Skip to main content
Erschienen in: Journal of Behavioral Medicine 4/2006

01.08.2006

Self-Report and Linguistic Indicators of Emotional Expression in Narratives as Predictors of Adjustment to Cancer

verfasst von: Jason E. Owen, Janine Giese-Davis, Matt Cordova, Carol Kronenwetter, Mitch Golant, David Spiegel

Erschienen in: Journal of Behavioral Medicine | Ausgabe 4/2006

Einloggen, um Zugang zu erhalten

Abstract

Emotional expression and cognitive efforts to adapt to cancer have been linked to better psychological adjustment. However, little is known about the relationship between linguistic indicators of emotional and cognitive coping efforts and corresponding self-report measures of related constructs. In this study, we sought to evaluate the interrelationships between self-reports of emotional suppression and linguistic indicators of emotional and cognitive coping efforts in those living with cancer. Seventy-one individuals attending a community cancer support group completed measures of emotional suppression and mood disturbance and provided a written narrative describing their cancer experience. Self-reports of emotional suppression were associated with more rather than less distress. Although linguistic indicators of both emotional expression and cognitive processing were generally uncorrelated with self-report measures of emotional suppression and mood disturbance, a significant interaction was observed between emotional suppression and use of cognitive words on mood disturbance. Among those using higher levels of emotional suppression, increasing use of cognitive words was associated with greater levels of mood disturbance. These findings have implications for a) the therapeutic use of emotion in psychosocial interventions and b) the use of computer-assisted technologies to conduct content analysis.
Literatur
Zurück zum Zitat Alpers, G. W., Winzelberg, A. J., Classen, C., Roberts, H., Dev, P., Koopman, C., and Taylor, C. B. (2005). Evaluation of computerized text analysis in an Internet breast cancer support group. Comp. Human Behav. 21: 343–358.CrossRef Alpers, G. W., Winzelberg, A. J., Classen, C., Roberts, H., Dev, P., Koopman, C., and Taylor, C. B. (2005). Evaluation of computerized text analysis in an Internet breast cancer support group. Comp. Human Behav. 21: 343–358.CrossRef
Zurück zum Zitat Cassileth, B. R., Lusk, E. J., Brown, L. L., and Cross, P. A. (1985). Psychosocial status of cancer patients and next of kin: Normative data from the Profile of Mood States. J. Psychosoc. Oncol. 3: 99–105.CrossRef Cassileth, B. R., Lusk, E. J., Brown, L. L., and Cross, P. A. (1985). Psychosocial status of cancer patients and next of kin: Normative data from the Profile of Mood States. J. Psychosoc. Oncol. 3: 99–105.CrossRef
Zurück zum Zitat Cella, D. F., Tross, S., and Orav, E. J. (1989). Mood states of patients after the diagnosis of cancer. J. Psychosoc. Oncol. 7: 45–54.CrossRef Cella, D. F., Tross, S., and Orav, E. J. (1989). Mood states of patients after the diagnosis of cancer. J. Psychosoc. Oncol. 7: 45–54.CrossRef
Zurück zum Zitat Classen, C., Koopman, C., Angell, K., and Spiegel, D. (1996). Coping styles associated with psychological adjustment to advanced breast cancer. Health Psychol. 15: 434–437.PubMedCrossRef Classen, C., Koopman, C., Angell, K., and Spiegel, D. (1996). Coping styles associated with psychological adjustment to advanced breast cancer. Health Psychol. 15: 434–437.PubMedCrossRef
Zurück zum Zitat Classen, C., Butler, L. D., Koopman, C., Miller, E., DiMiceli, S., Giese-Davis, J., et al. (2001). Supportive-expressive group therapy reduces distress in metastatic breast cancer patients: A randomized clinical intervention trial. Arch. Gen. Psychiat. 58: 494–501.PubMedCrossRef Classen, C., Butler, L. D., Koopman, C., Miller, E., DiMiceli, S., Giese-Davis, J., et al. (2001). Supportive-expressive group therapy reduces distress in metastatic breast cancer patients: A randomized clinical intervention trial. Arch. Gen. Psychiat. 58: 494–501.PubMedCrossRef
