title: Thinking versus feeling: differentiating between cognitive and affective components of perceived cancer risk.
abstract: Despite the increased recognition of affect in guiding probability estimates, perceived risk has been mainly operationalised in a cognitive way and the differentiation between rational and intuitive judgements is largely unexplored. This study investigated the validity of a measurement instrument differentiating cognitive and affective probability beliefs and examined whether behavioural decision making is mainly guided by cognition or affect. Data were obtained from four surveys focusing on smoking (N=268), fruit consumption (N=989), sunbed use (N=251) and sun protection (N=858). Correlational analyses showed that affective likelihood was more strongly correlated with worry compared to cognitive likelihood and confirmatory factor analysis provided support for a two-factor model of perceived likelihood instead of a one-factor model (i.e. cognition and affect combined). Furthermore, affective likelihood was significantly associated with the various outcome variables, whereas the association for cognitive likelihood was absent in three studies. The findings provide support for the construct validity of the measures used to assess cognitive and affective likelihood. Since affective likelihood might be a better predictor of health behaviour than the commonly used cognitive operationalisation, both dimensions should be considered in future research.
authors.affiliation: School for Public Health and Primary Care (Caphri), Department of Health Promotion, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands. Eva.janssen@maastrichtuniversity.nl
authors.forename: Eva
authors.initials: E
authors.lastname: Janssen
authors.forename: Liesbeth
authors.initials: L
authors.lastname: van Osch
authors.forename: Lilian
authors.initials: L
authors.lastname: Lechner
authors.forename: Math
authors.initials: M
authors.lastname: Candel
authors.forename: Hein
authors.initials: H
authors.lastname: de Vries
mesh_terms: D000328:Adult; D000339:Affect; D001294:Attitude to Health; D003071:Cognition; D003625:Data Collection; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000453:epidemiology / Q000523:psychology*; D009426:Netherlands; D012306:Risk