During the course of illness, people diagnosed with cancer need information to cope with cancer. Despite the crucial role of information, little is known about why some people with cancer choose to seek further information about their illness and why others do not. This study investigates the interplay of two psychological factors, negative emotion and health self-efficacy, on patients' health information use. Using the data collected from 122 women diagnosed with breast cancer, the authors found that negative emotions and health self-efficacy jointly affect the use of health information. Among patients with high health self-efficacy, negative emotions were positively related to the amount of information sought, whereas among those with low health self-efficacy, negative emotions were negatively related to the amount of information sought. The results also show that there are significant increases in patients' health self-efficacy after the use of health information for 2 months.
Aiken, L.S., & West, S.G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park, CA: Sage.
2.
Babrow, A.S. (2001). Uncertainty, value, communication, and problematic integration. Journal of Communication, 51, 553-573.
3.
Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84, 191-215.
4.
Bandura, A. (1997). Self-efficacy: The exercise of control. New York: Freeman.
5.
Bandura, A., & Cervone, D. (1983). Self-evaluative and self-efficacy mechanisms governing the motivational effects of goal systems. Journal of Personality and Social Psychology, 45, 1017-1028.
6.
Barnett, V., & Lewis, T. (1994). Outliers in statistical data (3rd ed.). New York: John Wiley.
7.
Baum, A., & Posluszny, D.M. (1999). Health psychology: Mapping biobehavioral contributions to health and illness. Annual Review of Psychology, 50, 137-163.
8.
Bloom, J.R. (1987). Psychological response to mastectomy: A prospective comparison study. Cancer, 59, 189-196.
9.
Bowen, D.J., Helmes, A., Powers, D., Andersen, M.R., Burke, W., McTiernan, A., et al. (2003). Predicting breast cancer screening intentions and behavior with emotion and cognition. Journal of Social and Clinical Psychology, 22, 213-232.
10.
Brashers, D.E., Neidig, J.L., Haas, S.M., Dobbs, L.K., Cardillo, L.W., & Russell, J.A. (2000). Communication in the management of uncertainty: The case of persons living with HIV or AIDS. Communication Monographs, 67, 63-84.
11.
Brehm, J. (1999). The intensity of emotion. Personality and Social Psychology Review, 3, 2-22.
12.
Carver, C.S. (2004). Negative affects deriving from the behavioral approach system. Emotion, 4, 3-22.
13.
Case, D.O., Andrews, J.E., Johnson, J.D., & Allard, S.L. (2005). Avoiding versus seeking: The relationship of information seeking to avoidance, blunting, coping, dissonance, and related concepts. Journal of the Medical Library Association, 93, 353-362.
14.
Cella, D.F., & Yellen, S.B. (1993). Cancer support groups: The state of the art. Cancer Practice, 1, 56-61.
15.
Cline, R.J.W., & Haynes, K.M. (2001). Consumer health information seeking on the Internet: The state of the art. Health Education Research, 16, 671-692.
16.
Cohen, J., Cohen, P., West, S.G., & Aiken, L.S. (2002). Applied multiple regression/correlation analysis for the behavioral sciences (3rd ed.). Mahwah, NJ: Lawrence Erlbaum.
17.
Cohen, S. (2004). Social relationships and health. American Psychologist, 59, 676-684.
18.
Cohen, S., & Wills, T.A. (1985). Stress, social support, and the buffering hypothesis . Psychological Bulletin, 98, 310-357.
19.
Consedine, N.S., Magai, C., Krivoshekova, Y.S., Ryzewicz, L., & Neugut, A.I. (2004). Fear, anxiety, worry, and breast cancer screening behavior: A critical review. Cancer Epidemiology Biomarkers & Prevention, 13, 501-510.
20.
Consedine, N.S., Magai, C., & Neugut, A.I. (2004). The contribution of emotional characteristics to breast cancer screening among women from six ethnic groups. Preventive Medicine, 38, 64-77.
21.
Cutrona, C.E., & Russell, D.W. (1990). Type of social support and specific stress: Toward a theory of optimal matching. In B. R. Sarason , I. G. Sarason, & G. R. Pierce (Eds.), Social support: An interactional view (pp. 319-366). New York: John Wiley.
22.
Davidson, R.J., Saron, C.D., Senulis, J.A., Ekman, P., & Friesen, W.V. (1990). Approach withdrawal and cerebral asymmetry: Emotional expression and brain physiology 1. Journal of Personality and Social Psychology, 58, 330-341.
23.
Degner, L.F., & Sloan, J.A. (1992). Decision making during serious illness: What role do patients really want to play? Journal of Clinical Epidemiology , 45, 941-950.
24.
Dillard, J.P., & Peck, E. (2001). Persuasion and the structure of affect: Dual systems and discrete emotions as complementary models. Human Communication Research, 27, 38-68.
