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Neurobiological Bases of Self-Reference and Deliberate Processing in Tailored Health Communication

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Social Neuroscience and Public Health

Abstract

In this chapter, we aim to provide a theoretical framework with empirical evidence to understand psychological and neural mechanisms involved in tailored health communications. We will first describe the primary psychological mechanisms, self-reference and deliberate processing, that are necessary for making health communications effective in driving behavioral changes. Then, we will describe the underlying neurobiological mechanisms in the context of a web-based tailored health communication. Using functional magnetic resonance imaging (fMRI) technique, we have identified in the past key midline brain structures, namely medial prefrontal cortex and precuneus, underlying self-reference processing that can predict the outcomes of a web-based tailored smoking cessation program. In addition to these brain regions, we will in this chapter describe the neural mechanisms associated with deliberate processing capacity that were identified using eye movements and neuroimaging technique. Integrations of information technology and cognitive-based training that improve skills involving self-referential and deliberate processing are recommended for applications.

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References:

  • Brug, J., Campbell, M., & van Assema, P. (1999). The application and impact of computer-generated personalized nutrition education: A review of the literature. Patient Education and Counseling, 36(2), 145–156. doi:S0738-3991(98)00131-1.

    Article  PubMed  CAS  Google Scholar 

  • Chua, H. F., Ho, S. S., Jasinska, A. J., Polk, T. A., Welsh, R. C., Liberzon, I., et al. (2011). Self-related neural response to tailored smoking-cessation messages predicts quitting. Nature Neuroscience,. doi:10.1038/nn.2761.

    PubMed  Google Scholar 

  • Chua, H. F., Liberzon, I., Welsh, R. C., & Strecher, V. J. (2009). Neural correlates of message tailoring and self-relatedness in smoking cessation programming. Biological Psychiatry, 65(2), 165–168. doi:10.1016/j.biopsych.2008.08.030.

    Article  PubMed  Google Scholar 

  • Deans, P., O’Laughlin, L., Brubaker, B., Gay, N., & Krug, D. (2010). Use of eye movement tracking in the differential diagnosis of attention deficit hyperactivity disorder (ADHD) and reading disability. Psychology, 1(4), 238–246. doi:10.4236/psych.2010.14032.

    Article  Google Scholar 

  • Dijkstra, A. (2005). Working mechanisms of computer-tailored health education: Evidence from smoking cessation. Health Education Research, 20(5), 527–539. doi:10.1093/her/cyh014.

    Article  PubMed  Google Scholar 

  • Forgas, J. P. (1992). Affect in social judgments and decisions: A multiprocess model. In: Mark, P. Z. (Ed.), Advances in experimental social psychology (pp 227–275). vol. 25, Academic Press.

    Google Scholar 

  • Fossati, P., Hevenor, S. J., Graham, S. J., Grady, C., Keightley, M. L., Craik, F., et al. (2003). In search of the emotional self: An fMRI study using positive and negative emotional words. American Journal of Psychiatry, 160(11), 1938–1945.

    Article  PubMed  Google Scholar 

  • Fredrickson, B. L. (2001). The role of positive emotions in positive psychology. The broaden-and-build theory of positive emotions. American Psychologist, 56(3), 218–226.

    Article  PubMed  CAS  Google Scholar 

  • Fredrickson, B. L., Cohn, M. A., Coffey, K. A., Pek, J., & Finkel, S. M. (2008). Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Journal of Personality and Social Psychology, 95(5), 1045–1062. doi:10.1037/a0013262.

    Article  PubMed  Google Scholar 

  • Hawkins, R. P., Kreuter, M., Resnicow, K., Fishbein, M., & Dijkstra, A. (2008). Understanding tailoring in communicating about health. Health Education Research, 23(3), 454–466. doi:10.1093/her/cyn004.

    Article  PubMed  Google Scholar 

  • Hofmann, S. G., Grossman, P., & Hinton, D. E. (2011). Loving-kindness and compassion meditation: potential for psychological interventions. Clinical Psychology Review, 31(7), 1126–1132. doi:10.1016/j.cpr.2011.07.003.

    Article  PubMed  Google Scholar 

  • Jones, M. W., Obregon, M., Louise Kelly, M., & Branigan, H. P. (2008). Elucidating the component processes involved in dyslexic and non-dyslexic reading fluency: an eye-tracking study. Cognition, 109(3), 389–407. doi:10.1016/j.cognition.2008.10.005.

    Article  PubMed  Google Scholar 

  • Kelley, W. M., Macrae, C. N., Wyland, C. L., Caglar, S., Inati, S., & Heatherton, T. F. (2002). Finding the self? An event-related fMRI study. Journal of cognitive neuroscience, 14(5), 785–794. doi:10.1162/08989290260138672.

    Article  PubMed  CAS  Google Scholar 

  • Kreuter, M. W., & Holt, C. L. (2001). How do people process health information? Applications in an age of individualized communication. Current Directions in Psychological Science, 10(6), 206–209.

    Article  Google Scholar 

  • Lancaster, T., Stead, L. F. (2005). Self-help interventions for smoking cessation. Cochrane Database System Review 3(3):CD001118. doi:10.1002/14651858.CD001118.pub2.

  • Martin, K. C., Barad, M., & Kandel, E. R. (2000). Local protein synthesis and its role in synapse-specific plasticity. Current Opinion in Neurobiology, 10(5), 587–592.

    Article  PubMed  CAS  Google Scholar 

  • Nader, K., Schafe, G. E., & Le Doux, J. E. (2000). Fear memories require protein synthesis in the amygdala for reconsolidation after retrieval. Nature, 406(6797), 722–726. doi:10.1038/35021052.

