Feelings can shape how people respond to persuasive messages. In health communication, adaptive affective responses to potentially threatening messages constitute one key to intervention success. The current study tested dispositional mindfulness, characterized by awareness of the present moment, as a predictor of adaptive affective responses to potentially threatening health messages and desirable subsequent health outcomes. Both general and discrete negative affective states (i.e., shame) were examined in relation to mindfulness and intervention success. Individuals (n = 67) who reported less than 195 weekly minutes of exercise were recruited. At baseline, participants’ dispositional mindfulness and exercise outcomes were assessed, including self-reported exercise motivation and physical activity. A week later, all participants were presented with potentially threatening and self-relevant health messages encouraging physical activity and discouraging sedentary lifestyle, and their subsequent affective response and exercise motivation were assessed. Approximately 1 month later, changes in exercise motivation and physical activity were assessed again. In addition, participants’ level of daily physical activity was monitored by a wrist-worn accelerometer throughout the entire duration of the study. Higher dispositional mindfulness predicted greater increases in exercise motivation 1 month after the intervention. Importantly, this effect was fully mediated by lower negative affect and shame specifically, in response to potentially threatening health messages among highly mindful individuals. Baseline mindfulness was also associated with increased self-reported vigorous activity, but not with daily physical activity as assessed by accelerometers. These findings suggest potential benefits of considering mindfulness as an active individual difference variable in theories of affective processing and health communication.
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Agrawal, N., & Duhachek, A. (2010). Emotional compatibility and the effectiveness of antidrinking messages: a defensive processing perspective on shame and guilt. Journal of Marketing Research, 47(2), 263–273.
Argus, G., & Thompson, M. (2008). Perceived social problem solving, perfectionism, and mindful awareness in clinical depression: an exploratory study. Cognitive Therapy and Research, 32(6), 745–757.
Barnes, S., Brown, K. W., Krusemark, E., Campbell, W. K., & Rogge, R. D. (2007). The role of mindfulness in romantic relationship satisfaction and responses to relationship stress. Journal of Marital and Family Therapy, 33(4), 482–500.
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4(6), 561.
Becker, M. H. (1974). The health belief model and personal health behavior.
Black, D. S. (2010). Incorporating mindfulness within established theories of health behavior. Complementary Health Practice Review, 15(2), 108–109.
Black, D. S., Sussman, S., Johnson, C., & Milam, J. (2012). Trait mindfulness helps shield decision-making from translating into health-risk behavior. Journal of Adolescent Health, 51(6), 588–592.
Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822.
Brown, K. W., Ryan, R. M., & Creswell, J. D. (2007a). Addressing fundamental questions about mindfulness. Psychological Inquiry, 18(4), 272–281.
Brown, K. W., Ryan, R. M., & Creswell, J. D. (2007b). Mindfulness: theoretical foundations and evidence for its salutary effects. Psychological Inquiry, 18(4), 211–237.
Brown, K. W., Goodman, R. J., & Inzlicht, M. (2013). Dispositional mindfulness and the attenuation of neural responses to emotional stimuli. Social Cognitive and Affective Neuroscience, 8(1), 93–99.
Bylsma, L. M., Morris, B. H., & Rottenberg, J. (2008). A meta-analysis of emotional reactivity in major depressive disorder. Clinical Psychology Review, 28(4), 676–691.
Cascio, C., O’Donnell, M. B., Tinney, F., Lieberman, M., Taylor, S., Stretcher, V., & Falk, E. B. (2016). Self-affirmation activates brain systems associated with self-related processing and reward and is reinforced by future orientation. Social Cognitive and Affective Neuroscience, 11(4), 621–629. doi:10.1093/scan/nsv136.
Chaiken, S. (1992). Defensive processing of personally relevant health messages. Personality and Social Psychology Bulletin, 18(6), 669–679.
Chatzisarantis, N. L., & Hagger, M. S. (2007). Mindfulness and the intention-behavior relationship within the theory of planned behavior. Personality and Social Psychology Bulletin, 33(5), 663–676.
Christopher, M. S., & Gilbert, B. D. (2010). Incremental validity of components of mindfulness in the prediction of satisfaction with life and depression. Current Psychology, 29(1), 10–23.
Craig, C. L., Marshall, A. L., Sjostrom, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., et al. (2003). International physical activity questionnaire: 12-country reliability and validity. Medicine & Science in Sports & Exercise, 195(9131/03), 3508–1381. http://www.ipaq.ki.se/scoring.pdf.
Creswell, J. D., Way, B. M., Eisenberger, N. I., & Lieberman, M. D. (2007). Neural correlates of dispositional mindfulness during affect labeling. Psychosomatic Medicine, 69(6), 560–565.
Crum, A. J., & Langer, E. J. (2007). Mindset matters exercise and the placebo effect. Psychological Science, 18(2), 165–171.
Desbordes, G., & Negi, L. T. (2013). A new era for mind studies: training investigators in both scientific and contemplative methods of inquiry. Frontiers in human neuroscience, 7.
