Journaling about stressful events: Effects of cognitive processing and emotional expression

The effects of two journaling interventions, one focusing on emotional expression and the other on both cognitive processing and emotional expression, were compared during 1 month of journaling about a stressful or traumatic event. One hundred twenty-two students were randomly assigned to one of three writing conditions: (a) focusing on emotions related to a trauma or stressor, (b) focusing on cognitions and emotions related to a trauma or stressor, or (c) writing factually about media events. Writers focusing on cognitions and emotions developed greater awareness of the positive benefits of the stressful event than the other two groups. This effect was apparently mediated by greater cognitive processing during writing. Writers focusing on emotions alone reported more severe illness symptoms during the study than those in other conditions. This effect appeared to be mediated by a greater focus on negative emotional expression during writing.

[1]  E. Murray,et al.  Cognitive and emotional changes in written essays and therapy interviews. , 1991 .

[2]  J. Pennebaker,et al.  Disclosure of Traumas and Immune Function: Health Implications for Psychotherapy. , 1988 .

[3]  J. Smyth,et al.  Written emotional expression: effect sizes, outcome types, and moderating variables. , 1998, Journal of consulting and clinical psychology.

[4]  B. Kolk,et al.  The Body Keeps The Score: , 2003 .

[5]  B. Rothbaum,et al.  Behavioral/cognitive conceptualizations of post-traumatic stress disorder , 1989 .

[6]  R. Tedeschi,et al.  Posttraumatic Growth: Future Directions , 1998 .

[7]  K J Petrie,et al.  Journal of Consulting and Clinical Psychology 1995, Vol , 2000 .

[8]  C. Langston,et al.  Capitalizing on and coping with daily-life events: Expressive responses to positive events. , 1994 .

[9]  G. Affleck,et al.  Causal attribution, perceived benefits, and morbidity after a heart attack: an 8-year study. , 1987, Journal of consulting and clinical psychology.

[10]  L. Sharp,et al.  Accelerating the coping process. , 1990, Journal of personality and social psychology.

[11]  S. Lepore,et al.  Journal of Personality and Social Psychology Expressive Writing Moderates the Relation between Intrusive Thoughts and Depressive Symptoms , 2022 .

[12]  D. A. Kenny,et al.  The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. , 1986, Journal of personality and social psychology.

[13]  C E Speicher,et al.  Marital quality, marital disruption, and immune function. , 1987, Psychosomatic medicine.

[14]  O. Hart,et al.  The intrusive past: The flexibility of memory and the engraving of trauma. , 1991 .

[15]  Thomas J. Scheff,et al.  Catharsis in healing, ritual, and drama , 1979 .

[16]  N. Schneiderman,et al.  Emotional disclosure through writing or speaking modulates latent Epstein-Barr virus antibody titers. , 1994, Journal of consulting and clinical psychology.

[17]  R. Tedeschi,et al.  The Posttraumatic Growth Inventory: measuring the positive legacy of trauma. , 1996, Journal of traumatic stress.

[18]  Milton E. Rosenbaum,et al.  Comment on a proposed two-stage theory of relationship formation: first, repulsion. Then, attraction , 1986 .

[19]  P. Costa,et al.  Neuroticism, somatic complaints, and disease: is the bark worse than the bite? , 1987, Journal of personality.

[20]  Christopher G. Davis,et al.  Making sense of loss and benefiting from the experience: two construals of meaning. , 1998, Journal of personality and social psychology.

[21]  Martha E. Francis,et al.  Journal of Personality and Social Psychology Linguistic Predictors of Adaptive Bereavement , 2022 .

[22]  S. Hollon,et al.  Cognitive factors in clinical research and practice , 1984 .

[23]  A. O'Leary,et al.  Stress, emotion, and human immune function. , 1990, Psychological bulletin.

[24]  J. Pennebaker,et al.  Confronting a traumatic event: toward an understanding of inhibition and disease. , 1986, Journal of abnormal psychology.

[25]  S. Cohen,et al.  Stress and immunity in humans: a meta‐analytic review. , 1993, Psychosomatic medicine.

[26]  T. Millon,et al.  Personality and social psychology , 2003 .

[27]  A. Stone,et al.  Emotional disclosure about traumas and its relation to health: effects of previous disclosure and trauma severity. , 1992, Journal of personality and social psychology.

[28]  M. Horowitz.  Stress response syndromes , 1976 .

[29]  Martha E. Francis,et al.  Cognitive, Emotional, and Language Processes in Disclosure , 1996 .

[30]  Charles R. Figley.  Stress Response Syndromes, 2nd ed , 1987 .

[31]  N. Schneiderman,et al.  Changes in cognitive coping strategies predict EBV-antibody titre change following a stressor disclosure induction. , 1994, Journal of psychosomatic research.

[32]  R. Janoff-Bulman.  Assumptive Worlds and the Stress of Traumatic Events: Applications of the Schema Construct , 1989 .

[33]  S. Lepore,et al.  Talking Facilitates Cognitive-Emotional Processes of Adaptation to an Acute Stressor , 2001 .

[34]  Shelley E. Taylor,et al.  Cognitive processing, discovery of meaning, CD4 decline, and AIDS-related mortality among bereaved HIV-seropositive men. , 1998, Journal of consulting and clinical psychology.

[35]  M. Antoni,et al.  Emotional and Cognitive Processing in a Trauma Disclosure Paradigm , 1999, Cognitive Therapy and Research.

[36]  A. Stone,et al.  Emotional expression and physical health: revising traumatic memories or fostering self-regulation? , 1996, Journal of personality and social psychology.