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Cognitive and personality regulation of medical risk perception in practicing doctors
 
PIIS020595920005370-3-1
DOI10.31857/S020595920005370-3
Publication type Article
Status Published
Authors
N. Bogacheva 
Occupation: Associate Professor, Pedagogy and Medical Psychology Department
Affiliation: I.M. Sechenov First Moscow State Medical University (Sechenov University)
Address: Moscow, Trubetskaya str., 8, b. 2
E. Pavlova
Occupation: Engineer, Educational Psychology and Pedagogy Department
Affiliation: Lomonosov Moscow State University
Address: Mokhovaya st., 11/9
Tat'yana V. Kornilova
Occupation: Professor, General Psychology Department
Affiliation: Lomonosov Moscow State University
Address: 125009, Moscow, Mokhovaya st., 11, 9 bld
Journal namePsikhologicheskii zhurnal
EditionVolume 40 issue 4
Pages32-45
Abstract

We report on a study of cognitive representations of risk in terms of their relations with the system of personality traits. The study adopted a complex systems approach to the regulation of decision-making, based on the concept of the unified functioning of the person's intellectual and personal potential. The goal of the study was to identify the relationships between personality traits of medical doctors and realtors and the preferences of choice in verbal tasks for "medical risks". We tested a number of hypotheses regarding the specificity of the intellectual and personal potential of medical professionals and their manifestations in cognitive representations of risk and choices in specific medical problems. The study compared doctors and realtors, as representatives of another risky profession, for a total of n=103 participants. The methods included: Budner's Intolerance of Ambiguity Scale, Personal Decision-Making Factors Questionnaire (LFR-21), Melbourne Decision Making Questionnaire (MOPR), Ten Item Personality Measure (KOBP, TIPI), as well as methods for direct and indirect assessment of medical risks: the Scale of Medical Risks and Cognitive Representations of Risks Inventory. The results showed that, compared to the realtors, medical doctors were characterized by low risk readiness, high vigilance (productive coping strategy), and demonstrated the specificity of the risk-perception. Thus, they at the cognitive representations of risk level they provided higher risk assessments, and at the same time assessed risk as lower overall in specific medical tasks, which is consistent with the current understanding of the specifics of medical risks. Doctors and realtors differed in the nature of the links between the components of their intellectual and personal potential: the most integrated characteristics of doctors were the personal factors of decision-making, conscientiousness, and vigilance, and these personal characteristics are associated with the regulation of choices in verbal tasks. The content of tasks also imposes various requirements on the decision-maker: emotional stability is involved in the choice of actions in situations related to the patient's or doctor`s psychological characteristics and state, while agreeableness and procrastination play a role in social risk situations.

Keywordspersonal risk-readiness, cognitive representations of risk, decision making, tolerance for uncertainty, rationality, vigilance, Big Five.
AcknowledgmentSupported by the Russian Foundation for Basic Research, project 17-06-00130
Received03.06.2019
Publication date26.06.2019
Number of characters33347
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