Reactions to Medical Diagnosis: The Role of Illness Stereotypes

Two studies were conducted to explore the role of illness stereotypes in appraisals of health threat. The results of Study 1 indicated that a substantial proportion of questionnaire respondents believed that high blood pressure (BP) is associated with positive personal characteristics (e.g., persistence) whereas a smaller proportion believed that high BP is associated with negative characteristics. In addition, more favorable stereotypes were correlated with lower ratings of the seriousness of high BP. Study 2 examined the effects of experimentally induced illness stereotypes on the health-related judgments of subjects who received false feedback on a test of their BP. The results revealed a significant effect of illness stereotypes on health-threat appraisals of high BP. Subjects who were led to believe that high BP was associated with achievement and competence perceived high BP as a less serious threat to health than did subjects who believed high BP was associated with less desirable traits. In addition, subjects given high BP readings reported fewer symptoms they were told were associated with high BP when the disorder was associated with negative characteristics. The results demonstrate the importance of illness stereotypes in appraisals of health threats, symptom reporting, and reactions to medical diagnosis.