Is death really the worm at the core? Converging evidence that worldview threat increases death-thought accessibility.

According to terror management theory, if the cultural worldview protects people from thoughts about death, then weakening this structure should increase death-thought accessibility (DTA). Five studies tested this DTA hypothesis. Study 1 showed that threatening Canadian participants' cultural values (vs. those of another culture) increased DTA on a word-fragment completion task. Study 2 showed that when participants could dismiss the threat, DTA remained low. Study 3 replicated the results of Study 1, but DTA was measured using a lexical decision task. Response latencies to death, negative, and neutral content were measured. Worldview threat increased DTA relative to accessibility for negative and neutral content. Study 4 showed that the DTA effect emerged independently of the arousal of anger or anxiety. Finally, Study 5 demonstrated that participants with a pro-creation (vs. pro-evolution) worldview had higher DTA after reading an anti-creation article. Discussion focused on theoretical implications and directions for further research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Predicting behavioral intentions and physical exercise: A test of the health action process approach at the intrapersonal level.

Objective: Theories of health behavior are usually tested on the between-person level. Associations between variables on the between- and the within-person level, however, can differ substantially. Thus, in order to better understand intrapersonal processes in the domain of health behavior, studies applying within-person analyses are needed. This study tested the Health Action Process Approach (HAPA) on the within- and between-person level in the context of physical exercise. Design: Participants were 265 first-year students who completed nine online questionnaires every second week. Data were analyzed by focusing on intrapersonal associations applying multilevel modeling. Main Outcome Measures: Intentions for physical exercise and self-reported physical exercise served as main outcome measures. Results: Analyses mainly confirm associations specified by the HAPA at the intrapersonal level: outcome expectancies and self-efficacy, but not risk awareness, were positively associated with intentions for physical exercise. Physical exercise in turn was positively associated with intentions, self-efficacy, action control, but not with action planning. Conclusion: The HAPA could be confirmed on the within-person level. Future studies should focus on testing other theories of health behavior at the within-person level. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mortality salience and the spreading activation of worldview-relevant constructs: Exploring the cognitive architecture of terror management.

Seven experiments assessed the hypothesis derived from terror management theory that reminding people of their mortality would increase accessibility of constructs central to their worldview. Experiment 1 found that mortality primes, relative to control primes, increased accessibility of nationalistic constructs for men but not for women. Experiment 2 replicated this finding and also found that mortality salience increased romantic accessibility for women but not for men. Four subsequent experiments supported the role of unconscious death-related ideation in producing these effects. A final experiment demonstrated that situational primes can increase the accessibility of nationalistic constructs for women after mortality salience. The roles of situational cues and individual differences in the effects of exposure to death-related stimuli on worldview-relevant construct accessibility are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Self-regulatory processes defend against the threat of death: Effects of self-control depletion and trait self-control on thoughts and fears of dying.

Nine studies (N = 979) demonstrated that managing the threat of death requires self-regulation. Both trait and state self-control ability moderated the degree to which people experienced death-related thought and anxiety. Participants high (vs. low) in self-control generated fewer death-related thoughts after being primed with death, reported less death anxiety, were less likely to perceive death-related themes in ambiguous scenes, and reacted with less worldview defense when mortality was made salient. Further, coping with thoughts of death led to self-regulatory fatigue. After writing about death versus a control topic, participants performed worse on several measures of self-regulation that were irrelevant to death. These results suggest that self-regulation is a key intrapsychic mechanism for alleviating troublesome thoughts and feelings about mortality. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The dynamics of death and meaning: The effects of death-relevant cognitions and personal need for structure on perceptions of meaning in life.

Do reminders of mortality increase or decrease perceptions of life’s meaning? The authors propose that death-relevant thought has divergent effects on meaning perceptions depending on individuals’ personal need for structure (PNS) or dispositional desire for structured knowledge. In prior research, high-PNS individuals primed with mortality-related stimuli were found to employ clearly structured conceptions of reality. Consequently, these individuals were expected to show stable or even bolstered perceptions of meaning when death thought was heightened. Low-PNS individuals did not show this tendency and were therefore expected to show decreased meaning under heightened death-thought activation. The results of Studies 1a–1d supported these hypotheses. Studies 2 and 3 sought to identify how low-PNS individuals might reaffirm meaning and found that death thought increased their willingness to explore novelty. Studies 4 and 5 directly tested the meaning-conferring function of novelty seeking among low-PNS individuals, showing that the consideration of novel interpretations of the world and their experiences affirmed a sense of meaning in life following reminders of death. Discussion focuses on the relationship between meaning and death and the unique ways low-PNS individuals respond to mortality concerns. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Efficacy of a brief worksite intervention to reduce smoking: The roles of behavioral and implementation intentions.

