A contextual approach to treatment decision making among breast cancer survivors.
This article presents a contextual model of adjustment to cancer that frames research inquiry on treatment decision making among long-term breast cancer survivors. Psychosocial adaptation, of which treatment decision making is a part, is viewed within a social ecological framework (T. A. Revenson, 1990, 2003) that encompasses 4 contexts: the situational context, the interpersonal context, the sociocultural context, and the temporal context. Examples of how each context may influence decision-making processes are described, and guidelines for future research are provided.
Revenson
Tracey A
TA
Graduate Center, City University of New York, New York, NY 10016-4309, USA. trevenson@gc.cuny.edu
Pranikoff
Julie R
JR
D000223:Adaptation, Psychological; D001943:Breast Neoplasms / Q000628:therapy*; D003657:Decision Making; D005260:Female; D017408:Guidelines as Topic; D006801:Humans; D008962:Models, Theoretical; D017741:Survivors / Q000523:psychology*