Abstract
Das Expressive Schreiben (ES) hat sich in verschiedenen Untersuchungen als hilfreich bei der Verarbeitung belastender Ereignisse erwiesen und es haben sich mehr oder weniger deutliche positive Auswirkungen auf den psychologischen und physiologischen Gesundheitszustand gezeigt. Zunehmend beschäftigen sich Wissenschaftler mit der Frage, ob das ES bei der Formulierung von Lebenszielen zur Verbesserung von Selbstwirksamkeit und Affekt und als Copingstrategie geeignet sein könnte. 31 Studierende der Kunsttherapie und des Coachings wurden randomisiert zwei Gruppen zugeteilt, die beide an drei aufeinanderfolgenden Tagen für zwanzig Minuten entweder über eine positiv imaginierte Zukunft oder ein neutrales Thema schrieben. Untersucht wurden über einen Zeitraum von acht Wochen der positive und negative Affekt (PANAS), die Copingfähigkeiten (COPE) und die Selbstwirksamkeitserwartungen (SWE). In der Experimentalgruppe (EG) kam es nach der Schreibintervention zu einer Zunahme positiver Affekte im Vergleich zu den Ausgangswerten und zur Kontrollgruppe (KG), der sich im Follow-up allerdings verlor. In beiden Gruppen hatte das Schreiben keinen signifikanten Einfluss auf den negativen Affekt, die Copingfähigkeiten und die Selbstwirksamkeitserwartung. Schreiben über eine positiv imaginierte Zukunft vermag den positiven Affekt kurzzeitig zu steigern. Zur langfristigen Stimmungsverbesserung, einer Verbesserung der Copingfähigkeiten und einer Zunahme der Selbstwirksamkeitserwartung bedarf es möglicherweise einer längerdauernden Intervention und eines längeren Nachbeobachtungszeitraums.
Several studies have demonstrated that expressive writing (EW) is able to support coping of stressful events. In addition, EW was shown to have a more or less positive influence on physical and mental health. Scientists are increasingly interested whether EW could be a means of expressing life goals to improve self-efficacy and affect, and whether EW could be used as a coping strategy. Thirty-one art therapy and coaching students were randomized to write during three consecutive days each time for twenty minutes either on a “best possible self” (intervention group) or on a neutral subject (control group). For a period of eight weeks, positive and negative affect (PANAS), coping capacity (COPE), as well as self-efficacy (SWE) were investigated. In the intervention group, there was a stronger increase of positive affects between baseline and measurement after three writing sessions compared to the control group. This effect was no longer obvious at follow-up. In both groups, writing did not significantly influence negative affect, coping capacity, or self-efficacy. Writing about “a best positive self” is able to induce a short-term increase in positive affect. To cause a long-term improvement of the positive affect and the coping capacity as well as an increase in self-efficacy expectancy a prolonged intervention as well as an extended follow-up period may be required.
Literatur
1996). Construing benefits from adversity: Adaptational significance and dispositional underpinnings. Journal of Personality, 64, 899 – 922 (Special Issue on Personality and Coping).
(2008). Writing about emotions versus goals: Effects on hostility and medical care utilization moderated by emotional approach coping processes. British Journal of Health Psychology, 13 (1), 35 – 8.
(2006). Effects of writing about emotions versus goals on psychological and physical health among third-year medical students. Journal of Personality, 74, 267 – 286.
(1986). Social foundations of thought and action: A social-cognitive theory. Englewood Cliffs: Prentice Hall.
(1981). Cultivating competence, self-efficacy, and intrinsic interest through proximal self-motivation. Journal of Personality and Social Psychology, 41, 586 – 598.
(1997). Changes in circulating lymphocyte numbers following emotional disclosure: Evidence of buffering? Stress Medicine, 13, 23 – 29.
(1999). Integrating psychological therapies: Processes of meaning transformation. British Journal of Medical Psychology, 72, 143 – 157.
(2008). Upward spirals of positive emotion and coping: Replication, extension, and initial exploration of neurochemical substrates. Personality and Individual Differences, 44, 360 – 370.
(2004). The health benefits of writing about intensely positive experiences. Journal of Research in Personality, 38, 150 – 163.
(1998). Expression of stressful experiences through writing: Effects of a self-regulation manipulation for pessimists and optimists. Health Psychology, 17, 84 – 92.
