The implicit association between odors and illness

Some individuals ascribe health symptoms to odor exposures, even when none would be expected based on toxicological dose-effect relationships. In these situations, symptoms are believed to have been mediated by beliefs regarding the potential health effects from odorants, which implies a controlled type of information processing. From an evolutionary perspective, such a form of processing may hardly be the only route. The aim of the present study was to explore the viability of a fast and implicit route, by investigating automatic odor-related associations in the context of health. An Implicit Association Test assessing association strengths between the concept odor and the concepts healthy and sick was conducted. Three experiments (N=66, N=64, and N=64) showed a significantly stronger association between the concepts odor and sick than between odor and healthy. These results did not match explicit associations and provide evidence for a fast and automatic route of processing that may complement consciously controlled processes. A dual-processing theory of olfactory information is proposed leading to new hypotheses regarding the development and maintenance of odor-induced health symptoms.