Desbordes, G., Negi, L. T., Pace, T. W., Wallace, B. A., Raison, C. L., & Schwartz, E. L. (2012). Effects of mindful-attention and compassion meditation training on amygdala response to emotional stimuli in an ordinary, non-meditative state. Frontiers in Human Neuroscience, 6.
Dickerson, S. S., Gruenewald, T. L., & Kemeny, M. E. (2004). When the social self is threatened: shame, physiology, and health. Journal of Personality, 72(6), 1191–1216.
Do Lee, C., Folsom, A. R., & Blair, S. N. (2003). Physical activity and stroke risk a meta-analysis. Stroke, 34(10), 2475–2481.
Earl, A., & Albarracín, D. (2007). Nature, decay, and spiraling of the effects of fear-inducing arguments and HIV counseling and testing: a meta-analysis of the short-and long-term outcomes of HIV-prevention interventions. Health Psychology, 26(4), 496.
Esliger, D. W., Rowlands, A. V., Hurst, T. L., Catt, M., Murray, P., & Eston, R. G. (2011). Validation of the GENEA accelerometer. Medicine and Science in Sports and Exercise, 43(6), 1085–1093.
Falk, E. B., O’Donnell, M. B., Cascio, C. N., Tinney, F., Kang, Y., Lieberman, M. D., & Strecher, V. J. (2015). Self-affirmation alters the brain’s response to health messages and subsequent behavior change. Proceedings of the National Academy of Sciences, 112(7), 1977–1982.
Gregg, E. W., Cauley, J. A., Stone, K., Thompson, T. J., Bauer, D. C., Cummings, S. R., & Group, S. o. O. F. R. (2003). Relationship of changes in physical activity and mortality among older women. Journal of the American Medical Association, 289(18), 2379–2386.
Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits: a meta-analysis. Journal of Psychosomatic Research, 57(1), 35–43.
Holmes, M. D., Chen, W. Y., Feskanich, D., Kroenke, C. H., & Colditz, G. A. (2005). Physical activity and survival after breast cancer diagnosis. Journal of the American Medical Association, 293(20), 2479–2486.
Hölzel, B. K., Lazar, S. W., Gard, T., Schuman-Olivier, Z., Vago, D. R., & Ott, U. (2011). How does mindfulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective. Perspectives on Psychological Science, 6(6), 537–559.
Jordan, C. H., Wang, W., Donatoni, L., & Meier, B. P. (2014). Mindful eating: trait and state mindfulness predict healthier eating behavior. Personality and Individual Differences, 68, 107–111.
Kang, Y., Gruber, J., & Gray, J. R. (2013). Mindfulness and de-automatization. Emotion Review, 5(2), 192–201.
Kang, Y., Gray, J. R., & Dovidio, J. F. (2014a). The nondiscriminating heart: lovingkindness meditation training decreases implicit intergroup bias. Journal of Experimental Psychology: General, 143(3), 1306.
Kang, Y., Gruber, J., & Gray, J. R. (2014b). Mindfulness: deautomatization of cognitive and emotional life. The Wiley Blackwell Handbook of Mindfulness, 168–185.
Langer, E. J. (1989). Mindfulness: Addison-Wesley/Addison Wesley Longman.
Lee, I.-M., Hsieh., C.-C., & Paffenbarger, R. S. (1995). Exercise intensity and longevity in men: the Harvard Alumni Health Study. Journal of the American Medical Association, 273(15), 1179–1184.
Manson, J. E., Hu, F. B., Rich-Edwards, J. W., Colditz, G. A., Stampfer, M. J., Willett, W. C., & Hennekens, C. H. (1999). A prospective study of walking as compared with vigorous exercise in the prevention of coronary heart disease in women. New England Journal of Medicine, 341(9), 650–658.
Markland, D. A. (2011, March 3). Exercise motivation measurement-BREQ and BREQ-2 scoring. http://pages.bangor.ac.uk/~pes004/exercise_motivation/breq/breq.htm.
Markland, D., & Tobin, V. (2004). A modification to the behavioural regulation in exercise questionnaire to include an assessment of amotivation. Journal of sport & exercise psychology, 26(2).
Mendolia, M. (1999). Repressors’ appraisals of emotional stimuli in threatening and nonthreatening positive emotional contexts. Journal of Research in Personality, 33(1), 1–26.
Miller, J. J., Fletcher, K., & Kabat-Zinn, J. (1995). Three-year follow-up and clinical implications of a mindfulness meditation-based stress reduction intervention in the treatment of anxiety disorders. General Hospital Psychiatry, 17(3), 192–200.
Miners, R. (2007). Collected and connected: mindfulness and the early adolescent. Concordia University.
Moore, S. C., Patel, A. V., Matthews, C. E., de Gonzalez, A. B., Park, Y., Katki, H. A., & Helzlsouer, K. J. (2012). Leisure time physical activity of moderate to vigorous intensity and mortality: a large pooled cohort analysis. PLoS Medicine, 9(11), e1001335.
