Skip to main content

Advertisement

Log in

Denial of a sleep deprivation message: situational and dispositional influences on message rejection

  • Published:
Journal of Behavioral Medicine Aims and scope Submit manuscript

Abstract

Two studies investigated situational and dispositional influences on rejection of a sleep deprivation warning message for young adults. The hassle of protection (Study 1) and the self-relevance of the problem (Study 2) were manipulated; the disposition to use denial (threat orientation) for warning messages was measured. In both studies, it was found that both dispositional denial and the situational manipulation (more protection-hassle or self-relevance) showed at least one denial effect by reducing perceived susceptibility, perceived severity, or credibility. Indirect (mediational) effects were tested with the bootstrap method. In Study 1, judgments of credibility and severity mediated the effects of the hassle manipulation and denial orientation on message outcomes. In Study 2, credibility mediated the effects of the self-relevance manipulation and denial orientation on message outcomes of intentions to change and priority given to sleep. These studies show that both situational and dispositional sources of denial work in similar ways by lowering key message judgments and that the lower judgments lead to less priority given to a health risk and lower intentions to protect oneself.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Aguinis, H., & Stone-Romero, E. F. (1997). Methodological artifacts in moderated multiple regression and their effects on statistical power. Journal of Applied Psychology, 82, 192–206. doi:10.1037/0021-9010.82.1.192

    Article  Google Scholar 

  • Beehler, G. P., Rodrigues, A. E., Kay, M. A., Kiviniemo, M. T., & Steinbrenner, L. (2014). Perceptions of barriers and facilitators to health behavior change among veteran cancer survivors. Military Medicine, 179, 998–1005. doi:10.7205/MILMED-D-14-00027

    Article  PubMed  Google Scholar 

  • Ben-Zur, H., Breznitz, S., Wardi, N., & Berzon, Y. (2000). Denial of HIV/AIDS and preventive behaviour among Israeli adolescents. Journal of Adolescence, 23, 157–174. doi:10.1006/jado.2000.0305

    Article  CAS  PubMed  Google Scholar 

  • Champion, V. L. (1999). Revised susceptibility, benefits, and barriers scale for mammography screening. Research in Nursing & Health, 22, 341–348. https://www.ncbi.nlm.nih.gov/pubmed/10435551

  • Chen, J. Y., Fox, S. A., Cantrell, C. H., Stockdale, S. E., & Kagawa-Singer, M. (2007). Health disparities and prevention: racial/ethnic barriers to flu vaccinations. Journal of Community Health, 32, 5–20. https://www.ncbi.nlm.nih.gov/pubmed/17269310

  • De Wit, J. B. F., Vet, R., Schutten, M., & van Steenbergen, J. (2005). Social-cognitive determinants of vaccination behavior against hepatitis B: An assessment among men who have sex with men. Preventive Medicine, 40, 795–802. doi:10.1016/j.ypmed.2004.09.026

    Article  PubMed  Google Scholar 

  • Ditto, P. H., Jemmott, J. B., & Darley, J. M. (1988). Appraising the threat of illness: A mental representation approach. Health Psychology, 7, 183–201. doi:10.1037/0278-6133.7.2.183

    Article  CAS  PubMed  Google Scholar 

  • Doran, S. M., Van Dongen, H. P. A., & Dinges, D. F. (2001). Sustained attention performance during sleep deprivation: Evidence of state instability. Archives italiennes de biologie, 139, 253–267. https://www.ncbi.nlm.nih.gov/pubmed/11330205

  • Gebhardt, W. A., van der Doef, M. P., & Maes, S. (1999). Conflicting activities for exercise. Perceptual and Motor Skills, 89, 1159–1160. doi:10.2466/pms.1999.89.3f.1159

    Article  CAS  PubMed  Google Scholar 

  • Gerend, M. A., Aiken, L. S., & West, S. G. (2004). Personality factors in older women’s perceived susceptibility to diseases of aging. Journal of Personality, 72, 243–270. http://www.ncbi.nlm.nih.gov/pubmed/15016065

  • Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press.

