Un enfoque psicofisiológico de los mensajes de miedo. Respuestas autónomas, subjetivas y conductuales a los mensajes de promoción de la salud.

Autores/as

  • Francisca González Javier University of Murcia (Spain) and Murcia Institute of Biomedical Research (Spain)
  • Jesús Gómez-Amor University of Murcia (Spain) and Murcia Institute of Biomedical Research (Spain)
  • Juan R. Ordoñana University of Murcia (Spain) and Murcia Institute of Biomedical Research (Spain)
DOI: https://doi.org/10.6018/analesps.483391
Palabras clave: Apelaciones al miedo, Mensajes de promoción de la salud, Respuesta autonómica, Respuesta de orientación, Atención, Cáncer de mama, EPPM

Resumen

Se diseñó un estudio para analizar los efectos que tienen las apelaciones al miedo sobre las respuestas psicofisiológicas, subjetivas y conductuales en la población diana. Para ello, se presentaron, a 98 mujeres de 49-50 años de edad, tres mensajes sobre el cáncer de mama promoviendo la realización de mamografía regularmente. Los mensajes fueron elaborados de manera similar a los utilizados por los programas de promoción de la salud. Los tres tenían la misma longitud, formato y estructura, pero variaban en determinadas claves que diferenciaban su carácter (Amenaza, Sorpresa y Estándar/control). Durante la exposición a estos mensajes, se registraron, de manera continua, las respuestas psicofisiológicas (frecuencia cardíaca y frecuencia de respuestas electrodérmicas inespecíficas). Después de ver los estímulos, se tomaron medidas de autoinforme y de personalidad (STAI y EPQ-A). Se encontraron respuestas significativas a los mensajes para todas las medidas psicofisiológicas. Independientemente del mensaje presentado, el patrón de respuesta psicofisiológica se relacionó significativamente con la conducta preventiva de detección del cáncer.

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Citas

Baldaro, B., Mazzetti, M., Codispoti, M., Tuozzi, G., Bolzani, R., & Trombini, G. (2001). Autonomic reactivity during viewing of an unpleasant film. Perceptual. & Motor Skills, 93, 797-805. https://doi.org/10.2466%2Fpms.2001.93.3.797

Bradley, M. M., & Lang, P. J. (2007). Emotion and Motivation. In J. T. Cacioppo, L. G. Tassinary, & G. G. Berntson (Eds.), Handbook of Psychophysiology (3rd ed.) (pp.581-607). Cambridge University Press.

Bradley, M. M, & Lang, P. J. (2000). Measuring emotion: behavior, feeling, and physiology. In R. D. Lane, L. Nadel (Eds.), Cognitive Neuroscience of Emotion (pp. 242– 276). Oxford University Press.

Bradley, M. M., Codispoti, M., Cuthbert, B. N., & Lang, P. J. (2001). Emotion and motivation I: defensive and appetitive reactions in picture processing. Emotion 1, 3, 276-298. https://doi.org/10.1037/1528-3542.1.3.276

Brownley, K. A., Hurwitz, B. E., & Schneiderman, N. (2000). Cardiovascular psychophysiology. In J. T. Cacioppo, L. G. Tassinary, G. G. Berntson (Eds.), Handbook of Psychophysiology (2nd ed.)(pp. 224-264), Cambridge University Press.

Carey, R. N., McDermott, D. T., & Sarma, K. M. (2013). The Impact of Threat Appeals on Fear Arousal and Driver Behavior: A Meta-Analysis of Experimental Research 1990-2011. PloS ONE, 8(5), e62821. https://doi.org/10.1371/journal.pone.0062821

Carrera, P., Muñoz, D., & Caballero, A. (2010). Mixed emotional appeals in emotional and danger control processes. Health Communication, 25, 726-736. https://doi.org/10.1080/10410236.2010.521914

Chadwick, A. E., Zoccola, P. M., Figueroa, W. S., & Rabideau, E. M. (2016). Communication and stress: Effects of hope evocation and rumination messages on heart rate, anxiety, and emotions after a stressor. Health Communication, 31(12), 1447-1459. https://doi.org/10.1080/10410236.2015.1079759

Chen, L., Yang, X., Fu, L., Liu, X., & Yuan, C. (2019). Using the Extended Parallel Process Model to examine the nature and impact of breast cancer prevention information on mobile-based social media: Content analysis. JMRI mHealth and uHealth, 7(6), e13987. https://doi.org/10.2196/13987

Christie, I. C., & Friedman, B. H. (2004). Autonomic specificity of discrete emotion and dimensions of affective space: a multivariate approach. International Journal of Psychophysiology, 51, 143-153. https://doi.org/10.1016/j.ijpsycho.2003.08.002

Cook, E. W., & Turpin, G. (1997). Differentiating orienting, startle, and defense responses: The role of affect and its implications for psychopathology. In P. J. Lang, R. F. Simons & M. Balaban (Eds.), Attention and orienting: Sensory and motivational processes (pp.137-164). Lawrence Erlbaum Associates.

