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. Author manuscript; available in PMC: 2015 Jan 1.
Published in final edited form as: J Child Media. 2013 Dec 4;8(1):5–22. doi: 10.1080/17482798.2014.863475

Television's Cultivation of American Adolescents' Beliefs about Alcohol and the Moderating Role of Trait Reactance

Cristel Antonia Russell 1, Dale Wesley Russell 2, Wendy Attaya Boland 3, Joel W Grube 4
PMCID: PMC3963162  NIHMSID: NIHMS541427  PMID: 24678341

Abstract

Cultivation research has shown that heavy television viewing is linked to audiences' generalized, and often skewed, views of reality. This research investigates whether television viewing is related to adolescents' views about the consequences of drinking and whether psychological trait reactance moderates this cultivation effect. Results from a survey of 445 American teenagers show that cumulative exposure to television is linked to reduced beliefs about alcohol's negative consequences and greater intentions to drink. These effects were greater for adolescents low on trait reactance. This research adds to the general psychological research on trait reactance as a moderator of media influences and makes a substantive contribution towards furthering our understanding of the media and public health concerns that surround risky adolescent behaviors.

Keywords: cultivation, adolescence, psychological reactance, persuasion, television


Cultivation refers to a broad theory of the overall cumulative influence of television (TV) on audiences (Gerbner, Gross, Signorielli, & Morgan, 1980; Morgan & Shanahan, 2010; Morgan, Shanahan, & Signorielli, 2012). It is based on the premise that 1) TV program content presents a systematically skewed view of reality and 2) frequent exposure to these distorted images over time results in their internalization. In sum, the more people watch TV, the more they develop values, attitudes, beliefs, and, perceptions that are consistent with the world as portrayed on TV. In turn, these perceptions of the prevalence and normalcy of behaviors frequently depicted on TV increase the likelihood that one will engage in these behaviors. Cultivation has had two main critiques that Gerbner and colleagues have, to a large extent, addressed both theoretically and empirically. First, measuring TV at a general level of frequency and amount of viewing may not be able to pinpoint the specific message of influence, but it does support the view that TV has a cumulative, compounded effect that develops over a sustained period of time (Gerbner, Gross, Morgan, Signorielli, & Shanahan, 2002). Second, the correlational nature of cultivation studies leave open questions of causality, but, in contrast to experimental investigations that do offer causal evidence of impact, the cultivation effect relies on multiple exposures, and not exposure to a single program or episode. Given the prevalence of positive alcohol-related messages across TV programs (Mathios, Avery, Bisogni, & Shanahan, 1998; Russell & Russell, 2009; Russell, Russell, & Grube, 2009), cultivation is a likely factor in shaping TV viewers' perceptions of alcohol and its consequences.

Cultivation effects have been documented for a range of consumption-related attitudes and beliefs, from perceptions of affluent lifestyles to materialism (O'Guinn & Shrum, 1997; Shrum, Burroughs, & Rindfleisch, 2005). A consistent finding is that heavy cumulative exposure to media messages shapes viewers' concept of reality, attitudes, and behavior especially when they have little direct personal experience with the behaviors depicted (Gerbner et al., 1980; Gerbner et al., 2002). The theoretical explanation for the cultivation effect is that TV viewing makes relevant information more accessible in memory for heavy viewers than for light viewers. This accessibility promotes a reliance on heuristic processing when heavy viewers construct their judgments about the real world, hence explaining the positive relation between the amount of TV viewing and estimates of the frequency and probability of violence, affluence, or consumption behaviors often depicted on TV in society (Hawkin & Pingree, 1982; Shrum, Wyer, & O'Guinn, 1998).

This research investigates whether and to what degree there is a cultivation effect of TV viewing relating to adolescents' views of alcohol and their perceptions of the risks associated with heavy drinking. TV programs prominently feature alcohol consumption; more specifically, content analyses of the top-rated primetime series found alcohol to be present in all the TV series, including those popular with youth (Russell & Russell, 2009). Alcohol is portrayed twice as often as the next most frequently portrayed food/beverage group and adolescent characters are more likely to be shown consuming alcohol than adult characters (Mathios et al., 1998). Furthermore, visual portrayals of drinking tend to be positive. On the whole, TV programming associates drinking with positive outcomes such as having fun by partying hard (Russell & Russell, 2009; Russell et al., 2009). Positive drinking messages appear to be especially prevalent in depictions of youth drinking. For example, TV series popular among American youth depict heavy alcohol consumption, including youth drinking, as desirable and normative (Russell, Russell, & Grube, 2013). Alcohol depictions appear in American situation comedies, a genre popular with youth, an average rate of 6 minutes and 56 seconds per hour and the portrayals are mostly positive (Russell & Russell, 2012).

Given the nature of drinking in the TV world, cultivation theory predicts that heavy TV viewing should be related to more positive beliefs about drinking, especially amongst those who have little direct experience with alcohol, such as pre-drinking youths, and whose main basis for judging consequences associated with certain behaviors, such as drinking, comes from what they see on TV (Gerbner et al., 1980). Additionally, the cultivation effect of TV relies on heuristic processing and has been shown to diminish if viewers process what they see on TV more systematically (Shrum & Lee, 2013). Therefore, the cultivation effect may vary as a function of how individuals generally respond to their environment. In particular, personality traits that shape how individuals respond to external influences may moderate TV's cultivation effect. Specifically, traits that guide acceptance or resistance to external influences may affect the degree to which viewers absorb the TV world's depictions of drinking. The research presented in this paper investigates the moderating role of an individual personality characteristic, trait reactance, on the cultivation of adolescents' alcohol beliefs.

Although much research has investigated how personality characteristics are linked to the onset of risky behaviors among adolescents, there has been less focus on whether personality differences moderate adolescents' receptivity to environmental, social, and media influences (Pechmann, Levine, Loughlin, & Leslie, 2005). For instance, trait reactance has been identified as a predictor of risky behaviors, but it may also affect audiences' responses to messages related to such behaviors (Miller, Burgoon, Grandpre, & Alvaro, 2006). This research investigates whether trait reactance moderates TV's cultivation effect on adolescents' beliefs about alcohol.

Conceptual Framework

Adolescents, Alcohol and TV Consumption

Adolescence is a key period of psychological development when many lifelong behaviors and beliefs are formed, including those related to alcohol. The propensity to engage in excessive alcohol consumption is of special concern during adolescence as research has highlighted how the neurological changes that occur during adolescence increase adolescents' willingness to engage in risky behaviors (Pechmann et al., 2005; Spear, 2010; Steinberg, 2008, 2009). Such risky undertakings include seeking short-term gratification, such as consuming alcohol without consideration of the possible negative consequences relative to the short-term benefits (Spear, 2010). Even before alcohol use commences, TV programming can influence young people's beliefs about alcohol and the consequences associated with consumption (Grube & Wallack, 1994).

