Background. Distressing imagery may inhibit health communications by inducing audiences to reduce distress by avoiding attention to persuasive messages. Method. This study used eye-tracking methods to compare gaze time allocated to a persuasive textual message, accompanied by either distressing high-resolution color images or less distressing two-color images with degraded outline and detail. Results. Participants in the distressing images condition showed lower intentions to reduce drinking in the following 3 months, which may have been mediated by lower gaze time to textual elements of the message. The effect was stronger in participants who both scored lower on dispositional mental disengagement and were more vulnerable to alcohol-related problems. Conclusions. These findings suggest that distressing imagery may inhibit persuasion by reducing audience attention to message components. Implications for message design are discussed.
Academy of Medical Sciences. (2004). Calling time: The nation’s drinking as a major health issue. London, England: Author.
2.
AikenL. S.WestS. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park, CA: Sage.
3.
AllenJ. P.LittenR. Z.FertigJ. B.BaborT. (1997). A review of research on the Alcohol Use Disorders Identification Test (AUDIT). Alcoholism: Clinical and Experimental Research, 21, 613-619.
4.
BaronR.LoganH.LillyJ.InmanM.BrennanM. (1994). Negative emotion and message processing. Journal of Experimental Social Psychology, 30, 181-201.
5.
BaumeisterR. F.CairnsK. J. (1992). Repression and self-presentation: When audiences interfere with self-deceptive strategies. Journal of Personality and Social Psychology, 62, 851-862.
6.
BlockL. G.KellerP. A. (1997). Effects of self-efficacy and vividness on the persuasiveness of health communications. Journal of Consumer Psychology, 6, 31-54.
7.
BlumbergS. J. (2000). Guarding against threatening HIV messages: An information processing model. Health Education & Behavior, 27, 780-794.
8.
BrownS. L.LockerE. (2009). Defensive responses to an emotive anti-alcohol message. Psychology & Health, 24, 517-528.
9.
BrownS. L.MorleyA. (2007). Fuzzy sets, risk perception and comparative optimism. British Journal of Psychology, 98, 575-587.
10.
BrownS. L.SmithE. Z. (2007). The effect of a distressing antismoking message on risk perceptions in smokers. Psychology & Health, 23, 255-268.
11.
BurkerE. J.EvonD. M.SedwayJ. A. (2005). Religious and non-religious coping in lung transplant candidates: Does adding God to the picture tell us more?Journal of Behavioral Medicine, 28, 513-526.
12.
CarverC. S.ScheierM. F.WeintraubJ. K. (1989) Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology, 56, 267-283.
13.
ConnigraveK. M.SaundersJ. B.ReznikR. B. (1995). Predictive capacity of the AUDIT for alcohol-related harm. Addiction, 90, 1479-1485.
14.
DerakshanN.EysenckM. W.MyersL. B. (2007). Emotional information processing in repressors: The vigilance-avoidance theory. Cognition & Emotion, 21, 1585-1614.
15.
EmeryS. L.SzczypkaG.PowellL. M.ChaloupkaF. J. (2007). Public health obesity-related TV advertising: Lessons learned from tobacco. American Journal of Preventive Medicine, 33, S257-S263.
16.
FreemanM. A.HennesseyE. V.MarzulloD. M. (2001). Defensive evaluation of antismoking messages among college-age smokers: The role of possible selves. Health Psychology, 20, 424-433.
17.
FreyK. P.EaglyA. H. (1993). Vividness can undermine the persuasiveness of messages. Journal of Personality and Social Psychology, 65, 32-44.
18.
GleicherF.PettyR. E. (1992). Expectations of reassurance influence the nature of fear-stimulated attitude change. Journal of Experimental Social Psychology, 28, 86-100.
19.
GrayJ.HedgeB. (1999). Psychological distress and coping in the partners of gay men with HIV-related disease. British Journal of Health Psychology, 4, 117-126.
20.