Murphy, M. J., Mermelstein, L. C., Edwards, K. M., & Gidycz, C. A. (2012). The benefits of dispositional mindfulness in physical health: a longitudinal study of female college students. Journal of American College Health, 60(5), 341–348.
Owen, N., Healy, G. N., Matthews, C. E., & Dunstan, D. W. (2010). Too much sitting: the population-health science of sedentary behavior. Exercise and Sport Sciences Reviews, 38(3), 105.
Paul, N. A., Stanton, S. J., Greeson, J. M., Smoski, M. J., & Wang, L. (2013). Psychological and neural mechanisms of trait mindfulness in reducing depression vulnerability. Social Cognitive and Affective Neuroscience, 8(1), 56–64.
Peters, G. J. Y., Ruiter, R. A., & Kok, G. (2013). Threatening communication: a critical re-analysis and a revised meta-analytic test of fear appeal theory. Health psychology review, 7(sup1), S8-S31.
Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879–891. http://www.afhayes.com/spss-sas-and-mplus-macros-and-code.html.
Randles, D., & Tracy, J. L. (2013). Nonverbal displays of shame predict relapse and declining health in recovering alcoholics. Clinical Psychological Science, 1(2), 149–155.
Resnicow, K., & McMaster, F. (2012). Motivational interviewing: moving from why to how with autonomy support. International Journal of Behavioral Nutrition and Physical Activity, 9(1), 1–9.
Rodin, J., & Langer, E. J. (1977). Long-term effects of a control-relevant intervention with the institutionalized aged. Journal of Personality and Social Psychology, 35(12), 897.
Schwarzer, R., & Luszczynska, A. (2008). How to overcome health-compromising behaviors: the health action process approach. European Psychologist, 13(2), 141.
Seguin, R., LaMonte, M., Tinker, L., Liu, J., Woods, N., Michael, Y. L., & LaCroix, A. Z. (2012). Sedentary behavior and physical function decline in older women: findings from the Women’s Health Initiative. Journal of Aging Research, 2012.
Slattery, M., Edwards, S., Curtin, K., Ma, K., Edwards, R., Holubkov, R., & Schaffer, D. (2003). Physical activity and colorectal cancer. American Journal of Epidemiology, 158(3), 214–224.
Tanasescu, M., Leitzmann, M. F., Rimm, E. B., Willett, W. C., Stampfer, M. J., & Hu, F. B. (2002). Exercise type and intensity in relation to coronary heart disease in men. Journal of the American Medical Association, 288(16), 1994–2000.
Tangney, J. P., & Dearing, R. L. (2004). Shame and guilt: Guilford Press.
Taylor, S. A., Black, H. G., Donovan, L. A. N., Ishida, C., & Judson, K. (2014). The relationship between eudaimonic well-being and social well-being with millennials. Journal of Consumer Satisfaction, Dissatisfaction & Complaining Behavior, 27.
Vartanian, L. R., & Shaprow, J. G. (2008). Effects of weight stigma on exercise motivation and behavior a preliminary investigation among college-aged females. Journal of Health Psychology, 13(1), 131–138.
Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: the PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063.
Way, B. M., Creswell, J. D., Eisenberger, N. I., & Lieberman, M. D. (2010). Dispositional mindfulness and depressive symptomatology: correlations with limbic and self-referential neural activity during rest. Emotion, 10(1), 12.
Witte, K., & Allen, M. (2000). A meta-analysis of fear appeals: implications for effective public health campaigns. Health Education & Behavior, 27(5), 591–615.
This study was a part of a larger investigation on neural predictors of health behavior change (reported in Cascio et al. 2016; Falk et al. 2015). Although health-related outcomes are included in those previous reports, no reports using this data have focused on individual differences in mindfulness and subsequent motivation changes. We thank Chris Cascio, Kristin Shumaker, and Frank Tinney for research assistance; Larry An, Ken Resnicow, Thad Polk, and Angie Fagerlin for helpful discussions and input; Holly Derry, Ian Moore, and Michele Demers for assistance in developing intervention materials; and the staff of the University of Michigan fMRI Center for support and assistance.
This research was funded by The Michigan Center of Excellence in Cancer Communication Research/NIH Grant P50 CA101451 (principal investigator (PI), V.J. S.), NIH New Innovator Award 1DP2DA03515601 (PI, E.B.F.), and NIH/National Cancer Institute Grant 1R01CA180015-01 (PI, E.B.F.). We also thank HopeLab for generous support.
Conflict of Interest
The authors declare that they have no conflict of interest.
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Kang, Y., O’Donnell, M.B., Strecher, V.J. et al. Dispositional Mindfulness Predicts Adaptive Affective Responses to Health Messages and Increased Exercise Motivation. Mindfulness 8, 387–397 (2017). https://doi.org/10.1007/s12671-016-0608-7
- Health communication
- Physical activity