TV remains the primary source of entertainment for American youth who watch an average of 3 hours and 20 minutes daily (Nielsen Media, 2009; Rideout, Foehr, & Roberts, 2010). The Millennial generation, representing those born at the beginning of the twenty-first century, embraces technology and consumes TV programming on multiple platforms, including smartphones, tablets, and laptops (PEW, 2010). TV programming is often regarded as the most influential media source through which youth acquire knowledge, whether based on accurate or inaccurate information, and learn about social behaviors, including drinking practices (Collins, Schell, Ellickson, & McCaffrey, 2003; Gerbner, 1995). Youth may be especially susceptible to TV programming because the storylines serve as a source of referential learning about adult behaviors that they seek to emulate (Boeknke, Münich, & Hoffmann, 2002; Russell, Norman, & Heckler, 2004). As such, TV has been referred to as a ‘super peer’ for adolescents, a source of normative information, particularly on topics they are just beginning to explore, such as sexuality or alcohol and drug use (Brown, Halpern, & L'Engle, 2005; Strasburger & Wilson, 2002). Such TV-based influences may come from traditionally persuasive communications (e.g., advertisements or promotional messages) but also, in an age of increasingly blurred lines between advertising and entertainment, or “advertainment”, from less explicit messages (e.g., sponsorships or product placements; Shrum, 2013). These messages may be particularly impactful as today's youth is more accepting and less skeptical about advertising and advertainment practices than previous generations (Lafayette, 2013).

TV content is potentially an influential source of health knowledge for teenagers (Pechmann & Wang, 2010). The relation of TV exposure with alcohol beliefs and use is well documented (Collins et al., 2003; Collins, Ellickson, McCaffrey, & Hambarsoomians, 2007); so much so that the US Surgeon General expressed concern over the increased presence of alcohol messages in programming and advocated that the entertainment and alcohol industries have a moral responsibility to limit the exposure of younger audiences to alcohol depictions (USDHHS, 2007). Yet, TV series, across a range of genres, continue to frequently depict alcohol and to associate youth drinking with largely positive outcomes (Russell & Russell, 2009; Russell, Russell, & Grube, 2009). The extensive body of cultivation research linking cumulative exposure to TV to audiences' real-life beliefs and perceptions suggests that the amount of TV watched by youths may be related to their perceptions of the dangers associated with drinking and their own likelihood of drinking (Gerbner et al., 1980; O'Guinn & Shrum, 1997). Several studies have indeed found that TV exposure is related to the onset of drinking amongst adolescents (Connolly, Casswell, Zhang, & Silva, 1994; Hanewinkel & Sargent, 2009; Robinson, Chen, & Killen, 1998). Therefore, cumulative exposure to TV content is likely to shape adolescents' beliefs about alcohol even before they have direct experiences with drinking. But the influence of cumulative exposure to the numerous positive alcohol messages across TV programs, which relies on passive acceptance of the content, may differ as a function of trait reactance.

The Role of Trait Reactance

Trait reactance is characterological in nature, reflecting a general tendency to be resistant and, in some cases, react in opposition to messages perceived as threatening one's freedom (Hong, 1992; Hong & Faedda, 1996; Hong & Page, 1989). Unlike initial studies that focused on situational reactance in response to specific persuasion attempts (Brehm, 1966; Rains, 2013; Wellins & McGinnies, 1977), trait reactance is a transituational predisposition that makes individuals suspicious of any perceived attempt to influence them (Dowd, Hughs, Brockbank, & Halpain, 1988; Hong, 1992; Hong & Faedda, 1996; Hong & Page, 1989), even those that are subtle and may not be perceived as obvious attempts to persuade (Noguti & Russell, 2014). High trait reactance individuals often counter-argue against persuasive attempts and derogate the source of such messages (Dillard & Shen, 2005; Quick & Stephenson, 2008; Rains & Turner, 2007). High trait reactance individuals tend to go against whatever is being suggested or advised, regardless of whether significant others or peers make recommendations directly or imply them indirectly (Chartrand, Dalton, & Fitzsimons, 2006; Fitzsimons & Lehmann, 2004). As a result, they are more likely to process any message systematically, rather than heuristically.

Importantly, trait reactance has been shown to trigger resistance both to messages that are directly persuasive (e.g., health promotion campaigns; Quick, Scott, & Ledbetter, 2011) and to more subtly communicated messages (e.g., products visually placed in the content of TV programs; Noguti & Russell, 2014). As a result, trait reactance may moderate the cultivation effect of TV in shaping viewers' judgments and views of the world based on heuristic processing of the cumulative images presented in the televised world (Hawkin & Pingree, 1982; Shrum, Wyer, & O'Guinn, 1998). Specifically, heavy TV viewers who are high in trait reactance may be less affected by cumulative exposure to frequently depicted behaviors, such as drinking on TV, than heavy viewers who are low in trait reactance.

Recent research shows that trait reactance can impact responses to messages even when they are not openly persuasive in nature. Specifically, Noguti and Russell (2014) found that high trait reactant individuals were immune to a sentence completion task designed to prime either conformity or non-conformity (Epley & Gilovich, 1999). In contrast, the primes influenced low trait reactant individuals' behavioral intentions: Primed with conformity, they were more likely to follow others' behaviors whereas primed with non-conformity they were more likely to go against others' behaviors.

Thus, trait reactance appears to predispose people to resist even subtle attempts at going along with a given message. This may be because high trait reactant individuals tend to process information systematically and discount the source, which in turn reduces the cultivation effect (Shrum & Lee, 2013). In contrast to high reactance individuals, low reactance individuals tend not to systematically scrutinize or counter-argue information presented to them (Hong, 1992; Hong & Page, 1989) and tend to conform with what those around them are doing (Chartrand et al., 2006).

Given that the cultivation effect of TV relies on heuristic processing, which increases the ease of availability of media images when making judgments about the real world, the research on trait reactance suggests that that low reactance individuals should be more susceptible to the cumulative influence of TV and that high reactance individuals may in fact be immune to this cultivation effect. To address such a possibility, this research investigates whether trait reactance moderates the effects of heavy TV viewing documented in the cultivation paradigm.

Hypotheses

As posited by cultivation theory, it is hypothesized that adolescents who are heavy TV viewers, compared with lighter viewers, will hold more favorable beliefs about the consequences of drinking heavily (i.e., their alcohol expectancies), express greater intentions to drink, and engage in drinking more often. It is further hypothesized that adolescents who are low in trait reactance will have beliefs about the consequences of drinking that are more positive (and less negative) as their amount of TV viewing increases, whereas the alcohol beliefs of adolescents who are high in trait reactance will not be differentially affected by their amount of TV viewing. Similarly, adolescents who are low in trait reactance will hold greater intentions to drink as their amount of TV viewing increases, but not adolescents who are high in trait reactance. Finally, low reactance adolescents who are heavy TV viewers will be more likely to engage in drinking behavior than low reactance adolescents who are light TV viewers.

