“…The study therefore specifically investigates the role played by affective and cognitive responses in affecting advertising outcomes such as attitude toward the advertisement (ad) and behavioral intention to use the counseling service within high-anxiety individuals, who are identified as a major target group for counseling services. Although advertising effectiveness has been extensively researched (see, e.g., the meta-analyses of Brown, Homer, &Inman, 1998 andRubinson, 2009), there is scope to further research the topic within counseling services, where issues such as social stigma toward mental health disturbances can be a barrier to seeking help (Chandra & Minkovitz, 2007;Corrigan, 2004). Furthermore, despite decades on work in the area (see, e.g., Janis & Feshbach, 1954), a notable lack of theoretical and empirical clarity remains in the fear appeal literature on the type of message most effective in audiences that are already "scared" (Muthusamy, Levine, & Weber, 2009).…”