Is the conflict model of decision making applicable to the decision to be screened for cervical cancer? A field study

The present study examined aspects of the conflict model of decision making (Janis and Mann, 1977) in the context of attending for a screening test for cervical cancer. In addition, the ability of decision coping styles as measured by Mann's (1982) Decision Making Questionnaire II (DMQ II) to predict screening status was examined. Three hundred and two women answered a questionnaire operationalizing the constructs in the conflict model about their beliefs and knowledge of cervical cancer and the Pap smear test. Four screening categories were identified: never screened, not screened in the last two years (overdue), screened in last two years and initiated the test, and screened in last two years and recruited to have the test. Differences in the decision processes of these groups were examined. Women who were overdue for their Pap test showed greater decisional conflict and were more likely to adopt a defensive avoidance coping pattern than those who had been screened in the last two years. Regression analyses exploring predictors of decisional stress and defensive avoidance for each group, except the never screen, showed that the model's suggested pathways were evidenced among the Overdue Group. Results failed to find any association between coping styles as measured by the DMQ II and screening status. Implications of these findings are discussed.