The effectiveness of worksite interventions to reduce smoking needs to be enhanced because randomized controlled trials to date have produced mixed findings. The present study tested the ability of social-cognitive variables to mediate the past behavior-future behavior relationship and the effectiveness of implementation intentions to break the past behavior-future behavior relationship in a brief theory-based worksite intervention designed to reduce smoking. Smoking behavior and psychosocial orientation to quit (operationalized by theory of planned behavior variables and temptations) were measured at baseline; participants (N=90) randomized to the experimental condition were also asked to form an implementation intention in their place of work. Identical measures taken 2 months postbaseline revealed that intention was a potent mediator of the past behavior-future behavior relationship. More important, significantly more people quit smoking in the experimental condition than in the control condition. Decomposition of these effects showed that implementation intentions worked best for individuals who were more motivated to quit at baseline and suggest that harnessing both motivational and volitional processes might enhance the effectiveness of worksite smoking cessation programs. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Blowing in the (social) wind: Implications of extrinsic esteem contingencies for terror management and health.

In 4 studies, the role of extrinsic esteem contingencies in adjusting to shifting health-relevant standards when managing existential fears was examined. Study 1 demonstrated that after reminders of death, higher dispositional focus on extrinsic self-esteem contingencies predicted greater interest in tanning. Using a more domain-specific approach, Study 2 showed that, after being reminded of death, the more individuals smoke for social esteem reasons, the more compelling they find an antismoking commercial that exposes adverse social consequences of smoking. Study 3 explored how situational factors (i.e., priming a contingent relational schema) that implicate extrinsic contingencies facilitated the impact of shifting standard primes on tanning intentions after mortality salience. Finally, Study 4 found that mortality salience led to increased endorsement of exercise as a basis of self-worth when participants who derive self-esteem from extrinsic sources visualized someone who exercises. Together, these studies demonstrate that reminders of death interact with prevalent social standards to influence everyday health decisions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Deleterious effects of alcohol intoxication: Diminished cognitive control and its behavioral consequences.

The authors tested the hypothesis that impaired behavioral performance during intoxication results partly from alcohol's deleterious effects on cognitive control. The impact of alcohol on perseverative behavior was examined with an n-back working memory task that included manipulations of task complexity and prepotency of inclinations to respond or withhold responding. Thirty-two social drinkers (16 men) participated in either an alcohol (.075g/100ml) or a no-alcohol condition. Alcohol increased perseveration of prepotent, task-inappropriate response patterns only under cognitively demanding (heavy memory load) conditions. This effect was evident for both commission errors (response persistence despite contingencies altered to require restraint) and omission errors (failure to respond when contingencies were revised to encourage action). Findings suggested that alcohol-induced perseveration arises from impairments in cognitive control. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

How do i feel about the behavior? The interplay of affective associations with behaviors and cognitive beliefs as influences on physical activity behavior.

Individuals have affective associations with health behaviors. In other domains such associations have been shown to influence behavior, but affective associations with health behaviors are not included in current health decision-making models. The authors examined whether affective associations with exercise predicted individuals' activity behavior and, if so, how they interfaced with other decision-making constructs to influence behavior. Adult participants (N = 433) reported their current physical activity behavior and affective associations with physical activity. Health belief model and theory of planned behavior constructs were also assessed. More positive affective associations with activity significantly predicted greater activity behavior. Moreover, the influence of the health belief model and theory of planned behavior constructs on activity behavior was mediated through affective associations. Affective associations were shown to play a central role in individuals' activity behavior, both as a mediator of the effects of cognitively based decision-making factors and as an independent predictor of activity behavior. The results suggest the need to include affective influences on behavior in formal models of health decision making and, potentially, to explore affectively based intervention routes to change behaviors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Bronze is beautiful but pale can be pretty: The effects of appearance standards and mortality salience on sun-tanning outcomes.

