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Informed decision making in the context of HIV prevention: an experience sampling study among men who have sex with men. 艾滋病毒预防背景下的知情决策:男男性行为者的经验抽样研究。
IF 2.4 3区 心理学
Psychology & Health Pub Date : 2025-06-17 DOI: 10.1080/08870446.2025.2519115
Felix L Steup, Thomas Gültzow, Kai J Jonas, Hanne M L Zimmermann
{"title":"Informed decision making in the context of HIV prevention: an experience sampling study among men who have sex with men.","authors":"Felix L Steup, Thomas Gültzow, Kai J Jonas, Hanne M L Zimmermann","doi":"10.1080/08870446.2025.2519115","DOIUrl":"https://doi.org/10.1080/08870446.2025.2519115","url":null,"abstract":"<p><strong>Objective: </strong>Individuals seeking HIV protection can choose from various strategies (e.g. condoms, PrEP). Thus, individuals may engage in informed decision making, balancing risks and benefits with their values. This study examines how different levels of informed decision making affect the relationship between individuals' momentary prioritization of HIV safety and the perceived safety of their choices. Additionally, it investigates the relationship between informed decision-making levels and choice variability.</p><p><strong>Methods and measures: </strong>105 participants (104 cisgender men, 1 intersex man) provided safety evaluations for different sexual scenarios involving various HIV prevention strategies. Over six biweekly follow-ups, implemented strategies were reported and matched with safety evaluations, while assessing informed decision-making levels, impulsivity, and personal priority of safety.</p><p><strong>Results: </strong>Higher levels of informed decision making were associated with a weaker positive relationship between momentary prioritization of HIV safety and perceived safety of the chosen strategy, suggesting that perceived safety was less dependent on momentary prioritization of HIV safety. Further, informed decision-making levels were not associated with choice variability.</p><p><strong>Conclusions: </strong>Our findings suggest that informed HIV prevention decisions are associated with higher perceived safety and act compensatory towards low personal safety prioritizations. This highlights the importance of supporting informed HIV prevention decisions.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"1-20"},"PeriodicalIF":2.4,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
"It's difficult when everyone else is drinking, you don't feel part of the tribe": a Delphi study of barriers and enablers to alcohol reduction in mid-life women. “当其他人都在喝酒的时候,你会觉得很困难,你不会觉得自己是部落的一员”:一项针对中年女性减少饮酒的障碍和促进因素的德尔菲研究。
IF 2.4 3区 心理学
Psychology & Health Pub Date : 2025-06-12 DOI: 10.1080/08870446.2025.2513931
Emma L Davies, Lindsey Coombes, Cathy Liddiard, Fiona Matley, Jennifer Seddon, Eila Watson
{"title":"\"It's difficult when everyone else is drinking, you don't feel part of the tribe\": a Delphi study of barriers and enablers to alcohol reduction in mid-life women.","authors":"Emma L Davies, Lindsey Coombes, Cathy Liddiard, Fiona Matley, Jennifer Seddon, Eila Watson","doi":"10.1080/08870446.2025.2513931","DOIUrl":"https://doi.org/10.1080/08870446.2025.2513931","url":null,"abstract":"<p><strong>Objectives: </strong>Midlife women are an important group to target for alcohol reduction, but there is a lack of research on drinking behaviour in this population. To address the gap, this study applied the Behaviour Change Wheel framework, and identified barriers and enablers to alcohol reduction to inform the development of a novel intervention.</p><p><strong>Methods and measures: </strong>In a three round online Delphi study 310 women aged 40-65 years completed a survey including COM-B measures, and rated the acceptability of 12 clusters of BCTs; 33 women took part in focus group discussions, and 7 took part in a final workshop.</p><p><strong>Results: </strong>Automatic motivation (habits) and social opportunity (other people's drinking) were the strongest correlates of current drinking behaviour. BCT clusters rated highly were substitution, goals and planning, and identity. Focus groups highlighted the challenges of being a non-drinker in an 'alcogenic' world. Workshop findings suggested an intervention should promote connection with others, and include real life stories from women to promote behaviour change.</p><p><strong>Conclusions: </strong>Midlife women who choose to change their drinking behaviour may face social pressure and stigma. Interventions need to support women and reduce feelings of judgement: using storytelling may be a way to address these challenges.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"1-22"},"PeriodicalIF":2.4,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does being defiant and irritable take a toll on physical health? Examining the covariation between symptoms of physical health and oppositional defiance across adolescence to young adulthood. 挑衅和易怒会损害身体健康吗?检查身体健康症状与青春期至青年期对立反抗之间的共变。
