Cited by 1,315Behavioral Health and InterventionsRisk Perception and ManagementMedia Influence and Health

The DOI matches its Crossref record; 202 of the 203 references it cites were found in a registry or an index; 1 of the 24 sources its claims cite were checked for support.

Appealing to fear: A meta-analysis of fear appeal effectiveness and theories

Open access

Abstract

Fear appeals are a polarizing issue, with proponents confident in their efficacy and opponents confident that they backfire. We present the results of a comprehensive meta-analysis investigating fear appeals' effectiveness for influencing attitudes, intentions, and behaviors. We tested predictions from a large number of theories, the majority of which have never been tested meta-analytically until now. Studies were included if they contained a treatment group exposed to a fear appeal, a valid comparison group, a manipulation of depicted fear, a measure of attitudes, intentions, or behaviors concerning the targeted risk or recommended solution, and adequate statistics to calculate effect sizes. The meta-analysis included 127 articles (9% unpublished) yielding 248 independent samples (NTotal = 27,372) collected from diverse populations. Results showed a positive effect of fear appeals on attitudes, intentions, and behaviors, with the average effect on a composite index being random-effects d = 0.29. Moderation analyses based on prominent fear appeal theories showed that the effectiveness of fear appeals increased when the message included efficacy statements, depicted high susceptibility and severity, recommended one-time only (vs. repeated) behaviors, and targeted audiences that included a larger percentage of female message recipients. Overall, we conclude that (a) fear appeals are effective at positively influencing attitude, intentions, and behaviors; (b) there are very few circumstances under which they are not effective; and (c) there are no identified circumstances under which they backfire and lead to undesirable outcomes.

Overview

Integrity signals

Registry

Crossref · 10.1037/a0039729

Cites

202 of 202 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

1 of 24 cited sources checked · 1 supported · 0 flagged

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  • Probably not a substantial claim. 25
  • It may state two separate claims as one. 43
  • The quote only partly states this claim. 1
63 of 63
  • The paper relies on this without support.

    The 248 samples included in the meta-analysis are statistically independent.

    “providing 248 statistically independent samples”
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Citations

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Metadata

Authors
Tannenbaum, M. B., Hepler, J., Zimmerman, R. S., Saul, L., Jacobs, S., Wilson, K., & Albarracín, D.
Affiliations
  • University of Illinois Urbana-Champaign (US)
  • University of Nevada, Reno (US)
  • University of Missouri–St. Louis (US)
  • Virginia Commonwealth University (US)
Venue
Psychological Bulletin
Published
2015-11
Volume
141
Issue
6
Pages
1178-1204
ISSN
  • 0033-2909 (ISSN-L)
  • 1939-1455
OpenAlex
W2238586764
Cited by
1,315
References
203
Citations by year
2026: 148 · 2025: 149 · 2024: 138 · 2023: 124 · 2022: 134 · 2021: 192 · 2020: 203 · 2019: 78 · 2018: 78 · 2017: 48 · 2016: 21
FWCI
5.77
Type
journal article
Language
en
Open access
Locations
  • Psychological Bulletin (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • Illinois Digital Environment for Access to Learning and Scholarship (University of Illinois at Urbana-Champaign) (submittedVersion)
Funders
Sponsor name not included (R01 MH094241, R01 NR08325, and R56 AI114501)
Topics
  • Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
  • Social Sciences › Sociology and Political Science › Risk Perception and Management
  • Social Sciences › Communication › Media Influence and Health
Keywords
fear appeals, attitude change, behavioral intention, risk communication, perceived susceptibility, perceived severity, message framing
MeSH terms
Attitude, Behavior, Fear, Female, Humans, Male, Models, Psychological, Persuasive Communication, Risk Factors, Intention

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