On the Nature of Reactance and its Role in Persuasive Health Communication
Abstract
Reactance theory might be profitably applied to understanding failures in persuasive health communication but for one drawback: The developer of the theory contends that reactance cannot be measured. Rejecting this position, this paper develops four alternative conceptual perspectives on the nature of reactance (i.e., combinations of cognition and affect), then provides an empirical test of each. Two parallel studies were conducted, one advocating flossing the other urging students to limit their alcohol intake In both cases, a composite index of anger and negative cognitions fully mediated the effects of threat-to-freedom and trait reactance on attitude and intention. The data showed that, in fact, reactance can be operationalized as a composite of self-report indices of anger and negative cognitions. The implications for persuasive communication, in general, are considered as well the specific findings for flossing and drinking.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Dogmatic language elicits reactance, whereas offering a choice does not.
“For instance, dogmatic language was found to elicit reactance, whereas offering a choice did not (Dillard & Shen, 2005; Grandpre, Alvaro, Burgoon, Miller, & Hall, 2003).”
From Rebels With a Cause? Adolescent Defiance From the Perspective of Reactance Theory and Self-Determination Theory (2015) · cites this paper as Dillard & Shen, 2005
Reactance is triggered when requests are framed in a pressuring way, such that people experience these requests as a threat to their freedom.
“Previous research found reactance to be triggered when requests are framed in a pressuring way, such that people experience these requests as a threat to their freedom.”
From Rebels With a Cause? Adolescent Defiance From the Perspective of Reactance Theory and Self-Determination Theory (2015) · cites this paper as Dillard & Shen, 2005
Research characterises reactance as a construct comprised of both emotion and cognition.
“Research characterises reactance as a construct comprised of both emotion (eg, anger, irritation) and cognition (eg, defensive processing, denial).92”
From Pictorial cigarette pack warnings: a meta-analysis of experimental studies (2016) · cites this paper as [92]
Cites
The theory of planned behavior
Ajzen, I. (1991) · Organizational Behavior and Human Decision Processes · doi:10.1016/0749-5978(91)90020-t · Cited by 90,587 · see citing works
(1975) · PhilPapers (PhilPapers Foundation) · Cited by 36,737 · see citing works
Alternative Ways of Assessing Model Fit
Browne, M. W., & Cudeck, R. (1992) · Sociological Methods & Research · doi:10.1177/0049124192021002005 · Cited by 27,200 · see citing works
Structural Equations with Latent Variables
Bollen, K. A. (1989) · Wiley series in probability and statistics · doi:10.1002/9781118619179 · Cited by 17,512 · see citing works
Structural Equations with Latent Variables.
Clogg, C. C., & Bollen, K. A. (1991) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2072165 · Cited by 17,471 · see citing works
Testing Structural Equation Models.
Mueller, C. W., Bollen, K. A., & Long, J. S. (1994) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2074955 · Cited by 14,211 · see citing works
Testing Structural Equation Models.
Clogg, C. C., Bollen, K. A., & Long, J. S. (1995) · Social Forces · doi:10.2307/2580595 · Cited by 8,244 · see citing works
Bayesian model selection in social research
Raftery, A. E. (1995) · Sociological Methodology · doi:10.2307/271063 · Cited by 6,823 · see citing works
LISREL 7 : user's reference guide
Jöreskog, K. G., & Sörbom, D. (1989) · Medical Entomology and Zoology · Cited by 6,783 · see citing works
Petty, R. E., & Cacioppo, J. T. (1986) · doi:10.1007/978-1-4612-4964-1 · Cited by 5,219 · see citing works
Communication and Persuasion: Central and Peripheral Routes to Attitude Change
Marquart, F., & Naderer, B. (2015) · Springer eBooks · doi:10.1007/978-3-658-09923-7_20 · Cited by 5,007 · see citing works
A Theory of Psychological Reactance
Torrance, E. P., & Brehm, J. W. (1968) · The American Journal of Psychology · doi:10.2307/1420824 · Cited by 4,755 · see citing works
Emotion knowledge: further exploration of a prototype approach
Shaver, P., Schwartz, J., Kirson, D., & O'Connor, C. (1987) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.52.6.1061 · Cited by 3,072 · see citing works
(1981) · Cited by 3,038 · see citing works
Rogers, R. W., & Rogers, R. W. (1983) · Medical Entomology and Zoology · Cited by 2,577 · see citing works
Handbook of Motivation and Cognition: Foundations of Social Behavior, Vol. 2.