Objective: Using the terror management health model (J. L. Goldenberg & J. Arndt, 2008), the authors examined tanning outcomes as a function of priming tanning-relevant standards for attractiveness after reminders of death. Design: Study 1 consisted of 101 female college students recruited from a midwestern university; Study 2 consisted of 53 female participants recruited from a beach in south Florida. In both experiments, participants answered questions about their mortality or a control topic, and were presented with a fashion article that highlighted either the attractiveness of tanned (just in Study 1), pale, or natural-looking skin. Main Outcome Measures: Self-reported suntan intentions (Study 1) and sunscreen intentions (Study 2). Study 2 also assessed participants’ interest in various sun protection products. Results and Conclusions: Study 1 demonstrated that mortality salience led to higher tanning intentions when the association between tanned skin and physical attractiveness was made salient and reduced intentions when the attractiveness of paler skin was highlighted. In Study 2, beachgoers, after reminders of death, reported greater preference for high sun protection sunscreen after reading an article about the attractiveness of paler skin tones. These findings contribute to an emerging understanding of how mortality concerns can influence health-related judgment and behavior. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Adjusting to death: The effects of mortality salience and self-esteem on psychological well-being, growth motivation, and maladaptive behavior.

This research builds on terror management theory to examine the relationships among self-esteem, death cognition, and psychological adjustment. Self-esteem was measured (Studies 1–2, 4–8) or manipulated (Study 3), and thoughts of death were manipulated (Studies 1–3, 5–8) or measured (Study 4). Subsequently, satisfaction with life (Study 1), subjective vitality (Study 2), meaning in life (Studies 3–5), positive and negative affect (Studies 1, 4, 5), exploration (Study 6), state anxiety (Study 7), and social avoidance (Study 8) were assessed. Death-related cognition (a) decreased satisfaction with life, subjective vitality, meaning in life, and exploration; (b) increased negative affect and state anxiety; and (c) exacerbated social avoidance for individuals with low self-esteem but not for those with high self-esteem. These effects occurred only when death thoughts were outside of focal attention. Parallel effects were found in American (Studies 1–4, 6–8) and Chinese (Study 5) samples. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Influences of preclinical dementia and impending death on the magnitude of age-related cognitive deficits.

The authors examined the influence of preclinical dementia and impending death on the cross-sectional relationship between age and performance in tasks assessing episodic memory, visuospatial skill, and verbal fluency. Increasing age was associated with a general decrease in cognitive performance. In addition, those who were to be diagnosed with dementia had died by a 3-year follow-up, were older, and performed at a lower level than the remaining sample across all cognitive tasks at baseline. Nevertheless, removal of the preclinical dementia and impending death groups from the original sample affected the cross-sectional age-cognition relations relatively little. This pattern of findings suggests that the biological aging process exerts negative influences on cognitive functioning beyond those resulting from disease and mortality. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Impact of health beliefs, quality of life, and the physician-patient relationship on the treatment intentions of inflammatory bowel disease patients.

The research tested a model of treatment decision making in chronic illness that includes health beliefs, quality of life, and relationship with the physician (shared or not). Inflammatory bowel disease patients, (N=218) reported on their physician-patient relationship, general and disease-specific quality of life, and intentions to take a drug, for which perceived benefits and costs were manipulated. For more symptomatic patients, both costs and benefits predicted intentions; however, for less symptomatic patients, costs played a more important role. Physician recommendation predicted intention primarily among those who shared a decision-making relationship with their physician. Overall, the model accounted for 57.8% of the variance in medication-taking intention. Findings suggest that an integrative consideration of relationship factors, health beliefs, and health status may help explain treatment intentions among the chronically ill. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The impact of working life on health behavior: The effect of job strain on the cognitive predictors of exercise.

The theory of planned behavior (TPB) and R. A. Karasek's (1979) job strain model were used to investigate the predictors of exercise in a group of employees. A total of 241 employees completed an initial questionnaire; 1 week later 213 employees responded to a questionnaire measuring behavior. Employees in high-strain jobs did significantly less exercise than those in low-strain jobs, although they did not intend to do less, suggesting that work may impede the intention implementation. Intenders who failed to exercise had significantly higher work demands and lower exercise self-efficacy than intenders who succeeded in exercising. Work also affected exercise indirectly through self-efficacy. Thus, work may be a target for behavior change intervention because of its impact at 2 stages of the TPB. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The siren's call: Terror management and the threat of men's sexual attraction to women.

Why do sexually appealing women often attract derogation and aggression? According to terror management theory, women's sexual allure threatens to increase men's awareness of their corporeality and thus mortality. Accordingly, in Study 1 a subliminal mortality prime decreased men's but not women's attractiveness ratings of alluring women. In Study 2, mortality salience (MS) led men to downplay their sexual intent toward a sexy woman. In Study 3, MS decreased men's interest in a seductive but not a wholesome woman. In Study 4, MS decreased men's but not women's attraction to a sexy opposite-sex target. In Study 5, MS and a corporeal lust prime increased men's tolerance of aggression toward women. Discussion focuses on mortality concerns and male sexual ambivalence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The impact of school-wide positive behavioral interventions and supports (PBIS) on the organizational health of elementary schools.

