Skip to main content
Top
Published in: Annals of Behavioral Medicine 2/2012

01-10-2012 | Original Article

Avoiding Risk Information About Breast Cancer

Authors: Darya Melnyk, Ph.D., James A. Shepperd, Ph.D.

Published in: Annals of Behavioral Medicine | Issue 2/2012

Login to get access

Abstract

Background

Learning about personal risk can provide numerous benefits yet people sometimes opt to remain ignorant.

Purpose

Two studies examined the role of perceived control, coping resources, and anticipated regret in women’s decision to avoid breast cancer risk information.

Methods

Women completed a health inventory and then read a brochure about either controllable or uncontrollable predictors of breast cancer, or received no brochure. Participants then received an opportunity to learn their lifetime risk for breast cancer based on their inventory responses.

Results

Reading about controllable predictors of breast cancer reduced avoidance of risk information compared with reading about uncontrollable predictors or receiving no information. In addition, fewer coping resources, anticipated greater regret over seeking breast cancer risk information, and less regret over avoiding breast cancer risk information predicted information avoidance.

Conclusion

Reading about controllable predictors of breast cancer reduces avoidance of breast cancer risk information.
Literature
1.
go back to reference Queller J. Pretty is what changes: Impossible choices, the breast cancer gene, and how I defied my destiny. New York: Spiegel & Grau; 2008. Queller J. Pretty is what changes: Impossible choices, the breast cancer gene, and how I defied my destiny. New York: Spiegel & Grau; 2008.
2.
go back to reference Sweeny K, Melnyk D, Malone W, Shepperd JA. Information avoidance: Who, What, When, and Why. Rev Gen Psychol. 2010;14:340-353.CrossRef Sweeny K, Melnyk D, Malone W, Shepperd JA. Information avoidance: Who, What, When, and Why. Rev Gen Psychol. 2010;14:340-353.CrossRef
3.
go back to reference Cutler SJ, Hodgson LG. To test or not to test: Interest in genetic testing for Alzheimer’s disease among middle-aged adults. Am J Alzheimers Dis Other Dement. 2003;18:9-20.CrossRef Cutler SJ, Hodgson LG. To test or not to test: Interest in genetic testing for Alzheimer’s disease among middle-aged adults. Am J Alzheimers Dis Other Dement. 2003;18:9-20.CrossRef
4.
go back to reference Van der Steenstraten IM, Tibben A, Roos RAC, van de Kamp JJP, Niermeijer MF. Predictive testing for Huntington disease: Nonparticipants compared with participants in the Dutch program. Am J Hum Genet. 1994;55:618-625.PubMed Van der Steenstraten IM, Tibben A, Roos RAC, van de Kamp JJP, Niermeijer MF. Predictive testing for Huntington disease: Nonparticipants compared with participants in the Dutch program. Am J Hum Genet. 1994;55:618-625.PubMed
5.
go back to reference Vargas CA. Coping with HIV/AIDS in Durban’s commercial sex industry. AIDS Care. 2001;13:351-365.CrossRef Vargas CA. Coping with HIV/AIDS in Durban’s commercial sex industry. AIDS Care. 2001;13:351-365.CrossRef
6.
go back to reference Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychol Rev. 1977;84(2):191-215.PubMedCrossRef Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychol Rev. 1977;84(2):191-215.PubMedCrossRef
7.
go back to reference Hiroto DS, Seligman ME. Generality of learned helplessness in man. J Pers Soc Psychol. 1975;31(2):311-327.CrossRef Hiroto DS, Seligman ME. Generality of learned helplessness in man. J Pers Soc Psychol. 1975;31(2):311-327.CrossRef
8.
go back to reference Ajzen I. From intentions to actions: A theory of planned behavior. In: Kuhl J, Beckman J, eds. Action-control: From cognition to behavior. Berlin: Springer; 1985:11-39. Ajzen I. From intentions to actions: A theory of planned behavior. In: Kuhl J, Beckman J, eds. Action-control: From cognition to behavior. Berlin: Springer; 1985:11-39.
9.
go back to reference Armitage CJ. Can the theory of planned behavior predict the maintenance of physical activity? Health Psychol. 2005;24:235-245.PubMedCrossRef Armitage CJ. Can the theory of planned behavior predict the maintenance of physical activity? Health Psychol. 2005;24:235-245.PubMedCrossRef
10.
