Characteristics of secrets and the frequency, reasons and effects of secrets keeping and disclosure

Factors promoting greater preoccupation with a secret

The secrets that are most taxing to one's health and well-being are those that are the most preoccupying to the secret-keeper. However, it is currently unclear what makes a secret preoccupying. We conducted a four-wave longitudinal study to assess four factors that should contribute to one's degree of preoccupation with a secret kept from one's spouse/romantic partner: perceived cost of revealing the secret, frequency of cues, fear of discovery, and individual differences in self-concealment. Multilevel modelling of data from an online sample of 143 adults (51% women, 49% men; M_age  = 39.9, SD = 9.3) keeping a secret from their spouse/partner indicated that all four factors independently and positively predict greater preoccupation with a secret. Further, the first three factors also significantly predicted how preoccupied one would be with one's secret two weeks later, taking into account how preoccupied one was with the secret at present. We conclude that the characteristics of the secret, as well as the secret-keeper, can contribute to how preoccupying a secret is to an individual.

Benefits of Expressive Writing on Healthcare Workers' Psychological Adjustment During the COVID-19 Pandemic

COVID-19 outbroke in Wuhan, China, in December 2019 and promptly became a pandemic worldwide, endangering health and life but also causing mild-to-severe psychological distress to lots of people, including healthcare workers (HCWs). Several studies have already showed a high prevalence of depression, anxiety, and post-traumatic symptoms in HCWs but less is known about the efficacy of psychological interventions for relieving their mental distress. The aims of this study were: (1) to evaluate the psychological adjustment of Italian HCWs during the COVID-19 pandemic; (2) to investigate the efficacy of an expressive writing (EW) intervention, based on Pennebaker's paradigmatic protocol, on their psychological adjustment; (3) to analyze if outcomes of EW vary in function of individual differences (age, gender, marital status, and baseline values of symptoms). Fifty-five HCWs were randomly assigned to one of two writing conditions: EW (n = 30) or neutral writing (NW; n = 25). Psychological adjustment (in terms of ptsd, depression and global psychopathology's symptoms, perceived social support, and resilience) was assessed before and after three writing sessions. Participants who received the EW intervention showed higher improvements in ptsd, depression, and global psychopathology symptoms. Improvements in EW group varied in function of age, gender, marital status, and baseline values: young, men, married participants and those who had higher baseline scores showed a higher reduction of psychological distress symptoms while women, single and those who had lower baseline value showed increased social support, and resilience. In conclusion, the EW intervention had positive effects which varied in function of individual differences on HCWs' psychological health.

Concealing former identity to be accepted after the demobilization process in Colombia: A real reintegration in a post conflict scenario?

Disarmament, demobilization and reintegration (DDR) processes underlie the issue of the adaptation of former combatants into civilian life, as well as their acceptance by the civilian population. In an ongoing conflict scenario like Colombia’s, some factors such as civilian hostility and discrimination can lead former combatants to opt for defensive strategies such as concealing their former identity or taking up arms again. Until 2016, 58’000 combatants tried to rebuild their lives in civil society under a process where concealing their former combatant identity was necessary for reintegration. This paper contributes with original data on concealing identities in DDR processes, from a field study conducted in 2014 in Colombia with former members of guerrillas’ group (FARC and ELN) and paramilitaries’ group (AUC) in four different regions in the country (N = 201). We study the factors that determine concealing the former combatant identity and its effects on reintegration. The voluntary demobilization and the pride of having belonged to an armed group decrease the frequency of concealing the former identity. Otherwise, a hostile civilian community’s reception increases the level of concealing. Contrary to literature on intragroup relations and on social reintegration and reconciliation, our results reveal that concealing one’s past seems to indirectly permit a better integration, with a higher identification with civilian life. Results are discussed with reference to social identity theory, reintegration, and reconciliation literature, regarding the limits of reintegration processes in an ongoing conflict scenario.

Exploring a Contextual Model of Sexual Self-Disclosure and Sexual Satisfaction

Sexual self-disclosure is a critical component of relationship and sexual satisfaction, yet little is known about the mechanisms that facilitate a person's engagement in sexual self-disclosure. Individuals (N = 265) involved in romantic relationships participated in an online study testing a contextual model of sexual self-disclosure across three contexts: relationship context, sexual self-disclosure context, and outcome of sexual self-disclosure. Results suggest that sexual satisfaction was predicted by a positive relationship context and a positive sexual self-disclosure context. In addition, the sexual self-disclosure context was predicted by the relationship context. These findings emphasize the importance of examining contextual influences that determine whether an individual will engage in or avoid sexual self-disclosure and the consequences of this engagement or avoidance on sexual satisfaction.

