The Persuasive Influence of Emotion in Cancer Prevention and Detection Messages

This paper reviews and summarizes the literature on the relationship between emotion and persuasion as it bears on the production of cancer prevention and detection messages. A series of propositions are presented that serve to illustrate the intricacies of the emotion–persuasion relationship. These propositions deal with the necessary conditions for emotional arousal, individual differences in emotional reactivity to cancer messages, the potential for emotion-inducing messages to produce persuasive and counterpersuasive effects, the conditions that circumscribe the influence of emotions on persuasion, and the mechanisms by which that influence is achieved. To the extent that the literature permits, advice on message design is offered. doi:10.1111/j.1460-2466.2006.00286.x Among its many responsibilities, the National Cancer Institute produces messages that encourage individuals to (a) behave in ways that lessen their risk of cancer and (b) recommend actions to detect cancer in its earliest stages. Given the inherently threatening nature of cancer, it may be impossible for such messages to achieve these goals without intentionally or unintentionally arousing their audiences’ emotions. Although emotions can overwhelm individuals, they may also motivate behaviors that are psychologically difficult to enact. The effective use of emotions as persuasive devices, however, requires an understanding of not only principles related to emotional arousal but also the processes that allow emotional arousal to be translated into an effective action. This article is intended to speak to these two overarching issues. Although there is scant literature linking persuasive effects of emotion and cancer-related issues, we illustrate our claims with cancer-related research whenever possible, including previously unpublished data on individuals’ reactions to an antitobacco public service announcement (PSA). However, we augment these data with hypothetical message scenarios to further illuminate our points, which we outline in the eight propositions that follow.

[1]  R. Petty,et al.  Fundamental processes leading to attitude change : Implications for cancer prevention communications , 2006 .

[2]  Alexander J. Rothman,et al.  The Strategic Use of Gain- and Loss-Framed Messages to Promote Healthy Behavior: How Theory Can Inform Practice , 2006 .

[3]  Jakob D. Jensen,et al.  The Advantages of Compliance or the Disadvantages of Noncompliance? A Meta-Analytic Review of the Relative Persuasive Effectiveness of Gain-Framed and Loss-Framed Messages , 2006 .

[4]  June Cotte,et al.  Enhancing or disrupting guilt: the role of ad credibility and perceived manipulative intent , 2005 .

[5]  P. Salovey,et al.  Matching health messages to monitor-blunter coping styles to motivate screening mammography. , 2005, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[6]  James Price Dillard,et al.  The role of fear in persuasion , 2004 .

[7]  Ira J. Roseman,et al.  Phenomenology , Behaviors , and Goals Differentiate Discrete Emotions , 2004 .

[8]  Duane T. Wegener,et al.  Discrete emotions and persuasion: the role of emotion-induced expectancies. , 2004, Journal of personality and social psychology.

[9]  Robin L. Nabi,et al.  Exploring the Framing Effects of Emotion , 2003, Commun. Res..

[10]  N. Henley,et al.  Young people's response to death threat appeals: do they really feel immortal? , 2003, Health education research.

[11]  K. Scherer,et al.  Appraisal processes in emotion. , 2003 .

[12]  Shelly Chaiken,et al.  Access to Attitude-Relevant Information in Memory as a Determinant of Attitude-Behavior Consistency , 2003 .

[13]  Robin L. Nabi Anger, fear, uncertainty, and attitudes: a test of the cognitive-functional model , 2002 .

[14]  James Price Dillard,et al.  The Persuasion Handbook: Developments in Theory and Practice , 2002 .

[15]  Daniel J. O'Keefe,et al.  Guilt as a mechanism of persuasion , 2002 .

[16]  P. Salovey,et al.  Message Framing in the Prevention and Early Detection of Illness , 2002 .

[17]  H. Wilke,et al.  Role of Negative Emotion in Communication about CO2 Risks , 2001, Risk analysis : an official publication of the Society for Risk Analysis.

[18]  B. Verplanken,et al.  Evoked fear and effects of appeals on attitudes to performing breast self-examination: an information-processing perspective. , 2001, Health education research.

