Exploration of Personality Factors and their Effects on People’s Decision Making of Complementary and Alternative Medicine
Keywords:
Big 5 personality traits, Treatment decision making, CAM, Health human resourceAbstract
Complementary and Alternative medicine (CAM) often promoted and utilized as a non-integral part of conventional medicine has diverse modalities and variegated application. To choose among the alternatives in a comparable situation the decision process is complex and dependent on many factors including social, cognitive component and personality traits. This study is aimed to explore whether the factors affecting the choice of treatment modality between CAM and Conventional Medicine has any underlying effects of personality of the decision makers, as per Big 5 personality traits. The study focuses on the decision making process behind the choice of therapy so that a valid decision path can be formulated. It was found that Personality has an important role in decision making as three underlying Personality Factors (Neuroticism, Conscientiousness and Extraversion) are separately identified. Extraversion has positive (B = 0.693, p<0.001) and Conscientiousness has (B = -.306, p<0.001) negative effect. However, Neuroticism has no direct effect but affecting via one mediating component, i.e. Anxiety. Pro-CAM Social enabling factor is positively affecting CAM usage (B= .538, p<0.001). A validated path model has been constructed involving the effects of personality factors. This study shall help in future planning of healthcare human resource allocation, management as well as understanding the treatment seeker’s psychosocial dynamics while making an important decision for attaining health.
References
Arora, N. K., Ayanian, J. Z., & Guadagnoli, E. (2005). Examining the relationship of patients’ attitudes and beliefs with their self-reported level of participation in medical decision-making. Medical care, 43(9), 865-872.
Astin, J. A. (1998). Why patients use alternative medicine: results of a national study. Jama, 279(19), 1548-1553.
Barnes, P. M., Bloom, B., & Nahin, R. L. (2008). Complementary and alternative medicine use among adults and children; United States, 2007.Bogg, T., & Roberts, B. W. (2004). Conscientiousness and health-related behaviors: a meta-analysis of the leading behavioral contributors to mortality. Psychological bulletin, 130(6), 887.
Ellington, L., & Wiebe, D. J. (1999). Neuroticism, symptom presentation, and medical decision making. Health Psychology, 18(6), 634.
Flynn, K. E., & Smith, M. A. (2007). Personality and health care decision-making style. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 62(5), P261-P267.
Friedman, H. S. (2000). Long‐term relations of personality and health: Dynamisms, mechanisms, tropisms. Journal of personality, 68(6), 1089-1107.
Hunt, K. J., Coelho, H. F., Wider, B., Perry, R., Hung, S. K., Terry, R., & Ernst, E. (2010). Complementary and alternative medicine use in England: results from a national survey. International journal of clinical practice, 64(11), 1496-1502.
Janz, N. K., Wren, P. A., Copeland, L. A., Lowery, J. C., Goldfarb, S. L., & Wilkins, E. G. (2004). Patient-physician concordance: preferences, perceptions, and factors influencing the breast cancer surgical decision. Journal of clinical oncology, 22(15), 3091-3098.
Kaur, K., Singh, B., & Kaur, G. (2016). Complementary and alternative medicine usage in patients for different ailments in rural region of Malwa area of Punjab: A cross-sectional study. National Journal of Physiology, Pharmacy and Pharmacology, 6(5), 394-398.
Raynor, D. A., & Levine, H. (2009). Associations between the five-factor model of personality and health behaviors among college students. Journal of American College Health, 58(1), 73-82.
Sainio, C., Lauri, S., & Eriksson, E. (2001). Cancer patients’ views and experiences of participation in care and decision making. Nursing ethics, 8(2), 97-113.
Sirois, F. M., & Gick, M. L. (2002). An investigation of the health beliefs and motivations of complementary medicine clients. Social science & medicine, 55(6), 1025-1037.
Sörensen, S., Duberstein, P. R., Chapman, B., Lyness, J. M., & Pinquart, M. (2008). How are personality traits related to preparation for future care needs in older adults?. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 63(6), P328-P336.
World Health Organization (1948). Preamble to the constitution of the World Health Organization. Adopted by the International Health Conference, New York (22 July 1946): see http://www. who. int/about/definition/en/print. html. 2004.
