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Psychological reactance and vaccine uptake: a longitudinal study.

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Title: Psychological reactance and vaccine uptake: a longitudinal study.
Authors: Verpaalen, Iris A. M., Ritter, Simone M., van Hooff, Madelon L. M., van Stekelenburg, Aart, Fransen, Marieke L., Holland, Rob W.
Source: Psychology & Health. Jan2025, Vol. 40 Issue 1, p84-104. 21p.
Subjects: Medical protocols, Immunization, Vaccination, Questionnaires, COVID-19 vaccines, Descriptive statistics, Attitude (Psychology), Longitudinal method, Vaccine hesitancy, Intention, Regression analysis
Geographic Terms: Netherlands
Abstract: Objective: In most countries, vaccine uptake is a voluntary decision. If people experience threats to this freedom, for example, by pro-vaccination media campaigns or government pressure, psychological reactance may be induced. To regain freedom, the opposite behaviour (vaccine refusal) may become more attractive, forming a vaccination barrier. It remains unclear how state reactance fluctuates and how it relates to vaccination intention versus behaviour. Therefore, this pre-registered longitudinal study aimed to gain insight in the changes in state reactance during a COVID-19 vaccination programme and its relationship with vaccine uptake. Methods: A representative sample of Dutch adults under 60 completed questionnaires before being eligible for vaccination, shortly before they were invited for vaccination, and after the opportunity for vaccination. Results: Data were analysed using regression analyses (N = 1411). Reactance did not change as hypothesised, but remained stable over time. As hypothesised, reactance predicted lower subsequent vaccination intention. Controlling for intentions, however, reactance did not predict vaccine uptake. Furthermore, reactance predicted lower decision confidence about vaccination, except for people who strongly opposed vaccination. Conclusion: Reactance has a sustained role in anticipation of a vaccination decision. Although reactance seems to affect the process towards the decision, this does not determine the final choice. [ABSTRACT FROM AUTHOR]
Copyright of Psychology & Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Psychological reactance and vaccine uptake: a longitudinal study.
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  Data: Objective: In most countries, vaccine uptake is a voluntary decision. If people experience threats to this freedom, for example, by pro-vaccination media campaigns or government pressure, psychological reactance may be induced. To regain freedom, the opposite behaviour (vaccine refusal) may become more attractive, forming a vaccination barrier. It remains unclear how state reactance fluctuates and how it relates to vaccination intention versus behaviour. Therefore, this pre-registered longitudinal study aimed to gain insight in the changes in state reactance during a COVID-19 vaccination programme and its relationship with vaccine uptake. Methods: A representative sample of Dutch adults under 60 completed questionnaires before being eligible for vaccination, shortly before they were invited for vaccination, and after the opportunity for vaccination. Results: Data were analysed using regression analyses (N = 1411). Reactance did not change as hypothesised, but remained stable over time. As hypothesised, reactance predicted lower subsequent vaccination intention. Controlling for intentions, however, reactance did not predict vaccine uptake. Furthermore, reactance predicted lower decision confidence about vaccination, except for people who strongly opposed vaccination. Conclusion: Reactance has a sustained role in anticipation of a vaccination decision. Although reactance seems to affect the process towards the decision, this does not determine the final choice. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psychology & Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/08870446.2023.2190761
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      – Code: eng
        Text: English
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        PageCount: 21
        StartPage: 84
    Subjects:
      – SubjectFull: Medical protocols
        Type: general
      – SubjectFull: Immunization
        Type: general
      – SubjectFull: Vaccination
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: COVID-19 vaccines
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Attitude (Psychology)
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Vaccine hesitancy
        Type: general
      – SubjectFull: Intention
        Type: general
      – SubjectFull: Regression analysis
        Type: general
      – SubjectFull: Netherlands
        Type: general
    Titles:
      – TitleFull: Psychological reactance and vaccine uptake: a longitudinal study.
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            NameFull: Verpaalen, Iris A. M.
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            – D: 01
              M: 01
              Text: Jan2025
              Type: published
              Y: 2025
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