Lazarević, Ljiljana B.

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  • Lazarević, Ljiljana B. (2)
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Turning away from conventional medicine to traditional, complementary and alternative medical treatments - an irrational choice

Ninković, Milica; Knežević, Goran; Purić, Danka; Opačić, Goran; Lazarević, Ljiljana B.; Petrović, Marija B.; Teovanović, Predrag; Stanković, Sanda; Zupan, Zorana; Žeželj, Iris Lav

(Institute of Psychology & Laboratory for Experimental Psychology, Faculty of Philosophy, University of Belgrade, 2024)

TY  - CONF
AU  - Ninković, Milica
AU  - Knežević, Goran
AU  - Purić, Danka
AU  - Opačić, Goran
AU  - Lazarević, Ljiljana B.
AU  - Petrović, Marija B.
AU  - Teovanović, Predrag
AU  - Stanković, Sanda
AU  - Zupan, Zorana
AU  - Žeželj, Iris Lav
PY  - 2024
UR  - http://reff.f.bg.ac.rs/handle/123456789/6479
AB  - Although it lacks a solid evidence base, people use traditional, complementary, and alternative
medicine (TCAM), and they do so in three distinct ways: 1) for preventive purposes, 2)
complementarily to prescribed therapy, and 3) as an alternative to it. While preventive use of
TCAM is of least concern, these treatments can sometimes have detrimental interactions with
conventional when used as complementary, and especially as an alternative to treatment. Using
TCAM instead of conventional treatments can delay efficient cure and decrease the chance of
recovery. Previous studies have indicated that the use of TCAM is rooted in the “irrational
mindset” (IM) - a composite of irrational beliefs and cognitive biases. However, different ways
of using TCAM may not be equally irrational. Here, we explored whether the IM predicts the
three ways of TCAM use. Participants from a nationally representative Serbian sample (N =
1003) filled in a set of the IM measures: Medical conspiracy theories (ɑ = .83), Superstition (ɑ
= .70), Magical beliefs about health (ɑ = .77), Extrasensory beliefs (ɑ = .77), and Naturalness
bias (single item). They also indicated how they typically used different domains of TCAM
practices (preventively, complementarily, alternatively, or none). We coded their answers “1”
if they indicated that they used a domain in a particular way and with “0” otherwise.
We tested the explanatory power of IM variables for the ways of TCAM use within three binary
logistic regression models, one for each way of use. The irrational mindset was the most
predictive for the alternative use of TCAM (χ2(5) = 40.56, p < .001; Nagelkerke R2 = .07).
Those endorsing medical conspiracy theories (OR = 1.48, p = .001) and extrasensory
perception beliefs (OR = 1.41, p = .009) were more likely to turn to TCAM alternative to the
prescribed therapy. On the other hand, the predictive power of IM was quite weak for
preventive (χ2(5) = 14.39, p = .013; Nagelkerke R2 = .02) and complementary use (χ2(5) =
18.06, p = .003; Nagelkerke R2 = .02) suggesting these behaviors not to be irrational.
Whilst abandoning treatment and turning to TCAM is the rarest scenario (17%), it is the most
dangerous one, particularly in case of life-threatening illnesses. This is why health
communication interventions must cut deeper and also address its underlying irrational beliefs:
endorsing unfounded extrasensory abilities and dismissing official medicine due to so-called
“Big pharma conspiracies”.
PB  - Institute of Psychology & Laboratory for Experimental Psychology, Faculty of Philosophy, University of Belgrade
C3  - Book of Apstacts of the XXX Scientific Conference Empirical Studies in Psychology
T1  - Turning away from conventional medicine to traditional, complementary and alternative medical treatments - an irrational choice
EP  - 94
SP  - 94
UR  - https://hdl.handle.net/21.15107/rcub_reff_6479
ER  - 
@conference{
author = "Ninković, Milica and Knežević, Goran and Purić, Danka and Opačić, Goran and Lazarević, Ljiljana B. and Petrović, Marija B. and Teovanović, Predrag and Stanković, Sanda and Zupan, Zorana and Žeželj, Iris Lav",
year = "2024",
abstract = "Although it lacks a solid evidence base, people use traditional, complementary, and alternative
