095.ref031","first-page":"537","article-title":"Hearing Voices: Lessons from the History of Psychiatry in Ireland","volume":"110","author":"BD Kelly","year":"2017","journal-title":"Ir Med J"},{"key":"pone.0284095.ref032","unstructured":"Anonymous. Health at a Glance: Europe [Internet]. Public Health\u2014European Commission. 2016 [cited 2021 Nov 9]. Available from: https:\/\/ec.europa.eu\/health\/state\/glance_en"},{"issue":"10","key":"pone.0284095.ref033","first-page":"214","article-title":"Impact of COVID-19 on mental health in Ireland: evidence to date","volume":"113","author":"BD Kelly","year":"2020","journal-title":"Ir Med J"},{"issue":"6","key":"pone.0284095.ref034","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1177\/0963662510365246","article-title":"The cultural authority of science: Public trust and acceptance of organized science","volume":"20","author":"G. Gauchat","year":"2011","journal-title":"Public Underst Sci"},{"key":"pone.0284095.ref035","article-title":"DSM-5 Task Force. 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