Retrospective and Prospective Evaluations of Mammography Screening Narratives

Abstract

We investigated the role of previous experience when providing summary judgments of mammography narratives. A total of 807 women who either did or did not have previous experience of a mammogram were presented with a written description of a mammography visit. We manipulated the presentation position of a negative element within the narrative to alter its accessibility in memory and determine whether the latter impacted equally on two types of summary judgments. After the narrative presentation, participants were asked to provide both retrospective and prospective evaluations, that is, summary judgments about the described event and an appraisal of the likelihood of participating in future instances of such event, respectively. A recency effect was observed only for retrospective but not for prospective evaluations. When examined only for the subset of women who had undergone a mammography visit themselves, prospective evaluations were shown to be predicted by the reported quality of the mammography participants experienced themselves. The findings support and extend the accessibility model of emotional self-report and suggest that own experience leaks into evaluations of hypothetical scenarios by selectively impacting on prospective evaluations.