Methods

An online survey of teenagers was conducted to test these hypotheses. Online studies have become commonplace in both research and commercial settings as many of the initial challenges to online research (e.g., selection and sampling bias) have now been resolved (Wright, 2005). High Internet penetration rates, 79% overall and up to 95% in the 18-33 age group in the US (Sverdlov, 2012) ensure that online samples achieve good levels of socio-demographic diversity and representativeness.

Sample Recruitment

Respondents were contacted through their parents who are members of a national panel operated by a commercial organization, Market Tools. Market Tools maintains research panels representative of the US population in terms of gender, race, socio-economic status, and ethnicity. This is achieved by comparing panel members' self-reported demographic data and the latest US Census Bureau data. Invitations to participate in a survey are sent based on a pro-rata percentage of invitations to each demographic group for which representation is required. Demographic quota cells are predefined in the survey software programming so that only the desired number of respondents in each quota cell or demographic sub-group is allowed to complete the survey; all other respondents are locked out. This methodology is consistent with other Internet-based survey models.

To promote panel participation, various incentive programs are maintained: in exchange for participating in research studies, panelists earn points redeemable for goods (e.g., games) from partner organizations. Adult members of the panel are solicited on a regular basis, receiving on average one to three survey invitations per week. However, teenagers (after parental consent is obtained) are rarely solicited to participate in research studies in this panel. On average, they are solicited less than three times per year. Market Tools follows the practices and guidelines set by ESOMAR, a worldwide organization dedicated to promoting better research, to ensure the quality and accuracy of its panel. In particular, Market Tools follows the ICC/ESOMAR International Code, which requires special permissions for interviewing children. Children under the age of 18 can only participate if their parent has consented. As such, Market Tools contacted adult panel members with teenagers 14-16 years old and briefed them about the purpose and details of the study. Upon obtaining parental consent, the teenage participant received an email invitation to participate in the survey. Assent was obtained on the survey site where respondents were presented with an informed consent form of their own that outlined the nature of the survey. If the respondent assented, they were automatically taken to a secure website to complete a short personality and lifestyles survey.

The survey included the following measures in rotated order as to avoid order effects: TV viewing embedded in other questions about hobbies, a section containing all the alcohol measures, and an unrelated section about fast food consumption. The last section included trait measures and demographics. Upon concluding the survey, respondents were afforded an opportunity to pose questions and concerns directly to the researchers via an anonymous online secure message board or address any concerns about their privacy by email to a research coordinator.

Television Viewing

Using a scale from zero to 20, participants indicated the number of hours per week, they watch each of eight categories of programs on any device (e.g., TV, computer, mobile phone): sports, comedy, documentaries, drama, cartoons, sitcoms, soaps, reality shows, and movies. This is a commonly used measure in cultivation research and it was used here to compute an overall weekly TV viewing measure (O'Guinn & Shrum, 1997). TV viewing in the sample averaged 36.7 hours per week across all media devices, in line with recent findings (Rideout et al., 2010). This included an average weekly viewing of 13.3 hours of TV series (drama, sitcoms, soaps, reality shows).

Traits

Trait reactance was measured using a seven-item version of the trait reactance scale developed in previous research (see items in Appendix; α = .81; Hong, 1992; Hong & Page, 1989; Jonason & Knowles, 2006). Participants indicated the degree to which they felt that each item reflects them (1= strongly disagree to 5= strongly agree). Sensation seeking, which has been linked to drinking behavior in previous research, was also measured and controlled for in the analyses (Clayton, Segress, & Caudill, 2007; Martin et al., 2004). The six-item Brief Sensation Seeking Scale (α = .85) was used (Stephenson, Velez, Chalela, Ramirez, & Hoyle, 2007; Zuckerman, 1994; Zuckerman, Black, & Ball, 1990). The order of the reactance and sensation-seeking measures was rotated.

Drinking Beliefs, Intentions, and Behaviors

Adolescents' beliefs about alcohol were measured using an alcohol expectancies measure that captured beliefs about both risks and benefits associated with heavy episodic drinking (Grube & Agostinelli, 1999). Participants indicated how likely (1= very unlikely to 5= very likely) it would be that they would be to experience each of eight negative (e.g., “do something you would regret,” α = .79) and eight positive (e.g., “have an easier time expressing your feelings,” α = .89) consequences “after having multiple drinks at a party”. These items form two scales relating to positive beliefs and negative beliefs with only a modest correlation (r = .13) between them, suggesting that they are relatively independent dimensions (Grube & Agostinelli, 1999).

Using an established measure (Grube & Agostinelli, 1999; Grube & Morgan, 1990), previous drinking was measured by asking participants to report on how many days in the past 30 days they had one or more whole drinks (not just a sip or taste) of an alcohol beverage (i.e., beer, wine, wine cooler, or liquor). In the current study, the majority of the adolescents (87.1%) reported not having had any drink in the last 30 days, so a simple dichotomous score was used for drinking in the past 30 days: 0 (no drinking) or 1 (some drinking).

Intentions to drink in the next year were measured with three items designed to capture risky consumption: participants indicated how likely they are (1 = very unlikely to 7 = very likely) to drink, drink enough to feel drunk, and drink several alcoholic drinks in a row within a two-hour period. As in previous research, the items were averaged to form a single indicator of drinking intention (α = .87; Chen, Grube, Bersamin, Waiters, & Keefe, 2005; Grube & Agostinelli, 1999; Grube & Wallack, 1994).

Demographics

Gender, ethnicity, and age were measured. Subjective Socio-Economic Status (SES) was measured by asking the respondents how well off their family is compared with other families (0 to 10), a measure commonly used for teenage respondents (Goodman et al., 2001).

Sample

Six hundred and eighty-seven parents provided consent and contact information for their teenagers. Of those contacted, 445 opened the survey link and completed the survey, resulting in a response rate of 64.8%. All of those who opened the survey link assented to participate in the study. Of the respondents, 52.1% were male with an age distribution of 14 (38.7%), 15 (34.6%), and 16 (24.0%). Twelve respondents were 17 years old but, as their inclusion did not affect the findings, their responses were retained. Race/ethnicity was self-reported as: White/Caucasian (78.4%), African-American (9.9%), Hispanic (5.8 %), as Native American (0.4%), Asian (2.7%), and some (N = 13) indicated multiple ethnicities. The majority (96.2%) was enrolled in school full-time with the bulk in 9th grade (31.9%) or 10th grade (32.6%). Subjective SES indicated a range of socio-economic backgrounds in the sample ( = 5.36; σ = 1.89): 27.0% responded they were as well off as other families, 26.8% worse off (below the mid-point of the scale) and 46.2% better off (above the mid-point) than other families.

Results

Continuous dependent variables (negative beliefs, positive beliefs, and drinking intentions) were regressed on TV exposure, reactance, and the TV exposure × reactance interaction, as well as the control variables (sensation-seeking, gender, age, subjective SES, and ethnicity - the latter recoded as a series of dichotomous variables representing each ethnicity and allowing for multiple ethnicities). Previous drinking was controlled for in the beliefs regressions. The independent variables used in the interaction terms were mean-centered (Aiken & West, 1991; Jaccard, Wan, & Turrisi, 1990). The means, standard deviations and correlations are shown in Table 1.