IF 2.4 3区 心理学
Psychology & Health Pub Date : 2025-06-01 Epub Date: 2023-11-15 DOI: 10.1080/08870446.2023.2280168
Cynthia McDowell, Jonathan Rush, Paweena Sukhawathanakul
{"title":"Does being defiant and irritable take a toll on physical health? Examining the covariation between symptoms of physical health and oppositional defiance across adolescence to young adulthood.","authors":"Cynthia McDowell, Jonathan Rush, Paweena Sukhawathanakul","doi":"10.1080/08870446.2023.2280168","DOIUrl":"10.1080/08870446.2023.2280168","url":null,"abstract":"<p><p><b>Methods.</b> Participants (<i>N</i> = 662; 52% female) from the Victoria Healthy Youth Survey (V-HYS) were assessed for ten years across six biennial occasions from ages 12-18 to ages 22-30. A multilevel time -varying covariation model, disaggregating within- and between - person variability, examined whether change in ODS was systematically associated with change in physical health symptoms.</p><p><p><b>Results.</b> On average, individuals with higher ODS reported more physical health symptoms. Moreover, ODS also shared a significant within - person time - varying association with physical health, suggesting that the two symptom domains fluctuated together within - individuals across time, irrespective of between - person differences.</p><p><p><b>Conclusion.</b> This study provides a novel within- and between - person demonstration of the link between ODS and physical health symptoms from youth to young adulthood.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"935-951"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107592118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of childhood trauma on sleep quality and stress-related variables in adulthood: evidence from two multilevel studies. 童年创伤对成年期睡眠质量和压力相关变量的影响:来自两个多水平研究的证据
IF 2.4 3区 心理学
Psychology & Health Pub Date : 2025-06-01 Epub Date: 2023-11-17 DOI: 10.1080/08870446.2023.2281712
Daryl B O'Connor, Dawn Branley-Bell, Jessica A Green, Eamonn Ferguson, Ronan E O'Carroll, Rory C O'Connor
{"title":"Effects of childhood trauma on sleep quality and stress-related variables in adulthood: evidence from two multilevel studies.","authors":"Daryl B O'Connor, Dawn Branley-Bell, Jessica A Green, Eamonn Ferguson, Ronan E O'Carroll, Rory C O'Connor","doi":"10.1080/08870446.2023.2281712","DOIUrl":"10.1080/08870446.2023.2281712","url":null,"abstract":"<p><p>Childhood trauma has been found to have serious negative consequences for mental and physical health. However, the precise mechanisms through which trauma influences health outcomes are unclear. Childhood trauma-related disruptions to sleep in adulthood represent an important potential mechanism. Two 7-day multilevel studies investigated the effects of childhood trauma on daily sleep outcomes and stress-related variables and whether the effects of trauma on sleep outcomes were mediated through these stress-related variables (or <i>vice versa</i>). Participants completed the Childhood Trauma Questionnaire before a 7-day online daily diary study. Measures of daily stress, perseverative cognition, and sleep were completed daily. Multi-level modelling found that higher levels of childhood neglect were associated with poorer daily sleep quality, shorter sleep duration, longer sleep onset latency, and higher daily stress and rumination levels. Higher childhood abuse was associated with shorter sleep duration, greater morning tiredness, and higher levels of daily stress, rumination, and worry. Childhood trauma was found also to have bidirectional, indirect effects on sleep quality and morning tiredness through daily stress-related variables. The current findings suggest that interventions aimed at mitigating the negative effects of childhood trauma should also incorporate components that target modifiable risk factors, such as sleep, stress, worry, and rumination.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"975-996"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136398951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A holistic profile for cancer-related fatigue for women with breast cancer - a qualitative study. 乳腺癌妇女癌症相关疲劳的整体概况--一项定性研究。
IF 2.4 3区 心理学
Psychology & Health Pub Date : 2025-06-01 Epub Date: 2023-12-18 DOI: 10.1080/08870446.2023.2289457