Zurück zum Zitat Cohen, J., Cohen, P., West, S. G., and Aiken, L. S. (2003). Applied multiple regression/correlation analysis for the behavioral sciences (3rd ed.) Lawrence Erlbaum Associates: Mahwah, NJ. Cohen, J., Cohen, P., West, S. G., and Aiken, L. S. (2003). Applied multiple regression/correlation analysis for the behavioral sciences (3rd ed.) Lawrence Erlbaum Associates: Mahwah, NJ.
Zurück zum Zitat Cohn, M. A., Mehl, M. R., and Pennebaker, J. W. (2004). Linguistic markers of psychological change surrounding September 11, 2001. Psychol. Sci. 15: 687–693.PubMedCrossRef Cohn, M. A., Mehl, M. R., and Pennebaker, J. W. (2004). Linguistic markers of psychological change surrounding September 11, 2001. Psychol. Sci. 15: 687–693.PubMedCrossRef
Zurück zum Zitat Cordova, M. J., Giese-Davis, J., Golant, M., Kronnenwetter, C., Chang, V., McFarline, S., et al. (2003). Mood disturbance in community cancer support groups: The role of emotional suppression and fighting spirit. J. Psychosom. Res. 55: 461–467.PubMedCrossRef Cordova, M. J., Giese-Davis, J., Golant, M., Kronnenwetter, C., Chang, V., McFarline, S., et al. (2003). Mood disturbance in community cancer support groups: The role of emotional suppression and fighting spirit. J. Psychosom. Res. 55: 461–467.PubMedCrossRef
Zurück zum Zitat Creamer, M., Burgess, P., and Pattison, P. (1992). Reactions to trauma: A cognitive processing model. J. Abnorm. Psychol. 101: 452–459.PubMedCrossRef Creamer, M., Burgess, P., and Pattison, P. (1992). Reactions to trauma: A cognitive processing model. J. Abnorm. Psychol. 101: 452–459.PubMedCrossRef
Zurück zum Zitat Esterling, B. A., L’Abate, L., Murray, E. J., and Pennebaker, J. W. (1999). Empirical foundations for writing in prevention and psychotherapy: Mental and physical health outcomes. Clinical Psychol. Rev. 19: 79–96.CrossRef Esterling, B. A., L’Abate, L., Murray, E. J., and Pennebaker, J. W. (1999). Empirical foundations for writing in prevention and psychotherapy: Mental and physical health outcomes. Clinical Psychol. Rev. 19: 79–96.CrossRef
Zurück zum Zitat Fobair, P., Koopman, C., Dimiceli, S., O’Hanlan, K., Butler, L. D., Classen, C., Drooker, N., Davids, H. R., Loulan, J., Wallsten, D., and Spiegel, D. (2002). Psychosocial intervention for lesbians with primary breast cancer. Psycho. Oncol. 11: 427–438.CrossRef Fobair, P., Koopman, C., Dimiceli, S., O’Hanlan, K., Butler, L. D., Classen, C., Drooker, N., Davids, H. R., Loulan, J., Wallsten, D., and Spiegel, D. (2002). Psychosocial intervention for lesbians with primary breast cancer. Psycho. Oncol. 11: 427–438.CrossRef
Zurück zum Zitat Folkman, S., and Greer, S. (2000). Promoting psychological well-being in the face of serious illness: When theory, research and practice inform each other. Psycho. Oncol. 9: 11–19.CrossRef Folkman, S., and Greer, S. (2000). Promoting psychological well-being in the face of serious illness: When theory, research and practice inform each other. Psycho. Oncol. 9: 11–19.CrossRef
Zurück zum Zitat Giese-Davis, J., Koopman, C., Butler, L. D., Classen, C., Cordova, M., Fobair, P., Benson, J., Kraemer, H. C., and Spiegel, D. (2002). Change in emotion-regulation strategy for women with metastatic breast cancer following supportive-expressive group therapy. J. Consult. Clin. Psychol. 70: 916–925.PubMedCrossRef Giese-Davis, J., Koopman, C., Butler, L. D., Classen, C., Cordova, M., Fobair, P., Benson, J., Kraemer, H. C., and Spiegel, D. (2002). Change in emotion-regulation strategy for women with metastatic breast cancer following supportive-expressive group therapy. J. Consult. Clin. Psychol. 70: 916–925.PubMedCrossRef
