Self-efficacy,psychological adjustment and decisional-balance regarding decision making for outpatient chemotherapy in Japanese advanced lung cancer

This study examined the application of the trans-theoretical model (TTM) for readiness for decision-making of outpatient chemotherapy of Japanese advanced lung cancer patients by a cross sectional questionnaire survey. A questionnaire was conducted with 105 Japanese patients diagnosed with advanced lung cancer receiving chemotherapy. We classified them according to the TTM stages, including 4 in precontemplation, 42 in contemplation, 22 in preparation, and 35 in action. The valid model (χ ² (37) = 42.56, p = 0.24; GFI = 0.93; AGFI = 0.88; CFI = 0.98; RMSEA = 0.04; AIC = 100.56) derived from structural equation modeling (SEM) revealed that stage of outpatient chemotherapy was significantly affected mostly by decisional-balance (β = 0.60, p < 0.001) and partially by time from the patient's house to the hospital (β = ?0.15, p < 0.10), and that decisional-balance was significantly affected by self-efficacy (β = 0.48, p < 0.001) and nausea (β = ?0.23, p < 0.01). The findings from our study provided encouraging results for adopting the TTM in decision making for outpatient chemotherapy in Japanese cancer care and several clinical implications were obtained from the results.     

Risky decision making and cognitive flexibility among online sports bettors in Nigeria

Online sports betting is a popular recreational activity in Nigeria. Like other forms of gambling, risk of pathological progression exists for gamblers who continue betting despite severe financial and psychosocial consequences. In the present study, we examined whether this population of gamblers shows deficits in decision making and cognitive flexibility that have been documented in Western gambling populations. Thirty-six online sports bettors and 42 non-gambling participants completed a version of the Iowa gambling task (IGT) and an established set-shifting task for the assessment of cognitive flexibility. The two groups did not differ significantly in the selection of disadvantageous decks on the IGT. In contrast, sports bettors committed significantly more errors on the set-shifting task than non-gambling control participants. As this performance deficit was not specific to trials requiring a set shift, it most likely resulted from gambling-related changes in general cognitive or motivational abilities that are required to successfully complete challenging mental tasks. While our results illustrate that findings from Western populations cannot automatically be generalised to other contexts, it should be noted that we focused on only one particular type of gambling and included mostly participants with mild gambling-related problems.     

Recognition is used as one cue among others in judgment and decision making

Three experiments with paired comparisons were conducted to test the non-compensatory character of the recognition heuristic (D. G. Goldstein & G. Gigerenzer, 2002) in judgment and decision making. Recognition and knowledge about the recognized alternative were manipulated. In Experiment 1, participants were presented pairs of animal names where the task was to select the animal with the larger population. In Experiment 2, participants chose the safer 1 out of 2 airlines, and 3 knowledge cues were varied simultaneously. Recognition effects were partly compensated by task-relevant knowledge. The compensatory effects were additive. Decisions were slower when recognition and knowledge were incongruent. In Experiment 3, compensatory effects of knowledge and recognition were found for the city-size task which had originally been used to demonstrate the non-compensatory character of the recognition heuristic. These results suggest that recognition information is not used in an all-or-none fashion but is integrated with other types of knowledge in judgment and decision making.     

Attending to multiple sources of information: I. The integration of information in decision making

Information relevant to a decision is often available from several sources, such as different sensory modalities or different spatial locations. Processing or utilization of such information is often selective in that some sources seem to have more influence on a decision or response than others. Many different theoretical mechanisms have been proposed to account for such selective (i.e., attentional) aspects of human information processing. This paper considers theoretical mechanisms which operate to integrate separate sources of information in order to make a binary decision. In particular, these mechanisms are studied in simple visual and auditory detection tasks as well as a Bayesian decision problem. Data from these experiments reject the idea that one integrates the relevant information from several sources prior to making a decision. Rather, one seems to form separate decisions about the information from each source and then integrate these decisions in order to select a response.     

Motivated information processing in group judgment and decision making.

This article expands the view of groups as information processors into a motivated information processing in groups (MIP-G) model by emphasizing, first, the mixed-motive structure of many group tasks and, second, the idea that individuals engage in more or less deliberate information search and processing. The MIP-G model postulates that social motivation drives the kind of information group members attend to, encode, and retrieve and that epistemic motivation drives the degree to which new information is sought and attended to, encoded, and retrieved. Social motivation and epistemic motivation are expected to influence, alone and in combination, generating problem solutions, disseminating information, and negotiating joint decisions. The MIP-G model integrates the influence of many individual and situational differences and combines insight on human thinking with group-level interaction process and decision making.     