Kim A E Wijlens, Lian Beenhakker, Annemieke Witteveen, Ester J M Siemerink, Liesbeth Jansen, Christine Gernaat, Melanie P J Schellekens, Sabine Siesling, Miriam M R Vollenbroek-Hutten, Christina Bode
{"title":"A holistic profile for cancer-related fatigue for women with breast cancer - a qualitative study.","authors":"Kim A E Wijlens, Lian Beenhakker, Annemieke Witteveen, Ester J M Siemerink, Liesbeth Jansen, Christine Gernaat, Melanie P J Schellekens, Sabine Siesling, Miriam M R Vollenbroek-Hutten, Christina Bode","doi":"10.1080/08870446.2023.2289457","DOIUrl":"10.1080/08870446.2023.2289457","url":null,"abstract":"<p><p><b>Objective:</b> Cancer- related fatigue (CRF) is one of the most reported long-term effects after breast cancer and severely impacts quality of life. To come towards optimal treatment of multidimensional CRF, the first step is to use a holistic approach to develop a holistic patient profile including the patient's experience and impact of CRF on their life. <b>Methods</b> <b>and</b> <b>measures:</b> Four semi- structured focus groups with twenty- seven breast cancer patients and fourteen interviews with healthcare professionals (HCPs) were held. Reflexive thematic analysis was used to define (sub)themes for the holistic patient profile. The themes of the interviews and focus groups were compared for validity. <b>Results:</b> Breast cancer patients and HCPs described the same five major themes, consisting of experience of CRF, impact and consequences, coping, personality, and CRF treatment. Experience of CRF consists of cognitive, emotional, and physical aspects. Impact and consequences include work, family, partner relation, social contact and hobbies, body, and misunderstanding. Coping consists of twelve (mal)adaptive strategies. Personality and CRF treatment were summarised as themes. <b>Conclusions:</b> A first holistic patient profile was introduced for CRF for breast cancer. This profile can be conceptualized into a questionnaire to collect information for personalized treatment recommendations and monitoring of CRF over time.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"1037-1061"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138806093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
'I'd be willing to take that risk for the enjoyment of the time that I have': a COM-B influenced analysis of older people's perspectives on their alcohol consumption. “为了享受我所拥有的时间,我愿意冒这个风险”:一项受COM-B影响的对老年人饮酒观点的分析。
IF 2.4 3区 心理学
Psychology & Health Pub Date : 2025-06-01 Epub Date: 2023-11-07 DOI: 10.1080/08870446.2023.2276748
Victoria Kostadinov, Ashlea Bartram
{"title":"'I'd be willing to take that risk for the enjoyment of the time that I have': a COM-B influenced analysis of older people's perspectives on their alcohol consumption.","authors":"Victoria Kostadinov, Ashlea Bartram","doi":"10.1080/08870446.2023.2276748","DOIUrl":"10.1080/08870446.2023.2276748","url":null,"abstract":"<p><p><b>Methods:</b> Semi-structured interviews were conducted with 33 Australian community-dwelling older adults (aged 65+ years) who drank alcohol at least once a month. Thematic analyses identified common themes which were then mapped onto the COM-B theoretical framework.</p><p><p><b>Results:</b> Drinking behaviours were driven by a lack of capability in the form of poor knowledge regarding safe drinking behaviours and guidelines; high opportunity for consumption due to ease of accessing alcohol and its prominence in social routines; and high motivation to drink due to perceived benefits outweighing perceived risks.</p><p><p><b>Conclusion:</b> Increasing older peoples' knowledge of the risks associated with consumption and safe drinking behaviours represents a key health promotion priority in order to reduce the burden of alcohol-related harms among this group.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"904-919"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71485270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patient-driven decisions and perceptions of the 'safest possible choice': insights from patient-provider conversations about how some breast cancer patients choose contralateral prophylactic mastectomy. 患者驱动的决定和对“最安全的可能选择”的看法:从患者与提供者的对话中了解一些乳腺癌患者如何选择对侧预防性乳房切除术。
IF 2.4 3区 心理学
Psychology & Health Pub Date : 2025-06-01 Epub Date: 2023-12-03 DOI: 10.1080/08870446.2023.2290170
Tasleem J Padamsee, Crystal Phommasathit, Paige Swinehart-Hord, Shibani Chettri, Kaleigh Clevenger, Michael F Rayo, Doreen M Agnese, Jose G Bazan, Natalie Jones, Clara N Lee