go back to reference Johnson JL, Kalaw C, Lovato CY, Baillie L, Chambers NA. Crossing the line: Adolescents’ experiences of controlling their tobacco use. Qual Health Res. 2004;14(9):1276-1291.PubMedCrossRef Johnson JL, Kalaw C, Lovato CY, Baillie L, Chambers NA. Crossing the line: Adolescents’ experiences of controlling their tobacco use. Qual Health Res. 2004;14(9):1276-1291.PubMedCrossRef
11.
go back to reference Yaniv I, Benador D, Sagi M. On not wanting to know and not wanting to inform others: Choices regarding predictive genetic testing. Risk Decis Policy. 2004;9(4):317-336.CrossRef Yaniv I, Benador D, Sagi M. On not wanting to know and not wanting to inform others: Choices regarding predictive genetic testing. Risk Decis Policy. 2004;9(4):317-336.CrossRef
12.
go back to reference Dawson E, Savitsky K, Dunning D. “Don’t tell me, I don’t want to know”: Understanding people’s reluctance to obtain medical diagnostic information. J Appl Soc Psychol. 2006;36:751-768.CrossRef Dawson E, Savitsky K, Dunning D. “Don’t tell me, I don’t want to know”: Understanding people’s reluctance to obtain medical diagnostic information. J Appl Soc Psychol. 2006;36:751-768.CrossRef
13.
go back to reference Shiloh S, Ben-Sinai R, Keinan G. Effects of controllability, predictability, and information-seeking style on interest in predictive genetic testing. Personal Soc Psychol Bull. 1999;25:1187-1195.CrossRef Shiloh S, Ben-Sinai R, Keinan G. Effects of controllability, predictability, and information-seeking style on interest in predictive genetic testing. Personal Soc Psychol Bull. 1999;25:1187-1195.CrossRef
14.
go back to reference Frey D. Reversible and irreversible decisions: Preference for consonant information as a function of attractiveness of decision alternatives. Personal Soc Psychol Bull. 1981;7:621-626.CrossRef Frey D. Reversible and irreversible decisions: Preference for consonant information as a function of attractiveness of decision alternatives. Personal Soc Psychol Bull. 1981;7:621-626.CrossRef
15.
go back to reference Frey D, Rosch M. Information seeking after decisions: The role of novelty of information and decision reversibility. Personal Soc Psychol Bull. 1984;10:91-98.CrossRef Frey D, Rosch M. Information seeking after decisions: The role of novelty of information and decision reversibility. Personal Soc Psychol Bull. 1984;10:91-98.CrossRef
16.
go back to reference National Cancer Institute. Breast Cancer Prevention (PDQ ®). Available at http://www.cancer.gov/cancertopics/pdq/prevention/breast/HealthProfessional. Accessibility verified April 11, 2012. National Cancer Institute. Breast Cancer Prevention (PDQ ®). Available at http://​www.​cancer.​gov/​cancertopics/​pdq/​prevention/​breast/​HealthProfession​al.​ Accessibility verified April 11, 2012.
17.
go back to reference Aurora NK, Finney Rutten LJ, Gustafson D, Moser R, Hawkins RP. Perceived helpfulness and impact of social support provided by family, friends, and health care providers to women newly diagnosed with breast cancer. Psycho-Oncology. 2007;16:474-486.CrossRef Aurora NK, Finney Rutten LJ, Gustafson D, Moser R, Hawkins RP. Perceived helpfulness and impact of social support provided by family, friends, and health care providers to women newly diagnosed with breast cancer. Psycho-Oncology. 2007;16:474-486.CrossRef
18.
go back to reference Manne SL, Zautra AJ. Spousal criticism and support: Their association with coping and psychological adjustment among women with rheumatoid arthritis. J Pers Soc Psychol. 1989;56:608-617.PubMedCrossRef Manne SL, Zautra AJ. Spousal criticism and support: Their association with coping and psychological adjustment among women with rheumatoid arthritis. J Pers Soc Psychol. 1989;56:608-617.PubMedCrossRef
19.
go back to reference Sarason IG, Sarason BR, Shearin EN. Social support as an individual difference variable: Its stability, origins, and relational aspects. J Personal Soc Psychol. 1986;50:845-855.CrossRef Sarason IG, Sarason BR, Shearin EN. Social support as an individual difference variable: Its stability, origins, and relational aspects. J Personal Soc Psychol. 1986;50:845-855.CrossRef
20.
go back to reference Zeelenberg M, Pieters R. A theory of regret regulation 1.0. J Consum Psychol. 2007;17:3-18.CrossRef Zeelenberg M, Pieters R. A theory of regret regulation 1.0. J Consum Psychol. 2007;17:3-18.CrossRef
21.