Wanna Hear a Secret?: The Burden of Secret Concealment in Personal Relationships From the Confidant's Perspective

The current study assessed the burden associated with secret-keeping from confidants’ perspective. We proposed a cognition-affect-relationship model to explicate the interrelations between intra- and interpersonal consequences of confidants’ secret concealment. A total of 231 participants (Mage = 32.6 years) completed a survey on their experiences in keeping secrets for a close relational partner. A path model was conducted to test all hypotheses simultaneously. Results indicated that secret importance, valence, and negative face threat served as indicators of cognitive burden regarding secret-keeping. As predicted, cognitive burden was positively associated with negative affect. In addition, negative affect mediated the association between cognitive burden and relationship satisfaction, whereas secret characteristics were directly related to relational distancing. Overall, examining confidant burden provides insights on how secret-keeping might affect individuals and their relationships.

Relieving the Burdens of Secrecy

Recent work demonstrates that harboring secrets influences perceptual judgments and actions. Individuals carrying secrets make judgments consistent with the experience of being weighed down, such as judging a hill as steeper and judging distances to be farther. In the present article, two studies examined whether revealing a secret would relieve the burden of secrecy. Relative to a control condition, thinking about a secret led to the judgments of increased hill slant, whereas revealing a secret eliminated that effect (Study 1). Additionally, relative to a control condition, thinking about a secret led to judgments of increased distance, and again, revealing a secret eliminated that effect (Study 2). Sharing secrets with others might relieve the perceived physical burden from secrecy.

Barriers to mental health care: perceived delivery system differences

Treatment barriers have prompted the development of new models of care. Distance delivery systems bridge the access gap, increasing service availability. Understanding differences between systems can inform system improvements. Sixty participants from the Strongest Families telephone intervention for child behavior difficulties participated. Participants completed a questionnaire to explore differences in perceived treatment barriers (Treatment Barriers Index-TBI) and therapeutic processes (eg, therapeutic alliance, self-disclosure, health outcome) between face-to-face versus distance treatment. The TBI scale has strong internal reliability (Cronbach α: 0.95 [face-to-face]; 0.90 [distance]). Statistically significant differences were found between delivery system TBI mean scores, indicating fewer barriers with distance treatment. Therapeutic process differences between delivery modes suggest enhanced therapeutic alliance and self-disclosure scores with distance treatment. Increased access, convenience, and sense of privacy (visual anonymity) offered by a distance delivery system may provide an enhanced experience for some individuals.

Introducing abortion patients to a culture of support: a pilot study

Currently in the United States, women who have abortions face a societal culture in which disapproval, stigma, and misinformation about the risks and sequelae of abortion are common. The purpose of this study is to pilot test an intervention that introduces abortion patients to a "culture of support" by providing validating messages and information about groups and services that support women in their reproductive decisions, addressing stigma, and providing information to help women identify and avoid sources of abortion misinformation. Twenty-two women who completed their post-operative exam after abortion were enrolled to take part in the study intervention. In-depth interviews were conducted to explore patient experiences and responses to the intervention. All (22/22) participants responded that they believed that interventions like the one studied could help women avoid letting the judgmental actions and attitudes of others "get to them so much". All (20/20) participants felt that the intervention was personally helpful to them. An intervention that introduces women having abortions to a "culture of support" was well-received. This study provides a framework for future research about the content, strength, and effect of societal and cultural influences on women having abortions and for additional research about interventions to promote resilience after abortion.

Keepers of the secret: desires to conceal a family member's HIV-positive status in Namibia, Africa

When people learn that they have tested positive for HIV, they may share their news with a family member; and this family listener may want them to keep their diagnosis a secret. This study extends privacy management research (e.g., Petronio, 2002) by investigating variables related to family members' desires to keep HIV-status secrets. Two studies, 2 years apart, included adult-respondents (N = 1,358) in northern Namibia, where HIV is prevalent. Two factors predicted potential co-owners' desires to keep a family member's HIV-positive status secret: (a) the sense of an environment inappropriate for disclosure, and (b) a lack of efficacy to oppose it. These findings suggest that many factors translated from disclosers to co-owners and from (primarily) Western studies of disclosure to southern Africa. From this investigation, one might consider the contexts that redistribute power so that confidants may limit discloser's rights to share his or her own information.