信号需要护理:医疗治疗的功能性作用被忽视
Mícheál de Barra1, Kawthar Hakimy2, Marijn de Bruin3,4
1Centre for Culture and Evolution, Brunel University London, London, UK.
Evolution, medicine, and public health
|October 30, 2023
概括
患者可能寻求医疗治疗,而不仅仅是为了治愈,而是为了表明疾病并获得社会支持. 接受治疗,尤其是痛苦的治疗,可以使他们的病情合法化,并鼓励照顾.
科学领域:
- 行为经济学是一种行为经济学.
- 医学社会学 医学社会学
- 心理学 心理学 心理学
背景情况:
- 医学治疗传统上旨在缓解症状或治愈疾病.
- 这项研究探讨了另一种患者动机:使用治疗来沟通需求并使疾病合法化.
研究的目的:
- 调查接受医疗治疗如何影响社会认知和支持.
- 检查信号理论在理解患者治疗决策和社会后果方面的作用.
主要方法:
- 四个实验对象 (n=874) 评估了根据治疗的存在和疼痛提供护理的意愿.
- 一项横截面研究 (n=194) 检查了慢性疼痛患者接受厌恶治疗的情况.
- 两个实验 (n=653) 探索了社会支持操纵对治疗接受度的影响.
主要成果:
- 参与者更有可能为接受治疗的个人提供护理,特别是痛苦的治疗.
- 经历了耻辱感或对疾病合法性的怀疑的患者更倾向于接受厌恶治疗.
- 增加感知到的社会支持与接受医疗干预的更大意愿相关.
结论:
- 治疗决策受到社会后果和对社会支持的渴望的影响.
- 信号理论为理解为什么患者可能选择治疗来合法化他们的疾病提供了一个框架.
- 这种观点可能解释了一些无效的医疗程序的持续性.
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