Positive Behavioral Interventions and Supports (PBIS) is a universal, school-wide prevention strategy that is currently implemented in over 7,500 schools across the nation to reduce disruptive behavior problems through the application of behavioral, social learning, and organizational behavioral principles. PBIS aims to alter school environments by creating improved systems and procedures that promote positive change in student behavior by targeting staff behaviors. The present study examined the impact of PBIS on school organizational health using data from a large randomized controlled trial of PBIS conducted in 37 elementary schools. Longitudinal multilevel analyses on data from 2,507 staff revealed a significant effect of PBIS on staff reports of the schools' overall organizational health, resource influence, and staff affiliation over a 3-year period. This study indicated that changes in school organizational health are important consequences of the PBIS whole-school prevention model, and might in turn be a potential mediator of the effect of PBIS on student performance. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cognitive performance in very old diabetic persons: The impact of semantic structure, preclinical dementia, and impending death.

The authors examined the associations of diabetes mellitus with cognitive performance in a population-based sample of nondemented and nondepressed very old persons. Diabetic participants (n = 31) were compared with nondiabetic controls (n = 307), adjusting for age, educational level, and related vascular diseases and signs. Results showed that diabetic persons performed significantly worse on tests of verbal fluency and episodic memory but that the effects on both types of abilities were less pronounced in tasks involving higher degrees of semantic structure. Follow-up analyses further revealed that preclinical dementia and impending death accounted for much of the observed associations. The results suggest that cognitive deficits among very old diabetics are most likely detected by tasks that draw less on semantic structures and that the most robust effects may be found in letter fluency performance (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Child temperament moderates the impact of parental separation on adolescent mental health: The trails study.

The potential effect of parental separation during early adolescence on adolescent externalizing and internalizing problems was investigated in a longitudinal sample of adolescents (n = 1274; mean age = 16.27; 52.3% girls). Pre-separation mental health problems were controlled for. Building on a large number of studies that overall showed a small effect of parental separation, it was argued that separation may only or especially have an effect under certain conditions. It was examined whether child temperament (effortful control and fearfulness) moderates the impact of parental separation on specific mental health domains. Hypotheses were derived from a goal-framing theory, with a focus on goals related to satisfying the need for autonomy and the need to belong. Controlling for the overlap between the outcome domains, we found that parental separation led to an increase in externalizing problems but not internalizing problems when interactions with child temperament were ignored. Moreover, child temperament moderated the impact of parental separation, in that it was only related to increased externalizing problems for children low on effortful control, whereas it was only related to increased internalizing problems for children high on fearfulness. The results indicate that person-environment interactions are important for understanding the development of mental health problems and that these interactions can be domain-specific. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

The impact of interpersonal violence in adulthood on women's job satisfaction and productivity: The mediating roles of mental and physical health.

Objective: With growing awareness of the prevalence of interpersonal violence victimization among women, research has begun to examine the impact of these experiences on employment. To date, much of this work in the United States has centered on low-income women moving from public assistance to paid employment and research gaps in our understanding of a broader range of working women's experiences still exist. The present study explored the impact of multiple types of victimization (sexual violence, physical intimate partner violence, psychological abuse, and stalking) on a range of work outcomes (job satisfaction, job benefits, job interference). Method: A random-digit-dial telephone survey of 1,079 women living in New Hampshire was conducted. Measures included questions about victimization in adulthood and current perceptions of employment. Results: A multivariate analysis of variance and regression analyses showed clear links between victimization experiences and negative work outcomes. Mental and physical health symptoms represent important mediators explaining these links. Conclusion: Results support the need for workplace policies and supports that provide safety nets for survivors and encourages the development of community norms that assist survivors in accessing such supports. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychophysiological perspective on presence: The implications of mediated environments on relationships, behavioral health and social construction.

As technologies are increasingly being used to deliver educational curricula and health care services, presence becomes an essential construct for psychologists to assimilate. Presence, or the sense of "being there" in a mediated environment, has implications for the development of new behavioral health interventions; improved approaches for performance and education; and, for the promotion of new strategies for healthier lifestyles. Understanding the essential components of presence may allow us new insights into interpersonal relationships, improved communications, more effective conflict resolution strategies, and in determining how to better teach compassion, empathy, and prosocial behavior. This article discusses the general construct of presence, defines psychophysiological determinants of presence, addresses the quantification of presence, describes "optimal" presence, and presents future directions for research and clinical applications. (PsycINFO Database Record (c) 2010 APA, all rights reserved)