Decision Making and Cancer
Decision Making and Cancer
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DOI：
10.1037/a0036834
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发表时间：
2015-02-01
影响因子：
16.4
通讯作者：
Pignone, Michael P.
中科院分区：
文献类型：
--
作者：
Reyna, Valerie F.;Nelson, Wendy L.;Pignone, Michael P.
我们回顾决策沿着癌症连续体在当代的背景下，知情和共享的决策，鼓励患者采取更积极的作用，在他们的医疗保健。我们讨论了实现知情和共享决策的挑战，包括认知限制和情感因素，但认为，了解决策机制提供了改善决策支持的希望。解释认知，情绪，以及它们之间的相互作用的决策的理论方法进行了描述，包括经典的心理物理学方法，双过程的方法，专注于情感与认知（或原因）之间的冲突，和现代的综合方法，如模糊跟踪理论。与早期强调死记硬背的数字细节不同，现代方法强调理解选项的底线要点（包括情感和其他对意义的影响），并检索相关的社会和道德价值，以应用于这些要点表征。最后，研究干预措施，以支持更好的决策在临床环境中进行审查，绘制出未来的研究决策和癌症的影响。
We review decision making along the cancer continuum in the contemporary context of informed and shared decision making in which patients are encouraged to take a more active role in their health care. We discuss challenges to achieving informed and shared decision making, including cognitive limitations and emotional factors, but argue that understanding the mechanisms of decision making offers hope for improving decision support. Theoretical approaches to decision making that explain cognition, emotion, and their interaction are described, including classical psychophysical approaches, dual-process approaches that focus on conflicts between emotion versus cognition (or reason), and modern integrative approaches such as fuzzy-trace theory. In contrast to the earlier emphasis on rote use of numerical detail, modern approaches emphasize understanding the bottom-line gist of options (which encompasses emotion and other influences on meaning) and retrieving relevant social and moral values to apply to those gist representations. Finally, research on interventions to support better decision making in clinical settings is reviewed, drawing out implications for future research on decision making and cancer.