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Author Moreno, Conrad Wai Kong
Title Cognitive dissonance as a factor in physicians' response to feedback regarding their treatment of psychological disorders
book jacket
Descript 157 p
Note Source: Dissertation Abstracts International, Volume: 66-09, Section: B, page: 5099
Chair: Sue A. Kuba
Thesis (Ph.D.)--Alliant International University, Fresno, 2005
Medical expenditures have increased the financial and psychosocial costs of mental disorders on the individual and overall community. Physicians' utilization of psychological services has been recognized as one of the key components to cost-effective health care. In recognition of this, studies have examined the factors that contribute to physicians' referral behavior to mental health providers. One identified factor was physicians' attitudes toward psychologists, which was found to be positive and influential in their referral practices. A common limitation of the studies used to assess physicians' referral behavior toward mental health practitioners has been the lack of objectivity found in surveys and interviews. These measurement limitations were resolved with this study's application of a quasi-experimental design, which required physicians to respond to six psychological vignettes that incorporated dissonant and consonant feedback from a colleague
In this study, Festinger's (1957) theory of cognitive dissonance was hypothesized to be a mechanism that could explain physicians' influence over one another's treatment decisions. Fifty-one physicians were administered six psychological vignettes followed by questions regarding diagnosis, treatment decision, and level of confidence in treatment decision. The six psychological case scenarios included the following topics: panic disorder, depression, alcohol abuse, adjustment disorder, sexual dysfunction (impotence), and social anxiety. In addition, a demographic questionnaire was used for the purpose of collecting information on the physicians' medical practices in treating psychological disorders. A one-tailed t test determined that cognitive dissonance is not a factor in physicians' influence over one another's treatment decisions about psychological disorders (p > .05). Despite this finding, the conditions for cognitive dissonance to arise were found to exist in physicians' response to a colleague's dissonant feedback. These findings were consistent with one other study that examined the connection between cognitive dissonance and physicians' treatment decisions
School code: 1435
Host Item Dissertation Abstracts International 66-09B
Subject Psychology, Clinical
Psychology, Cognitive
Psychology, Social
Alt Author Alliant International University, Fresno
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