The secret life of pronouns: flexibility in writing style and physical health

The Moderating Role of Autonomy and Control on the Benefits of Written Emotion Expression

Two studies examined the hypothesis that relative to control motivation, autonomy motivation is associated with effective written expression and regulation, leading to positive emotional, physical, and cognitive outcomes over time. Participants viewed a Hiroshima—Nagasaki documentary in each of two sessions. Study 1 showed that dispositionally autonomous participants, particularly those who expressed, had positive well-being, energy, and memory after the second viewing. Study 2 explored benefits of situational motivation by priming autonomy and control. Results showed that dispositionally controlled individuals received the same benefits as autonomous individuals only when primed with autonomy and encouraged to express. Coding of writing content revealed that the benefits of autonomy were mediated by nondefensive and effective emotional processing, as reflected in greater use of self-referencing and cognitive mechanism words and lower use of concrete words. Results support the expectation that autonomy relates to effective expression and emotion regulation, leading to positive functioning over time.

The Use of Written Expression of Emotion Paradigm as a Tool to Reduce Stress among Indian International Students

The written emotional disclosure procedure, developed by Pennebaker and Beall in 1986, has been used as a therapeutic tool since its conception. The very act of getting the participants to write about the most traumatic or stressful events of their lives for about 20 minutes, over a period of three consecutive days, has resulted in improvements on measures of physical and psychological well-being. The objective of this study was to determine whether the written emotional disclosure procedure could be used as a tool to reduce stress among international university students. Baseline measures of perceived stress, alexithymia and limbic languidness of the participants were measured before and after the writing intervention procedure. The investigation found evidence to support the hypothesis that the written emotional expression procedure could be used as a tool to reduce perceived stress among university students. However, recommending the use of this method as a lone intervention still seems a little premature.

How do hostile and emotionally overinvolved relatives view relationships? What relatives' pronoun use tells us

Expressed emotion (EE) has been linked to negative outcomes for a variety of psychiatric illnesses. Despite development of effective interventions to reduce EE, relatively little is known about EE's antecedents or maintaining factors. The present study uses a novel methodology (measurement of pronouns used by relatives during the Camberwell Family Interview [CFI] or a problem-solving interaction with the patient) to explore possible cognitive correlates of EE. Participants were 98 outpatients with obsessive-compulsive disorder or panic disorder with agoraphobia and their primary relative. Results showed that relatives' pronoun use was stable across situations. Relatives' hostility and criticism, as measured by objective coding of relatives' behavior during the CFI and interactions, respectively, were related to relatives' decreased we-focus and increased me-focus in the 2 situations. In contrast to expectations, relatives' emotional overinvolvement was related to their decreased we-focus during CFIs and interactions. Results support the value of using pronouns as a means to explore important aspects of relationship functioning.

Misery is not miserly: sad and self-focused individuals spend more

Misery is not miserly: Sadness increases the amount of money that decision makers give up to acquire a commodity. The present research investigated when and why the misery-is-not-miserly effect occurs. Drawing on William James's concept of the material self, we tested a model specifying relationships among sadness, self-focus, and the amount of money that decision makers spend. Consistent with our Jamesian hypothesis, results demonstrated that the misery-is-not-miserly effect occurs only when self-focus is high. That is, self-focus moderates the effect of sadness on spending. Moreover, mediational analyses revealed that, at sufficiently high levels, self-focus mediates (explains) the relationship between sadness and spending. Because the study used real commodities and real money, the results hold implications for everyday decisions, as well as implications for the development of theory. For example, economic theories of spending may benefit from incorporating psychological theories -- specifically, theories of emotion and the self -- into their models.

Emotional disclosure through patient narrative may improve pain and well-being: results of a randomized controlled trial in patients with cancer pain

Narrative medicine is based upon physicians' awareness of patients' narration of their suffering, their hopes, and how illness has affected them. It offers a model for improving health outcomes. To determine whether incorporating a narrative approach in patients with cancer decreases pain intensity and improves their global sense of well-being, we performed a randomized, single-blind controlled trial in adult patients with cancer and average pain intensity levels of at least 5/10. Two hundred thirty-four patients were randomized into three groups: (1) narrative (n=79), in which patients wrote a story about how cancer affected their lives for at least 20 minutes once a week for three weeks; (2) questionnaire (n=77), in which patients filled out the McGill Pain Questionnaire; and (3) control (n=78), in which patients came weekly to medical visits during which they received usual customary care. Patients rated their pain on a 0-10 scale and their well-being on a seven-point Likert scale weekly for eight weeks. Two raters independently evaluated the emotional content of the narratives. Pain intensity and sense of well-being were similar in all groups before and after treatment. Subgroup analyses showed that patients whose narratives had high emotional disclosure had significantly less pain and reported higher well-being scores than patients whose narratives were less emotional. Further study is needed to demonstrate whether the implementation of narrative medicine is associated with health benefits in this and other contexts.

The efficacy of symbolic modeling and vicarious reinforcement in increasing coping-method adherence

The aim of this study was to test a method of increasing adherence to a coping method assignment in individuals interested in reducing stress. Eighty university students and 48 adult nonstudents were asked to write about their emotions for 15 minutes per day over 3 days. Participants were randomly assigned to experimental or control conditions, with the experimental manipulation being an adherence intervention involving symbolic modeling and vicarious reinforcement. A word count and self-report measures showed significantly higher adherence in the adherence intervention group. Additionally, the adherence intervention group showed significantly more reduction in distress than the writing instructions only group. Finally, the amount of adherence was significantly associated with amount of reduction in self-reported distress. The results provide the first evidence of the efficacy of symbolic modeling and vicarious reinforcement in increasing the use and clinical benefits of a recommended coping method.

