Threatening Health Information Research Articles

Effects of Coping Information and Value Affirmation on Responses to a Perceived Health Threat

In this study, we examined the effects of coping information and self-affirmation on an individual's response to threatening health information. A total of 202 women college students read an essay containing threatening information about breast cancer. The essay described their population as being at risk for breast cancer and included both pictures of cancerous breasts and vivid descriptions of chemotherapy treatments. Participants were randomized into either the low-affirmation condition or the high-affirmation condition when they first arrived. In addition, half of the participants were randomly assigned to receive coping information that described breast self-examinations as an effective method of detecting breast cancer and focused on the importance of early detection. Participants who received coping information scored lower on maladaptive behaviors (avoidance, hopelessness, religiosity), suggesting that coping information plays a role in decreasing maladaptive behaviors. No significant differences were found between the low-affirmation and high-affirmation conditions. Supplemental analyses indicated that vicarious exposure to breast cancer (having a friend, relative, or mother diagnosed with breast cancer) affected how individuals interpret threatening health information. Participants with previous exposure scored higher on the adaptive coping modes (behavioral intentions, rational problem solving) and 1 maladaptive coping mode (religiosity) when compared to individuals without previous exposure. In addition, participants in the high-affirmation condition with previous exposure scored higher on avoidance and hopelessness than those without previous exposure. The results suggest that coping information and previous exposure are factors that need to be considered when presenting threatening health information.

Effects of persuasive message order on coping with breast cancer information.

The current study explored the impact of varying the order of message components on coping with breast cancer information. In a 2 x 2 x 2 factorial design, threat information, coping information and order of information were manipulated. College students read persuasive essays that varied in emphasis on threat of developing breast cancer and effectiveness of breast self-examination (BSE) in averting the threat of cancer. Participants who read the high-threat message reported higher intentions to perform BSE, more rational problem solving and more hopelessness than did those who read a low-threat message. The coping information messages produced a similar pattern of results. In addition, those who read the high-coping message reported less fatalism than did participants who read the low-coping message. When threat information was presented first, the high-threat message led to less hopelessness and reliance on religious faith than when the coping information was presented first. These results demonstrate the threatening health information energizes one to act in both adaptive and maladaptive ways, and that coping information decreases the tendency to respond maladaptively to the health threat. They also suggest that the order of presentation of the information may affect the extent to which people respond adaptively.

Distinguishing Optimism from Denial: Optimistic Beliefs Predict Attention to Health Threats

Research has yielded conflicting views of the adaptiveness of optimistic beliefs in confronting negative events and information. To test whether optimism functions like denial, the authors examined the prospective relation of optimistic beliefs to attention to threatening health information presented by computer in a college student sample (N= 57). Optimistic beliefs about one's health predicted greater attention to risk information than to neutral or benefit information and greater levels of recall overall, especially when the information was self-relevant. Results concerning attention to risk information were similar, but weaker, for dispositional optimism. Implications for theoretical treatments of optimistic beliefs are discussed.

A Conceptualization of Threat Communications and Protective Health Behavior

The effects of health threat communications have generated considerable empirical and theoretical attention. Inconsistent findings in the appeat' literature suggest that the effects of these types of messages are not completely understood. Previous theoretical approaches have tended to focus upon the emotional (fear) reaction produced by exposure to threatening health information. However, the weight of the experimental evidence indicates that certain cognitions about the threat are more directly related to acceptance of the recommendations than emotional arousal. An integration of the existing theoretical approaches is offered, which views acceptance of health threat recommendations to be mediated by perceptions of threat control. Two fundamental beliefs are seen as comprising perceived threat control: response efficacy, which is the perceived ability of the recommended coping action(s) to reduce or control the threat; and personal efficacy, which is the person's expectation of being able to perform the recommended threat-coping action(s) successfully. These two threat controlfactors are consistent with existing theories of health behavior (Health Belief Model) and fear appeals (Rogers, 1975) and may help to clarify Leventhals (1970) parallel response model. Empirical support for these factors is presented and indicates that beyond some adequate level of utility, personal efficacy is a more important determinant of protective health behavior than response efficacy. The implication for health practitioners is that communications can be very effective in producing acceptance of protective health behavior if a real, but controllable threat is depicted. Therefore, future research should focus upon the ways by which response efficacy and personal efficacy can be enhanced in a health threat communication.