[19]  James Price Dillard,et al.  Persuasion and the Structure of Affect: Dual Systems and Discrete Emotions as Complementary Models. , 2001 .

[20]  M. Allen,et al.  A Meta-Analysis of Fear Appeals: Implications for Effective Public Health Campaigns , 2000, Health education & behavior : the official publication of the Society for Public Health Education.

[21]  James Price Dillard,et al.  Affect and Persuasion , 2000, Commun. Res..

[22]  Karen Gasper,et al.  Do You have to Pay Attention to Your Feelings to be Influenced by Them? , 2000 .

[23]  S. Chaiken,et al.  Dual-process theories in social psychology , 1999 .

[24]  Shelly Chaiken,et al.  The heuristic-systematic model in its broader context. , 1999 .

[25]  Robin L. Nabi Reasoning through emotion: An explication and test of a cognitive-functional model for the effects of discrete negative emotions on information processing, attitude change, and recall , 1999 .

[26]  Michel Tuan Pham Representativeness, Relevance, and the Use of Feelings in Decision Making , 1998 .

[27]  John J. B. Allen,et al.  Anger and frontal brain activity: EEG asymmetry consistent with approach motivation despite negative affective valence. , 1998, Journal of personality and social psychology.

[28]  R. Bennett Shame, guilt & responses to non-profit & public sector ads , 1998 .

[29]  Alexander J. Rothman,et al.  Shaping perceptions to motivate healthy behavior: the role of message framing. , 1997, Psychological bulletin.

[30]  C. Anderson,et al.  Gender differences in aggression as a function of provocation: a meta-analysis. , 1996, Psychological bulletin.

[31]  James Price Dillard,et al.  The Multiple Affective Outcomes of AIDS PSAs , 1996 .

[32]  A. Tesser,et al.  Mood as Input: What We Think About How We Feel Determines How We Think , 1996 .

[33]  Suzanne M. Miller,et al.  Applying cognitive-social theory to health-protective behavior: breast self-examination in cancer screening. , 1996, Psychological bulletin.

[34]  M. Pinto,et al.  Guilt appeals in advertising: what are their effects? , 1995, The Journal of applied psychology.

[35]  Suzanne M. Miller,et al.  Monitoring versus blunting styles of coping with cancer influence the information patients want and need about their disease. Implications for cancer screening and management , 1995, Cancer.

[36]  Craig A. Smith,et al.  Appraisal components, core relational themes, and the emotions , 1993 .

[37]  Dacher Kehner,et al.  The Influence of Attributions on the Relevance of Negative Feelings to Personal Satisfaction , 1993 .

[38]  M. Pinto,et al.  Guilt Appeals in Advertising: An Exploratory Study , 1991, Psychological reports.

[39]  R. Lazarus Emotion and Adaptation , 1991 .

[40]  N. Frijda,et al.  Relations among emotion, appraisal, and emotional action readiness , 1989 .

[41]  Carl A. Kallgren,et al.  Communicator Attributes and Persuasion , 1988, Personality & social psychology bulletin.

[42]  S. M. Miller,et al.  Monitoring and blunting: validation of a questionnaire to assess styles of information seeking under threat. , 1987, Journal of personality and social psychology.

[43]  Wendy Wood,et al.  Access to attitude-relevant information in memory as a determinant of persuasion: The role of message attributes , 1985 .

[44]  G. Clore,et al.  Mood, misattribution, and judgments of well-being: Informative and directive functions of affective states. , 1983 .

[45]  W. Wood Retrieval of attitude-relevant information from memory: Effects on susceptibility to persuasion and on intrinsic motivation. , 1982 .

[46]  R. W. Rogers,et al.  A Protection Motivation Theory of Fear Appeals and Attitude Change1. , 1975, The Journal of psychology.

[47]  H. Leventhal,et al.  Findings and Theory in the Study of Fear Communications , 1970 .

[48]  H. Kelley,et al.  Communication And Persuasion , 1953 .