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信息回避倾向、威胁管理资源与对基因测序反馈的兴趣

Information Avoidance Tendencies, Threat Management Resources, and Interest in Genetic Sequencing Feedback.

作者信息

Taber Jennifer M, Klein William M P, Ferrer Rebecca A, Lewis Katie L, Harris Peter R, Shepperd James A, Biesecker Leslie G

机构信息

National Cancer Institute, National Institutes of Health, 9609 Medical Center Drive, Room 3E642, Bethesda, MD, 20892-9761, USA,

出版信息

Ann Behav Med. 2015 Aug;49(4):616-21. doi: 10.1007/s12160-014-9679-7.

DOI:10.1007/s12160-014-9679-7
PMID:25582989
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4498968/
Abstract

BACKGROUND

Information avoidance is a defensive strategy that undermines receipt of potentially beneficial but threatening health information and may especially occur when threat management resources are unavailable.

PURPOSE

We examined whether individual differences in information avoidance predicted intentions to receive genetic sequencing results for preventable and unpreventable (i.e., more threatening) disease and, secondarily, whether threat management resources of self-affirmation or optimism mitigated any effects.

METHODS

Participants (N = 493) in an NIH study (ClinSeq®) piloting the use of genome sequencing reported intentions to receive (optional) sequencing results and completed individual difference measures of information avoidance, self-affirmation, and optimism.

RESULTS

Information avoidance tendencies corresponded with lower intentions to learn results, particularly for unpreventable diseases. The association was weaker among individuals higher in self-affirmation or optimism, but only for results regarding preventable diseases.

CONCLUSIONS

Information avoidance tendencies may influence decisions to receive threatening health information; threat management resources hold promise for mitigating this association.

摘要

背景

信息回避是一种防御策略,它会破坏对潜在有益但具有威胁性的健康信息的接收,并且可能尤其在威胁管理资源不可用时发生。

目的

我们研究了信息回避方面的个体差异是否能预测接受可预防和不可预防(即更具威胁性)疾病的基因测序结果的意愿,其次,自我肯定或乐观等威胁管理资源是否能减轻任何影响。

方法

美国国立卫生研究院(NIH)一项试点基因组测序使用情况的研究(ClinSeq®)中的参与者(N = 493)报告了接受(可选)测序结果的意愿,并完成了信息回避、自我肯定和乐观方面的个体差异测量。

结果

信息回避倾向与了解结果的意愿较低相关,尤其是对于不可预防的疾病。在自我肯定或乐观程度较高的个体中,这种关联较弱,但仅针对可预防疾病的结果。

结论

信息回避倾向可能会影响接受威胁性健康信息的决策;威胁管理资源有望减轻这种关联。

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本文引用的文献

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Characterizing Participants in the ClinSeq Genome Sequencing Cohort as Early Adopters of a New Health Technology.将ClinSeq基因组测序队列中的参与者表征为一种新健康技术的早期采用者。
PLoS One. 2015 Jul 17;10(7):e0132690. doi: 10.1371/journal.pone.0132690. eCollection 2015.
2
Perceived ambiguity as a barrier to intentions to learn genome sequencing results.将感知到的模糊性视为学习基因组测序结果意图的障碍。
J Behav Med. 2015 Oct;38(5):715-26. doi: 10.1007/s10865-015-9642-5. Epub 2015 May 24.
3
The role of current affect, anticipated affect and spontaneous self-affirmation in decisions to receive self-threatening genetic risk information.当前情绪、预期情绪和自发自我肯定在接受自我威胁性基因风险信息决策中的作用。
Cogn Emot. 2015;29(8):1456-65. doi: 10.1080/02699931.2014.985188. Epub 2014 Dec 8.
4
Dispositional optimism and perceived risk interact to predict intentions to learn genome sequencing results.性格乐观与感知风险相互作用,以预测了解基因组测序结果的意愿。
Health Psychol. 2015 Jul;34(7):718-28. doi: 10.1037/hea0000159. Epub 2014 Oct 13.
5
The impact of self-affirmation on health-behavior change: a meta-analysis.自我肯定对健康行为改变的影响:一项荟萃分析。
Health Psychol. 2015 Mar;34(3):187-96. doi: 10.1037/hea0000116. Epub 2014 Aug 18.
6
Combining self-affirmation with implementation intentions to promote fruit and vegetable consumption.结合自我肯定和实施意向促进水果和蔬菜消费。
Health Psychol. 2014 Jul;33(7):729-36. doi: 10.1037/hea0000065. Epub 2014 Feb 3.
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The psychology of change: self-affirmation and social psychological intervention.改变的心理学:自我肯定与社会心理干预。
Annu Rev Psychol. 2014;65:333-71. doi: 10.1146/annurev-psych-010213-115137.
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Behavioral obligation and information avoidance.行为义务与信息回避。
Ann Behav Med. 2013 Apr;45(2):258-63. doi: 10.1007/s12160-012-9451-9.
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Intentions to receive individual results from whole-genome sequencing among participants in the ClinSeq study.ClinSeq 研究参与者对获得个人全基因组测序结果的意愿。
Eur J Hum Genet. 2013 Mar;21(3):261-5. doi: 10.1038/ejhg.2012.179. Epub 2012 Aug 15.
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Avoiding risk information about breast cancer.避免乳腺癌风险信息。
Ann Behav Med. 2012 Oct;44(2):216-24. doi: 10.1007/s12160-012-9382-5.