Wagner, D. G., Higgins, E. T., & Sorrentino, R. M. (1991) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2072281 · Cited by 1,970 · see citing works
A Theory of Psychological Reactance
Mishler, E. G. (1968) · Psychosomatic Medicine · doi:10.1097/00006842-196811000-00013 · Cited by 1,665 · see citing works
Fear control and danger control: A test of the extended parallel process model (EPPM)
Witte, K. (1994) · Communication Monographs · doi:10.1080/03637759409376328 · Cited by 1,460 · see citing works
Findings and Theory in the Study of Fear Communications
Leventhal, H. (1970) · Advances in experimental social psychology · doi:10.1016/s0065-2601(08)60091-x · Cited by 1,339 · see citing works
Attitude Structure and Function.
Schuman, H., Pratkanis, A. R., Breckler, S., & Greenwald, A. G. (1990) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2072868 · Cited by 1,301 · see citing works
Using Theory to Design Effective Health Behavior Interventions
Fishbein, M., & Yzer, M. C. (2003) · Communication Theory · doi:10.1111/j.1468-2885.2003.tb00287.x · Cited by 1,054 · see citing works
(2002) · Routledge eBooks · doi:10.4324/9781410603029 · Cited by 728 · see citing works
The Persuasion Handbook: Developments in Theory and Practice
Dillard, J. P., & Pfau, M. W. (2002) · Sage eBooks · doi:10.4135/9781412976046 · Cited by 695 · see citing works
Self-citationvan Meter, K. M. (1994) · Bulletin of Sociological Methodology/Bulletin de Méthodologie Sociologique · doi:10.1177/075910639404200102 · Cited by 688 · see citing works
Relationships Among Attitudes, Behavioral Intentions, and Behavior
Kim, M., & Hunter, J. E. (1993) · Communication Research · doi:10.1177/009365093020003001 · Cited by 682 · see citing works
Motivating the Focus of Attention
Derryberry, D., & Tucker, D. M. (1994) · The Heart's Eye · doi:10.1016/b978-0-12-410560-7.50014-4 · Cited by 590 · see citing works
Refinement of the Hong Psychological Reactance Scale
Hong, S.-M., & Faedda, S. (1996) · Educational and Psychological Measurement · doi:10.1177/0013164496056001014 · Cited by 520 · see citing works
Dillard, J. P., & Peck, E. Y. (2000) · Communication Research · doi:10.1177/009365000027004003 · Cited by 383 · see citing works
Self-citationAttitude–Behavior Relations: A Meta-Analysis of Attitudinal Relevance and Topic
Kim, M., & Hunter, J. E. (1993) · Journal of Communication · doi:10.1111/j.1460-2466.1993.tb01251.x · Cited by 355 · see citing works
The Multiple Affective Outcomes of AIDS PSAs
Dillard, J. P., Plotnick, C. A., GODBOLD, L. C., Freimuth, V. S., & Edgar, T. (1996) · Communication Research · doi:10.1177/009365096023001002 · Cited by 325 · see citing works
Self-citationStillman, P. G. (1977) · American Political Science Review · doi:10.2307/1978393 · Cited by 305 · see citing works
Affect and Persuasion Emotional Responses to Public Service Announcements
Dillard, J. P., & Peck, E. Y. (2000) · Communication Research · Cited by 291 · see citing works
Self-citationBrain Activity During Speaking: From Syntax to Phonology in 40 Milliseconds
van Turennout, M., Hagoort, P., & Brown, C. M. (1998) · Science · doi:10.1126/science.280.5363.572 · Cited by 275 · see citing works
Ringold, D. J. (2002) · Journal of Consumer Policy · doi:10.1023/a:1014588126336 · Cited by 273 · see citing works
Stewart, D., & Martin, I. M. (1994) · Journal of Public Policy & Marketing · doi:10.1177/074391569401300101 · Cited by 253 · see citing works
