Imagine That You Died. Would You Still Smoke?: How Death Reflection Affects Health Message Reception Through Personal Growth and Identification.

Terror management research has found that mortality salience increases self-esteem preservation, which tends to produce counter-persuasive effects in the health context. The present study examines the persuasive potentials of an alternative mortality prime, death reflection, in a between-subjects online experiment with current smokers (N = 92). We tested the effects of two death primes on their posttraumatic growth, identification with a story character, and quitting intentions after exposure to an anti-smoking PSA. The results showed that only death reflection significantly affected quitting intentions through two serial mediators. First, death reflection promoted a greater sense of posttraumatic growth than the control condition, whereas mortality salience did not. Second, the increased sense of growth enhanced identification with a testimonial character in the anti-smoking PSA, which, in turn, lowered quitting intentions. Implications for health communication are discussed.

Source Interactivity Enhances Sense of Community and Reduces Psychological Reactance: Effects of the Like Button on Smoking Message Evaluations and Attitudes.

This study investigates the psychological mechanism by which source interactivity influences health message evaluations. Combining health communication and interactivity literature, two theoretical routes to persuasion were proposed: enhanced sense of community and reduced psychological reactance. A 2 × 2 (source interactivity: absence vs. presence X smoking status: nonsmoker vs. current smoker) factorial-design experiment (N = 343) was conducted on an anti-smoking website. Result revealed that the endorsing and sharing features that resembled the Like button on Facebook enhanced self-as-source perceptions and sense of community, which exerted significant effects on message credibility for smokers and message enjoyment for nonsmokers. Among smokers, self-as-source perceptions reduced psychological reactance, which promoted greater message credibility and more negative attitudes toward smoking behavior.

The benefits of contemplating tragic drama on self-regulation and health.

Although drama exposure has been examined in the context of health promotion programs, the underlying mechanisms of reflecting on drama have not been established. The degree to which drama contemplation leads to cognitive changes (increased processing, self-compassion and emotional self-efficacy) and improved well-being was examined in the present research. An experiment was conducted in which young adults (n = 148) were randomly assigned to experience and write reflectively on (i) drama via Hollywood movie clips, (ii) drama via scripts or (iii) to perform a control task. Writing content was analyzed for word use. At baseline and 4-week follow-up measures, participants self-reported self-compassion, emotional self-efficacy, physical symptoms, general health, depressed mood and anxiety. Using structural equation modeling, indirect effects of drama contemplation were found. Tragic drama exposure was associated with word use indicative of increased cognitive processing. The use of greater insight words was related to increased emotional self-efficacy, which in turn was associated with improved psychological and general health, whereas discrepancy word use was associated with increased self-compassion, which was in turn linked to better psychological well-being. Conversely, greater use of causation and certainty words was associated with a marginal decrease in self-compassion and psychological well-being. The persistence of drama has long been related to its capacity to enhance individuals' understanding of the human condition. This study helps explain the connection between reflecting on drama and benefits to self-regulation and health. Implications of drama processing as an inexpensive and accessible adjunct to health promotion interventions are discussed.

Staying-at-Home with Tragedy: Self-expansion Through Narratives Promotes Positive Coping with Identity Threat.

The COVID-19 pandemic created a historic opportunity to study the link between identity threat and individuals' temporary expansion of the boundaries of the self (TEBOTS) through stories. Concurrently, the relationship between eudaimonic entertainment processes and self-expansion, particularly feeling moved and self-awareness, was examined. A quasi-experiment was conducted with an online sample (N = 172) that was randomly assigned to watch either a tragic drama or comedy. Results showed that key TEBOTS predictions were largely confirmed for boundary expansion and the outcomes of narrative engagement and entertainment gratifications. Although identity threat was negatively associated with positive coping with the pandemic, this relationship turned positive when mediated by boundary expansion. Further, exposure to tragedy raised feelings of "being moved," which, in turn, was linked to self-perceptual depth and expanded boundaries of the self downstream. The present findings suggest that self-expansion through story consumption could benefit viewers' positive reframing of challenging life experiences.