Table 1. Means, Standard Deviations and Correlations.

(σ) Overall TV viewing hours/wk + Alcohol Beliefs - Alcohol Beliefs Drinking Intentions Sensation Seeking Previous Drinking
Trait Reactance 2.97 (.82) .05 .26** .01 .16** .51** -.16*
Overall TV viewing hours/wk 36.71 (49.61) .09* -.11* .33* .17** -.25*
+ Alcohol Beliefs 2.31 (1.22) .13* .46* .33** -.36*
- Alcohol Beliefs 3.18 (1.37) -.08 -.11* .12*
Drinking Intentions 1.49 (1.09) .33* -.70*
Sensation Seeking 2.57 (.90) -.26*

Note:

*

p < .05;

**

p < .01

As shown in Table 2, the amount of TV watched by adolescents had a significant and inverse relationship with their negative alcohol beliefs and a positive relationship with drinking intentions. TV viewing was not directly related to adolescents' positive beliefs about alcohol. That is, the more TV adolescents were exposed to, the less they believed that heavy episodic drinking was risky and the more they intended to drink in the future. This supports a cultivation effect of TV viewing: The greater adolescents' exposure to TV, the lower their perceptions of the negative consequences to them personally of heavy drinking. But this relationship is qualified by adolescents' level of trait reactance. Viewing of specific TV categories (sitcoms, soap operas, dramas, reality TV, etc.) was not predictive of the dependent variables beyond overall TV viewing.

Table 2. Regression Results for Alcohol Beliefs and Drinking Intentions.

Unstandardized Regression Coefficients (Standard Errors)

Negative Beliefs Positive Beliefs Drinking Intentions
(Constant) 4.81 (.59)** 1.67 (.48) ** .85 (.53)
Reactance .20 (.09)* .17 (.07)* .06 (.08)
Overall TV Viewing a -.03 (.01) .01 (.01) .05 (.01) **
Previous Drinking -.30 (.20) .98 (.17)** -- a

Reactance × Overall TV Viewing .05 (.02)** -.03 (.02)* -.03 (.02)*

Sensation-Seeking -.25 (.09)** .23 (.07)** .40 (.08)**
Gender (1 = Male) .09 (.13) .24 (.10)* .07 (.11)
Year of birth -.19 (.07)** .03 (.06) .08 (.07)
Ethnicity (1 = White/0) b -.33 (.36) .17 (.29) .16 (.32)
Ethnicity (1 = Black/0) -.56 (.41) -.22 (.34) -.23 (.37)
Ethnicity (1 = Hispanic/0) -.22 (.45) .81 (.36)* .07 (.40)
Ethnicity (1 = Asian-Am./0) -1.06 (.53)* -.26 (.44) .58 (.47)
Subjective SES -.03 (.03) .01 (.03) .03 (.03)

Adjusted R2 .06 .21 .15

Note:

*

p < .05;

**

p < .01

a

Previous drinking is not include: as seen in Table 1, it is highly correlated with drinking intentions. When previous drinking is included in the drinking intention regression, the reactance × overall TV viewing interaction is not significant.

b

Because some participants reported multiple ethnicities, all ethnic categories were dummy coded and included in the model (i.e. there is no baseline). The results do not change when White is used as the baseline category.

As predicted, adolescents' levels of trait reactance moderated the relationship between TV viewing and alcohol beliefs, both positive and negative, and of future drinking intentions. Slope analyses illustrate these interactive effects by plotting means of the dependent variable at +/- one standard deviation from the mean for each independent variable (Aiken & West, 1991). As shown in Figure 1, there are no differences in either positive or negative alcohol beliefs amongst high reactance adolescents (i.e., no cultivation effect) as a function of the amount of TV they viewed. In contrast, low reactance adolescents who are heavy TV viewers held less negative beliefs and more positive beliefs about the consequences of heavy drinking. In fact, low reactance adolescents who were heavy TV viewers had the lowest perceptions of risks associated with heavy episodic drinking. Therefore, while higher TV exposure was associated with lesser perceptions of the risks of heavy drinking (main effect), this effect was strongest amongst low reactance adolescents (interaction). Although high reactance adolescents held more positive alcohol beliefs than low reactance adolescents, for those adolescents who were low in reactance, positive alcohol beliefs increased in favorability as TV viewing increased. The same interactive effect of TV viewing and reactance was found for drinking intentions. That is, high reactance adolescents were generally more likely to report wanting to drink than did low reactance adolescents, but these greater drinking intentions were not related to the amount of TV they viewed. In contrast, for those adolescents who were low in reactance, drinking intentions increased as TV viewing increased.

Figure 1. TV Viewing × Reactance Interaction on Alcohol Beliefs.

Figure 1

A logistic regression was conducted for previous drinking using the same independent variables. This analysis (see results in Table 3) reveals a main effect (positive) of TV viewing qualified, again, by a significant interaction with reactance. As with previous research, we found that the amount of TV viewing is significantly and positively correlated with drinking (Robinson, Chen, & Killen, 1998). However, the relationship between TV viewing and drinking is greater for low reactance adolescents.

Table 3. Logistic Regression Results (past drinking).

B S.E. Wald Exp (B)
Overall TV Viewing .10 .03 13.31** 1.11
Reactance .29 .24 1.42 1.33
Overall TV Viewing × Reactance -.08 .04 5.06* .99

Gender (1 = Male) .04 .32 .01 1.04
Year of birth .40 .18 5.15* 1.50
Ethnicity 1 = White/0 .76 1.07 .49 2.13
Ethnicity 1 = Black/0 .84 1.18 .51 2.32
Ethnicity 1 = Hispanic/0 1.00 1.19 .70 2.71
Ethnicity 1 = Asian-Am./0 1.54 1.29 1.43 4.68
Subjective SES .10 .08 1.59 1.11
Sensation-Seeking .75 .215 12.30** 2.12
Constant -8.00 1.79 19.92** .00**

Note:

*

p < .05;

**

p < .01

Model -2 Log Likelihood = 275.78

Discussion

Cultivation research has reached a level of acceptance in media studies (Morgan & Shanahan, 2010). The current study reveals a cultivation effect of TV viewing on adolescents' beliefs about drinking: Heavy TV viewing is related to adolescents' beliefs about the risks, to them personally, of drinking alcohol. This study indicates that psychological trait reactance moderates this cultivation effect: Low reactance youth are especially susceptible to the influence of cumulative TV viewing. This research also shows that, even in an age of increasing audience fragmentation, the consistency of alcohol messages across channels and programs, mainly positive, reinforces TV as a powerful “purveyor of widely shared messages [where] Gerbner's main ideas are likely to persist” (Morgan & Shanahan, 2010, p. 350). The fact that genre-specific effects were not found is consistent with cultivation theory's assumption that it is cumulative, overall TV viewing that is important, given the consistency of the drinking messages that are woven throughout TV programming (Russell & Russell, 2009). As cultivation researchers have argued, finding effects of total viewing but not selective category viewing reduces worries about reverse causality effects (Morgan & Shanahan, 2010). Indeed, the effect could instead be due to viewers selecting particular programs because of shared values were only selective program categories linked to alcohol beliefs. The finding that youth who watch a lot of TV hold lower risk perceptions of drinking offers continuing evidence of “media harm” (Livingstone, 2007, p. 5). These findings are important in terms of understanding the role of media in young people's lives.

The moderating role of psychological trait reactance on TV's influence is another noteworthy finding. Not only has reactance not been previously tested in the context of cultivation effects, but research linking trait reactance to individual responses to persuasive attempts has also been surprisingly scant (Dillard & Shen, 2005; Quick & Stephenson, 2008; Rains & Turner, 2007). The finding that low reactance adolescents who are heavy viewers of TV appear to be especially desensitized to the negative consequences of alcohol may be due to their less systematic approach to the information presented to them.

Although the underlying explanation that highly reactant individuals process TV messages more systematically and critically deserves further causal evidence, this study demonstrates that, unlike high trait reactant individuals who are more critical of and reactant to what they see, low reactance individuals embrace what they see uncritically and hence are more impacted by the cumulative exposure to the televised world (Hawkin & Pingree, 1982; Shrum, Wyer, & O'Guinn, 1998). Consequently, low reactance heavy TV viewers have a greater intention to consume alcohol. Thus, trait reactance similarly moderates the relationship between TV viewing and drinking.

The finding that low reactance individuals may be less critical of influences in general provides some implications for prevention. For example, low trait reactance individuals may be receptive to more explicit messages, such as Public Service Announcements, aimed at correcting the otherwise detrimental impact of TV (Moyer-Gusé, Jain & Chung, 2012); and they may especially benefit from media literacy training that promotes a more critical evaluation of media images and attempts to re-sensitize desensitized youth (Webb & Martin, 2012).

Future Research Directions

Evidence of the moderating role of reactance on the cultivation effect suggests several questions for future research. First, this research highlights the potential role of personality traits in affecting the reception and outcomes of TV exposure. Yet, with a few exceptions (Bryant, Carveth, & Brown, 1981; Nabi & Riddle, 2008), research on TV-based influences has not incorporated the moderating role of personality characteristics. The finding that the reactance trait moderates the relationship between TV viewing and drinking expectancies and intentions invites two future avenues of research: 1) trait reactance may moderate other social influences important in adolescence, such as peers and family (Scull et al., 2010); and 2) there may be other individual traits that impact the influence of TV viewing on youth.

This research also paves the way for further work on psychological trait reactance. This research pushes the communications research agenda to move beyond ‘state’ reactance, the situational response to a given persuasive attempt (Albarracin, Cohen, & Kumkale, 2003; Brown, 2001; Dillard & Shen, 2005; David, Cappella, & Fishbein, 2006; Miller et al., 2006; Rains & Turner, 2007), to more general ways in which personality traits impact the effects of communications. This study adds to the nascent body of evidence that trait reactance, which reflects a transituational propensity to resist whatever is being suggested, triggers resistance to even subtle suggestions such as embedded messages in the content of entertainment programs (Noguti & Russell, 2014). Future research should assess whether the boomerang effects that emerge when persuasive messages are too freedom threatening, such as with anti-drinking messages (Allen, Spenkel, & Vitale, 1994; Quick & Bates, 2010; Ringold, 2002; Scheier & Carver, 1977), are lessened when the message is subtle, such as if it is embedded in a TV episode.

The underlying explanation that high reactance leads individuals to process information presented to them more critically and systematically should be further tested to provide causal evidence of the ways in which TV content is processed, stored and retrieved. Because it is difficult to assess the cumulative impact of television in controlled experiments, studies evaluating the ways in which single episodes are processed could be conducted. For example, eye-tracking technology could be used to measure the degree of attention devoted to embedded messages in the content of programs to assess whether high reactant individuals are also more likely to attend to them.

Because research on trait reactance is still emerging, future research should consider how it impacts external influences in general and media influences amongst even younger segments of the population. Many personality traits may be formed by early in life, although they continue to be shaped by genetic factors, environmental consistency, and psychological makeup (see Roberts & Del Vecchio, 2000). As a result, personality traits found in childhood often predict those found later in life (Caspi & Silva, 1998). This study's findings suggest that trait reactance, and possibly other personality traits, may moderate the relationship between media content and children's understanding of the world around them. Thus, trait reactance may have important implications for understanding how exposure to media images impacts children's beliefs, judgments, and behaviors, prior to and leading up to adolescence.

Further research is also warranted to establish causal evidence of reactance's moderating impact on the effect of embedded messages in the media. In this respect, longitudinal studies monitoring media exposure and the developmental trajectories of youth beliefs, intentions, and behaviors would be beneficial. Additionally, it would be useful to assess whether the findings based on aggregate exposure also apply to single exposures. Experiments with adolescents who vary in psychological trait reactance could expose them to TV episodes with different embedded alcohol messages to assess the degree to which their alcohol beliefs shift as a result. Future research should also expand beyond TV and alcohol to evaluate responses to other media where embedded consumption messages abound (e.g., movies, music videos, social media pages, etc.) and to other risky behaviors (e.g., unprotected sex, smoking cigarettes, or experimenting with illegal drugs). The role of parental mediation in moderating the impact of TV influence would also be of interest, as would its interaction with the children's level of trait reactance. Specifically, parental beliefs and behaviors about both the media to which their children are exposed and their own risky behaviors (e.g., the parents' views and behaviors regarding alcohol) could be incorporated in understanding adolescent behaviors and beliefs (Barradas, Fulton, Blanck, & Huhman, 2007).

Finally, this research again highlights that the entertainment industry and policymakers need to be sensitive to and better understand how viewers perceive and react to embedded messages, especially those pertaining to alcohol usage (Miller & Quick, 2010; USDHHS, 2007). From a policy perspective, researchers could turn to what portrayals of risk behaviors in TV series could be effective in reducing adolescents' intention to engage in these behaviors or what type of Public Service Announcements could help reinforce positive messages and correct the otherwise detrimental role of TV viewing (Pechmann, Zhao, Goldberg, & Reibling, 2003).

Acknowledgments

This research was funded by grant R01-AA016969 from the United States National Institutes of Health to the first author.

Biographies

Cristel Antonia Russell: An expert on the influence of messages embedded in the content of media programming, she has published articles on product placement and particularly on the nature and impact on youth of alcohol messages in television series. She was the Principal Investigator on the grant that funded this research, received from the United States National Institute on Alcohol Abuse and Alcoholism.

Dale Wesley Russell: His research focuses on the behavioral health impact of traumatic experiences among vulnerable populations, especially military populations, families, and youth. His current projects include the impact of military deployments on post-traumatic stress and substance use and abuse.

Wendy Attaya Boland: Her research focuses on consumer decision-making, risky consumption, consumer well-being, information processing, and marketing and public policy issues, especially those dealing with child and adolescent consumers. Her current research projects evaluate a variety of risky, adolescent consumption behaviors including: playing violent video games, partaking in sexting, consuming unhealthy foods, and using illegal substances for recreation.

Joel W. Grube: His research focuses on social-psychological and environmental factors influencing substance use and other problem behaviors among adolescents and young adults. His current projects include longitudinal studies on the effects of community policies on drinking and smoking trajectories among youth and a randomized community trial to reduce abuse of inhalants and other harmful legal products.

Appendix

Seven-item Trait Reactance Scale:

I become angry when my freedom of choice is restricted.

I become frustrated when I am unable to make free and independent decisions.

I am contented only when I am acting of my own free will.

The thought of being dependent on others aggravates me.

When something is prohibited, I usually think that's exactly what I am going to do.

Regulations trigger a sense of resistance in me.

I find contradicting others stimulating.

Contributor Information

Cristel Antonia Russell, Email: Russell@american.edu, Department of Marketing, Kogod School of Business, American University, 4400 Massachussetts Avenue NW, Washington, DC 20016, USA. Phone: 202-885-1929.

Dale Wesley Russell, Email: dale.russell@usuhs.edu, Uniformed Services University, F. Edward Hébert School of Medicine, Bethesda, MD, USA. Phone: 301-660-1676.

Wendy Attaya Boland, Email: boland@american.edu, Department of Marketing, Kogod School of Business, American University, Department of Marketing, 4400 Massachussetts Avenue NW, Washington, DC 20016, USA. Phone: 202-885-1976.

Joel W. Grube, Email: grube@prev.org, Pacific Institute for Research and Evaluation, Prevention Research Center, 180 Grand Avenue, Suite 1200, Oakland, CA 94612. Phone: 510-486-1111.

References

  1. Aiken LS, West SG. Multiple regression: Testing and interpreting interactions. Newbury Park, CA: Sage Publications; 1991. [Google Scholar]
  2. Albarracin D, Cohen JB, Kumkale GT. When communication collides with recipients' actions: Effects of the post-message behavior on intentions to follow the message recommendation. Personality and Social Psychology Bulletin. 2003;29:834–845. doi: 10.1177/0146167203029007003. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Allen DN, Spenkel DG, Vitale PA. Reactance theory and alcohol consumption laws: Further confirmation among collegiate alcohol consumers. Journal of Studies on Alcohol. 1994;55(1):34–40. doi: 10.15288/jsa.1994.55.34. [DOI] [PubMed] [Google Scholar]
  4. Barradas DT, Fulton JE, Blanck HM, Huhman M. Parental influences on youth television viewing. Journal of Pediatrics. 2007;151(4):369–373. doi: 10.1016/j.jpeds.2007.04.069. [DOI] [PubMed] [Google Scholar]
  5. Boeknke K, Münich T, Hoffmann D. Development through media use? A German study on the use of radio in adolescence. International Journal of Behavioral Development. 2002;26(3):193–201. [Google Scholar]
  6. Brehm JW. A theory of psychological reactance. New York, NY: Academic Press; 1966. [Google Scholar]
  7. Brown SL. Emotive health advertising and message resistance. Australian Psychologist. 2001;36:193–199. [Google Scholar]
  8. Brown JD, Halpern CT, L'Engle KL. Mass media as a sexual super peer for early maturing girls. Journal of Adolescent Heath. 2005;36(5):420–427. doi: 10.1016/j.jadohealth.2004.06.003. [DOI] [PubMed] [Google Scholar]
  9. Bryant J, Carveth RA, Brown D. Television viewing and anxiety: An experimental examination. Journal of Communication. 1981;31(1):106–119. doi: 10.1111/j.1460-2466.1981.tb01210.x. [DOI] [PubMed] [Google Scholar]
  10. Caspi A, Silva PA. Temperamental qualities at age three predict personality traits in young adulthood: Longitudinal evidence from a birth cohort. Child Development. 1995;66(2):486–498. doi: 10.1111/j.1467-8624.1995.tb00885.x. [DOI] [PubMed] [Google Scholar]
  11. Chartrand TL, Dalton AN, Fitzsimons GJ. Nonconscious relationship reactance: When significant others prime opposing goals. Journal of Experimental Social Psychology. 2006;43:719–726. [Google Scholar]
  12. Chen M, Grube JW, Bersamin M, Waiters E, Keefe DB. Alcohol advertising: What makes it attractive to youth. Journal of Health Communication. 2005;10(6):553–565. doi: 10.1080/10810730500228904. [DOI] [PubMed] [Google Scholar]
  13. Clayton RR, Segress MJH, Caudill CA. Sensation seeking: A commentary. Addiction. 2007;102(2):92–94. doi: 10.1111/j.1360-0443.2007.01959.x. [DOI] [PubMed] [Google Scholar]
  14. Collins RL, Ellickson PL, McCaffrey D, Hambarsoomians K. Early adolescent exposure to alcohol advertising and its relationship to underage drinking. Journal of Adolescence Health. 2007;40(6):527–534. doi: 10.1016/j.jadohealth.2007.01.002. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Collins RL, Schell T, Ellickson PL, McCaffrey D. Predictors of beer advertising awareness among eighth graders. Addiction. 2003;98(9):1297–1306. doi: 10.1046/j.1360-0443.2003.00448.x. [DOI] [PubMed] [Google Scholar]
  16. Connolly GM, Casswell S, Zhang JF, Silva PA. Alcohol in the mass media and drinking by adolescents: A longitudinal study. Addiction. 1994;89(10):1255–1263. doi: 10.1111/j.1360-0443.1994.tb03304.x. [DOI] [PubMed] [Google Scholar]
  17. David C, Cappella JN, Fishbein M. The social diffusion of influence among adolescents: Group interaction in a chat room environment about antidrug advertisements. Communication Theory. 2006;16:118–149. [Google Scholar]
  18. Dillard JP, Shen L. On the nature of reactance and its role in persuasive health communication. Communication Monographs. 2005;72(2):144–168. [Google Scholar]
  19. Dowd ET, Hughs SL, Brockbank L, Halpain D. Compliance-based and defiance-based intervention strategies and psychological reactance in the treatment of free and unfree behavior. Journal of Counseling Psychology. 1988;35(4):370–376. [Google Scholar]
  20. Epley N, Gilovich T. Just going along: Nonconscious priming and conformity to social pressure. Journal of Experimental Social Psychology. 1999;35(6):578–589. [Google Scholar]
  21. Fitzsimons GJ, Lehmann DR. Reactance to recommendations: When unsolicited advice yields contrary responses. Marketing Science. 2004;23(1):82–94. [Google Scholar]
  22. Gerbner G. Alcohol in American culture. In: Martin SE, editor. The effects of the mass media on use and abuse of alcohol. Bethesda, MD: National Institute on Alcohol Abuse and Alcoholism; 1995. pp. 3–29. [Google Scholar]
  23. Gerbner G, Gross L, Morgan M, Signorielli N, Shanahan J. Growing up with television: Cultivation processes. Vol. 2. Mahwah, NJ: Erlbaum; 2002. [Google Scholar]
  24. Gerbner G, Gross L, Signorielli N, Morgan M. Television violence, victimization, and power. American Behavioral Scientist. 1980;5(23):705–716. [Google Scholar]
  25. Goodman E, Adler NE, Kawachi I, Frazier LA, Huang B, Colditz GA. Adolescents' perceptions of social status: Development and evaluation of a new indicator. Pediatrics. 2001;108(2):108–116. doi: 10.1542/peds.108.2.e31. [DOI] [PubMed] [Google Scholar]
  26. Grube JW, Agostinelli GE. Perceived consequences and adolescent drinking: Nonlinear and interactive models of alcohol expectancies. Psychology of Addictive Behaviors. 1999;13(4):303–312. [Google Scholar]
  27. Grube JW, Morgan M. Attitude-social support interactions: Contingent consistency effects in the prediction of adolescent smoking, drinking, and drug use. Social Psychology Quarterly. 1990;53(4):329–339. [Google Scholar]
  28. Grube JW, Wallack L. Television beer advertising and drinking knowledge, beliefs, and intentions among schoolchildren. American Journal of Public Health. 1994;84(2):254–259. doi: 10.2105/ajph.84.2.254. [DOI] [PMC free article] [PubMed] [Google Scholar]
  29. Hanewinkel R, Sargent JD. Longitudinal study of exposure to entertainment media and alcohol use among German adolescents. Pediatrics. 2009;123(3):989–995. doi: 10.1542/peds.2008-1465. [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. Hong S. Hong's psychological reactance scale: A further factor analytic validation. Psychological Reports. 1992;70(2):512–514. [Google Scholar]
  31. Hong S, Faedda S. Refinement of the Hong psychological reactance scale. Educational and Psychological Measurement. 1996;56(1):173–182. [Google Scholar]
  32. Hong S, Page S. A psychological reactance scale: Development, factor structure and reliability. Psychological Reports. 1989;64(3):1323–1326. [Google Scholar]
  33. Jaccard J, Wan CK, Turrisi R. Interaction effects in multiple regression. Newbury Park, CA: Sage; 1990. [DOI] [PubMed] [Google Scholar]
  34. Jonason PK, Knowles HM. A unidimensional measure of Hong's psychological reactance scale. Psychological Reports. 2006;98:569–579. doi: 10.2466/pr0.98.2.569-579. [DOI] [PubMed] [Google Scholar]
  35. Lafayette J. Millennials want TV- and accept ads. 2013 Retrieved from http://www.broadcastingcable.com/article/492271-Millennials_Want_TV_And_Accept_Ads_Study.php.
  36. Livingstone S. Do the media harm children?: Reflections on new approaches to an old problem. Journal of Children and Media. 2007;1(1):5–14. [Google Scholar]
  37. Martin CA, Kelly TH, Rayens MK, Brogli B, Himelreich K, Brenzel A, et al. Omar H. Sensation seeking and symptoms of disruptive disorder: Association with nicotine, alcohol, and marijuana use in early and mid-adolescence. Psychological Reports. 2004;94(3):1075–1082. doi: 10.2466/pr0.94.3.1075-1082. [DOI] [PubMed] [Google Scholar]
  38. Mathios A, Avery R, Bisogni C, Shanahan J. Alcohol portrayal on prime-time television: manifest and latent messages. Journal of Studies on Alcohol and Drugs. 1998;59(3):305–310. doi: 10.15288/jsa.1998.59.305. [DOI] [PubMed] [Google Scholar]
  39. Miller CH, Burgoon M, Grandpre JR, Alvaro EM. Identifying principal risk factors for the initiation of adolescent smoking behaviors: The significance of psychological reactance. Journal of Health Communication. 2006;19(3):241–252. doi: 10.1207/s15327027hc1903_6. [DOI] [PubMed] [Google Scholar]
  40. Miller CH, Quick BL. Sensation seeking and psychological reactance as health risk predictors for an emerging adult population. Health Communication. 2010;25(3):266–275. doi: 10.1080/10410231003698945. [DOI] [PubMed] [Google Scholar]
  41. Morgan M, Shanahan J. The state of cultivation. Journal of Broadcasting & Electronic Media. 2010;54(2):337–355. [Google Scholar]
  42. Morgan M, Shanahan J, Signorielli N, editors. The cultivation differential: State of the art research in cultivation theory. New York, NY: Peter Lang Publishers; 2012. [Google Scholar]
  43. Moyer-Gusé E, Jain P, Chung AH. Reinforcement or reactance? Examining the effect of an explicit persuasive appeal following an entertainment education narrative. Journal of Communication. 2012;62(6):1010–1027. [Google Scholar]
  44. Nabi RL, Riddle K. Personality traits, television viewing, and the cultivation effect. Journal of Broadcasting & Electronic Media. 2008;52(3):327–348. [Google Scholar]
  45. Nielsen Media. How teens use media: A Nielsen report on the myths and realities of teen media trends. 2009 Retrieved from http://blog.nielsen.com/nielsenwire/reports/nielsen_howteensusemedia_june09.pdf.
  46. Noguti V, Russell CA. Normative influences on product placement effects: Alcohol brands in television series and the influence of presumed influence. Journal of Advertising. 2014 Forthcoming. [Google Scholar]
  47. O'Guinn TC, Shrum LJ. The role of television in the construction of consumer reality. Journal of Consumer Research. 1997;23(4):278–294. [Google Scholar]
  48. Pechmann C, Levine L, Loughlin S, Leslie F. Impulsive and self-conscious: Adolescents' vulnerability to advertising and promotion. Journal of Public Policy and Marketing. 2005;24(2):202–221. [Google Scholar]
  49. Pechmann C, Wang L. Effects of indirectly and directly competing reference group messages and persuasion knowledge: Implications for educational placements. Journal of Marketing Research. 2010;47(1):134–145. [Google Scholar]
  50. Pechmann C, Zhao G, Goldberg ME, Reibling ET. What to convey in antismoking advertisements for adolescents: The use of protection motivation theory to identify effective message themes. Journal of Marketing. 2003;67(2):1–18. [Google Scholar]
  51. PEW. Millennials: A portrait of generation next. 2010 Retrieved from http://www.pewsocialtrends.org/files/2010/10/millennials-confident-connected-open-to-change.pdf.
  52. Quick BL, Bates BR. The use of gain- or loss-frame messages and efficacy appeals to dissuade excessive alcohol consumption among college students: A test of psychological reactance theory. Journal of Health Communication: International Perspectives. 2010;15(6):603–628. doi: 10.1080/10810730.2010.499593. [DOI] [PubMed] [Google Scholar]
  53. Quick B, Scott AM, Ledbetter AM. A close examination of trait reactance and issue involvement as moderators of psychological reactance theory. Journal of Health Communication. 2011;16(6):660–679. doi: 10.1080/10810730.2011.551989. [DOI] [PubMed] [Google Scholar]
  54. Quick BL, Stephenson MT. Examining the role of trait reactance and sensation seeking on reactance-inducing messages, reactance, and reactance restoration. Human Communication Research. 2008;34:448–476. [Google Scholar]
  55. Rains SA, Turner M. Psychological reactance and persuasive health communication: A test and extension of the intertwined model. Human Communication Research. 2007;33:241–269. [Google Scholar]
  56. Rains SA. The nature of psychological reactance revisited: A meta-analytic review. Human Communication Research. 2013;39:47–73. [Google Scholar]
  57. Rideout VJ, Foehr UG, Roberts DF. Generation M2media in the lives of 8- to 18 Year-olds: A Kaiser family foundation study. 2010 Retrieved from http://www.kff.org/entmedia/upload/8010.pdf.
  58. Ringold DJ. Boomerang effect: In response to public health interventions: Some unintended consequences in the alcoholic beverage market. Journal of Consumer Policy. 2002;25(1):27–63. [Google Scholar]
  59. Roberts BW, Del Vecchio WF. The rank-order consistency of personality traits from childhood to old age: A quantitative review of longitudinal studies. Psychological Bulletin. 2000;126(1):3–25. doi: 10.1037/0033-2909.126.1.3. [DOI] [PubMed] [Google Scholar]
  60. Robinson TN, Chen HL, Killen JD. Television and music video exposure and risk of adolescent alcohol use. Pediatrics. 1998;102(5) doi: 10.1542/peds.102.5.e54. Retrieved from http://pediatrics.aappublications.org/content/102/5/e54.full. [DOI] [PubMed] [Google Scholar]
  61. Russell CA, Norman AT, Heckler SE. The consumption of television programming: Development and validation of the connectedness scale. Journal of Consumer Research. 2004;31(1):150–161. [Google Scholar]
  62. Russell CA, Russell DW. Alcohol messages in prime-time television series. Journal of Consumer Affairs. 2009;43(1):108–128. doi: 10.1111/j.1745-6606.2008.01129.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  63. Russell CA, Russell DW, Grube JW. Nature and impact of alcohol messages in a youth-oriented television series. Journal of Advertising. 2009;38(3):97–111. doi: 10.2753/JOA0091-3367380307. [DOI] [PMC free article] [PubMed] [Google Scholar]
  64. Russell CA, Russell DW, Grube JW. Substance use, advertising and the media. In: Sher K, editor. The Oxford Handbook of Substance Use Disorders. New York, NY: Oxford University Press; 2013. [Google Scholar]
  65. Scheier MF, Carver CS. Self-consciousness and reactance. Journal of Research in Personality. 1977;15(1):16–29. [Google Scholar]
  66. Scull TM, Kupersmidt JB, Parker AE, Elmore KC, Benson JW. Adolescents' media-related cognitions and substance use in the context of parental and peer influences. Journal of Youth and Adolescence. 2010;39(9):981–98. doi: 10.1007/s10964-009-9455-3. [DOI] [PMC free article] [PubMed] [Google Scholar]
  67. Sverdlov G. The state of consumers and technology: Benchmark 2012, US. 2012 Retrieved from http://www.forrester.com/The+State+Of+Consumers+And+Technology+Benchmark+2012+US/fulltext/-/E-RES87201.
  68. Shrum LJ. The Psychology of Entertainment Media: Blurring the Lines Between Entertainment and Persuasion. 2nd. New York, NY: Routledge; 2013. [Google Scholar]
  69. Shrum LJ, Burroughs JE, Rindfleisch A. Television's cultivation of material values. Journal of Consumer Research. 2005;32(3):473–479. [Google Scholar]
  70. Shrum LJ, Lee J. The story TV tells. In: Shrum LJ, editor. The Psychology of Entertainment Media: Blurring the Lines Between Entertainment and Persuasion. 2nd. New York, NY: Routledge; 2013. pp. 147–167. [Google Scholar]
  71. Shrum LJ, Wyer RS, O'Guinn TC. The effects of television consumption on social perceptions: The use of priming procedures to investigate psychological processes. Journal of Consumer Research. 1998;24(4):447–458. [Google Scholar]
  72. Spear LP. The behavioral neuroscience of adolescence. New York, NY: Norton & Company; 2010. [Google Scholar]
  73. Steinberg L. A social neuroscience perspective on adolescent risk-taking. Developmental Review. 2008;28(1):78–106. doi: 10.1016/j.dr.2007.08.002. [DOI] [PMC free article] [PubMed] [Google Scholar]
  74. Steinberg L. Should the science of adolescent brain development inform public policy. American Psychologist. 2009;64(8):737–750. doi: 10.1037/0003-066X.64.8.739. [DOI] [PubMed] [Google Scholar]
  75. Stephenson MT, Velez LF, Chalela P, Ramirez A, Hoyle RH. Exploring the reliability and validity of the brief sensation seeking scale (BSSS) with Latino young adults: Implications for tobacco and alcohol disparity research. Addiction. 2007;102(2):79–91. doi: 10.1111/j.1360-0443.2007.01958.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  76. Strasburger VC, Wilson BJ. Children, adolescents and the media. Beverly Hills, CA: Sage Publications; 2002. [Google Scholar]
  77. United States Department of Health and Human Services (USDHHS) The surgeon general's call to action to prevent and reduce underage drinking. Rockville, MD: Office of the Surgeon General; 2007. [PubMed] [Google Scholar]
  78. Webb T, Martin K. Evaluation of A US school-based media literacy violence prevention curriculum on changes in knowledge and critical thinking among adolescents. Journal of Children and Media. 2012;6(4):430–449. [Google Scholar]
  79. Wellins R, McGinnies E. Counterarguing and selective exposure to persuasion. Journal of Social Psychology. 1977;103:115–127. doi: 10.1080/00224545.1978.9924175. [DOI] [PubMed] [Google Scholar]
  80. Wright KB. Researching internet-based populations: Advantages and disadvantages of online survey research, online questionnaire authoring software packages, and web survey services. Journal of Computer-Mediated Communication. 2005;10(3) Retrieved from http://jcmc.indiana.edu/vol10/issue3/wright.html?ref=BenimShopum.co. [Google Scholar]
  81. Zuckerman M. Behavioral expressions and biosocial bases of sensation seeking. New York, NY: Cambridge University Press; 1994. [Google Scholar]
  82. Zuckerman M, Black J, Ball SA. Influences of sensation seeking, gender, risk appraisal, and situational motivation on smoking. Addictive Behaviors. 1990;15(3):209–220. doi: 10.1016/0306-4603(90)90064-5. [DOI] [PubMed] [Google Scholar]

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