(1997). You want to measure coping but your protocols too long: Consider the brief COPE. International Journal of Behavioral Medicine, 4 (1), 92 – 100.
(1989). Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology, 56 (2), 267 – 283.
(2003). Does writing reduce posttraumatic stress disorder symptoms? Violence and Victims, 18, 569 – 580.
(1991). Cognitive and emotional changes in written essays and therapy interviews. Journal of Social and Clinical Psychology, 10, 334 – 350.
(1992). Putting stress into words: The impact of writing on physiological, absentee, and self-reported emotional well-being measures. Stress Management, 6, 280 – 287.
(2006). Experimental disclosure and its moderators: A meta-analysis. Psychological Bulletin, 132, 823 – 865.
(2006). A comparison of written emotional expression and planning with respect to bulimic symptoms and associated psychopathology. European Eating Disorders Review, 14, 329 – 340.
(2001). The role of positive emotion in positive psychology: The broaden-and-build theory of positive emotions. American Psychologist, 56, 218 – 226.
(2004). A meta-analysis of the effects of written emotional disclosure on the health outcomes of clinical populations. Journal of Nervous and Mental Disease, 196 (9), 629 – 634.
(2009). Results of an italian school-based ES intervention trial focused on peer problems. Journal of Adolescence, 32 (6), 1377 – 1389.
(1992). Emotional disclosure about traumas and its relation to health: Effects of previous disclosure and trauma severity. Journal of Personality and Social Psychology, 63, 75 – 84.
(1996). Emotional expression and physical heath. Revising traumatic memories or fostering self-regulation? Journal of Personality and Social Psychology, 71, 588 – 602.
(2006). Does expressive writing reduce health care utilization? A meta-analysis of randomized trials. Journal of Consulting and Clinical Psychology, 74 (2), 243 – 252.
(2008). Wort für Wort. Die Heilkraft der Sprache in der Poesietherapie. Musik-, Tanz und Kunsttherapie, 19 (1), 36 – 47.
(2011). State of Poetry Therapy Research. The Arts in Psychotherapy, 38, 1 – 8.
(2012). Warum Schreiben hilft. Die Wirksamkeitsnachweise zur Poesietherapie. Göttingen: Vandenhoeck & Ruprecht.
(2006). Bevölkerungsrepräsentative Normierung der Skala zur Allgemeinen Selbstwirksamkeitserwartung. Diagnostica, 52, 26 – 32.
(1999). Is it safe to write? Evaluating the short-term distress produced by writing about emotionally traumatic experiences. Psychosomatic Medicine, 61, 99.
(2004). Expressives Schreiben als Copingtechnik: Ein Überblick über den Stand der Forschung. Verhaltenstherapie, 14, 274 – 283.
(2011). Expressives Schreiben und Immunaktivität–gesundheitsfördernde Aspekte der Selbstöffnung. In , Psychoneuroimmunologie und Psychotherapie (S. 208 – 227). Stuttgart: Schattauer.
(1986). Selbstwirksamkeit. In . Skalen zur Befindlichkeit und Persönlichkeit. Berlin: Freie Universität Berlin, Institut für Psychologie.
(1982). Self-managment and behavior change. New York: Pergamon.
(2001). The health benefits of writing about life goals. Personality and Social Psychology Bulletin, 27 (7), 798 – 807.
(2001). Expressive writing can increase working memory capacity. Journal of Experimental Psychology, 130, 520 – 533.
(2005). Coping as a Mediator Between Personality and Stress Outcomes: A Longitudinal Study with Cataract Surgery Patients. European Journal of Personality, 19 (3), 229 – 247.
(2008). Emotional Approach Coping and Self-efficacy Moderate the Effects of Written Emotional Disclosure and Relaxation Training for People With Migraine Headaches. British Journal of Health Psychology, 13 (1), 67 – 71.
(2004). Selbstöffnung beim Schreiben über belastende Lebensereignisse: Ein Weg in die Gesundheit? Zeitschrift für Klinische Psychologie und Psychotherapie, 33, 183 – 190.
(1996). Untersuchung mit einer deutschen Form der Positive and Negative Affect Schedule (PANAS). Diagnostica, 42, 139 – 156.
(2005). Written emotional expression and emotional well-being: The moderating role of fear of rejection. Personality and Social Psychology Bulletin, 31, 818 – 830.
