Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

Do Messages about Health Risks Threaten the Self? Increasing the Acceptance of Threatening Health Messages Via Self-Affirmation

Bibliographic Data

ID23322210
AuthorsDavid A Sherman (0000-0002-3027-9124, California Department of Education, corresponding author), David A K Sherman (Stanford University), L D Nelson (0000-0003-1148-4461, Stanford University), Claude M Steele (Stanford University)
Year2000
Volume26
Issue9
Pages1046-1058
Publication date2000-11-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePersonality and Social Psychology Bulletin (JOURNAL)
Journal identifiersISSN: 0146-1672 • E-ISSN: 1552-7433
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/01461672002611003
OpenAlexW1967215969
LanguageEN
Citations received195
References cited42

Two studies demonstrate that self-image maintenance processes affect the acceptance of personally relevant health messages. Participants who completed a self-affirmation were less defensive and more accepting of health information. In Study 1, female participants (high vs. low relevance) read an article linking caffeine consumption to breast cancer. High-relevance women rejected the information more than did low-relevance women; however, affirmed high-relevance women accepted the information and intended to change their behavior accordingly. In Study 2, sexually active participants viewed an AIDS educational video; affirmed participants saw themselves at greater risk for HIV and purchased condoms more often than did nonaffirmed participants. Results suggest that health messages can threaten an individual’s self-image and that self-affirming techniques can increase the effectiveness of health information and lead to positive health behaviors.

Affect (linguistics) · Relevance (law) · Self-affirmation · Behavioral Health and Interventions · Communication · Media Influence and Health · Psychology · Social and Intergroup Psychology · Social Psychology

  • Leveraging values to promote adherence to endocrine therapy among breast cancer survivors

    Open Access•Joanna J Arch, Elizabeth Slivjak et al.•Journal of Contextual Behavioral…•2022

  • Self-affirmation attenuates death-thought accessibility after mortality salience, but not among a high post-traumatic stress sample

    Kenneth E Vail, Adrienne Morgan et al.•Psychological Trauma Theory…•2017

  • Psychosocial resources, threat, and the perception of distance and height

    Kent D Harber, Douglas Yeung et al.•Emotion•2011

  • Self-affirmation breaks the link between the behavioral inhibition system and the threat-potentiated startle response

    Adrienne Crowell, Elizabeth Page-Gould et al.•Emotion•2015

  • Psychological and Behavioural Within-participant Predictors of Adherence to Oral HIV Pre-Exposure Prophylaxis (PrEP)

    Open Access•Alison Taylor, Alison D Taylor et al.•AIDS and Behavior•2023

  • Self-Monitoring and Susceptibility to the Influence of Self-Prophecy

    Eric R Spangenberg, David E Sprott•Journal of Consumer Research•2006

  • The implications of death for health

    Jamie L Goldenberg, Jamie Arndt•Psychological Review•2008

  • The Costs of Seeking Self–Esteem

    Open Access•Jennifer Crocker•Journal of Social Issues•2002

  • Self-affirmation can enable goal disengagement

    Kathleen D Vohs, Ji Kyung Park et al.•Journal of Personality and Social…•2012

  • The “me” I claim to be

    Ashok K Lalwani, Sharon Shavitt•Journal of Personality and Social…•2009

  • Self-affirmation and self-control

    Brandon J Schmeichel, Kathleen D Vohs et al.•Journal of Personality and Social…•2009

  • The psychological advantage of unfalsifiability

    Justin P Friesen, Troy Campbell et al.•Journal of Personality and Social…•2014

  • Bridging the partisan divide

    Geoffrey L Cohen, David K Sherman et al.•Journal of Personality and Social…•2007

  • Chronic threat and contingent belonging

    James Edward Cook, Jonathan E Cook et al.•Journal of Personality and Social…•2012

  • Adjusting to death

    Clay Routledge, Brian Ostafin et al.•Journal of Personality and Social…•2010

  • Affirmed yet unaware

    David K Sherman, Geoffrey L Cohen et al.•Journal of Personality and Social…•2009

  • Exploring the existential function of religion

    Matthew Ve, Matthew Vess et al.•Journal of Personality and Social…•2009

  • What drives self-affirmation effects? On the importance of differentiating value affirmation and attribute affirmation

    Diederik A Stapel, Lonneke A J G van der Linde•Journal of Personality and Social…•2011

  • Closing the social class achievement gap for first-generation students in undergraduate biology