Zurück zum Zitat Giese-Davis, J., Koopman, C., Butler, L. D., Joss, J., Classen, C., Roberts, J., Rosenbluth, R., Morrow, G. R., and Spiegel, D. (2004). The Stanford Emotional Self-Efficacy Scale–Cancer: Reliability, validity, and generalizability. In Nyklícek, I., Temoshok, L., and Vingerhoets, A. (Eds.), Emotional expression and health: advances in theory, assessment and clinical applications: Hove (pp. 204–222). UK and New York; Brunner-Routledge. Giese-Davis, J., Koopman, C., Butler, L. D., Joss, J., Classen, C., Roberts, J., Rosenbluth, R., Morrow, G. R., and Spiegel, D. (2004). The Stanford Emotional Self-Efficacy Scale–Cancer: Reliability, validity, and generalizability. In Nyklícek, I., Temoshok, L., and Vingerhoets, A. (Eds.), Emotional expression and health: advances in theory, assessment and clinical applications: Hove (pp. 204–222). UK and New York; Brunner-Routledge.
Zurück zum Zitat Giese-Davis, J., Piemme, K. A., Dillon, C., and Twirbutt, S. (2005). Macro-variables in affective expression in women with breast cancer participating in support groups. In Harrigan, J., Scherer, K. R., and Rosenthal, R. (Eds.), Nonverbal behavior in the affective sciences: A handbook of research methods (pp. 399–445). Oxford: Oxford University Press. Giese-Davis, J., Piemme, K. A., Dillon, C., and Twirbutt, S. (2005). Macro-variables in affective expression in women with breast cancer participating in support groups. In Harrigan, J., Scherer, K. R., and Rosenthal, R. (Eds.), Nonverbal behavior in the affective sciences: A handbook of research methods (pp. 399–445). Oxford: Oxford University Press.
Zurück zum Zitat Giese-Davis, J., and Spiegel, D. (2003). Emotional expression and cancer progression. In Davidson, R. J., Scherer, K. R., and Hill Goldsmith, H. (Eds.), Handbook of affective sciences (pp. 1053–1082). Oxford: Oxford University Press. Giese-Davis, J., and Spiegel, D. (2003). Emotional expression and cancer progression. In Davidson, R. J., Scherer, K. R., and Hill Goldsmith, H. (Eds.), Handbook of affective sciences (pp. 1053–1082). Oxford: Oxford University Press.
Zurück zum Zitat Greenberg, L. S., Rice, L. N., and Elliott, R. (1993). Facilitating emotional change: The moment-by-moment process. New York: The Guilford Press. Greenberg, L. S., Rice, L. N., and Elliott, R. (1993). Facilitating emotional change: The moment-by-moment process. New York: The Guilford Press.
Zurück zum Zitat Gross, J. (1989). Emotional expression in cancer onset and progression. Soc. Sci. Med. 28: 1239–1248.PubMedCrossRef Gross, J. (1989). Emotional expression in cancer onset and progression. Soc. Sci. Med. 28: 1239–1248.PubMedCrossRef
Zurück zum Zitat Ho, S. M., Chan, C. L. W., and Ho, R. T. H. (2004). Posttraumatic growth in Chinese cancer survivors. Psycho. Oncol. 13: 377–389.CrossRef Ho, S. M., Chan, C. L. W., and Ho, R. T. H. (2004). Posttraumatic growth in Chinese cancer survivors. Psycho. Oncol. 13: 377–389.CrossRef
Zurück zum Zitat Horowitz, M. J. (1997). Stress response syndromes (3rd ed.). New York: Aronson. Horowitz, M. J. (1997). Stress response syndromes (3rd ed.). New York: Aronson.
Zurück zum Zitat Katz, R. C., Flasher, L., Cacciapaglia, H., and Nelson, S. (2001). The psychosocial impact of cancer and lupus: A cross-validational study that extends the generality of “benefit-finding” in patients with chronic disease. J. Behav. Med. 24: 561–571.PubMedCrossRef Katz, R. C., Flasher, L., Cacciapaglia, H., and Nelson, S. (2001). The psychosocial impact of cancer and lupus: A cross-validational study that extends the generality of “benefit-finding” in patients with chronic disease. J. Behav. Med. 24: 561–571.PubMedCrossRef
Zurück zum Zitat Klemm, P., Hurst, M., Dearholt, S. L., and Trone, S. R. (1999). Gender differences on Internet cancer support groups. Comp. Nurs. 17: 65–72. Klemm, P., Hurst, M., Dearholt, S. L., and Trone, S. R. (1999). Gender differences on Internet cancer support groups. Comp. Nurs. 17: 65–72.
