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Effects of Emotional Disclosure on Psychological and Physiological Outcomes in Patients with Rheumatoid Arthritis: An Exploratory Home-based Study

Mark A. Wetherell

Lucie Byrne-Davis

Paul Dieppe

Jenny Donovan

Sara Brookes

Margaret Byron

Kavita Vedhara

University of Bristol, UK

Robert Horne

University of Brighton, UK

John Weinman

Guys Hospital, UK

Jeremy Miles

University of York, UK

The effects of an exploratory, home-based emotional disclosure intervention on psychological and physiological outcomes were assessed in patients with rheumatoid arthritis. Patients were randomly assigned to a disclosure group (n = 19) in which they wrote/talked about traumatic personal experiences, or to a control group (n = 15) in which they wrote/talked about the events of a particular day. Participants undertook these tasks for periods of 20 minutes on 4 consecutive days. The disclosure group demonstrated increases in negative mood and objective markers of disease activity at 1 week post-intervention. However, there were significant trends for the disclosure group to demonstrate minor improvements in mood and stability in disease activity, compared with the control group. These group differences appeared to be due to deteriorations in the control group more than improvements in the disclosure group.

Key Words: disease activity • emotional disclosure • inhibition • rheumatoid arthritis • stress

Journal of Health Psychology, Vol. 10, No. 2, 277-285 (2005)
DOI: 10.1177/1359105305049778
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