    Judith M Harackiewicz, Elizabeth A Canning et al.•Journal of Educational Psychology•2013

  • The Psychology of Change

    Geoffrey L Cohen, David K Sherman•Annual Review of Psychology•2014

  • Attitudes in Social Behavior

    Open Access•Gregory R Maio, James M Olson et al.•Handbook of Psychology, Second…•2012

  • Self and Identity

    Open Access•William B Swann, Jennifer K Bosson•Handbook of Social Psychology•2010

  • Identity-based consumer behavior

    Open Access•Americus Reed, Mark R Forehand et al.•International Journal of Research…•2012

  • The impact of self-affirmation on health-behavior change

    Tracy Epton, Peter R Harris et al.•Health Psychology•2015

  • Wise interventions

    Gary M Walton, Timothy D Wilson•Psychological Review•2018

  • Self-regulation of health behavior

    Traci Mann, Denise De Ridder et al.•Health Psychology•2013

  • Framing Inequity Safely

    Open Access•Brian S Lowery, Eric D Knowles et al.•Personality and Social Psychology…•2007

  • Affirmation of Personal Values Buffers Neuroendocrine and Psychological Stress Responses

    Open Access•J David Creswell, William T Welch et al.•Psychological Science•2005

  • Threat and Defense

    Eva Jonas, Ian Mcgregor et al.•Advances in experimental social…•2014

  • Self-Enhancement

    Open Access•Constantine Sedikides, Aiden P Gregg•Perspectives on Psychological…•2008

  • Do Conscious Thoughts Cause Behavior?

    Roy F Baumeister, E J Masicampo et al.•Annual Review of Psychology•2011

  • Self-Affirmation and the Biased Processing of Threatening Health-Risk Information

    Open Access•Peter R Harris, Lucy E Napper et al.•Personality and Social Psychology…•2005

  • Self-Affirmation and Mortality Salience

    Open Access•Brandon J Schmeichel, Andy Martens•Personality and Social Psychology…•2005

  • Scary warnings and rational precautions

    Robert A C Ruiter, Charles Abraham et al.•Psychology & Health•2001

  • Contingencies of self-worth.

    Jennifer Crocker, Connie T Wolfe et al.•Psychological Review•2001

  • Experimental manipulations of self-affirmation

    Amy Mcqueen, William M P Klein•Self and Identity•2006

  • The Group as a Resource

    Open Access•David K Sherman, Zoe Kinias et al.•Personality and Social Psychology…•2007

  • Fear of Ebola

    Open Access•Heejung S Kim, David K Sherman et al.•Psychological Science•2016

  • Increasing Vaccination

    Open Access•Noel T Brewer, Gretchen B Chapman et al.•Psychological Science in the…•2017

  • Communication and Health Beliefs

    Open Access•Thomas A Morton, Julie M Duck•Communication Research•2001

  • Self‐Affirmation

    Open Access•David K Sherman•Social and Personality Psychology…•2013

  • Flawed Self-Assessment

    Open Access•David Dunning, Chip Heath et al.•Psychological Science in the…•2004

  • Psychological, Relational, and Emotional Effects of Self-Disclosure After Conversations With a Chatbot

    Open Access•Annabell Suh Ho, Annabell Ho et al.•Journal of Communication•2018

  • Is Self-Centered a Refutation of the Ego-Quieting Hypothesis in Contemplative Practices

    Lorena Arahuete, Daniel Pinazo•Social Psychology•2024

  • Boosting Performance on an Evaluative Math Test

    Open Access•Alice Wieland, Alice M Wieland et al.•Psychological Reports•2016

  • An examination of transformation of evaluative and consequential functions through derived relations with participant-generated values-relevant stimuli

    Open Access•Emily Sandoz, Michael J Bordieri et al.•Journal of Contextual Behavioral…•2021

  • How Does the Covid-19 Pandemic Affect People’s Willingness to Pay for Health in the Short and Long Term? A Longitudinal Study during and after the Covid-19 Pandemic in China

    Open Access•Wei Song, Taiyang Zhao et al.•International Journal of…•2022

  • Effects of Self-Affirmation Feedback on Exercise Intention of Women in Their Twenties Depending on Construal Level