25.
Eagly, A.H., & Chaiken, S. (1993). The psychology of attitudes. Fort Worth, TX: Harcourt Brace Jovanovich.
26.
Eysenbach, G. (2003). The impact of the Internet on cancer outcomes . CA: Cancer Journal for Clinicians, 53, 356-371.
27.
Ferguson, E.D., & Wee, B.E.F. (2000). Motivation: A biosocial and cognitive integration of motivation and emotion. New York: Oxford University Press.
28.
Freimuth, V.S. (1990). The chronically uninformed: Closing the knowledge gap in health. In E. B. Ray & L. Donohew (Eds.), Communication and health: System and applications (pp. 171-186). Hillsdale, NJ: Lawrence Erlbaum.
29.
Frijda, N.H. (1986). The emotions. Cambridge, UK: Cambridge University Press.
30.
Frijda, N.H., Kuipers, P., & Schure, E. (1989). Relations among emotion, appraisal, and emotional action readiness. Journal of Personality and Social Psychology , 57, 212-228.
31.
Gallagher, J., Parle, M., & Cairns, D. (2002). Appraisal and psychological distress six months after diagnosis of breast cancer. British Psychological Society , 7, 365-376.
32.
Galloway, S., Graydon, J., Harrison, D., Evans-Boyden, B., Palmer-Wickham, S., Burlein-Hall, S., et al. (1997). Informational needs of women with a recent diagnosis of breast cancer: Development and initial testing of a tool. Journal of Advanced Nursing, 25, 1175-1183.
33.
Gill, E.A., & Babrow, A.S. (2007). To hope or to know: Coping with uncertainty and ambivalence in women's magazine breast cancer articles. Journal of Applied Communication Research, 35, 133-155.
34.
Gray, J.A. (1990). Brain systems that mediate both emotion and cognition . Cognition & Emotion, 4, 269-288.
35.
Greenberg, B.S., Eastin, M.S., Skalski, P., Cooper, L., Levy, M., & Lachlan, K. (2005). Comparing survey and diary measures of Internet and traditional media use. Communication Reports, 18, 1-8.
36.
Gustafson, D.H., Hawkins, R., Boberg, E., Pingree, S., Serlin, R.E., Graziano, F., et al. (1999). Impact of a patient-centered, computer-based health information/support system. American Journal of Preventive Medicine, 16, 1-9.
37.
Gustafson, D.H., Hawkins, R., Pingree, S., McTavish, F., Arora, N.K., Mendenhall, J., et al. (2001). Effect of computer support on younger women with breast cancer. Journal of General Internal Medicine, 16, 435-445.
38.
Gustafson, D.H., Hawkins, R., Pingree, S., McTravish, F., Chen, W.C., & Volrathongchai, K., et al. (2003). The Internet as source of health information and support: Less than meets the eye? Unpublished manuscript.
39.
Harmon-Jones, E., & Sigelman, J. (2001). State anger and prefrontal brain activity: Evidence that insult-related relative left-prefrontal activation is associated with experienced anger and aggression. Journal of Personality and Social Psychology, 80, 797-803.
40.
House, J.S., Umberson, D., & Landis, K.R. (1988). Structures and processes of social support. Annual Review of Sociology, 14, 293-318.
41.
Hovland, C.I., Janis, I.L., & Kelley, H.H. (1953). Communication and persuasion: Psychological studies of opinion change. New Haven, CT: Yale University Press.
42.
Janis, I.L., & Mann, L. (1977). Decision making: A psychological analysis of conflict, choice, and commitment. New York: Free Press.
43.
Jefferies, H. (2002). Ovarian cancer patients: Are their informational and emotional needs being met? Journal of Clinical Nursing , 11, 41-47.
44.
Kaplan, B.H., Cassel, J.C., & Gore, S. (1977). Social support and health. Medical Care, 15, 47-58.
45.
Krohne, H.W. (1989). The concept of coping modes: Relating cognitive person variables to actual coping behavior. Advances in Behaviour Research and Therapy, 11, 235-248.
46.
Lang, P.J. (1995). The emotion probe: Studies of motivation and attention . American Psychologist, 50, 372-385.
47.
Lazarus, R.S. (1991). Emotion and adaptation. New York: Oxford University Press
48.
Leydon, G.M., Boulton, M., Moynihan, C., Jones, A., Mossman, J., Boudioni, M., et al. (2000). Cancer patients' information needs and information seeking behaviour In depth interview study. British Medical Journal, 320, 909-913.
49.
Loewenstein, G.F., Weber, E.U., Hsee, C.K., & Welch, N. (2001). Risk as feelings. Psychological Bulletin, 127, 267-286.
50.
Maibach, E., & Murphy, D.A. (1995). Self-efficacy in health promotion research and practice: Conceptualization and measurement. Health Education Research, 10, 37-50.