Knowledge acquisition and information searching strategies in diagnostic decision making.

The effect of three learning procedures on diagnostic information searching strategies was investigated. Undergraduate students acquired an artificial knowledge domain through either a Taxonomic-, Inductive-, or Case-oriented knowledge acquisition procedure. The use of the competing-hypotheses heuristic as a practical strategy to guide decision making in the face of uncertainty, was compared among the three learning conditions and between each condition and a non-learning control group using the method developed by Kern and Doherty (1982) and Wolf et al. (1985). The small instruction intervention had an effect on the diagnostic nature of subjects' information-searching strategies. Subjects in the Inductive-learning condition exhibited a stronger tendency to seek diagnostically worthless information than the other learning conditions. The outcomes are considered relevant to the nature of expertise in decision making, and to the effect of instruction methodologies on the knowledge representations available to diagnostic classification and decision-making processes.     

Anatomy of a decision: striato-orbitofrontal interactions in reinforcement learning, decision making, and reversal

The authors explore the division of labor between the basal ganglia-dopamine (BG-DA) system and the orbitofrontal cortex (OFC) in decision making. They show that a primitive neural network model of the BG-DA system slowly learns to make decisions on the basis of the relative probability of rewards but is not as sensitive to (a) recency or (b) the value of specific rewards. An augmented model that explores BG-OFC interactions is more successful at estimating the true expected value of decisions and is faster at switching behavior when reinforcement contingencies change. In the augmented model, OFC areas exert top-down control on the BG and premotor areas by representing reinforcement magnitudes in working memory. The model successfully captures patterns of behavior resulting from OFC damage in decision making, reversal learning, and devaluation paradigms and makes additional predictions for the underlying source of these deficits.     

Regaining a sense of agency and shared self-reliance: the experience of advanced disease cancer patients participating in a multidimensional exercise intervention while undergoing chemotherapy--analysis of patient diaries

Evidence is emerging that exercise can reduce psychological distress in cancer patients undergoing treatment. The present study aimed to (qualitatively) explore the experiences of advanced disease cancer patients participating in a 6-week, 9-hours weekly, structured, group-based multidimensional exercise intervention while undergoing chemotherapy. Unstructured diaries from a purposive sample of three females and two males (28-52 years old) who participated in the program served as the database. Data were analyzed using a phenomenological, narrative method. The analysis yielded three themes: shifting position, self-surveillance, and negotiated strength. The intervention highlighted situations making it possible for the participants to negate psychological and physical constraints. The concept of structured exercise contains viable psychotherapeutic potentials by allowing the development of alternative bodily and mental realities complying with cancer patients' demands and abilities to regain autonomy and commitment to discover and adopt a sense of agency and shared self-reliance.     

'Fairness and reasonableness of the child's decision:' a proposed legal standard for children's participation in medical decision making.

Using as illustration the case of Nikolas E., a six-year-old child with HIV/AIDS, this article considers the competing rights of children, parents, and state in cases involving pediatric medical disputes. The article outlines arguments in favor of and against children's participation in medical decisions and describes legal standards currently used in resolving pediatric medical disputes. The article then proposes adoption of a new legal standard described as the 'fairness and reasonableness of the child's decision,' and articulates advantages and disadvantages of such an approach, as well as the factors that should be considered in implementing the standard. Finally, the article argues for a methodology for including children's wishes in pediatric medical decision making that is based upon Monahan and Walker's model for including social science evidence in legal contexts and evaluates alternative strategies for including children meaningfully in the process of making medical decisions that affect them.     

Measurement and decision making at the University of Michigan in the 1950s and 1960s

This article explores the emergence of Clyde Coombs' mathematical psychology and Ward Edwards' behavioral decision research at the University of Michigan in the 1950s and 1960s. It shows why and how the mathematical psychological focus on the mathematics of measurement neatly complemented the experimental work on rational human decision making of the behavioral decision researchers. Both understood measurement as the rational decision of a human being between two or more stimuli, or values, and viewed the experimental measurement of actual human decision behavior as a key objective of psychology. For both “measurement theory in psychology [was] behavior theory.” © 2010 Wiley Periodicals, Inc.     

Cognitive slowing in decision tasks in early and advanced Parkinson's disease.

Ten untreated patients with recently diagnosed Parkinson's disease (PD), 9 treated patients with more advanced pathology, and 17 matched normal controls were investigated with three reaction tasks with increasing cognitive load but identical motor requirements: simple reaction, choice reaction with indicative stimuli, and choice reaction with ambiguous stimuli. Times required until a home key was released (= reaction time) and from then until a response key was pressed (= movement time) were recorded. Estimates of pure decision time (overall response time minus movement time in a simple reaction time task) revealed a difference between advanced and early PD patients. Advanced PD patients showed an overall slowing of decision time in the reaction time tasks, but the effect of the cognitive load of the tasks on the decision time was comparable to a control group. The untreated early PD patients performed quite normally in the more simple decision tasks but showed a disproportionate slowing of decision time in tasks with higher cognitive load.     