Zurück zum Zitat Kraemer, H. C., and Blasey, C. M. (2004). Centring in regression analyses: A strategy to prevent errors in statistical inference. Int. J. Meth. Psychiat. Res. 13(3): 141–151.CrossRef Kraemer, H. C., and Blasey, C. M. (2004). Centring in regression analyses: A strategy to prevent errors in statistical inference. Int. J. Meth. Psychiat. Res. 13(3): 141–151.CrossRef
Zurück zum Zitat Kring, A. M., Smith, D. A., and Neale, J. M. (1994). Individual differences in dispositional expressiveness: Development and validation of the Emotional Expressivity Scale. J. Pers. Soc. Psychol. 66: 934–949.PubMedCrossRef Kring, A. M., Smith, D. A., and Neale, J. M. (1994). Individual differences in dispositional expressiveness: Development and validation of the Emotional Expressivity Scale. J. Pers. Soc. Psychol. 66: 934–949.PubMedCrossRef
Zurück zum Zitat Krippendorf, K. (2004). Content analysis. Thousand Oaks, CA: Sage Publications. Krippendorf, K. (2004). Content analysis. Thousand Oaks, CA: Sage Publications.
Zurück zum Zitat Lazarus, R. S., and Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer. Lazarus, R. S., and Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.
Zurück zum Zitat Low, C. A., Stanton, A. L., and Danoff-Burg, S. (2006). Expressive disclosure and benefit-finding among breast cancer patients: Mechanisms for positive health effects. Health Psychol. 25: 181–189.PubMedCrossRef Low, C. A., Stanton, A. L., and Danoff-Burg, S. (2006). Expressive disclosure and benefit-finding among breast cancer patients: Mechanisms for positive health effects. Health Psychol. 25: 181–189.PubMedCrossRef
Zurück zum Zitat Manne, S., Ostroff, J., Winkel, G., Goldstein, L., Fox, K., and Grana, G. (2004). Posttraumatic growth after breast cancer: Patient, partner, and couple perspectives. Psychosom. Med. 66: 442–454.PubMedCrossRef Manne, S., Ostroff, J., Winkel, G., Goldstein, L., Fox, K., and Grana, G. (2004). Posttraumatic growth after breast cancer: Patient, partner, and couple perspectives. Psychosom. Med. 66: 442–454.PubMedCrossRef
Zurück zum Zitat McNair, D. M., Lorr, M., and Droppleman, L. F. (1992). Edits manual for the Profile of Mood States. San Diego: Educational and Industrial Testing Service. McNair, D. M., Lorr, M., and Droppleman, L. F. (1992). Edits manual for the Profile of Mood States. San Diego: Educational and Industrial Testing Service.
Zurück zum Zitat Owen, J. E., Klapow, J. C., Roth, D. L., and Tucker, D. C. (2004). Use of the internet for information and support: Disclosure among persons with breast and prostate cancer. J. Behav. Med. 27: 491–505.PubMedCrossRef Owen, J. E., Klapow, J. C., Roth, D. L., and Tucker, D. C. (2004). Use of the internet for information and support: Disclosure among persons with breast and prostate cancer. J. Behav. Med. 27: 491–505.PubMedCrossRef
Zurück zum Zitat Pennebaker, J. W., and Francis, M. E. (1999). Linguistic Inquiry and Word Count. Mahwah, NJ: Erlbaum. Pennebaker, J. W., and Francis, M. E. (1999). Linguistic Inquiry and Word Count. Mahwah, NJ: Erlbaum.
Zurück zum Zitat Pennebaker, J. W., and King, L. A. (1999). Linguistic styles: Language use as an individual difference. J. Pers. Soc. Psychol. 77: 1296–1312.PubMedCrossRef Pennebaker, J. W., and King, L. A. (1999). Linguistic styles: Language use as an individual difference. J. Pers. Soc. Psychol. 77: 1296–1312.PubMedCrossRef
Zurück zum Zitat Schmidt, J. E., and Andrykowski, M. A. (2004). The role of social and dispositional variables associated with emotional processing in adjustment to breast cancer: An internet-based study. Health Psychol. 23: 249–266.CrossRef Schmidt, J. E., and Andrykowski, M. A. (2004). The role of social and dispositional variables associated with emotional processing in adjustment to breast cancer: An internet-based study. Health Psychol. 23: 249–266.CrossRef
