Higuita-Gutiérrez Luis Felipe, Salas-Zapata Walter Alfredo, Cardona-Arias Jaiberth Antonio
School of Medicine, Universidad Cooperativa de Colombia, Medellín 050010, Colombia.
School of Microbiology, Universidad de Antioquia, Medellín 050010, Colombia.
Behav Sci (Basel). 2023 Mar 8;13(3):236. doi: 10.3390/bs13030236.
Understanding the causal attributions for cancer, the elements affecting therapeutic adherence, and behaviors that may compromise people's health or even put them at risk of dying from this disease has garnered a considerable degree of attention.
This study was designed in the city of Medellín with the aim to develop and validate a model for the study of (i) the categories that can be attributable to cancer etiology, (ii) the categories that can be attributed to the efficacy of treatment, and (iii) the relationship between the categories that can be attributed to the etiology and to the efficacy of the treatment. Structural equations were performed on 611 participants.
The analysis revealed that attributing the disease to psychogenic factors distances people from biomedical treatments (β coefficient, -0.12), and brings them closer to psychogenic (β coefficient, 0.22) and alternative treatments (β coefficient, 0.24). Attributing cancer to behavioral factors brings people closer to psychogenic treatments (β coefficient, 0.40) over biomedical treatments (β coefficient, 0.24).
Symbolic, cultural, and social factors were evidenced, thereby leading to the underestimation of biomedical treatments and imparting a greater degree of importance to psychogenic or alternative therapies. These therapies will subsequently affect the achievement of therapeutic objectives such as increased survival.
了解癌症的因果归因、影响治疗依从性的因素以及可能损害人们健康甚至使他们面临死于这种疾病风险的行为，已引起了相当程度的关注。
本研究在麦德林市开展，旨在开发并验证一个用于研究以下内容的模型：（i）可归因于癌症病因的类别；（ii）可归因于治疗效果的类别；（iii）可归因于病因和治疗效果的类别之间的关系。对611名参与者进行了结构方程分析。
分析表明，将疾病归因于心理因素会使人们远离生物医学治疗（β系数为 -0.12），并使他们更倾向于心理治疗（β系数为0.22）和替代治疗（β系数为0.24）。将癌症归因于行为因素会使人们更倾向于心理治疗（β系数为0.40）而非生物医学治疗（β系数为0.24）。
研究证明了象征、文化和社会因素的存在，从而导致对生物医学治疗的低估，并赋予心理或替代疗法更大的重要性。这些疗法随后将影响治疗目标的实现，如提高生存率。