GreeningL.DollingerS. J.PitzG. (1996). Adolescents’ perceived risk and experience with natural disasters: An evaluation of cognitive heuristics. Acta Psychologica, 91, 27-38.
21.
HansenC. H.HansenR. D.ShantzD. W. (1992). Repression at encoding: Discrete appraisals of emotional stimuli. Journal of Personality and Social Psychology, 63, 1026-1035.
22.
HillD.ChapmanS.DonovanR. (1998). The return of scare tactics. Tobacco Control, 7, 5-8.
23.
JemmottJ. B.IIIDittoP. H.CroyleR. T. (1986). Judging health status: Effects of perceived prevalence and personal relevance. Journal of Personality and Social Psychology, 50, 899-905.
24.
JobR. F. S. (1988). Effective and ineffective use of fear in health promotion campaigns. American Journal of Public Health, 78, 163-167.
25.
KellerP. A.BlockL. G. (1996). Increasing the persuasiveness of fear appeals: The effect of arousal and elaboration. Journal of Consumer Research, 22, 448-459.
26.
KellerP. A.BlockL. G. (1997). Vividness effects: A resource-matching perspective. Journal of Consumer Research, 23, 295-304.
27.
KesselsL. T. E.RuiterR. A. C.JansmaB. M. (2010). Increased attention but more efficient disengagement: Neuroscientific evidence for defensive processing of threatening health information. Health Psychology, 29, 346-354.
28.
KleinW. M. P.HarrisP. R. (2009). Self-affirmation enhances attentional bias toward threatening components of a persuasive message. Psychological Science, 20, 1463-1467.
29.
KromhoutD.BloembergB.FeskensE.MenottiA.NissinenA. (2000). Saturated fat, Vitamin C and smoking predict long-term population all-cause mortality rates in the seven countries study. International Journal of Epidemiology, 29, 260-265.
30.
LangA. (2000). The limited capacity of mediated message processing. Journal of Communication, 50, 46-70.
31.
LeffingwellT. R.NeumannC.LeedyM. J. (2007). Defensively biased responding to risk information among alcohol-using college students. Addictive Behaviors, 32, 158-165.
LundgrenS. R.PrislinR. (1998). Motivated cognitive processing and attitude change. Personality and Social Psychology Bulletin, 24, 715-726.
34.
MacKinnonD. P.FairchildA. J.FritzM. S. (2007). Mediation analysis. Annual Review of Psychology, 58, 595-614.
35.
MendoliaM. (1999). Repressors’ appraisal of emotional stimuli in threatening and non-threatening emotional contexts. Journal of Research in Personality, 33, 1-26.
36.
MilesH.WinstockA.StrangJ. (2001). Identifying young people who drink too much: The clinical utility of the five-item Alcohol Use Disorders Test (AUDIT). Drug and Alcohol Review, 20, 9-18.
37.
RuiterR. A. C.AbrahamC.KokG. (2001). Scary warnings and rational precautions: A review of the psychology of fear appeals. Psychology & Health, 16, 613-630.
38.
ShroutP. E.BolgerN. (2002). Mediation in experimental and nonexperimental studies: New procedures and recommendations. Psychological Methods, 4, 422-445.
39.
SlaterM. D. (1999). Drinking and driving PSAs: A content analysis of behavioral influence strategies. Journal of Alcohol and Drug Education, 44, 68-81.
40.
SlovicP.FinucaneM. L.PetersE.MacGregorD. G. (2003). Risk as analysis and risk as feelings: Some thoughts about affect, reason, risk and rationality. Risk Analysis, 24, 311-322.
41.
SmithS. M.ShafferD. R. (2000). Vividness can undermine or enhance message processing: The moderating role of vividness congruency. Personality and Social Psychology Bulletin, 26, 769-779.
42.
WitteK. (1992). Putting the fear back into fear appeals: The extended parallel process model. Communication Monographs, 59, 329-349.
43.
WitteK.AllenM. (2000). A meta-analysis of fear appeals: Implications for effective public health campaigns. Health Education & Behavior, 27, 591-615.
