查看文章

Efforts aimed at understanding and changing health decisions and behaviour have relied on theoretical frameworks or models comprised of social-cognitive determinants, such as knowledge, risk perception, attitudes, social norms, and self-efficacy (Conner & Norman, 1996, 2017; Noar & Zimmerman, 2005). These frameworks, and the interventions based upon them, largely do not take affective states into account. However, converging evidence suggests that emotion, stress, motivation and other affective states are essential to decision making and behaviour (eg Damasio, 1994; Lerner & Keltner, 2000, 2001; Loewenstein & Lerner, 2003). Moreover, health decisions and behaviour often take place in emotionally-laden contexts. For example, decisions about cancer treatment involve managing fears of cancer, treatment side effects, and the burden and fears of close others who must manage the emotional …