Davydov, D. M., Zech, E., & Luminet, O. (2011). Affective Context of Sadness and Physiological Response Patterns. Journal of Psychophysiology, 25, 67-80. https://doi.org/10.1027/0269-8803/a000031

Dillard, J. P. (1994). Rethinkin the study of fear appeals: An emotional perspective. Communication Theory, 4(4), 295-323. https://doi.org/10.1111/j.1468-2885.1994.tb00094.x

Dillard, J. P., & Nabi, R. L. (2006). The persuasive influence of emotion in cancer prevention and detection messages. Journal of Communication, 56(1), 123–139. https://doi.org/10.1111/j.1460-2466.2006.00286.x

Doyore, F., Birhanu, Z., Kebede, Y., Dejene, T., & Jara, D. (2013). Are people controlling the danger or fear for condom use as HIV/AIDS preventive message? An evaluative type of study based on extended parallel process model. Journal of AIDS & Clinical Research, 4 (12), 264. https://doi.org/10.4172/2155-6113.1000264

Eysenck, H. J., & Eysenck, S. B. G. (1975). Manual of the Eysenck Personality Questionnaire Junior and Adult. Hodder and Stoughton.

Fishbein, M., & Ajzen, I. (2010). Predicting and changing behaviour: The reasoned action approach. Psychology Press.

Fowles, D. C., Christie, M. J., Edelberg, R., Grings, W. W., Lykken, D. L., & Venables, P. H. (1981). Publication recommendations for electrodermal measurements. Psychophysiology, 18(3), 232-239. https://doi.org/10.1111/j.1469-8986.1981.tb03024.x

Gore, T., & Campanella, C. (2005). Testing the theoretical design of a health risk message: reexamining the major tenets of the Extended Parallel Process Model. Health Education & Behavior, 32(1), 27-41. https://doi.org/10.1177/1090198104266901

Green, E. C., & Witte, K. (2006). Can fear arousal in public health campaigns contribute to the decline of HIV prevalence? Journal of Health Communication, 11(3), 245–259. https://doi.org/10.1080/10810730600613807

Gomez, P., Zimmermann, P., Guttormsen-Schär, S., & Danuser, B. (2005). Respiratory responses associated with affective processing of film stimuli. Biological Psychology, 68, 223-235. https://doi.org/10.1016/j.biopsycho.2004.06.003

Gross, J. J., Sutton, S. K., & Ketelaar, T., 1998. Relations between affect and personality: Support for the affect-level and affective-reactivity views. Personality and Social Psychology Bulletin, 24, 279-288. https://doi.org/10.1177%2F0146167298243005

Hagenaars, M. A., Roelofs, K., & Stins, J. F. (2014). Human freezing in response to affective films. Anxiety, Stress & Coping: An International Journal, 27(1), 27-37. https://doi.org//10.1080/10615806.2013.809420

Hale, J. L., & Dillard, J. P. (1995). Fear appeals in health promotion campaigns: too much, too little, or just right?. In E. Maibach, R. L. E. Parrot (Eds.), Designing Health Messages. Approaches from Communication Theory and Public Health Practice (pp.65-80). Sage Publications.

Harrison, L. K., Carroll, D., Burns, V. E., Corkill, A. R., Harrison, C. M., Ring, C., & Drayson, M. (2000). Cardiovascular and secretory immunoglobulin: A reactions to humorous, exciting and didactic film presentations. Biological Psychology, 52(2), 113-126. https://doi.org/10.1016/s0301-0511(99)00033-2

Keller, S. N., Graham-Austin, C., & McNeill, V. (2017). A theater intervention to promote communication and disclosure of suicidal ideation. Journal of Applied Communication Research, 45(3), 294-312. https://doi.org/10.1080/00909882.2017.1320569

Kessels, L. T. E., Ruiter, R. A. C., & Jansma, B. M. (2010). Increased attention but more efficient disengagement: Neuroscientific evidence for defensive processing of threatening health information. Health Psychology, 29(4), 346-354. https://doi.org/10.1037/a0019372