(2007). Effects of written emotional expression: The role of positive expectancies. Health Psychology, 26, 174 – 182.
(1991). Self-regulation through goal setting. Organizational Behavior and Human Decision Processes, 50, 212 – 247.
(2001). The reciprocal effects of science and practice, insights from the practice and science of goal setting. Canadian Psychology, 42 (1), 1 – 11.
(1991). Emotion and Adaptation. New York: Oxford University Press.
(1999). Stress and Emotion. A new Synthesis. London: Free Association Books.
(1964). The short-circuiting of threat by experimentally altering cognitive appraisal. Journal of Abnormal Psychology, 69, 195 – 205.
(1965). The principle of short-circuiting of threat: Further evidence. Journal of Personality, 33, 622 – 635.
(1997). Social constraints, intrusive thoughts, and negative affect in women with cancer. San Francisco: Paper presented at the annual meeting of the Society of Behavioral Medicine.
(2003). Stress management through emotional disclosure improves academic performance among college students with physical symptoms. Journal of Educational Psychology, 95, 641 – 649.
(2008). Wie wirkt Expressives Schreiben? Differenzielle Wirkfaktoren des Schreibens über belastende Lebensereignisse. Verhaltenstherapie, 18 (2), 91 – 99.
(2001). Self-regulation of goal setting: Turning free fantasies about the future into binding goals. Journal of Personality and Social Psychology, 80 (5), 736 – 753.
(1996). Assessment and prediction of stress-related growth. Journal of Personality, 64, 71 – 105.
(1986). Confronting a traumatic event: Toward an understanding of inhibition and disease. Journal of Abnormal Psychology, 95 (3), 274 – 281.
(1988). Disclosure of traumas and immune function: Health implications for psychotherapy. Journal of Consulting and Clinical Psychology, 56, 239 – 245.
(1996). Cognitive, Emotional and Language Processes in Disclosure. Cognition & Emotion, 10 (6), 601 – 626.
(1999). From Thought to Action: Effects of Process-Versus Outcome-Based Mental Simulations on Performance. Personality and Social Psychology Bulletin, 25 (2), 250 – 260.
(1992). Possible selves and performance: The power of self-relevant imagery. Social Cognition, 10, 95 – 124.
(1985). Optimism, coping and health: Assessment and implications of generalized outcome expectancies. Health Psychology, 4, 219 – 247.
(1993). Stress, Angst und Handlungsregulation (3. Aufl.). Stuttgart: Kohlhammer.
(1999). Skalen zur Erfassung von Lehrer- und Schülermerkmalen. Dokumentation der psychometrischen Verfahren im Rahmen der Wissenschaftlichen Begleitung des Modellversuchs Selbstwirksame Schulen. Berlin: Freie Universität Berlin.
(Hrsg.). (1999). Goal striving, need-satisfaction, and longitudinal well-being: The selfconcordance model. Journal of Personality and Social Psychology, 76, 482 – 497.
(2001). Self-concordance, goal attainment, and the pursuit of happiness: Can there be an upward spiral? Journal of Personality and Social Psychology, 80 (1), 152 – 165.
(1998). Written emotional expression: effect sizes, outcome types and moderating variables. Journal of Consulting and Clinical Psychology, 66, 174 – 184.
(2001). Effects of writing about traumatic experiences: The necessity for narrative structuring. Journal of Social and Clinical Psychology, 20, 161 – 172.
(2008). Expressive writing and post-traumatic stress disorder: Effects on trauma symptoms, mood states, and cortisol reactivity. British Journal of Health Psychology, 13, 85 – 93.
(1997). Appraisal and goal processes as predictors of psychological well-being in bereaved caregivers. Journal of Personality and Social Psychology, 72 (4), 872 – 884.
(1999). Predicting psychological well-being from beliefs and goal-appraisal processes during the experience of emotional events. In , Narrative Comprehension, Causality, and Coherence. Essays in Honor of Tom Trabasso (pp. 279 – 302). Mahweh: Erlbaum.
(2008). Expressive writing as a coping mechanism for adolescents exposed to domestic violence. USC Upstate Undergraduate Research Journal, 1, 24 – 28.
(1988). Development and Validation of Brief Measures of Positive and Negative Affect: The PANAS Scales. Journal of Personality and Social Psychology, 54 (6), 1063 – 1070.
(