DELAY IN SEEKING A CANCER-DIAGNOSIS - DELAY STAGES AND PSYCHOPHYSIOLOGICAL COMPARISON PROCESSES
DELAY IN SEEKING A CANCER-DIAGNOSIS - DELAY STAGES AND PSYCHOPHYSIOLOGICAL COMPARISON PROCESSES
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DOI：
10.1111/j.2044-8309.1995.tb01047.x
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发表时间：
1995-03-01
影响因子：
5.4
通讯作者：
ROBERTS, DC
中科院分区：
文献类型：
--
作者：
ANDERSEN, BL;CACIOPPO, JT;ROBERTS, DC
两个病人延误寻求医疗诊断的分析被考虑。首先，提出了一种时延模型。具体地说，延迟由四个阶段(评估、疾病、行为和日程安排延迟间隔)组成，每个阶段都由一套概念上不同的决策和评估过程控制，从最初的一天聊天开始，直到个人出现在医生面前的那一天，才发现无法解释的症状。第二种分析是社会心理学的，即个体在描述他们的症状时得出的一种归因：OMS与他们对生理身体过程的期望和知识有关。心理生理学比较理论(PCT)的八项原则为阐明症状解释和评估的心理过程提供了依据。对女性进行了两项研究，以寻求对常见癌症的诊断评估：乳腺癌或妇科谣言。对于延迟模型，结果表明延迟间隔是独立的(即不相关的)。此外，评估延误占总延误的大多数(至少60%)。在PCT测试中，对症状的测量、症状出现的背景以及人们对症状的推断都得到了支持。
Two analyses of patient delay in seeking a medical diagnosis are considered. In the first, a model of delay is presented. Specifically, delay is comprised of four stages (appraisal, illness, behavioural and scheduling delay intervals), each governed by a conceptually distinct set of decisional and appraisal processes beginning with the initial day chat an unexplained symptom is detected ro the day the individual appears before a physician. The second analysis is a social psychological one of the attributions individuals draw when relating their symptoms:oms to their expectations and knowledge about physiological bodily processes. The eight principles of Psychophysiological Comparison Theory (PCT) provide the basis for clarifying the psychological processes of symptom interpretation and appraisal. Two studies were conducted with women seeking diagnostic evaluations for prevalent cancers: breast or gynaecological rumours. Regarding the delay model, results indicated that the delay intervals were independent (i.e. uncorrelated). Also, appraisal delay constituted the majority (at least 60 per cent) of the total delay. In the test of PCT, support was found across measures of symptoms, the context in which the symptoms arose, and the inferences people made about the symptoms.