51.
Mayne, T.J. (1999). Negative affect and health: The importance of being earnest. Cognition and Emotion, 13, 601-635.
52.
Nabi, R.L. (1999). A cognitive-functional model for the effects of discrete negative emotions on information processing, attitude change, and recall. Communication Theory, 9, 292-320.
53.
Reeves, P.M. (2000). Coping in cyberspace: The impact of Internet use on the ability of HIV-positive individuals to deal with their illness. Journal of Health Communication, 5, 47-59.
54.
Rimal, R.N. (2001). Perceived risk and self-efficacy as motivators: Understanding individuals' long-term use of health information. Journal of Communication, 51, 633-654.
55.
Rimal, R.N., & Real, K. (2003). Perceived risk and efficacy beliefs as motivators of change: Use of the risk perception attitude (RPA) framework to understand health behaviors. Human Communication Research, 29, 370-399.
56.
Roseman, I.J. (1984). Cognitive determinants of emotions: A structural theory. In P. Shaver (Ed.), Review of personality and social psychology: Emotion, relationship, and health (Vol. 5, pp. 11-36). Beverly Hills, CA: Sage.
57.
Roseman, I.J., Wiest, C., & Swartz, T.S. (1994). Phenomenology, behaviors, and goals differentiate discrete emotions. Journal of Personality and Social Psychology , 67, 206-221.
58.
Roth, S., & Cohen, L.J. (1986). Approach, avoidance, and coping with stress. American Psychologist, 41, 813-819.
59.
Sarason, I.G., Pierce, G.R., & Sarason, B.R. (1994). General and specific perceptions of social support . In W. R. Avison & I. H. Gotlib (Eds.), Stress and mental health: Contemporary issues and prospects for the future (pp. 151-177). New York: Plenum.
60.
Schmader, T., & Lickel, B. (2006). The approach and avoidance function of guilt and shame emotions: Comparing reactions to self-caused and other-caused wrongdoing . Motivation and Emotion, 30, 43-56.
61.
Schwarzer, R., & Renner, B. (2000). Social-cognitive predictors of health behavior: Action self-efficacy and coping self-efficacy. Health Psychology , 19, 487-495.
62.
Shaw, B.R., Hawkins, R., McTavish, F., Pingree, S., & Gustafson, D.H. (2006). Effects of insightful disclosure within computer mediated support groups on women with breast cancer. Health Communication, 19, 133-142.
63.
Shaw, B.R., McTavish, F., Hawkins, R., Gustafson, D.H., & Pingree, S. (2000). Experiences of women with breast cancer: Exchanging social support over the CHESS computer network. Journal of Health Communication, 5, 135-159.
64.
Street, R.L. (1990). Communication in medical consultations: A review essay. Quarterly Journal of Speech, 76, 315-332.
65.
Stroebe, W., & Stroebe, M. (1996). The social psychology of social support. In E. T. Higgins & A. W. Kruglanski (Eds.), Social psychology: Handbook of basic principles (pp. 597-621). New York: Guilford.
66.
Taylor, S.E., Lichtman, R.R., & Wood, J.V. (1984). Attributions, beliefs about control, and adjustment to breast cancer. Journal of Personality and Social Psychology , 46, 489-502.
67.
Thoits, P.A. (1982). Conceptual, methodological, and theoretical problems in studying social support as a buffer against life stress. Journal of Health and Social Behavior, 23, 145-159.
68.
Turner, M.M., Rimal, R.N., Morrison, D., & Kim, H. (2006). The role of anxiety in seeking and retaining risk information: Testing the risk perception attitude framework in two studies . Human Communication Research, 32, 130-156.
69.
van der Molen, B. (1999). Relating information needs to the cancer experience: 1. Information as a key coping strategy. European Journal of Cancer Care, 8, 238-244.
70.
Vernon, S.W., Laville, E.A., & Jackson, G.L. (1990). Participation in breast screening programs: A review. Social Science & Medicine, 30, 1107-1118.
71.
Weinberg, N., Schmale, J., Uken, J., & Wessel, K. (1996). Online help: Cancer patients participate in a computer-mediated support group. Health and Social Work, 21, 24-29.
72.
Witte, K. (1992). Putting the fear back into fear appeals: The extended parallel process model. Communication Monographs, 59, 329-349.
73.
Witte, K., & Allen, M. (2000). A meta-analysis of fear appeals: Implications for effective public health campaigns. Health Education & Behavior, 27, 591-615.
74.
Wood, R., & Bandura, A. (1989). Social cognitive theory of organizational management . Academy of Management Review, 14, 361-384.
75.
Ziebland, S., Chapple, A., Dumelow, C., Evans, J., Prinjha, S., & Rozmovits, L. (2004). How the Internet affects patients' experience of cancer: A qualitative study. British Medical Journal, 328, 1-6.