A Psychological Reactance Scale: Development, Factor Structure and Reliability
Hong, S.-M., & Page, S. (1989) · Psychological Reports · doi:10.2466/pr0.1989.64.3c.1323 · Cited by 248 · see citing works
Discrete Emotions and Persuasion
Nabi, R. L. (2002) · Sage eBooks · doi:10.4135/9781412976046.n15 · Cited by 242 · see citing works
Revisiting the Theory of Psychological Reactance: Communicating Threats to Attitudinal Freedom
Burgoon, M., ALVARO, E., Grandpre, J. R., & VOULODAKIS, M. (2002) · Sage eBooks · doi:10.4135/9781412976046.n12 · Cited by 205 · see citing works
Persuasion : advances through meta-analysis
Allen, M. R., & Preiss, R. W. (1998) · Hampton Press eBooks · Cited by 200 · see citing works
FOXCROFT, D. R., Lister-Sharp, D., & Lowe, G. (1997) · Addiction · doi:10.1111/j.1360-0443.1997.tb02911.x · Cited by 181 · see citing works
The Role of Psychological Reactance in Drinking Following Alcohol Prevention Messages 1
Bensley, L. S., & Wu, R. (1991) · Journal of Applied Social Psychology · doi:10.1111/j.1559-1816.1991.tb00461.x · Cited by 173 · see citing works
The attractiveness of an eliminated choice alternative
Brehm, J. W., Stires, L. K., Sensenig, J., & Shaban, J. (1966) · Journal of Experimental Social Psychology · doi:10.1016/0022-1031(66)90086-2 · Cited by 170 · see citing works
Psychometric Properties of the Hong Psychological Reactance Scale
Shen, L., & Dillard, J. P. (2005) · Journal of Personality Assessment · doi:10.1207/s15327752jpa8501_07 · Cited by 169 · see citing works
Self-citationEffect of threats to attitudinal freedom as a function of agreement with the communicator.
Worchel, S., & Brehm, J. W. (1970) · Journal of Personality and Social Psychology · doi:10.1037/h0028620 · Cited by 159 · see citing works
Persuasion and the structure of affect.
Dillard, J. P., & Peck, E. Y. (2006) · Human Communication Research · doi:10.1111/j.1468-2958.2001.tb00775.x · Cited by 158 · see citing works
Self-citationPersuasion and the structure of affect. Dual systems and discrete emotions as complementary models
Dillard, J. P. (2001) · Human Communication Research · doi:10.1093/hcr/27.1.38 · Cited by 150 · see citing works
Self-citationMass Media Campaigns: The Odds Against Finding Behavior Change
Wallack, L. (1981) · Health Education Quarterly · doi:10.1177/109019818100800302 · Cited by 146 · see citing works
Cacioppo, J. T., Berntson, G. G., & Aue, T. (2010) · The Corsini Encyclopedia of Psychology · doi:10.1002/9780470479216.corpsy0897 · Cited by 144 · see citing works
Kühl, J. (1986) · Max Planck Institute for Plasma Physics · Cited by 135 · see citing works
Hong's Psychological Reactance Scale: A Further Factor Analytic Validation
Hong, S.-M. (1992) · Psychological Reports · doi:10.2466/pr0.1992.70.2.512 · Cited by 128 · see citing works
Buller, D. B., Borland, R., & Burgoon, M. (1998) · Human Communication Research · doi:10.1111/j.1468-2958.1998.tb00424.x · Cited by 119 · see citing works
The attractiveness of choice alternatives when freedom to choose is eliminated by a social agent1
Hammock, T., & Brehm, J. W. (1966) · Journal of Personality · doi:10.1111/j.1467-6494.1966.tb02370.x · Cited by 113 · see citing works
Influence, appraisals, and emotions in close relationships
Dillard, J. P., Kinney, T. A., & Cruz, M. G. (1996) · Communication Monographs · doi:10.1080/03637759609376382 · Cited by 108 · see citing works
Self-citationAlcohol outcome expectancies, attitudes toward drinking and the theory of planned behavior.
