Department of Psychology, Stanford University, CA, USA.
J Exp Psychol Appl. 2010 Mar;16(1):87-95. doi: 10.1037/a0018500.
Research on aging has indicated that whereas deliberative cognitive processes decline with age, emotional processes are relatively spared. To examine the implications of these divergent trajectories in the context of health care choices, we investigated whether instructional manipulations emphasizing a focus on feelings or details would have differential effects on decision quality among younger and older adults. We presented 60 younger and 60 older adults with health care choices that required them to hold in mind and consider multiple pieces of information. Instructional manipulations in the emotion-focus condition asked participants to focus on their emotional reactions to the options, report their feelings about the options, and then make a choice. In the information-focus condition, participants were instructed to focus on the specific attributes, report the details about the options, and then make a choice. In a control condition, no directives were given. Manipulation checks indicated that the instructions were successful in eliciting different modes of processing. Decision quality data indicate that younger adults performed better in the information-focus than in the control condition whereas older adults performed better in the emotion-focus and control conditions than in the information-focus condition. Findings support and extend extant theorizing on aging and decision making as well as suggest that interventions to improve decision-making quality should take the age of the decision maker into account.
衰老研究表明,尽管审慎认知过程会随着年龄的增长而下降,但情绪过程相对不受影响。为了在医疗保健选择的背景下研究这些不同轨迹的含义,我们调查了强调关注感受或细节的指导操作是否会对年轻和年长成年人的决策质量产生不同的影响。我们向 60 名年轻成年人和 60 名年长成年人展示了需要他们牢记和考虑多个信息的医疗保健选择。在情感焦点条件下的指导操作要求参与者关注他们对选项的情绪反应,报告他们对选项的感受,然后做出选择。在信息焦点条件下,参与者被指示关注特定属性,报告有关选项的详细信息,然后做出选择。在对照条件下,没有给出指令。操作检查表明,指令成功地引发了不同的处理模式。决策质量数据表明,年轻成年人在信息焦点条件下的表现优于对照条件,而年长成年人在情感焦点和对照条件下的表现优于信息焦点条件。研究结果支持和扩展了关于衰老和决策的现有理论,同时表明,为提高决策质量而进行的干预措施应考虑决策者的年龄。