Sloan Denise M, Marx Brian P
Department of Psychology, Temple University, Philadelphia, PA 19122, USA.
J Consult Clin Psychol. 2004 Apr;72(2):165-75. doi: 10.1037/0022-006X.72.2.165.
The current study examined psychological and physical health outcomes of the written disclosure paradigm and the hypothesis that the principles of therapeutic exposure account for the beneficial effects of the paradigm. Participants were randomly assigned to either a written disclosure condition or a control condition. Reactivity to the writing sessions was examined using both subjective and physiological measures. Measures of psychological and physical health were completed before and 1 month after the sessions. Participants assigned to the disclosure condition reported fewer psychological and physical symptoms at follow-up compared with control participants, though reductions were clinically significant for only 1 outcome measure. Physiological activation to the 1st disclosure session was associated with reduced psychological symptoms at follow-up for disclosure participants. Subjective reports of emotional responding corresponded with physiological reactivity. Implications of these findings are discussed.
本研究考察了书面披露范式的心理和身体健康结果，以及治疗性暴露原则可解释该范式有益效果的假设。参与者被随机分配到书面披露组或对照组。使用主观和生理测量方法来检查对写作环节的反应。在写作环节之前和之后1个月完成心理和身体健康测量。与对照组参与者相比，被分配到披露组的参与者在随访时报告的心理和身体症状较少，不过只有一项结果测量的减少具有临床显著性。对于披露组参与者，第一次披露环节时的生理激活与随访时心理症状的减轻相关。情绪反应的主观报告与生理反应相对应。讨论了这些发现的意义。