Wall, A.-M., Hinson, R. E., & McKee, S. A. (1998) · Journal of Studies on Alcohol · doi:10.15288/jsa.1998.59.409 · Cited by 107 · see citing works
Persuasion and the Structure of Affect
Dillard, J. P., & Meijnders, A. L. (2002) · Sage eBooks · doi:10.4135/9781412976046.n16 · Cited by 82 · see citing works
Self-citationPoliteness Judgments in Personal Relationships
Dillard, J. P., Wilson, S. R., Tusing, K. J., et al. (1997) · Journal of Language and Social Psychology · doi:10.1177/0261927x970163003 · Cited by 81 · see citing works
Self-citationExamining Adolescents' Responses to Antimarijuana PSAs
Stephenson, M. T. (2003) · Human Communication Research · doi:10.1111/j.1468-2958.2003.tb00843.x · Cited by 79 · see citing works
Emotion and Motivation: Attention, Perception, and Action
Lang, P. J. (2000) · Journal of Sport and Exercise Psychology · doi:10.1123/jsep.22.s1.s122 · Cited by 78 · see citing works
Pratkanis, A. R., Breckler, S. J., & Greenwald, A. G. (2014) · Psychology Press eBooks · doi:10.4324/9781315801780-6 · Cited by 74 · see citing works
The effect of three types of arbitrary thwarting on the instigation to aggression1
Worchel, S. (1974) · Journal of Personality · doi:10.1111/j.1467-6494.1974.tb00676.x · Cited by 73 · see citing works
Effects of mass media communications on health and safety habits: an overview of issues and evidence
Wilde, G. J. S. (1993) · Addiction · doi:10.1111/j.1360-0443.1993.tb02116.x · Cited by 72 · see citing works
Public health communication interventions: values and ethical dilemmas
(2000) · Choice Reviews Online · doi:10.5860/choice.38-1595 · Cited by 68 · see citing works
Public Health Communication Interventions: Values and Ethical Dilemmas
Guttman, N. (2000) · Sage eBooks · doi:10.4135/9781452233284 · Cited by 68 · see citing works
The interactive effects of intent and threat on boomerang attitude change.
Heller, J. F., Pallak, M. S., & Picek, J. M. (1973) · Journal of Personality and Social Psychology · doi:10.1037/h0034461 · Cited by 63 · see citing works
Long-Term Effects of Language Intensity in Preventive Messages on Planned Family Solar Protection
Buller, D. B., Burgoon, M., Hall, J. R., Levine, N. S., Taylor, A. M., Beach, B., Buller, M. K., & Melcher, C. (2000) · Health Communication · doi:10.1207/s15327027hc1203_03 · Cited by 56 · see citing works
Schwarz, N., Frey, D., & Kumpf, M. (1980) · Journal of Experimental Social Psychology · doi:10.1016/0022-1031(80)90032-3 · Cited by 52 · see citing works
Smith, M. J. (1977) · Communication Monographs · doi:10.1080/03637757709390131 · Cited by 48 · see citing works
Reactance and Thought Suppression
Kelly, A. E., & Nauta, M. M. (1997) · Personality and Social Psychology Bulletin · doi:10.1177/01461672972311001 · Cited by 40 · see citing works
Dowd, E. T., Hughes, S. L., Brockbank, L., Halpain, D. R., Seibel, C. A., & Seibel, P. (1988) · Journal of Counseling Psychology · doi:10.1037/0022-0167.35.4.370 · Cited by 40 · see citing works
Seltzer, L. F. (1983) · Basic and Applied Social Psychology · doi:10.1207/s15324834basp0401_5 · Cited by 37 · see citing works
Attribution of causality as a means of restoring behavioral freedom.