Moral disengagement in ethical decision making: a study of antecedents and outcomes

This article advances understanding of the antecedents and outcomes of moral disengagement by testing hypotheses with 3 waves of survey data from 307 business and education undergraduate students. The authors theorize that 6 individual differences will either increase or decrease moral disengagement, defined as a set of cognitive mechanisms that deactivate moral self-regulatory processes and thereby help to explain why individuals often make unethical decisions without apparent guilt or self-censure (Bandura, 1986). Results support 4 individual difference hypotheses, specifically, that empathy and moral identity are negatively related to moral disengagement, while trait cynicism and chance locus of control orientation are positively related to moral disengagement. Two additional locus of control orientations are not significantly related to moral disengagement. The authors also hypothesize and find that moral disengagement is positively related to unethical decision making. Finally, the authors hypothesize that moral disengagement plays a mediating role between the individual differences they studied and unethical decisions. Their results offer partial support for these mediating hypotheses. The authors discuss the implications of these findings for future research and for practice.     

Context effects in multi-alternative decision making: empirical data and a Bayesian model

For decisions between many alternatives, the benchmark result is Hick's Law: that response time increases log-linearly with the number of choice alternatives. Even when Hick's Law is observed for response times, divergent results have been observed for error rates-sometimes error rates increase with the number of choice alternatives, and sometimes they are constant. We provide evidence from two experiments that error rates are mostly independent of the number of choice alternatives, unless context effects induce participants to trade speed for accuracy across conditions. Error rate data have previously been used to discriminate between competing theoretical accounts of Hick's Law, and our results question the validity of those conclusions. We show that a previously dismissed optimal observer model might provide a parsimonious account of both response time and error rate data. The model suggests that people approximate Bayesian inference in multi-alternative choice, except for some perceptual limitations.     

Minority dissent and team innovation: the importance of participation in decision making.

This study integrates research on minority dissent and individual creativity, as well as team diversity and the quality of group decision making, with research on team participation in decision making. From these lines of research, it was proposed that minority dissent would predict innovation in teams but only when teams have high levels of participation in decision making. This hypothesis was tested in 2 studies, 1 involving a homogeneous sample of self-managed teams and 1 involving a heterogeneous sample of cross-functional teams. Study 1 suggested that a newly developed scale to measure minority dissent has discriminant validity. Both Study 1 and Study 2 showed more innovations under high rather than low levels of minority dissent but only when there was a high degree of participation in team decision making. It is concluded that minority dissent stimulates creativity and divergent thought, which, through participation, manifest as innovation.     

Satisficing in financial decision making — a theoretical and experimental approach to bounded rationality

We apply the theoretical construct of bounded rationality to an investment game, allowing participants to invest their monetary endowment in riskless bonds and risky assets. In our experiment, we elicit aspiration levels from participants: one captures a subsistence threshold, the other a success threshold. Participants can be classified according to these aspirations and the corresponding investment behavior. We differentiate between potential and actual satisficing. By presupposing specific cardinal utility functions, we also relate the bounded rationality approach to the traditional rational choice model.     

The relationship between indecisiveness and eye movement patterns in a decision making informational search task

Indecisiveness is a trait‐related general tendency to experience decision difficulties across a variety of situations, leading to decision delay, worry, and regret. Indecisiveness is proposed (Rassin, 2007) to be associated with an increase in desire for information acquisition and reliance on compensatory strategies—as evidenced by alternative‐based information search—during decision making. However existing studies provide conflicting findings. We conducted an information board study of indecisiveness, using eye tracking methodology, to test the hypotheses that the relationship between indecisiveness and choice strategy depends on being in the early stage of the decision making process, and that it depends on being in the presence of an opportunity to delay choice. We found strong evidence for the first hypothesis in that indecisive individuals changed shift behavior from the first to the second half of the task, consistent with a move from greater to lesser compensatory processing, while the shift behavior of decisive individuals suggested lesser compensatory processing over the whole task. Indecisiveness was also related to time spent viewing attributes of the selected course, and to time spent looking away from decision information. These findings resolve past discrepancies, suggest an interesting account of how the decision process unfolds for indecisive versus decisive individuals, and contribute to a better understanding of this tendency. Copyright © 2009 John Wiley & Sons, Ltd.