    Open Access•Myoungjin Shin, Miyoung Roh et al.•Psychological Reports•2020

  • Effect of Psychological Distance on Intention in Self-Affirmation Theory

    Open Access•Myoungjin Shin, Yeonjin Kim et al.•Psychological Reports•2019

  • The Validated Features of Psychological Interventions for Weight Loss

    Scott Mo, Duygu Serbetci et al.•Behavioral Medicine•2020

  • Expelling Stress for Primary School Teachers

    Open Access•James Morgan, James I Morgan et al.•International Journal of…•2016

  • Effect of Self-Affirmation on Smartphone Use Reduction Among Heavy Users

    Open Access•Shunsuke Shimoda, Mai Shimoda et al.•Psychological Reports•2022

  • Modelling the direct and indirect effects of thought suppression on personal choice

    Open Access•Nic Hooper, Ian Stewart et al.•Journal of Contextual Behavioral…•2012

  • The functions of emotion-referencing names in Ibibio

    Open Access•E Mensah, Vivian Dzokoto et al.•International Journal of Language…•2021

  • Vicarious self-affirmation

    Open Access•Jared M Ott, Emily Moyer-Gusé•Media Psychology•2022

  • Self‐affirmation reduces vigilance to mortality threat

    Open Access•Jun Chen, Constantine Sedikides et al.•Asian Journal Of Social Psychology•2022

  • Two experimental studies on the differential effects of low and high treatability information on the inclination to engage in cancer prevention

    Open Access•Yingqiu Wu, Arie Dijkstra et al.•Current Psychology•2023

  • Worrying about appearances and flaunting material things

    Open Access•Xiaoyue Zhao, Baoyan Yang et al.•Current Psychology•2026

  • Self-affirmation training can relieve negative emotions by improving self-integrity among older adults

    Open Access•Qingxiu Dang, Jiayi Wu et al.•Current Psychology•2023

  • Affirming who I am

    Mianlin Deng, Xiujun Li et al.•International Journal of Conflict…•2022

  • Value Added

    Stefanie Z Demetriade, Nathan Walter et al.•Health Communication•2025

  • The Effects of Self vs. Group Affirmation and Message Framing on College Students’ Vape-Free Campus Policy Support

    J Jun, Taylor Jing Wen et al.•Health Communication•2021

  • Sexual Identity-Related Shame as a Barrier to Mpox Prevention Among Gay and Bisexual Men

    Shelby Lake, Xinyan Zhao et al.•Health Communication•2026

  • Imagine That You Died. Would You Still Smoke

    Guan Soon Khoo, Jeeyun Oh•Health Communication•2024

  • Effects of Self-Affirmation and Self-Efficacy Cues on Responses to PFAS Risk Information

    Laura Arpan, Prerna Shah et al.•Health Communication•2025

  • Impact of Self-Affirmation on Responses to Health Warning Messages

    Xiaoli Nan, Irina A Iles et al.•Health Communication•2022

  • Defensive Responses to Masculinity Threat

    Open Access•Smadar Peleg, Rotem Kahalon•Health Communication•2025

  • Greater benefit of self-affirmation for prevention-focused individuals prior to threatening health messages

    Rebecca A Ferrer, Jennifer L Cerully et al.•Psychology & Health•2021

  • Smoking self-concept moderates the effects of self-affirmation on smoking-related beliefs and behavioral intentions

    Lia J Sorgen, Rebecca A Ferrer et al.•Psychology & Health•2022

  • My avatar and the affirmed self

    Open Access•Hyunjin Kang, Hye Kyung Kim•Computers in Human Behavior•2020

  • Lethal versus reproductive disease appeals in preventive health advertising

    Lachezar Ivanov, Martin Eisend et al.•International Journal of…•2021

  • Tobacco dependence and motivation to quit smoking

    Open Access•Jérôme Blondé, Juan Manuel Falomir-Pichastor•International Journal of Social…•2021

  • Examining Beliefs About the Benefits of Self-Affirmation for Mitigating Self-Threat

    Open Access•Stephanie L Reeve, Stephanie L Reeves et al.•Personality and Social Psychology…•2023

  • Recognizing and Trusting Persuasion Agents

    Open Access•Tito L H Grillo, Cristiane Pizzutti Dos Santos et al.•Personality and Social Psychology…•2021

  • Proscriptive Injunctions Can Elicit Greater Reactance and Lower Legitimacy Perceptions Than Prescriptive Injunctions

    Open Access•Louisa Pavey, Susan Churchill et al.•Personality and Social Psychology…•2022