    Google Scholar 

  • Hershner, S. D., & Chervin, R. D. (2014). Causes and consequences of sleepiness among college students. Nature and Science of Sleep, 6, 73–84. doi:10.2147/NSS.S62907

    Article  PubMed  PubMed Central  Google Scholar 

  • Hovland, Carl I., & Weiss, Walter. (1951). The influence of source credibility on communication effectiveness. Public Opinion Quarterly, 15, 635–650. doi:10.1086/266350

    Article  Google Scholar 

  • Janz, N. K., & Becker, M. H. (1984). The health belief model: A decade later. Health Education & Behavior, 11, 1–47. doi:10.1177/109019818401100101

    CAS  Google Scholar 

  • Jemmott, J. B., Ditto, P. H., & Croyle, R. T. (1986). Judging health status: Effects of perceived prevalence and personal relevance. Journal of Personality and Social Psychology, 50, 899.

    Article  PubMed  Google Scholar 

  • Jordan, C. M., Lee, P. A., Olkon, R., & Pirie, P. L. (2007). Messages from moms: Barriers to and facilitators of behavior change in a lead poisoning preventive education project. Journal of Health Communication, 12, 771–786. doi:10.1080/10810730701672520

    Article  PubMed  Google Scholar 

  • Kareklas, I., Muehling, D. D., & Weber, T. J. (2015). Reexamining health messages in the digital age: A fresh look at source credibility effects. Journal of Advertising, 44, 88–104. doi:10.1080/00913367.2015.1018461

    Article  Google Scholar 

  • Kunda, Z. (1987). Motivated inference: Self-serving generation and evaluation of causal theories. Journal of Personality and Social Psychology, 53, 636–647. doi:10.1037/0022-3514.53.4.636

    Article  Google Scholar 

  • Kunda, Z. (1990). The case for motivated reasoning. Psychological Bulletin, 108, 480–498. http://www.psych.utoronto.ca/users/peterson/psy430s2001/Kunda%20Z%20Motivated%20Reasoning%20Psych%20Bull%201990.pdf

  • Liberman, A., & Chaiken, S. (1992). Defensive processing of personally relevant health messages. Personality and Social Psychology Bulletin, 18, 669–679. doi:10.1177/0146167292186002

    Article  Google Scholar 

  • Maddux, J. E., & Rogers, R. W. (1983). Protection motivation and self-efficacy: A revised theory of fear appeals and attitude change. Journal of Experimental Social Psychology, 19, 469–479. doi:10.1016/0022-1031(83)90023-9

    Article  Google Scholar 

  • Martin, L. R., Haskard-Zolnierek, K. B., & DiMatteo, M. R. (2010). Health behavior change and treatment adherence: Evidence-based guidelines for improving healthcare. New York: Oxford University Press.

    Google Scholar 

  • Mturk. (2015). Amazon mechnical turk. https://www.mturk.com/mturk/welcome

  • Perkins-Porras, L., Whitehead, D. L., Strike, P. C., & Steptoe, A. (2008). Causal beliefs, cardiac denial and pre-hospital delays following the onset of acute coronary syndromes. Journal of Behavioral Medicine, 31, 498–505. doi:10.1007/s10865-008-9174-3

    Article  PubMed  Google Scholar 

  • Popova, L. (2012). The extended parallel process model: Illuminating the gaps in research. Health Education & Behavior, 39, 455–473. doi:10.1177/1090198111418108

    Article  Google Scholar 

  • Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36, 717–731. doi:10.3758/BF03206553

    Article  Google Scholar 

  • Prochaska, J., & DiClemente, C. (1983). Stages and processes of self-change in smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, 5, 390–395. doi:10.1037//0022-006X.51.3.390

    Article  Google Scholar 

  • Pyszczynski, T., & Greenberg, J. (1987). Toward an integration of cognitive and motivational perspectives on social influence: A biased hypothesis-testing model. In L. Berkowitz (Ed.), Advances in experimental social psychology (Vol. 20, pp. 297–340). San Diego, CA: Academic Press. doi:10.1016/S0065-2601(08)60417-7

    Google Scholar 

  • Rothbaum, F., Weisz, J. R., & Snyder, S. S. (1982). Changing the world and changing the self: A two-process model of perceived control. Journal of Personality and Social Psychology, 42, 5–37.

