Center for Health, Intervention, and Prevention, University of Connecticut, Storrs, CT, USA.
Soc Sci Med. 2010 Jul;71(2):421-428. doi: 10.1016/j.socscimed.2010.04.012.
Waiting for medical test results that signal physical harm can be a stressful and potentially psychologically harmful experience. Despite this, interventionists and physicians often use this wait time to deliver behavior change messages and other important information about the test, possible results and its implications. This study examined how "bracing" for a medical test result impacts cognitive processing, as well as recall of information delivered during this period. Healthy U.S. university students (N = 150) were tested for a deficiency of a fictitious saliva biomarker that was said to be predictive of long-term health problems using a 2 (Test Result) x 2 (Expected immediacy of result: 10 min, 1 month) factorial design. Participants expecting to get the test result shortly should have been bracing for the result. While waiting for the test results participants completed measures of cognitive processing. After participants received the test result, recall of information about the biomarker was tested in addition to cognitive measures. One week later, participants who were originally told they did not have the deficiency had their recall assessed again. Results showed that anticipating an imminent test result increased cognitive distraction in the processing of information and lowered recall of information about the test and the biomarker. These results suggest that delivering critical information to patients after administering a test and immediately before giving the results may not be optimal.
等待表明身体受到伤害的医学检验结果可能是一种压力很大且可能对心理有害的经历。尽管如此,介入治疗医师和医生通常还是会利用这段等待时间来传达行为改变信息和有关检验、可能的结果及其影响的其他重要信息。本研究考察了对医学检验结果“做好准备”如何影响认知处理,以及对这段时间内传达的信息的记忆。美国健康大学生(N=150)参加了一项测试,检验他们的一种虚构唾液生物标志物是否缺乏,据说这种标志物可以预测长期健康问题,研究采用了 2(检验结果)x2(预计结果即时性:10 分钟,1 个月)的析因设计。预计很快会得到检验结果的参与者应该已经对结果做好了准备。参与者在等待检验结果的同时,完成了认知处理的衡量。在参与者收到检验结果后,除了认知衡量外,还测试了对生物标志物信息的记忆。一周后,最初被告知没有缺乏该生物标志物的参与者再次接受了记忆评估。结果表明,预期即将到来的检验结果增加了对信息处理的认知分心,并降低了对检验和生物标志物信息的记忆。这些结果表明,在进行检验后并在给出结果之前立即向患者传达关键信息可能不是最佳选择。