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Journal of Health Psychology
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Pushed and Pulled

The Role of Affect and Cognition in Shaping CAM Attitudes and Behavior among Men Treated for Prostate Cancer

Matthew C. Porter

The HealthCare Chaplaincy, New York, USA

Michael A. Diefenbach

Mount Sinai School of Medicine, USA, michael.diefenbach{at}mountsinai.org

We used Self-Regulation Theory (SRT) to elaborate and describe cognitive and affective representations presumed to underlie CAM decisions in a sample of 55 men who were using CAM after having received conventional treatment for early-stage, localized prostate cancer. Positive representations of CAM were the strongest predictors of beliefs that CAM was necessary for one's health (a `pulling' effect toward CAM). Nonetheless, negative representations of conventional medicine made an important, though somewhat lesser contribution (a `pushing' effect away from conventional medicine and towards CAM). Our results also indicate preliminarily that affect may be more important than cognition in shaping CAM decisions.

Key Words: affect • complementary and alternative medicine • prostate cancer • Self-Regulation Theory • treatment representations

Journal of Health Psychology, Vol. 14, No. 2, 288-296 (2009)
DOI: 10.1177/1359105308100213
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