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Reactance, Mortality Salience, and Skin-Cancer Prevention Among Young Adults

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HEALTH COMMUNICATION
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ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/10410236.2023.2293911

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This study found that when mortality salience in the terror management health model was combined with freedom-limiting language, it effectively mitigated the maladaptive effects of reactance and increased intentions to purchase high-SPF lotion. This suggests that using freedom-limiting language may be effective in health-prevention messages attempting to communicate deadly health risks.
In an experiment (N = 206) using skin cancer prevention messages and a 2 (mortality: salient, control) x 2 (freedom-limiting language: freedom-limiting, autonomy-supportive) independent-group design, we tested the terror management health model and integrated its predictions with the theory of psychological reactance. We used a sample of young adults because they are most at risk for excessive tanning. Consistent with the study predictions about proximal defenses, mortality salience significantly increased intentions to wear sunscreen all year around, relative to the control condition. A significant interaction between freedom-limiting language and mortality salience on behavioral intention to purchase high-SPF lotion revealed that, when a freedom-limiting message was paired with mortality salience, intentions to purchase high-SPF lotion were significantly greater as compared to autonomy-supportive language, indicating that mortality salience mitigated the maladaptive effects of reactance. These results add to a growing body of research identifying boundary conditions for reactance effects and, further, point to the utility of directive (albeit freedom-limiting language) in health-prevention messages attempting to communicate deadly health risks.

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