Zurück zum Zitat Stanton, A. L., Danoff-Burg, S., Cameron, C. L., Bishop, M., Collins, C. A., Kirk, S. B., Sworowski, L. A., and Twillman, R. (2000). Emotionally expressive coping predicts psychological and physical adjustment to breast cancer. J. Consult. Clin. Psychol. 68: 875–882.PubMedCrossRef Stanton, A. L., Danoff-Burg, S., Cameron, C. L., Bishop, M., Collins, C. A., Kirk, S. B., Sworowski, L. A., and Twillman, R. (2000). Emotionally expressive coping predicts psychological and physical adjustment to breast cancer. J. Consult. Clin. Psychol. 68: 875–882.PubMedCrossRef
Zurück zum Zitat Stanton, A. L., Danoff-Burg, S., Sworowski, L. A., Collins, C. A., Branstetter, A. D., Rodriguez-Hanley, A., Kirk, S. B., and Austenfeld, J. L. (2002). Randomized, controlled trial of written emotional expression and benefit finding in breast cancer. J. Clin. Oncol. 20: 4160–4168.PubMedCrossRef Stanton, A. L., Danoff-Burg, S., Sworowski, L. A., Collins, C. A., Branstetter, A. D., Rodriguez-Hanley, A., Kirk, S. B., and Austenfeld, J. L. (2002). Randomized, controlled trial of written emotional expression and benefit finding in breast cancer. J. Clin. Oncol. 20: 4160–4168.PubMedCrossRef
Zurück zum Zitat Stemler, S. (2001). An overview of content analysis. Prac. Assess. Res. Eval. 7: 17. Stemler, S. (2001). An overview of content analysis. Prac. Assess. Res. Eval. 7: 17.
Zurück zum Zitat Temoshok, L. (1987). Personality, coping style, emotion, and cancer: Towards an integrative model. Can. Surv. 6: 545– 567. Temoshok, L. (1987). Personality, coping style, emotion, and cancer: Towards an integrative model. Can. Surv. 6: 545– 567.
Zurück zum Zitat Trierweiler, L. I., Eid, M., and Lischetzke, T. (2002). The structure of emotional expressivity: Each emotion counts. J. Pers. Soc. Psychol. 82: 1023–1040.PubMedCrossRef Trierweiler, L. I., Eid, M., and Lischetzke, T. (2002). The structure of emotional expressivity: Each emotion counts. J. Pers. Soc. Psychol. 82: 1023–1040.PubMedCrossRef
Zurück zum Zitat Urcuyo, K. R., Boyers, A. E., Carver, C. S., and Antoni, M. H. (2005). Finding benefit in breast cancer: Relations with personality, coping, and concurrent well-being. Psychol. Health 20: 175–192.CrossRef Urcuyo, K. R., Boyers, A. E., Carver, C. S., and Antoni, M. H. (2005). Finding benefit in breast cancer: Relations with personality, coping, and concurrent well-being. Psychol. Health 20: 175–192.CrossRef
Zurück zum Zitat Watson, M., and Greer, S. (1983). Development of a questionnaire measure of emotional control. J. Psychosom. Res. 27: 299–305.PubMedCrossRef Watson, M., and Greer, S. (1983). Development of a questionnaire measure of emotional control. J. Psychosom. Res. 27: 299–305.PubMedCrossRef
Zurück zum Zitat Weihs, K. L., Enright, T. M., Simmens, S. J., and Reiss, D. (2000). Negative affectivity, restriction of emotions, and site of metastases predict mortality in recurrent breast cancer. J. Psychosom. Res. 49: 59–68.PubMedCrossRef Weihs, K. L., Enright, T. M., Simmens, S. J., and Reiss, D. (2000). Negative affectivity, restriction of emotions, and site of metastases predict mortality in recurrent breast cancer. J. Psychosom. Res. 49: 59–68.PubMedCrossRef
Zurück zum Zitat Zakowski, S. G., Ramati, A., Morton, C., Johnson, P., and Flanigan, R. (2004). Written emotional disclosure buffers the effects of social constraints on distress among cancer patients. Health Psychol. 23: 555–563.PubMedCrossRef Zakowski, S. G., Ramati, A., Morton, C., Johnson, P., and Flanigan, R. (2004). Written emotional disclosure buffers the effects of social constraints on distress among cancer patients. Health Psychol. 23: 555–563.PubMedCrossRef
Metadaten
Titel
Self-Report and Linguistic Indicators of Emotional Expression in Narratives as Predictors of Adjustment to Cancer
verfasst von
Jason E. Owen
Janine Giese-Davis
Matt Cordova
Carol Kronenwetter
Mitch Golant
David Spiegel
Publikationsdatum
01.08.2006
Verlag
Springer US
Erschienen in
Journal of Behavioral Medicine / Ausgabe 4/2006
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-006-9061-8

Weitere Artikel der Ausgabe 4/2006

Journal of Behavioral Medicine 4/2006 Zur Ausgabe

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.