Kreibig, S. D., Wilhelm, F. H., Roth, W. T., & Gross, J. J. (2007). Cardiovascular, electrodermal, and respiratory response patterns to fear –and sadness- inducing films. Psychophysiology, 44(5), 787-806. https://doi.org/10.1111/j.1469-8986.2007.00550.x

Kreibig, S. D. (2010). Autonomic nervous system activity in emotion: A review. Biological Psychology, 84, 394-421. https://doi.org/10.1016/j.biopsycho.2010.03.010

Lacey, J.I, & Lacey, B.C. (1970). Some autonomic-central nervous system interrelationship. In P. Black (Ed.), Physiological Correlates of Emotion (pp. 205-227). New York, NY: Academic Press.

Lang, P.J., Bradley, M.M., & Cuthbert, B.N. (1997). Motivated attention: affect, activation, and action. In P. J. Lang, R. F. Simons, M. T. Balaban (Eds.), Attention and Orienting: Sensory and Motivational Processes (pp. 97-136). Lawrence Erlbaum Associates.

Lang, P. J., Davis, M., & Öhman, A. (2000). Fear and anxiety: Animal models and human cognitive psychophysiology. Journal of Affective Disorders, 61(3), 137- 159. https://doi.org/10.1016/s0165-0327(00)00343-8

Lang, P. J., Greenwald, M. K., Bradley, M. M., & Hamm, A. O. (1993). Looking at pictures: affective, facial, visceral, and behavior reactions. Psychophysiology, 30(3), 261-273. https://doi.org/10.1111/j.1469-8986.1993.tb03352.x

Maloney, E. K., Lapinski, M. K., & Witte, K. (2011). Fear Appeals and Persuasion: A Review and Update of the Extended Parallel Process Model. Social and Personality Psychology Compass, 5(4), 206-219. https://doi.org/10.1111%2Fj.1751- 9004.2011.00341.x

Marett, K., Vedadi, A., & Durcikova, A. (2019). A quantitative textual analysis of three types of threat communication and subsequent maladaptive responses. Computers & Security, 80, 25-35. https://doi.org/10.1016/j.cose.2018.09.004

McKay, D. L., Berkowitz, J. M., Blumberg, J. B., & Goldberg, J. P. (2004). Communicating cardiovascular disease risk due to elevated homocysteine levels: Using the EPPM to develop print materials. Health Education & Behavior, 31(3), 355-371. https://doi.org/10.1177/1090198104263353

Mewborn, C. R., & Rogers, R. W. (1979). Effects of threatening and reassuring components of fear appeals on physiological and verbal measures of emotion and attitudes. Journal of Experimental Social Psychology, 15(3), 242-253. https://doi.org/10.1016/0022-1031(79)90035-0

Öhman, A., Hamm, A., & Hugdahl, K. (2000). Cognition and the autonomic nervous system. In T. T. Cacioppo, L. G. Tassinary, G. G. Berntson (Eds.), Handbook of Psychophysiology (2nd ed.) (pp. 533-571). Cambridge University Press.

Ooms, J. A., Jansen, C. J. M., Hommes, S., & Hoeks, J. C. J. (2017). “Don´t make my mistake”: on the processing of narrative fears appeals. International Journal of Communication, 11, 4924-4945.

Ordoñana, J. R., González-Javier, F., Espín-López, L., & Gómez-Amor, J. (2009). Self- report and Psychophysiological Responses to Fear Appeals. Human Communication Research, 35, 195-220. https://doi.org/10.1111/j.1468-2958.2009.01344.x

Palomba, D., Sarlo, M., Angrilli, A., Mini, A., & Stegagno, L. (2000). Cardiac responses associated with affective processing of unpleasant film stimuli. International Journal of Psychophysiology, 27, 55-67. https://doi.org/10.1016/s0167-8760(99)00099-9

Peters, G-J. Y., Ruiter, R. A. C., & Kok, G. (2013). Threatening communication: a critical re-analysis and a revised meta-analytic test of fear appeal theory. Health Pschology Review, 7(1), 8-31. https://doi.org/10.1080/17437199.2012.703527

Popova, L. (2011). The Extended Parallel Process Model: Illuminating the Gaps in Research. Health Education & Behavior, 39(4), 455-473. https://doi.org/10.1177/1090198111418108

Ruiter, R. A. C., Abraham, C., & Kok, G. (2001). Scary warnings and rational precautions: A review of the psychology of fear appeals. Psychology and Health, 16, 613-630. https://doi.org/10.1080/08870440108405863

