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Decision Making and Cancer

机译:决策与癌症

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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.
机译:我们在知情和共享决策的当代背景下回顾沿着癌症连续体的决策,在这种情况下,鼓励患者在医疗保健中发挥更积极的作用。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,但认为理解决策机制为改善决策支持提供了希望。描述了解释认知,情绪及其相互作用的决策理论方法,包括经典的心理物理学方法,关注情绪与认知(或原因)之间冲突的双重过程方法以及现代综合方法(例如模糊痕迹理论)。与早期强调死记硬背使用数字细节形成鲜明对比的是,现代方法强调理解选项的底线要点(包括对意义的情感和其他影响),并检索适用于这些要点表示的相关社会和道德价值观。最后,对在临床环境中支持更好决策的干预措施的研究进行了回顾,并指出了对未来决策和癌症研究的意义。

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