    Article  Google Scholar 

  • Schlefhofer, M. M., & Thompson, S. C. (2011). Individual differences in mediators and reactions to a personal safety threat message. Basic and Applied Social Psychology, 33, 194–205. doi:10.1080/01973533.2011.568843

    Article  Google Scholar 

  • Sherman, D. K., & Cohen, G. L. (2002). Accepting threatening information: Self-affirmation and the reduction of defensive biases. Current Directions in Psychological Science, 11, 119–123. doi:10.1111/1467-8721.00182

    Article  Google Scholar 

  • Steele, C. M. (1988). The psychology of self-affirmation: Sustaining the integrity of the self. Advances in Experimental Social Psychology, 21, 261–302. doi:10.1016/S0065-2601(08)60229-4

    Article  Google Scholar 

  • Thompson, S. C., & Schlehofer, M. M. (2008). Control, denial, and heightened sensitivity reactions to personal threat: Testing the generalizability of the threat orientation approach. Personality and Social Psychology Bulletin, 38, 1070–1083. doi:10.1177/0146167208318403

    Article  Google Scholar 

  • Thompson, S. C., & Schlehofer, M. M. (2014). Undermining optimistic denial reactions to domestic and campus emergency warning messages. Applied Psychology: Health and Well-Being, 6, 192–213. doi:10.1111/aphw.12024

    Google Scholar 

  • Thompson, S. C., Schlehofer, M. M., Gonzalez, A., & Denison, E. (2011a). Reactions to a health threat: Dispositional threat orientations and message characteristics. British Journal of Health Psychology, 16, 344–358. doi:10.1348/135910710X509630

    PubMed  Google Scholar 

  • Thompson, S. C., & Ting, S. (2012). Avoidance denial vs. optimistic denial in reaction to the threat of future cardiovascular disease. Health, Education, and Behavior, 39, 620–629. doi:10.1177/1090198111428154

    Article  Google Scholar 

  • Thompson, S. C., Ting, S., Gonzalez, A., & Ryan, A. (2011b). Could that happen to me?: Individual differences in perceptions of threat and intentions to take protective action. Journal of Applied Biobehavioral Research, 16, 78–97. doi:10.1111/j.1751-9861.2011.00066

    Article  Google Scholar 

  • Wiebe, D. J., & Korbel, C. (2003). Defensive denial, affect, and the self-regulation of health threats. In L. D. Cameron & H. Leventhal (Eds.), The self-regulation of health and illness behaviour (pp. 184–203). London: Routledge.

    Google Scholar 

  • Witte, K. (1992). Putting the fear back into fear appeals: The extended parallel process model. Communication Monographs, 59, 329–349. https://msu.edu/~wittek/fearback.htm

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Suzanne C. Thompson.

Ethics declarations

Conflict of interest

Suzanne C. Thompson, Haley W. Marber, Laeesha N. Cornejo, Bryn M. Launer, and Kimberly Ona Ayala declares that they do not have any conflict of interest.

Human and animal rights and Informed consent

All procedures followed were in accordance with ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Thompson, S.C., Marber, H.W., Cornejo, L.N. et al. Denial of a sleep deprivation message: situational and dispositional influences on message rejection. J Behav Med 40, 913–926 (2017). https://doi.org/10.1007/s10865-017-9859-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10865-017-9859-6

Keywords

Navigation