medicine (TCAM), and they do so in three distinct ways: 1) for preventive purposes, 2)
complementarily to prescribed therapy, and 3) as an alternative to it. While preventive use of
TCAM is of least concern, these treatments can sometimes have detrimental interactions with
conventional when used as complementary, and especially as an alternative to treatment. Using
TCAM instead of conventional treatments can delay efficient cure and decrease the chance of
recovery. Previous studies have indicated that the use of TCAM is rooted in the “irrational
mindset” (IM) - a composite of irrational beliefs and cognitive biases. However, different ways
of using TCAM may not be equally irrational. Here, we explored whether the IM predicts the
three ways of TCAM use. Participants from a nationally representative Serbian sample (N =
1003) filled in a set of the IM measures: Medical conspiracy theories (ɑ = .83), Superstition (ɑ
= .70), Magical beliefs about health (ɑ = .77), Extrasensory beliefs (ɑ = .77), and Naturalness
bias (single item). They also indicated how they typically used different domains of TCAM
practices (preventively, complementarily, alternatively, or none). We coded their answers “1”
if they indicated that they used a domain in a particular way and with “0” otherwise.
We tested the explanatory power of IM variables for the ways of TCAM use within three binary
logistic regression models, one for each way of use. The irrational mindset was the most
predictive for the alternative use of TCAM (χ2(5) = 40.56, p < .001; Nagelkerke R2 = .07).
Those endorsing medical conspiracy theories (OR = 1.48, p = .001) and extrasensory
perception beliefs (OR = 1.41, p = .009) were more likely to turn to TCAM alternative to the
prescribed therapy. On the other hand, the predictive power of IM was quite weak for
preventive (χ2(5) = 14.39, p = .013; Nagelkerke R2 = .02) and complementary use (χ2(5) =
18.06, p = .003; Nagelkerke R2 = .02) suggesting these behaviors not to be irrational.
Whilst abandoning treatment and turning to TCAM is the rarest scenario (17%), it is the most
dangerous one, particularly in case of life-threatening illnesses. This is why health
communication interventions must cut deeper and also address its underlying irrational beliefs:
endorsing unfounded extrasensory abilities and dismissing official medicine due to so-called
“Big pharma conspiracies”.",
publisher = "Institute of Psychology & Laboratory for Experimental Psychology, Faculty of Philosophy, University of Belgrade",
journal = "Book of Apstacts of the XXX Scientific Conference Empirical Studies in Psychology",
title = "Turning away from conventional medicine to traditional, complementary and alternative medical treatments - an irrational choice",
pages = "94-94",
url = "https://hdl.handle.net/21.15107/rcub_reff_6479"
}
Ninković, M., Knežević, G., Purić, D., Opačić, G., Lazarević, L. B., Petrović, M. B., Teovanović, P., Stanković, S., Zupan, Z.,& Žeželj, I. L.. (2024). Turning away from conventional medicine to traditional, complementary and alternative medical treatments - an irrational choice. in Book of Apstacts of the XXX Scientific Conference Empirical Studies in Psychology
Institute of Psychology & Laboratory for Experimental Psychology, Faculty of Philosophy, University of Belgrade., 94-94.
https://hdl.handle.net/21.15107/rcub_reff_6479
Ninković M, Knežević G, Purić D, Opačić G, Lazarević LB, Petrović MB, Teovanović P, Stanković S, Zupan Z, Žeželj IL. Turning away from conventional medicine to traditional, complementary and alternative medical treatments - an irrational choice. in Book of Apstacts of the XXX Scientific Conference Empirical Studies in Psychology. 2024;:94-94.
https://hdl.handle.net/21.15107/rcub_reff_6479 .
Ninković, Milica, Knežević, Goran, Purić, Danka, Opačić, Goran, Lazarević, Ljiljana B., Petrović, Marija B., Teovanović, Predrag, Stanković, Sanda, Zupan, Zorana, Žeželj, Iris Lav, "Turning away from conventional medicine to traditional, complementary and alternative medical treatments - an irrational choice" in Book of Apstacts of the XXX Scientific Conference Empirical Studies in Psychology (2024):94-94,
https://hdl.handle.net/21.15107/rcub_reff_6479 .

The Role of personality, conspiracy Mentality, REBT irrational beliefs, and attachment in COVID-19 health behaviors

Stanković, Sanda; Lazarević, Ljiljana B.; Knežević, Goran

(2021)

TY  - CONF
AU  - Stanković, Sanda
AU  - Lazarević, Ljiljana B.
AU  - Knežević, Goran
PY  - 2021
UR  - http://reff.f.bg.ac.rs/handle/123456789/6223
AB  - Evidence suggests that low adherence to recommended health behaviors (RHB) and the use of pseudo-scientific practices (PSP) during the COVID-19 pandemic is predicted by various types of irrational thinking and beliefs. This study investigates the role of different irrational beliefs and attitudes (i.e., REBT irrational beliefs and attachment anxiety and avoidance), as mediators of the relationship between seven personality traits (HEXACO and Disintegration) and COVID-19 health behaviors. We included a third mediator - conspiracy mentality, as an already established predictor of both non-adherence to RHB and PSP. We expected mediators to correlate with non-adherence to RHB, and Disintegration to be related to all mediator variables. An online survey was conducted during the third wave of the COVID-19 pandemic in Serbia - between December 2020 and March 2021. The final sample consisted of 287 participants (80.1% female, M (age) = 31.86, SD = 13.79). Used measures: the Brief HEXACO Inventory (BHI), DELTA 9 (Disintegration trait), the short form of Experience in Close Relationships (ECR-RD12) (attachment anxiety and avoidance), The shortened General Attitude and Belief Scale (REBT irrational beliefs), and Conspiracy Mentality Questionnaire. We created questionnaires assessing adherence to RHB (11 items referring to mask-wearing and social distancing), and PSP (8 items referring to alternative and traditional medicine). With two items we measured the behaviors regarding vaccination, i.e., whether the respondent already got the COVID-19 vaccine or is intended to take it, and whether the respondent would recommend the vaccine to a close person. To investigate the relationship between variables we used structural equation modeling. Sociodemographic variables (age, gender, and education) were included in the model. The tested mediation model showed very good fit indices: χ2 (61) =107.23, RMSEA [CI90%]=.051 [.035-.067], CFI=.951, TLI=.919, SRMR=.045. The only independent variable that did not show significant effects on mediator and outcome variables was Conscientiousness. In line with our expectations, our findings show Disintegration is the only personality trait related to all mediating variables, corroborating our
previous results on the importance of Disintegration in the emergence of irrational beliefs. As expected, results show that conspiracy mentality mediates the role of Disintegration in low adherence to RHB, negative vaccination behavior, and greater use of PSP. Additionally, attachment anxiety mediates the relationship between personality traits (high Disintegration, high Emotionality, and low Honesty) and lower adherence to RHB. Higher adherence to RHB predicted positive vaccination behavior, whilst there was no relationship between PSP use and vaccination behavior. REBT irrational beliefs and attachment avoidance were not found to be significant mediators of the relationship between personality traits and COVID-19 health behaviors.
C3  - Book of Abstracts, Current Trends in Psychology 2021, Faculty of Philosophy, Novi Sad, October 28-30.
T1  - The Role of personality, conspiracy Mentality, REBT irrational beliefs, and attachment in COVID-19 health behaviors
EP  - 28
SP  - 27
UR  - https://hdl.handle.net/21.15107/rcub_reff_6223
ER  - 
@conference{
author = "Stanković, Sanda and Lazarević, Ljiljana B. and Knežević, Goran",
year = "2021",
abstract = "Evidence suggests that low adherence to recommended health behaviors (RHB) and the use of pseudo-scientific practices (PSP) during the COVID-19 pandemic is predicted by various types of irrational thinking and beliefs. This study investigates the role of different irrational beliefs and attitudes (i.e., REBT irrational beliefs and attachment anxiety and avoidance), as mediators of the relationship between seven personality traits (HEXACO and Disintegration) and COVID-19 health behaviors. We included a third mediator - conspiracy mentality, as an already established predictor of both non-adherence to RHB and PSP. We expected mediators to correlate with non-adherence to RHB, and Disintegration to be related to all mediator variables. An online survey was conducted during the third wave of the COVID-19 pandemic in Serbia - between December 2020 and March 2021. The final sample consisted of 287 participants (80.1% female, M (age) = 31.86, SD = 13.79). Used measures: the Brief HEXACO Inventory (BHI), DELTA 9 (Disintegration trait), the short form of Experience in Close Relationships (ECR-RD12) (attachment anxiety and avoidance), The shortened General Attitude and Belief Scale (REBT irrational beliefs), and Conspiracy Mentality Questionnaire. We created questionnaires assessing adherence to RHB (11 items referring to mask-wearing and social distancing), and PSP (8 items referring to alternative and traditional medicine). With two items we measured the behaviors regarding vaccination, i.e., whether the respondent already got the COVID-19 vaccine or is intended to take it, and whether the respondent would recommend the vaccine to a close person. To investigate the relationship between variables we used structural equation modeling. Sociodemographic variables (age, gender, and education) were included in the model. The tested mediation model showed very good fit indices: χ2 (61) =107.23, RMSEA [CI90%]=.051 [.035-.067], CFI=.951, TLI=.919, SRMR=.045. The only independent variable that did not show significant effects on mediator and outcome variables was Conscientiousness. In line with our expectations, our findings show Disintegration is the only personality trait related to all mediating variables, corroborating our
previous results on the importance of Disintegration in the emergence of irrational beliefs. As expected, results show that conspiracy mentality mediates the role of Disintegration in low adherence to RHB, negative vaccination behavior, and greater use of PSP. Additionally, attachment anxiety mediates the relationship between personality traits (high Disintegration, high Emotionality, and low Honesty) and lower adherence to RHB. Higher adherence to RHB predicted positive vaccination behavior, whilst there was no relationship between PSP use and vaccination behavior. REBT irrational beliefs and attachment avoidance were not found to be significant mediators of the relationship between personality traits and COVID-19 health behaviors.",
journal = "Book of Abstracts, Current Trends in Psychology 2021, Faculty of Philosophy, Novi Sad, October 28-30.",
title = "The Role of personality, conspiracy Mentality, REBT irrational beliefs, and attachment in COVID-19 health behaviors",
pages = "28-27",
url = "https://hdl.handle.net/21.15107/rcub_reff_6223"
}
Stanković, S., Lazarević, L. B.,& Knežević, G.. (2021). The Role of personality, conspiracy Mentality, REBT irrational beliefs, and attachment in COVID-19 health behaviors. in Book of Abstracts, Current Trends in Psychology 2021, Faculty of Philosophy, Novi Sad, October 28-30., 27-28.
https://hdl.handle.net/21.15107/rcub_reff_6223
Stanković S, Lazarević LB, Knežević G. The Role of personality, conspiracy Mentality, REBT irrational beliefs, and attachment in COVID-19 health behaviors. in Book of Abstracts, Current Trends in Psychology 2021, Faculty of Philosophy, Novi Sad, October 28-30.. 2021;:27-28.
https://hdl.handle.net/21.15107/rcub_reff_6223 .
Stanković, Sanda, Lazarević, Ljiljana B., Knežević, Goran, "The Role of personality, conspiracy Mentality, REBT irrational beliefs, and attachment in COVID-19 health behaviors" in Book of Abstracts, Current Trends in Psychology 2021, Faculty of Philosophy, Novi Sad, October 28-30. (2021):27-28,
https://hdl.handle.net/21.15107/rcub_reff_6223 .