Worchel, S., & Mathie, V. A. (1974) · Journal of Personality and Social Psychology · doi:10.1037/h0036012 · Cited by 33 · see citing works
Subject variables and reactance to persuasive communications about drugs
Kohn, P. M., & Barnes, G. E. (1977) · European Journal of Social Psychology · doi:10.1002/ejsp.2420070108 · Cited by 31 · see citing works
Worchel, S., Andreoli, V. A., & ARCHER, R. L. (1976) · Journal of Personality · doi:10.1111/j.1467-6494.1976.tb00124.x · Cited by 31 · see citing works
Health promotion paradoxes, antinomies and conundrums
Guttman, N., Kegler, M. C., & McLeroy, K. R. (1996) · Health Education Research · doi:10.1093/her/11.1.1 · Cited by 30 · see citing works
The effect of freedom-threatening instructions and monetary inducement on compliance.
Doob, A. N., & Zabrack, M. (1971) · Canadian Journal of Behavioural Science/Revue canadienne des sciences du comportement · doi:10.1037/h0082283 · Cited by 24 · see citing works
The Effects of Threat of Surveillance and Actual Surveillance on Expressed Opinions toward Marijuana
White, G. L., & Zimbardo, P. G. (1980) · The Journal of Social Psychology · doi:10.1080/00224545.1980.9924272 · Cited by 18 · see citing works
HONG'S PSYCHOLOGICAL REACTANCE SCALE: A FURTHER FACTOR ANALYTIC VALIDATION
Hong, S.-M. (1992) · Psychological Reports · doi:10.2466/pr0.70.2.512-514 · Cited by 18 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
A social comparison theory meta-analysis 60+ years on.
Gerber, J. P., Wheeler, L., & Suls, J. (2018) · Psychological Bulletin · doi:10.1037/bul0000127 · Cited by 808 · see citing works
Pictorial cigarette pack warnings: a meta-analysis of experimental studies
Noar, S. M., Hall, M. G., Francis, D. B., Ribisl, K. M., Pepper, J. K., & Brewer, N. T. (2016) · Tobacco Control · doi:10.1136/tobaccocontrol-2014-051978 · Cited by 674 · see citing works
The nature of psychological reactance revisited: A meta-analytic review
Rains, S. A. (2013) · Human Communication Research · doi:10.1111/j.1468-2958.2012.01443.x · Cited by 511 · see citing works
Nisbet, E. C., Cooper, K. E., & Garrett, R. K. (2015) · The ANNALS of the American Academy of Political and Social Science · doi:10.1177/0002716214555474 · Cited by 437 · see citing works
Dillard, J. P., Weber, K. M., & Vail, R. G. (2007) · Journal of Communication · doi:10.1111/j.1460-2466.2007.00360.x · Cited by 276 · see citing works
Self-citationVan Petegem, S., Soenens, B., Vansteenkiste, M., & Beyers, W. (2015) · Child Development · doi:10.1111/cdev.12355 · Cited by 264 · see citing works
Mosleh, M., Martel, C., Eckles, D., & Rand, D. (2021) · Proceedings of the 2021 CHI Conference on Human Factors in Computing Systems · doi:10.1145/3411764.3445642 · Cited by 106 · see citing works
Feng, W., Tu, R., Lu, T., & Zhou, Z. (2019) · Behaviour & Information Technology · doi:10.1080/0144929x.2018.1557745 · Cited by 98 · see citing works
When environmental messages should be assertive: examining the moderating role of effort investment
Baek, T. H., Yoon, S., & Kim, S. (2015) · International Journal of Advertising · doi:10.1080/02650487.2014.993513 · Cited by 98 · see citing works
Bartsch, A., & Kloß, A. (2019) · International Journal of Advertising · doi:10.1080/02650487.2018.1482098 · Cited by 78 · see citing works
Neureiter, A., & Matthes, J. (2023) · International Journal of Advertising · doi:10.1080/02650487.2022.2076510 · Cited by 79 · see citing works
Effects of Self-Affirmation on Daily Versus Occasional Smokers’ Responses to Graphic Warning Labels