    Article  PubMed  CAS  Google Scholar 

  • Northoff, G., Heinzel, A., de Greck, M., Bermpohl, F., Dobrowolny, H., & Panksepp, J. (2006). Self-referential processing in our brain–a meta-analysis of imaging studies on the self. Neuroimage, 31(1), 440–457. doi:10.1016/j.neuroimage.2005.12.002.

    Article  PubMed  Google Scholar 

  • Ochsner, K. N., Beer, J. S., Robertson, E. R., Cooper, J. C., Gabrieli, J. D., Kihsltrom, J. F., et al. (2005). The neural correlates of direct and reflected self-knowledge. Neuroimage, 28(4), 797–814. doi:10.1016/j.neuroimage.2005.06.069.

    Article  PubMed  Google Scholar 

  • Pace, T. W., Negi, L. T., Adame, D. D., Cole, S. P., Sivilli, T. I., Brown, T. D., et al. (2009). Effect of compassion meditation on neuroendocrine, innate immune and behavioral responses to psychosocial stress. Psychoneuroendocrinology, 34(1), 87–98. doi:10.1016/j.psyneuen.2008.08.011.

    Article  PubMed  CAS  Google Scholar 

  • Pascual-Leone, A., & Greenberg, L. S. (2007). Emotional processing in experiential therapy: why “the only way out is through.”. Journal of Consulting and Clinical Psychology, 75(6), 875–887. doi:10.1037/0022-006X.75.6.875.

    Article  PubMed  Google Scholar 

  • Phan, K. L., Taylor, S. F., Welsh, R. C., Ho, S. H., Britton, J. C., & Liberzon, I. (2004). Neural correlates of individual ratings of emotional salience: a trial-related fMRI study. Neuroimage, 21(2), 768–780. doi:10.1016/j.neuroimage.2003.09.072.

    Article  PubMed  Google Scholar 

  • Quirk, G. J., Pare, D., Richardson, R., Herry, C., Monfils, M. H., Schiller, D., et al. (2010). Erasing fear memories with extinction training. Journal of Neuroscience, 30(45), 14993–14997. doi:Doi10.1523/Jneurosci.4268-10.2010.

    Article  PubMed  CAS  Google Scholar 

  • Redondo, R. L., & Morris, R. G. (2011). Making memories last: the synaptic tagging and capture hypothesis. Nature Reviews Neuroscience, 12(1), 17–30. doi:10.1038/nrn2963.

    Article  PubMed  CAS  Google Scholar 

  • Si, K., Choi, Y. B., White-Grindley, E., Majumdar, A., & Kandel, E. R. (2010). Aplysia CPEB can form prion-like multimers in sensory neurons that contribute to long-term facilitation. Cell, 140(3), 421–435. doi:DOI10.1016/j.cell.2010.01.008.

    Article  PubMed  CAS  Google Scholar 

  • Skinner, C. S., Strecher, V. J., & Hospers, H. (1994). Physicians’ recommendations for mammography: do tailored messages make a difference? American Journal of Public Health, 84(1), 43–49.

    Article  PubMed  CAS  Google Scholar 

  • Steele, C. M. (1997). A threat in the air: How stereotypes shape intellectual identity and performance. American Psychologist, 52(6), 613–629. doi:10.1037/0003-066x.52.6.613.

    Article  PubMed  CAS  Google Scholar 

  • Strecher, V. J. (1999). Computer-tailored smoking cessation materials: a review and discussion. Patient Education and Counseling, 36(2), 107–117. doi:S0738-3991(98)00128-1.

    Article  PubMed  CAS  Google Scholar 

  • Strecher, V. J., McClure, J. B., Alexander, G. L., Chakraborty, B., Nair, V. N., Konkel, J. M., et al. (2008). Web-based smoking-cessation programs: results of a randomized trial. American Journal of Preventive Medicine, 34(5), 373–381. doi:10.1016/j.amepre.2007.12.024.

    Article  PubMed  Google Scholar 

  • Symons, C. S., & Johnson, B. T. (1997). The self-reference effect in memory: a meta-analysis. Psychological Bulletin, 121(3), 371–394.

    Article  PubMed  CAS  Google Scholar 

  • Vossel, S., Warbrick, T., Mobascher, A., Winterer, G., & Fink, G. R. (2011). Spatial and sustained attention in relation to smoking status: Behavioural performance and brain activation patterns. Journal of Psychopharmacology, 25(11), 1485–1495. doi:10.1177/0269881110391830.

    Article  PubMed  Google Scholar 

  • Wheeler, S. C., Demarree, K. G., & Petty, R. E. (2007). Understanding the role of the self in prime-to-behavior effects: The active-self account. Personality and Social Psychology Review, 11(3), 234–261. doi:10.1177/1088868307302223.

    Article  PubMed  Google Scholar 

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Correspondence to Shaun Ho .

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Highlights

Highlights

  • This chapter describes two mechanisms involved in the efficacy of tailored health communications: self-reference and deliberate processing.

  • Self-reference involves activating self-concepts that can promote change and is related to midline brain structures

  • Deliberate processing involves sustaining attention and thinking and is related to the parietal lobe

  • These two mechanisms should be the targets of interventions, with integrated information technology and mindfulness/contemplation training, to promote public health

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Ho, S., Chua, H.F. (2013). Neurobiological Bases of Self-Reference and Deliberate Processing in Tailored Health Communication . In: Hall, P. (eds) Social Neuroscience and Public Health. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6852-3_5

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  • DOI: https://doi.org/10.1007/978-1-4614-6852-3_5

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-6851-6

  • Online ISBN: 978-1-4614-6852-3

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