Carpenter Stephanie M, Niedenthal Paula M
a Department of Psychology , University of Wisconsin-Madison , Madison , WI , USA.
Psychol Health. 2018 Jan;33(1):58-76. doi: 10.1080/08870446.2017.1314478. Epub 2017 Apr 28.
Here, we develop an integrative account of the roles of emotion in decision-making. In Part I, we illustrate how emotional inputs into decisions may rely on physiological signals from emotions experienced while making the decision, and we review evidence suggesting that the failure to represent the emotional meaning of options can often reduce decision quality. We propose that health-related decrements in the ability to generate emotional reactions lead people to inaccurately represent emotional responses and compromise decisions, particularly about risk. Part II explores complex decisions in which choice options involve trade-offs between positive and negative attributes. We first review evidence showing that difficult trade-off decisions generate negative affect and physiological arousal. Next, we propose that medical decision-making will be linked to short- and long-term stress and health outcomes.
In sum, this article proposes and reviews initial evidence supporting the effective use and management of emotional inputs as important to both clinical and non-clinical populations. Our approach will contribute to the understanding of patient-centred emotional decision-making and will inform medical decision aids.
在此，我们对情绪在决策中的作用进行综合阐述。在第一部分，我们阐述了决策中的情绪输入如何可能依赖于决策时所体验到的情绪的生理信号，并回顾了相关证据，这些证据表明未能表征选项的情绪意义往往会降低决策质量。我们提出，与健康相关的产生情绪反应能力的下降会导致人们不准确地表征情绪反应并损害决策，尤其是关于风险的决策。第二部分探讨了复杂决策，其中选择选项涉及积极和消极属性之间的权衡。我们首先回顾证据，表明困难的权衡决策会产生负面影响和生理唤醒。接下来，我们提出医疗决策将与短期和长期压力及健康结果相关联。
总之，本文提出并回顾了初步证据，支持有效利用和管理情绪输入对临床和非临床人群都很重要。我们的方法将有助于理解以患者为中心的情绪决策，并为医疗决策辅助工具提供信息。