go back to reference Van Dijk E, Zeelenberg M. When curiosity killed regret: Avoiding or seeking the unknown in decision-making under uncertainty. J Exp Soc Psychol. 2007;43:656-662.CrossRef Van Dijk E, Zeelenberg M. When curiosity killed regret: Avoiding or seeking the unknown in decision-making under uncertainty. J Exp Soc Psychol. 2007;43:656-662.CrossRef
22.
go back to reference Zeelenberg M. Anticipated regret, expected feedback and behavioral decision making. J Behav Decis Mak. 1999;12:93-106.CrossRef Zeelenberg M. Anticipated regret, expected feedback and behavioral decision making. J Behav Decis Mak. 1999;12:93-106.CrossRef
25.
go back to reference Preacher KJ, Hayes AF. SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behav Res Methods Instrum Comput. 2004;36:717-731.PubMedCrossRef Preacher KJ, Hayes AF. SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behav Res Methods Instrum Comput. 2004;36:717-731.PubMedCrossRef
26.
go back to reference Centers for Disease Control and Prevention. HIV counseling and testing in publicly funded sites: 1995 summary report. Atlanta, GA: U.S. Department of Health and Human Services, CDC, 1997. Centers for Disease Control and Prevention. HIV counseling and testing in publicly funded sites: 1995 summary report. Atlanta, GA: U.S. Department of Health and Human Services, CDC, 1997.
27.
go back to reference Molitor F, Bell RA, Truax SR. Predictors of failure to return for HIV test result and counseling by test site type. AIDS Educ Prev. 1999;11:1-13.PubMed Molitor F, Bell RA, Truax SR. Predictors of failure to return for HIV test result and counseling by test site type. AIDS Educ Prev. 1999;11:1-13.PubMed
28.
go back to reference Rugg D, Higgins D, Schnell D. Failure to return for HIV test results: A second look at determinants. Atlanta, Georgia: Poster session presented at the International Conference on AIDS; 1989. Rugg D, Higgins D, Schnell D. Failure to return for HIV test results: A second look at determinants. Atlanta, Georgia: Poster session presented at the International Conference on AIDS; 1989.
29.
go back to reference Tao G, Branson BM, Kassler WJ, Cohen RA. Rates of receiving HIV test results: Data from the U.S. national health interview survey for 1994 and 1995. J Acquir Immune Defic Syndr. 1999;22:395-400.PubMedCrossRef Tao G, Branson BM, Kassler WJ, Cohen RA. Rates of receiving HIV test results: Data from the U.S. national health interview survey for 1994 and 1995. J Acquir Immune Defic Syndr. 1999;22:395-400.PubMedCrossRef
30.
go back to reference Valdiserri RO, Moore M, Gerber AR, et al. A study of clients returning for counseling after HIV testing: Implications for improving rates of return. Public Health Rep. 1993;108:12-18.PubMed Valdiserri RO, Moore M, Gerber AR, et al. A study of clients returning for counseling after HIV testing: Implications for improving rates of return. Public Health Rep. 1993;108:12-18.PubMed
31.
go back to reference Lerman C, Hughes C, Trock BJ, et al. Genetic testing in families with hereditary nonpolyposis colon cancer. JAMA. 1999;281:1618-1622.PubMedCrossRef Lerman C, Hughes C, Trock BJ, et al. Genetic testing in families with hereditary nonpolyposis colon cancer. JAMA. 1999;281:1618-1622.PubMedCrossRef
32.
go back to reference Lerman C, Narod S, Schulman K, Hughes C, Gomez-Caminero A, Bonney G, Gold K, Trock B, Main D, Lynch J, Fulmore C, Snyder C, Lemon SJ, Conway T, Tonin P, Lenoir G, Lynch H. BRCA 1 testing in families with hereditary breast-ovarian cancer: A prospective study of patient decision making and outcomes. JAMA. 1996;275:1885-1892.PubMedCrossRef Lerman C, Narod S, Schulman K, Hughes C, Gomez-Caminero A, Bonney G, Gold K, Trock B, Main D, Lynch J, Fulmore C, Snyder C, Lemon SJ, Conway T, Tonin P, Lenoir G, Lynch H. BRCA 1 testing in families with hereditary breast-ovarian cancer: A prospective study of patient decision making and outcomes. JAMA. 1996;275:1885-1892.PubMedCrossRef
Metadata
Title
Avoiding Risk Information About Breast Cancer
Authors
Darya Melnyk, Ph.D.
James A. Shepperd, Ph.D.
Publication date
01-10-2012
Publisher
Springer-Verlag
Published in
Annals of Behavioral Medicine / Issue 2/2012
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-012-9382-5

Other articles of this Issue 2/2012

Annals of Behavioral Medicine 2/2012 Go to the issue