  • You May Be an Ally, But Can I Trust You? Exploring the Consequences of Source and Message Cultural Targeting Among Black Women

    Open Access•Sheba M Aikawa, Evava S Pietri et al.•Personality and Social Psychology…•2026

  • Unattractive people are unaware of their (un)attractiveness

    Open Access•T Greitemeyer•Scandinavian Journal of Psychology•2020

  • A Comparison of Ultra-Brief Cognitive Defusion and Positive Affirmation Interventions on the Reduction of Public Speaking Anxiety

    Open Access•Chloe Brandrick, Nic Hooper et al.•The Psychological Record•2021

  • The role of shame and spontaneous self-affirmation among people with concealable stigmatized identities

    Open Access•Chelsea L Monheim, Karen E Wetzel et al.•The Journal of Social Psychology•2026

  • From a terror management perspective

    Xiao Wang•The Journal of Social Psychology•2020

  • Promoting or Jeopardizing Lighter Carbon Footprints? Self-Affirmation Can Polarize Environmental Orientations

    Open Access•Anne‐Marie van Prooijen, Anne-Marie van Prooijen et al.•Social Psychological and…•2013

  • Two Types of Value-Affirmation

    Open Access•Aleah Burson, Jennifer Crocker et al.•Social Psychological and…•2012

  • Craving Activity and Losing Objectivity

    Open Access•William Hart, Dolores Albarracin•Social Psychological and…•2012

  • Identity-Goal Threats

    Open Access•Peter M Gollwitzer, Michael K Marquardt et al.•Social Psychological and…•2013

  • Value Activation and Processing of Persuasive Messages

    Open Access•Kevin L Blankenship, Duane T Wegener•Social Psychological and…•2012

  • Effects of Self-Affirmation on Implementation Intentions and the Moderating Role of Affect

    Open Access•Rebecca A Ferrer, Dikla Shmueli et al.•Social Psychological and…•2012

  • Presence of an Attachment Figure Is Associated With Greater Sensitivity to Physical Pain Following Mild Social Exclusion

    Open Access•Miranda G DiLorenzo, Giorgina T Chum et al.•Social Psychological and…•2018

  • Self-Affirmation and Identity-Driven Political Behavior

    Open Access•Benjamin Lyons, Christina E Farhart et al.•Journal of Experimental Political…•2021

  • Testing a Brief Scale Format Self-affirmation Induction for Use in Health Communication Research and Practice

    Xuan Zhu, Marco C Yzer•Communication Methods and Measures•2019

  • Finding Common Ground

    Open Access•Amanda B Diekman, Emily Clark et al.•Social Issues and Policy Review•2018

  • Attentional bias of students toward negative feedback in bad outcome situations

    Open Access•Po-Sheng Huang, Cheng‐hong Liu et al.•Social Psychology of Education•2018

  • It’s a problem, but not mine

    Open Access•Lewis Doyle, Matthew J Easterbrook et al.•Social Psychology of Education•2023

  • Advancing support for intergroup equality via a self-affirmation campaign

    Open Access•Eric Shuman, Shira Hebel‐sela et al.•Group Processes & Intergroup…•2022

  • From Fear of Death to Travel Intention

    Open Access•Ji Youn Jeong, Jinwon Kim et al.•International Journal of Tourism…•2026

  • Investigating the Potential of Inoculation Messages and Self-Affirmation in Reducing the Effects of Health Misinformation

    Open Access•Irina A Iles, Arielle S Gillman et al.•Science Communication•2021

  • Persuasion Through Affirmation or Threat? The Moderating Role of Self-Esteem in Self-Affirmation and Self-Threat Effects in Health Risk Messages

    Open Access•Yujie Dong•Health Communication•2026

  • Guilty or Self-Affirmed

    Open Access•María Luisa Vecina Jiménez, Mateusz Blukacz et al.•Journal of Family Violence•2025

  • Men's Hostile Sexism Predicts Skepticism of Sexual Assault Science

    Open Access•Diana E Betz, Kelly Deegan et al.•Psychology of Women Quarterly•2023

  • Confronting Sexism

    Open Access•Mason Burns, Erica L Granz•Sex Roles•2020

  • Self-Affirmation in Occupational Training

    Open Access•Anne Taillandier‐schmitt, Anne Taillandier-Schmitt et al.•Sex Roles•2012

