ArticleHealthcare (Basel, Switzerland)2024
Understanding College Students' Healthcare Avoidance: From Early Maladaptive Schemas, through Healthcare Institutional Betrayal and Betrayal Trauma Appraisal of Worst Healthcare Experiences.
Article in Healthcare (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
4 citing papers in PubMed.
- Who Should Address Healthcare Institutional Betrayal and How? An Experimental Study of Repair Strategies.Healthcare (Basel, Switzerland) · 2026Article
- Barriers to Preventive Healthcare Among College Students: A Mini-Review of the Literature.Journal of preventive medicine and hygiene · 2026Review
- Medical Mistrust: A Concept Analysis.Nursing reports (Pavia, Italy) · 2025Review
- Racial Discrimination as a Traumatic Bedrock of Healthcare Avoidance: A Pathway Through Healthcare Institutional Betrayal and Mistrust.Healthcare (Basel, Switzerland) · 2025Article
Corrections and comments
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Authors and funding
2 authors.
Funding
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Abstract
Understanding healthcare avoidance among college students is critical. In this study, we consider two broad cognitive contributors to greater healthcare avoidance: specific early maladaptive schema and negative appraisals of students' prior worst healthcare experiences. From schema theory, we proposed college students holding greater levels of two early maladaptive schema (disconnection/rejection and impaired autonomy/performance EMS) would be more likely to appraise their problematic healthcare experience as both containing healthcare institutional betrayal (HIB) behaviors and as traumatic and betrayal-inducing; both EMS and these appraisals would predict healthcare avoidance. Using a cross-sectional survey in a large, diverse college student sample (
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