{"title":"Patient-driven decisions and perceptions of the 'safest possible choice': insights from patient-provider conversations about how some breast cancer patients choose contralateral prophylactic mastectomy.","authors":"Tasleem J Padamsee, Crystal Phommasathit, Paige Swinehart-Hord, Shibani Chettri, Kaleigh Clevenger, Michael F Rayo, Doreen M Agnese, Jose G Bazan, Natalie Jones, Clara N Lee","doi":"10.1080/08870446.2023.2290170","DOIUrl":"10.1080/08870446.2023.2290170","url":null,"abstract":"<p><strong>Objective: </strong>Observe patient-clinician communication to gain insight about the reasons underlying the choice of patients with unilateral breast cancer to undergo contralateral prophylactic mastectomy (CPM), despite lack of survival benefit, risk of harms, and cautions expressed by surgical guidelines and clinicians.</p><p><strong>Methods & measures: </strong>WORDS is a prospective study that explored patient-clinician communication and patient decision making. Participants recorded clinical visits through a downloadable mobile application. We analyzed 44 recordings from 22 patients: 9 who chose CPM, 8 who considered CPM but decided against it, and 5 who never considered CPM. We used abductive analysis combined with constructivist grounded theory methods.</p><p><strong>Results: </strong>Decisions to undergo CPM are patient-driven and motivated by perceptions that CPM is the most aggressive, and therefore safest, treatment option available. These decisions are shaped not primarily by the content of conversations with clinicians, but by the history of cancer in patients' families, their own first-hand experiences with cancers among loved ones, fear for their children, and anxiety about cancer recurrence.</p><p><strong>Conclusion: </strong>The perception that CPM is the safest, most aggressive option strongly influences patients, despite scientific evidence to the contrary. Future efforts to address high CPM rates should focus on patient-driven decision making and cancer-related fears.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"1012-1036"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138478358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The joint effect of attachment orientations and empathy on compassion fatigue and compassion satisfaction among oncologists. 依恋取向和移情对肿瘤学家同情心疲劳和同情心满意度的联合影响。
IF 2.4 3区 心理学
Psychology & Health Pub Date : 2025-06-01 Epub Date: 2023-11-09 DOI: 10.1080/08870446.2023.2279259
Noam Moyal Melumad, Gil Goldzweig, Tom Albo Hershkovitz, Michal Braun
{"title":"The joint effect of attachment orientations and empathy on compassion fatigue and compassion satisfaction among oncologists.","authors":"Noam Moyal Melumad, Gil Goldzweig, Tom Albo Hershkovitz, Michal Braun","doi":"10.1080/08870446.2023.2279259","DOIUrl":"10.1080/08870446.2023.2279259","url":null,"abstract":"<p><strong>Objective: </strong>Compassion fatigue, which consists of burnout and secondary traumatic stress, and compassion satisfaction are conceptualized as the negative and positive emotional reactions of working in the helping professions. In this study we examined the joint effect of oncologists' attachment orientations and empathy on their compassion fatigue and satisfaction.</p><p><strong>Methods: </strong>Seventy-three oncologists completed a demographic questionnaire, the shortened version of the Experiences in Close Relationships scale, the Interpersonal Reactivity Index, and the Professional Quality of Life questionnaire.</p><p><strong>Results: </strong>A cluster analysis based on empathy and attachment orientations yielded three meaningful clusters that seem to reflect the three attachment orientations: secure, anxious and avoidant. The oncologists in the three clusters differed in their compassion fatigue levels (i.e. both burnout and secondary traumatic stress) and in their compassion satisfaction levels. Secure attachment (i.e. low scores on both anxious attachment and avoidant attachment) along with high levels of the cognitive component of empathy (perspective-taking) resulted in lower levels of compassion fatigue and higher levels of compassion satisfaction than did insecure attachment.</p><p><strong>Conclusions: </strong>The study emphasizes the importance of oncologists' attachment orientations and appropriate distance/closeness to their patients in protecting them from compassion fatigue and helping them experience compassion satisfaction.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"920-934"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71522478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Breaking the endometriosis silence: a social norm approach to reducing menstrual stigma and policy resistance among young adults. 打破子宫内膜异位症的沉默:一种减少年轻人月经污名和政策阻力的社会规范方法。