  • The psychology of attitudes

    Alice Hendrickson Eagly•The psychology of attitudes•1993

  • Handbook of motivation and cognition

    E Tory Higgins, Richard M Sorrentino•Handbook of motivation and…•1986

  • Advances In Experimental Social Psychology

    Bertram Gawronski•Advances in Experimental Social…•2022

  • A Terror Management Theory of Social Behavior

    Sheldon Solomon, Jeff Greenberg et al.•Advances in Experimental Social…•1991

  • Changing Aids risk behavior

    Jeffrey D Fisher, William A Fisher et al.•Health Psychology•1996

  • Inducing Hypocrisy as a Means of Encouraging Young Adults to Use Condoms

    Open Access•Jeff Stone, Elliot Aronson et al.•Personality and Social Psychology…•1994

  • Defensive Processing of Personally Relevant Health Messages

    Open Access•Akiva Liberman, Shelly Chaiken•Personality and Social Psychology…•1992

  • The Theory of Cognitive Dissonance

    Elliot Aronson•ADVANCES IN EXPERIMENTAL SOCIAL…•1969

  • Culture, Dissonance, and Self-Affirmation

    Open Access•Steven J Heine, Darrin R Lehman•Personality and Social Psychology…•1997

  • The Psychology of Self-Affirmation

    Claude M Steele•Advances in Experimental Social…•1988

  • Self-Affirmation Reduces Biased Processing of Health-Risk Information

    Open Access•Mark B Reed, Lisa G Aspinwall•Motivation and Emotion•1998

  • Resistance of personal risk perceptions to debiasing interventions

    Neil D Weinstein, William M P Klein et al.•Health Psychology•1995

  • When Beliefs Yield to Evidence

    Open Access•Geoffrey L Cohen, Joshua Aronson et al.•Personality and Social Psychology…•2000

  • Prejudice as self-image maintenance

    Steven Fein, J Spencer et al.•Journal of Personality and Social…•1997

  • Effects of Self-Esteem on Vulnerability-Denying Defensive Distortions

    Open Access•Jeff Greenberg, Tom Pyszczynski et al.•Journal of Experimental Social…•1993

  • On the confluence of self processes

    Open Access•Abraham Tesser, David P Cornell•Journal of Experimental Social…•1991

  • Health psychology

    Shelley E Taylor•American Psychologist•1990

  • Issue involvement can increase or decrease persuasion by enhancing message-relevant cognitive responses

    Richard E Petty, John T Cacioppo•Journal of Personality and Social…•1979

  • The moderator–mediator variable distinction in social psychological research

    Reuben M Baron, D A Kenny•Journal of Personality and Social…•1986

  • The moderator-mediator variable distinction in social psychological research

    Reuben M Baron, D A Kenny•Journal of Personality and Social…•1986

  • Attributional analysis as self-affirmation

    Thomas J Liu, Claude M Steele•Journal of Personality and Social…•1986

  • When exemplification fails

    Jeff Stone, Andrew W Wiegand et al.•Journal of Personality and Social…•1997

  • Self-image resilience and dissonance

    Claude M Steele, J Spencer et al.•Journal of Personality and Social…•1993

  • A new look at motivated inference

    David Dunning, Ann Leuenberger et al.•Journal of Personality and Social…•1995

  • Motivated inference

    Ziva Kunda•Journal of Personality and Social…•1987

  • Dissonance processes as self-affirmation

    Claude M Steele, Thomas J Liu•Journal of Personality and Social…•1983

  • Judging health status

    John B Jemmott, Peter H Ditto et al.•Journal of Personality and Social…•1986

  • Motivated skepticism

    Peter H Ditto, David F Lopez•Journal of Personality and Social…•1992

  • Effects of involvement on persuasion

    Blair T Johnson, Alice H Eagly•Psychological Bulletin•1989

  • The case for motivated reasoning

    Ziva Kunda•Psychological Bulletin•1990

  • Changing Aids-risk behavior

    Jeffrey D Fisher, William A Fisher•Psychological Bulletin•1992

  • An experimental study of psychological resistances to fear arousing communications

    Irving L Janis, Robert F Terwilliger•Journal of Abnormal & Social…•1962

  • The interest value and relevance of fear arousing communications

    Leonard Berkowitz, Donald R Cottingham•Journal of Abnormal & Social…•1960

Unique citing works195
Citations per year7,5
Citation span2000 - 2026 (27)
Citation velocitycurrent
Highly citedYes
Citation typesNeutral: 176

Tools

Open DOISci-Hub
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae