The Impact of Self‐Affirmation on Health Cognition,Health Behaviour and Other Health‐Related Responses: A Narrative Review

There is growing evidence that self‐affirmation – the process of reflecting upon cherished values or attributes – may have implications for health. Postulated effects range from reducing the defensive resistance to unwelcome health‐risk information to ameliorating the physiological response to stress. In this, the first detailed review of the literature on self‐affirmation and health, we summarise what is known. Self‐affirming can increase acceptance of unwelcome health‐risk information, especially among those at greatest risk. Self‐affirmed participants typically also report more intention to change behaviour postmessage. There is evidence that certain effects of self‐affirming may endure. Self‐affirmation has also been shown to have beneficial effects on the response to stress. There is, however, currently only limited evidence of actual health‐behaviour change following self‐affirmation. We discuss reasons for this and consider key research questions for the next phase of research.