title: Feasibility and induced cognitive-emotional change of an emotional disclosure intervention adapted for home application.
abstract: OBJECTIVE
  Emotional engagement, cognitive restructuring, and positive future directedness are considered core elements to induce change in emotional disclosure interventions. Our aim was to examine the induction of these elements and the feasibility of an emotional disclosure intervention adapted for home application.
  
  
  METHODS
  The intervention emphasized expression of negative and positive emotions (session 1-4), search for meaning (session 3), and a positive future-oriented ending (session 4). A randomized clinical trial in patients with rheumatoid arthritis compared the adapted intervention (n=40) with a time management control condition (n=28). Feasibility was evaluated regarding adherence, compliance with instructions, perceived viability, and clinical safety. Induction of core elements was evaluated by analysis of change in immediate affective responses and by computerized text analysis of word use.
  
  
  RESULTS
  Feasibility criteria were successfully met. The disclosure condition produced higher immediate negative affect and use of emotion, insight, and optimism words compared to control, and induced the elements of change within sessions as intended.
  
  
  CONCLUSIONS
  The adapted intervention is feasible for home application and induces change in variables that indicate emotional engagement, cognitive restructuring, and positive future directedness.
  
  
  CONCLUSIONS
  Empirical support of health benefits of this emotional disclosure intervention will extend its applicability in patient self-care.
authors.affiliation: Department of Clinical and Health Psychology, Utrecht University, Utrecht, The Netherlands. H.vanMiddendorp@fss.uu.nl
authors.forename: Henriët
authors.initials: H
authors.lastname: van Middendorp
authors.forename: Marjolijn J
authors.initials: MJ
authors.lastname: Sorbi
authors.forename: Lorenz J P
authors.initials: LJ
authors.lastname: van Doornen
authors.forename: Johannes W J
authors.initials: JW
authors.lastname: Bijlsma
authors.forename: Rinie
authors.initials: R
authors.lastname: Geenen
mesh_terms: D000223:Adaptation, Psychological; D000704:Analysis of Variance; D001172:Arthritis, Rheumatoid / Q000517:prevention & control / Q000523:psychology; D001294:Attitude to Health; D002985:Clinical Protocols; D003071:Cognition; D003142:Communication; D004644:Emotions; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006699:Home Care Services; D006801:Humans; D008297:Male; D008875:Middle Aged; D009341:Negativism; D009426:Netherlands; D010174:Pamphlets; D010353:Patient Education as Topic / Q000379:methods*; D012449:Safety; D012650:Self Disclosure; D012660:Semantics; D017748:Time Management / Q000379:methods / Q000523:psychology*