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Facing the Emotional Barriers to Colorectal Cancer Screening. The Roles of Reappraisal and Situation Selection.

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Title: Facing the Emotional Barriers to Colorectal Cancer Screening. The Roles of Reappraisal and Situation Selection.
Authors: Scaglioni, Giulia, Capasso, Miriam, Bianchi, Marcella, Caso, Daniela, Cavazza, Nicoletta
Source: International Journal of Behavioral Medicine. Aug2025, Vol. 32 Issue 4, p505-514. 10p.
Subjects: Emotion regulation, Fear, Early detection of cancer, Statistical sampling, Medical care, Emotions, Colorectal cancer, Age distribution, Randomized controlled trials, Descriptive statistics, Psychological well-being, Embarrassment, Intention, Communication, Aversion, Health promotion, Data analysis software, Health education, Patients' attitudes, Cognition, Friendship
Geographic Terms: Italy
Abstract: Background: Disgust, embarrassment, and fear can hinder the attendance of colorectal cancer (CRC) screening. However, individuals can respond to these emotions differently. The present study tested whether reappraising a negative stimulus versus avoiding a negative stimulus is associated with age; whether these two emotion regulation strategies (reappraisal and situation selection) moderate the effects of disgust, embarrassment and fear on CRC screening intention; and the efficacy of a message based on participants' preferred emotion regulation strategy. Methods: We recruited 483 Italian participants (aged 40–84 years) through snowball sampling. Participants were randomly assigned to one of four conditions differing for a message promoting CRC screening with an affective lever, a cognitive lever, both levers or none. Key variables included emotion regulation strategies, emotional barriers and intention to get screened. Results: The preference for reappraisal over situation selection increased with age. Reappraisal neutralized the effect of disgust on CRC screening intention. The combined message with both affective and cognitive levers increased CRC screening intention (b = 0.27, β = 0.11, SE = 0.13 p =.049), whereas reading the message based only on the affective (b = 0.16, β = 0.06, SE = 0.14 p =.258) or the cognitive (b = 0.22, β = 0.09, SE = 0.14 p =.107) lever was not effective. Conclusions: Communication campaigns should support the activation of a reappraisal strategy of emotion control, and messages promoting CRC screening should highlight both the instrumental (i.e., early detection) and affective (i.e., peace of mind) benefits of attendance. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Behavioral Medicine is the property of Springer Nature 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: Facing the Emotional Barriers to Colorectal Cancer Screening. The Roles of Reappraisal and Situation Selection.
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  Data: <searchLink fieldCode="AR" term="%22Scaglioni%2C+Giulia%22">Scaglioni, Giulia</searchLink><br /><searchLink fieldCode="AR" term="%22Capasso%2C+Miriam%22">Capasso, Miriam</searchLink><br /><searchLink fieldCode="AR" term="%22Bianchi%2C+Marcella%22">Bianchi, Marcella</searchLink><br /><searchLink fieldCode="AR" term="%22Caso%2C+Daniela%22">Caso, Daniela</searchLink><br /><searchLink fieldCode="AR" term="%22Cavazza%2C+Nicoletta%22">Cavazza, Nicoletta</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Behavioral+Medicine%22">International Journal of Behavioral Medicine</searchLink>. Aug2025, Vol. 32 Issue 4, p505-514. 10p.
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  Data: Background: Disgust, embarrassment, and fear can hinder the attendance of colorectal cancer (CRC) screening. However, individuals can respond to these emotions differently. The present study tested whether reappraising a negative stimulus versus avoiding a negative stimulus is associated with age; whether these two emotion regulation strategies (reappraisal and situation selection) moderate the effects of disgust, embarrassment and fear on CRC screening intention; and the efficacy of a message based on participants' preferred emotion regulation strategy. Methods: We recruited 483 Italian participants (aged 40–84 years) through snowball sampling. Participants were randomly assigned to one of four conditions differing for a message promoting CRC screening with an affective lever, a cognitive lever, both levers or none. Key variables included emotion regulation strategies, emotional barriers and intention to get screened. Results: The preference for reappraisal over situation selection increased with age. Reappraisal neutralized the effect of disgust on CRC screening intention. The combined message with both affective and cognitive levers increased CRC screening intention (b = 0.27, β = 0.11, SE = 0.13 p =.049), whereas reading the message based only on the affective (b = 0.16, β = 0.06, SE = 0.14 p =.258) or the cognitive (b = 0.22, β = 0.09, SE = 0.14 p =.107) lever was not effective. Conclusions: Communication campaigns should support the activation of a reappraisal strategy of emotion control, and messages promoting CRC screening should highlight both the instrumental (i.e., early detection) and affective (i.e., peace of mind) benefits of attendance. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of International Journal of Behavioral Medicine is the property of Springer Nature 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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        Value: 10.1007/s12529-024-10284-4
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      – Code: eng
        Text: English
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      – SubjectFull: Emotion regulation
        Type: general
      – SubjectFull: Fear
        Type: general
      – SubjectFull: Early detection of cancer
        Type: general
      – SubjectFull: Statistical sampling
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      – SubjectFull: Medical care
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      – SubjectFull: Emotions
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      – SubjectFull: Colorectal cancer
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      – TitleFull: Facing the Emotional Barriers to Colorectal Cancer Screening. The Roles of Reappraisal and Situation Selection.
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              Text: Aug2025
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              Y: 2025
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