Ruiter, R. A. C., Verplanken, B., Kok, G., & Werrij, M. Q. (2003). The role of coping appraisal in reactions to fear appeals: Do we need threat information? Journal of Health Psychology, 8, 465-474. https://doi.org/10.1177/13591053030084006

Sánchez-Navarro, J. P., Martínez-Selva, J. M., & Román, F. (2006). Uncovering the relationship between defence and orienting in emotion: Cardiac reactivity to unpleasant pictures. International Journal of Psychophysiology, 61, 34-46. https://doi.org/10.1016/j.ijpsycho.2005.10.023

Sánchez-Navarro, J. P., Martínez-Selva, J. M., Torrente, & Román, F. (2008). Psychophysiological, behavioral, and cognitive indices of the emotional response: A factor-analytic study. The Spanish Journal of Psychology, 11(1), 16-25. https://doi.org/10.1017/s1138741600004078

Sánchez-Navarro, J. P., Martínez-Selva, J. M., Torrente, G., Pineda, S., Murcia-Liarte, J. B. & Carrillo-Verdejo, E. (2012). Preattentive processing of feared stimuli in blood–injection–injury fearful subjects. International Journal of Psychophysiology, 84, 95-101. https://doi.org/10.1016/j.ijpsycho.2012.01.016

Seligowski, A.V., Lebois, L.A.M., Hill, S.B., Kahhale, I., Jovanovic, T., Winternitz, S.R., Kaufman, M.L. & Ressler, K.L. (2019). Autonomic responses to fear conditioning among women with PTSD and dissociation. Depression and Anxiety, 36(7), 625-634. https://doi.org/10.1002/da.22903

Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1970). Manual for the State-Trait Anxiety Inventory. Consulting Psychologist Press.

Verschuere, B., Crombez, G., De Clercq, A., & Koster, E. H. W. (2004). Autonomic and behavioral responding to concealed information: differentiating orienting and defensive responses. Psychophysiology, 41, 461-466. https://doi.org/10.1111/j.1469- 8986.00167.x

Vögele, C., Coles, J., Wardle, J., & Steptoe, A. (2003). Psychophysiologic effects of applied tension on the emotional fainting response to blood and injury. Behavior Research and Therapy, 41(2), 139-155. https://doi.org/10.1016/S0005-7967(01)00133-4

Watson, M., Pettingale, K.W., & Goldstein, D. (1983). Effects of a fear appeal on arousal, self-reported anxiety, and attitude towards smoking. Psychological Reports, 52(1), 139-146. https://doi.org/10.2466%2Fpr0.1983.52.1.139

Witte, K. (1992a). Putting the fear back into fear appeals: the extended parallel process model. Communication Monographs, 59, 329-349. https://doi.org/10.1080/03637759209376276

Witte, K. (1992b). The role of threat and efficacy in AIDS prevention. International Quarterly of Community Health Education, 12, 225-249. https://doi.org/10.2190%2FU43P- 9QLX-HJ5P-U2J5

Witte, K. (1994). Fear control and danger control: a test of the Extended Parallel Process Model EPPM. Communication Monographs, 612, 113-134. https://doi.org/10.1080/03637759409376328

Witte, K. (1998). Fear as motivator, fear as inhibitor: Using the extended parallel process model to explain fear appeal successes and failures. In P. A. Andersen & L. K. Guerrero (Eds.), The Hand-Book of Communication and Emotion: Research, theory, application and context (pp. 423-450). San Diego, CA: Academic Press.

Witte, K., & Allen, M. (2000). A meta–analysis of fear appeals: implications for effective public health campaigns. Health Education & Behavior, 275, 591-615. https://doi.org/10.1177%2F109019810002700506

Zonouzy, V. T., Niknami, S., Ghofranipour, F., & Montazeri, A. (2019). An educational intervention based on the extended parallel process model to improve attitude, behavioral intention, and early breast cancer diagnosis: a randomized trial. International Journal of Women´s Health, 11, 1-10. https://doi.org/10.2147/IJWH.S182146

Publicado
11-08-2021
Cómo citar
González Javier, F., Gómez-Amor, J., & Ordoñana, J. R. (2021). Un enfoque psicofisiológico de los mensajes de miedo. Respuestas autónomas, subjetivas y conductuales a los mensajes de promoción de la salud. Anales de Psicología / Annals of Psychology, 37(3), 412–423. https://doi.org/10.6018/analesps.483391
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Cerebro y conducta: un enfoque neurocientífico/psicofisiológico

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