Cognitive Biases in Chronic Illness and Their Impact on Patients' Commitment

Savioni, Lucrezia; Triberti, Stefano

doi:10.3389/fpsyg.2020.579455

Cited by 16 publications

(7 citation statements)

References 78 publications

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“…Indeed, when reporting on renovated motivations, participants in the present study often referred to "a new energy" guiding their actions within the project and active participation as a whole. When patients decide to participate in a psychological intervention that is supposed to improve their quality of life, their motivations may be partial, unclear, or biased by the painful and tiring experience of illness [78]. However, it is possible that an evolution in the representation of what they could actually achieve from the intervention will influence their agency perception, promoting a positive volition or the tendency to aim for personal actualization beyond mere illness management.…”

Section: Discussionmentioning

confidence: 99%

The Motivation Journey: A Grounded Theory Study on Female Cancer Survivors’ Experience of a Psychological Intervention for Quality of Life

Durosini

Savioni

Triberti

et al. 2021

IJERPH

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Psychological interventions are proposed to cancer survivors to support their quality of life against the emotional trauma of cancer and the side effects of treatment. Psychological interventions often require patient engagement and commitment to activities that could be more or less demanding in terms of lifestyle change (e.g., psychotherapy, sports). Analyzing participant motivations (personal aims, expectations, needs) prior to participation is useful to predict their adherence to the intervention as well as final outcomes. Yet, participant motivations may evolve during the intervention because the intervention experience turns out to be meaningful and positively challenging. The present study aimed to obtain a preliminary understanding of the process of motivation change in female cancer survivors who participated in a sport-based intervention to promote quality of life by employing a grounded theory approach. Data analysis took place alongside data collection and according to the procedure of grounded theory (“open coding”, “axial coding”, and “selective coding”) in order to describe the process of motivation change during women’s participation in psychological intervention for quality of life. On 14 women interviewed, 13 reported changing their motivation to participate during the first months of involvement, mostly changing from individualistic to group-related motivations (i.e., from self-care to friendship with other participants and enriching group membership), and from physical to psychological growth (i.e., pursuing not only physical health but also self-fulfillment). The discussion explains the preliminary aspects of the motivation change process and highlights the importance to monitor motivation dynamics within psychological interventions.

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Section: Discussionmentioning

confidence: 99%

The Motivation Journey: A Grounded Theory Study on Female Cancer Survivors’ Experience of a Psychological Intervention for Quality of Life

Durosini

Savioni

Triberti

et al. 2021

IJERPH

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“…Similarly, avoidant communication about cancer issues generally increases anxiety, depression, and lower relationship satisfaction (Manne et al, 2006 ; Donovan-Kicken and Caughlin, 2011 ). This could be related to cognitive distortions typical of chronically ill patients, who tend to focus on disease-related information within the communication with doctors or caregivers, which possibly leads to catastrophizing and detrimental emotions (attentional and interpretation bias) (Savioni and Triberti, 2020 ), or are not able to express their actual emotional needs, which can make patient-caregiver relationship more difficult (Marzorati et al, 2018 ). In other words, unsupportive social support should not be understood simply as the lack of support, but as social interactions that do not meet the needs or cognitive representations of the patient.…”

Section: Introductionmentioning

confidence: 99%

The Impact of Unsupportive Social Support on the Injured Self in Breast Cancer Patients

et al. 2021

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“…This may enable an increased insight into factors associated with preferences and to study change in preferences over time. Thirdly, recall bias may have affected the response to the patient questionnaires 61 . Patients with chronic diseases tend to overestimate their past QoL 62 , 63 .Finally, in the literature, level of education and health literacy were positively correlated with the preference for an active or a collaborative role in decision-making 43 , 64 , 65 .…”

Section: Discussionmentioning

confidence: 99%

Patients' preferences in therapeutic decision-making in digestive oncology: a single centre cross-sectional observational study

Nizet,

Grivel,

Rabeau

et al. 2023

Sci Rep

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Considering the preferences in Shared Decision Making (SDM) of patients with Digestive Cancer (DC) is crucial to ensure the quality of care. To date, there is limited information on preferences in SDM of patients with DC. The objectives of this study were to describe digestive cancer patients’ preference for involvement in therapeutic decision-making and to identify variables associated with these preferences. An observational prospective study in a French university cancer center has been conducted. Patients completed two questionnaires to qualify and quantify their preference for involvement in therapeutic decision-making: the Control Preference Scale (CPS) and the Autonomy Preference Index (API), which is composed of the Decision Making (DM) score and the Information Seeking (IS) score. Associations between these scores and socio-demographic data, disease-related data, coping strategies (Brief-COPE), physical (QLQ-C30) and psychological (HADS) quality of life were tested. One-hundred fifteen patients returned the questionnaires. The majority of patients reported a passive (49.1%) or a collaborative (43.0%) CPS status. The mean DM score was 39.4 Variables associated with decision-making preferences were occupational status and time since diagnosis. The identification of variables associated with patients' preferences for involvement in decision-making can help make clinicians aware of patients' needs and wishes. However, it can only be determined by interviewing the patient individually.

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Cognitive Biases in Chronic Illness and Their Impact on Patients' Commitment

Cited by 16 publications

References 78 publications

The Motivation Journey: A Grounded Theory Study on Female Cancer Survivors’ Experience of a Psychological Intervention for Quality of Life

The Motivation Journey: A Grounded Theory Study on Female Cancer Survivors’ Experience of a Psychological Intervention for Quality of Life

The Impact of Unsupportive Social Support on the Injured Self in Breast Cancer Patients

Patients' preferences in therapeutic decision-making in digestive oncology: a single centre cross-sectional observational study

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