Toward a Conceptual Model of Affective Predictions in Palliative Care

Journal of Pain and Symptom Management
Erin M EllisRebecca A Ferrer

Abstract

Being diagnosed with cancer often forces patients and families to make difficult medical decisions. How patients think they and others will feel in the future, termed affective predictions, may influence these decisions. These affective predictions are often biased, which may contribute to suboptimal care outcomes by influencing decisions related to palliative care and advance care planning. This study aimed to translate perspectives from the decision sciences to inform future research about when and how affective predictions may influence decisions about palliative care and advance care planning. A systematic search of two databases to evaluate the extent to which affective predictions have been examined in the palliative care and advance care planning context yielded 35 relevant articles. Over half utilized qualitative methodologies (n = 21). Most studies were conducted in the U.S. (n = 12), Canada (n = 7), or European countries (n = 10). Study contexts included end of life (n = 10), early treatment decisions (n = 10), pain and symptom management (n = 7), and patient-provider communication (n = 6). The affective processes of patients (n = 20), caregivers (n = 16), and/or providers (n = 12) were examined. Three features of the...Continue Reading

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Citations

Jan 24, 2020·Cancer Prevention Research·William M P KleinUNKNOWN NCI Cognitive, Affective, and Social Processes in Health Research (CASPHR) Working Group
Nov 1, 2019·Social and Personality Psychology Compass·Rebecca A Ferrer, Erin M Ellis
Jun 1, 2021·Surgical Oncology Clinics of North America·Alyssa K Ovaitt, Susan McCammon

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