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Affective Determinants of Health Behavior$
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David M. Williams, Ryan E. Rhodes, and Mark T. Conner

Print publication date: 2018

Print ISBN-13: 9780190499037

Published to Oxford Scholarship Online: May 2018

DOI: 10.1093/oso/9780190499037.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 17 April 2021

Decision Making in Cancer Prevention and Control

Decision Making in Cancer Prevention and Control

Insights from Affective Science

(p.452) 20 Decision Making in Cancer Prevention and Control
Affective Determinants of Health Behavior

Erin M. Ellis

Rebecca A. Ferrer

Oxford University Press

Being diagnosed with cancer introduces the need to make many high-stakes decisions about treatments, clinical trial participation, palliative care, advanced care planning, and (sometimes) end-of-life preferences. These decisions can be intensely emotional themselves, and occur within the affectively laden context of cancer-related issues, such as symptom management, interpersonal concerns, and existential questions about life and death. This chapter outlines how affect/emotion influences several decisions faced by cancer patients, and how emotions are relevant to the interpersonal context in which these decisions occur. Emotion has pervasive and predictable—sometimes deleterious and sometimes advantageous—influences on decision making. Fundamental knowledge regarding how affect influences cancer-related decision making could be leveraged to develop interventions to optimize decisions about treatment, clinical trial participation, and palliative care among cancer patients and survivors, thereby improving cancer-related outcomes.

Keywords:   cancer, decision making, affect, emotion, palliative care, clinical trial

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