Zhao, X., Peterson, E. B., Kim, W., & Rolfe-Redding, J. (2014) · Communication Research · doi:10.1177/0093650212465433 · Cited by 37 · see citing works
Cognitive prostheses for goal achievement
Lieder, F., Chen, O. X., Krueger, P. M., & Griffiths, T. L. (2019) · Nature Human Behaviour · doi:10.1038/s41562-019-0672-9 · Cited by 32 · see citing works
Moran, A., Musicus, A., Soo, J., Gearhardt, A. N., Gollust, S. E., & Roberto, C. A. (2016) · Preventive Medicine · doi:10.1016/j.ypmed.2016.06.018 · Cited by 27 · see citing works
Bard, A. M., Main, D. C. J., Haase, A. M., Whay, H. R., & Reyher, K. K. (2022) · PLOS ONE · doi:10.1371/journal.pone.0265586 · Cited by 27 · see citing works
When Personal Feels Invasive: Foreseeing Challenges in Precision Medicine Communication
Ratcliff, C. L., Kaphingst, K. A., & Jensen, J. D. (2018) · Journal of Health Communication · doi:10.1080/10810730.2017.1417514 · Cited by 20 · see citing works
Meinhardt, L.-M., Elhaidary, M., Colley, M., Rietzler, M., Rixen, J. O., Purohit, A. K., & Rukzio, E. (2025) · Proceedings of the 2025 CHI Conference on Human Factors in Computing Systems · doi:10.1145/3706598.3713187 · Cited by 16 · see citing works
Be Friendly, Not Friends: How LLM Sycophancy Shapes User Trust
Sun, Y., & Wang, T. (2026) · Proceedings of the 2026 CHI Conference on Human Factors in Computing Systems · doi:10.1145/3772318.3791079 · Cited by 16
“…on feelings of care, concern and emotional bonds between parties [48], which was measured by four items from [36] (e.g., “I would feel a sense of personal loss if I could no longer use this AI LLM agent,” “If I share my concerns with the AI LLM agent, I feel it would respond caringly”; 𝛼 = 0 .”
InfluentialDark Patterns in Data-Consent Disclosures and Consumer Reactance to Online Behavioral Advertising
Ju, I., Ham, C.-D., & Yel, E. (2026) · Journal of Advertising · doi:10.1080/00913367.2025.2593666 · Cited by 5 · see citing works
“Providing explicit, meaningful choices through clear language and opt-out options can restore perceived autonomy and mitigate react-ance (Brehm 1966, 1972; Brinson, Eastin, and Cicchirillo 2018; Dillard and Shen 2005).”
InfluentialRekker, R. (2024) · Frontiers in Political Science · doi:10.3389/fpos.2024.1254826 · Cited by 4 · see citing works
The Role of Personality in Language Learning
Mrzyglod, E., Esposito, A., Fabbro, A., Fabbro, F., Crescentini, C., & Matiz, A. (2026) · Psychology of Language and Communication · doi:10.58734/plc-2026-0004
- Authors
- Dillard, J. P., & Shen, L.
- Venue
- Communication Monographs
- Publisher
- Informa UK Limited
- Published
- 2005-06
- Volume
- 72
- Issue
- 2
- Pages
- 144-168
- ISSN
- 0363-7751 (ISSN-L)
- 1479-5787
- OpenAlex
- W2149204228
- Cited by
- 1,571
- References
- 77
- Citations by year
- 2026: 178 · 2025: 135 · 2024: 132 · 2023: 121 · 2022: 129 · 2021: 159 · 2020: 115 · 2019: 96 · 2018: 89 · 2017: 63 · 2016: 68 · 2015: 62 · 2014: 42 · 2013: 48 · 2012: 36
- FWCI
- 12.91
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Communication Monographs (publishedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Social Sciences › Arts and Humanities › Literature and Literary Theory › Media Influence and Health
- Social Sciences › Sociology and Political Science › Psychology of Social Influence
- Keywords
- reactance theory, persuasive health communication, trait reactance, anger, negative thinking, attitude change, behavioral intention, flossing, alcohol consumption
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review