IF 2.4 3区 心理学
Psychology & Health Pub Date : 2025-06-01 Epub Date: 2023-11-03 DOI: 10.1080/08870446.2023.2277838
Anne Reinhardt, Sarah Eitze
{"title":"Breaking the endometriosis silence: a social norm approach to reducing menstrual stigma and policy resistance among young adults.","authors":"Anne Reinhardt, Sarah Eitze","doi":"10.1080/08870446.2023.2277838","DOIUrl":"10.1080/08870446.2023.2277838","url":null,"abstract":"<p><strong>Objective: </strong>Endometriosis is a menstrual disorder that affects one in ten women. Diagnosis often takes several years due to low awareness and menstrual stigma. In this study, we employed a social norm approach (SNA) to investigate the effects of an educational leaflet on endometriosis knowledge, menstrual stigma, and acceptance of paid menstrual leave among women and men.</p><p><strong>Methods: </strong>The 3 × 2 online experiment tested the influence of either descriptive norm messages or both descriptive and injunctive norm messages (compared to a control group, factor 1) in an educational leaflet by taking the role of addressee's sex into account (quasi-experimental factor 2). The study included 796 German participants aged 16-35.</p><p><strong>Results: </strong>Men exhibited significantly poorer knowledge, stronger menstrual stigma, and weaker policy acceptance compared to women. No significant main effect of the social norm messages on menstrual stigma was found. In contrast, the combined norm messages seem to be beneficial when addressing policy acceptance. Moreover, compared to the control group, the intervention material indirectly influenced stigma and policy acceptance through increased knowledge.</p><p><strong>Conclusions: </strong>Providing information about social norms appears to be an effective strategy for educating not only women but especially men about menstrual disorders like endometriosis.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"881-903"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71426275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reasons people avoid colorectal cancer information: a mixed-methods study. 人们逃避癌症信息的原因:一项混合方法研究。
IF 2.4 3区 心理学
Psychology & Health Pub Date : 2025-06-01 Epub Date: 2023-11-10 DOI: 10.1080/08870446.2023.2280177
Heather Orom, Sanja Stanar, Natasha C Allard, Jennifer L Hay, Erika A Waters, Marc T Kiviniemi, Malwina Lewicka
{"title":"Reasons people avoid colorectal cancer information: a mixed-methods study.","authors":"Heather Orom, Sanja Stanar, Natasha C Allard, Jennifer L Hay, Erika A Waters, Marc T Kiviniemi, Malwina Lewicka","doi":"10.1080/08870446.2023.2280177","DOIUrl":"10.1080/08870446.2023.2280177","url":null,"abstract":"<p><strong>Objective: </strong>With screening, colorectal cancer can be detected when treatable, or even prevented. However, approximately one in five people tend to avoid colorectal cancer information, and avoidance is associated with being less likely to have been screened for the disease. Crucial to developing strategies to reduce information avoidance, we sought a comprehensive understanding of reasons people avoid colorectal cancer information.</p><p><strong>Methods and measures: </strong>In a mixed methods study, we surveyed 200 participants who varied with respect to avoidance and interviewed 15 people who tended to avoid colorectal cancer information (all aged 40-75) about reasons for avoiding.</p><p><strong>Results: </strong>In both survey and interviews, primary reasons for information avoidance were: (1) shielding from anxiety and other aversive emotion, (2) perceived information sufficiency and (3) feelings of information overload. Trait anxiety, fear of diagnosis, anticipating negative interactions with healthcare, and negative associations with screening procedures exacerbated avoidance. Participants justified information non-relevance by attributing risk to other people's characteristics such as family history, gastrointestinal symptoms, being male, or living an unhealthy lifestyle.</p><p><strong>Conclusion: </strong>Novel findings include the triggering influence of trait anxiety and financial constraints on information avoidance. Also, information overload and incorrect understanding of risk factors may exacerbate perceptions of information sufficiency and avoidance.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"952-974"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72210546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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