Expressive writing for high-risk drug dependent patients in a primary care clinic: a pilot study

BACKGROUND

Previous research has shown that expressive writing is beneficial in terms of both physical and emotional health outcomes. This study aimed to investigate the effectiveness and acceptability of a brief expressive writing intervention for high-risk drug dependent patients in a primary care clinic, and to determine the relationship between linguistic features of writing and health outcomes.

METHODS

Participants completed four 15-minute expressive writing tasks over a week, in which they described their thoughts and feelings about a recent stressful event. Self-report measures of physical (SF-12) and psychological health (DASS-21) were administered at baseline and at a two-week follow-up. Fifty-three participants were recruited and 14 (26%) completed all measures.

RESULTS

No statistically significant benefits in physical or psychological health were found, although all outcomes changed in the direction of improvement. The intervention was well-received and was rated as beneficial by participants. The use of more positive emotion words in writing was associated with improvements in depression and stress, and flexibility in first person pronoun use was associated with improvements in anxiety. Increasing use of cognitive process words was associated with worsening depressive mood.

CONCLUSION

Although no significant benefits in physical and psychological health were found, improvements in psychological wellbeing were associated with certain writing styles and expressive writing was deemed acceptable by high-risk drug dependent patients. Given the difficulties in implementing psychosocial interventions in this population, further research using a larger sample is warranted.

Content validity and the language of breathing

OBJECTIVE

The study objective was to validate the content validity of natural language words and phrases selected from participant logs as breathing-intensity descriptors.

DESIGN AND SETTING

A descriptive design was implemented using data collected in a prior study in which the breathing-intensity descriptors had been identified.

METHODS

Content validity was used to rate natural language breathing-intensity descriptors. Six seasoned nurses with a minimum of master's preparation served as the expert panel. On the basis of a 4-point (0-3) scale, mean scores were calculated for natural language breathing-intensity descriptors. Content validity was established for mean scores greater than 1.0.

RESULTS

A total of 66 (89%) natural language breathing-intensity descriptors were validated. The experts did not validate eight descriptors that described the lower end of breathing intensity.

CONCLUSIONS

Natural language breathing-intensity descriptors were validated. The highest validation scores were achieved with breathing-intensity descriptors at the upper end of the breathing-intensity spectrum. However, words and phrases that aligned with the lower end of the spectrum generated lower content validity scores. This was an unexpected finding on the full spectrum of breathing intensity that raised questions about differences in language, meaning, and significance between participants and experts.

Randomized pilot of a self-guided internet coping group for women with early-stage breast cancer

BACKGROUND

Internet-based methods for provision of psychological support and intervention to cancer survivors hold promise for increasing the public impact of such treatments.

PURPOSE

The goal of this controlled pilot study was to examine the effect and potential mechanisms of action of a self-guided, Internet-based coping-skills training group on quality of life outcomes in women with early-stage breast cancer.

METHODS

Sixty-two women completed baseline evaluations and were randomized into either a small online coping group or a waiting-list control condition.

RESULTS

No main effects for treatment were observed at the 12-week follow up. However, there was a significant interaction between baseline self-reported health status and treatment, such that women with poorer self-perceived health status showed greater improvement in perceived health over time when assigned to the treatment condition. Linguistic analyses revealed that positive changes across quality of life variables were associated with greater expression of negative emotions such as sadness and anxiety, greater cognitive processing, and lower expression of health-related concerns.

CONCLUSIONS

These results demonstrate the potential efficacy of self-guided Internet coping groups while highlighting the limitations of such groups.

Pronouns in Marital Interaction: What Do "You" and "I" Say About Marital Health?

Recent studies in social psychology have found that the frequency of certain words in people's speech and writing is related to psychological aspects of their personal health. We investigated whether counts of "self" and "other" pronouns used by 59 couples engaged in a problem-solving discussion were related to indices of marital health. One spouse in each couple had a diagnosis of obsessive-compulsive disorder or panic disorder with agoraphobia; 50% of the patients and 40% of their spouses reported marital dissatisfaction. Regardless of patients' diagnostic status, spouses who used more second-person pronouns were more negative during interactions, whereas those who used more first-person plural pronouns produced more positive problem solutions, even when negative behavior was statistically controlled. Moreover, use of first-person singular pronouns was positively associated with marital satisfaction. These findings suggest that pronouns used by spouses during conflict-resolution discussions provide insight into the quality of their interactions and marriages.

“A Picture’s Worth a Thousand Words”: Language Use in the Autophotographic Essay

The authors applied Pennebaker’s Linguistic Inquiry and Word Count (LIWC) program to autophotographic essays addressing the question, “Who are you?” to test hypotheses about individuality and social connectedness. Specifically, the authors tested whether insight-oriented words would correlate with individuality ratings, defining essays that portray unique persons who creatively explore the self. Second, the authors tested whether connectedness, operationalized by photos of people-touching and self with others, would correlate with social process words. In 164 student photo essays, greater linguistic cognitive complexity characterized individuality, even when controlling for needs for cognition and uniqueness, and verbal intelligence. Connectedness predicted social words. These findings show that autophotography essays do capture complex self-reflective thought and suggest LIWC may be a valuable tool for understanding the expression of individuality and relatedness.