Cognitive Therapy and Research

, Volume 26, Issue 5, pp 597–616

Disclosing Trauma Through Writing: Testing the Meaning-Making Hypothesis

  • Crystal L. Park
  • Carol Joyce Blumberg
Article

DOI: 10.1023/A:1020353109229

Cite this article as:
Park, C.L. & Blumberg, C.J. Cognitive Therapy and Research (2002) 26: 597. doi:10.1023/A:1020353109229

Abstract

Salutary effects of writing about trauma on health are well documented, but little research has directly examined the underlying mechanisms by which these effects occur. The principal study in this article assessed the potential underlying mechanism of meaning-making, defined as changing situational meaning (appraisals of the traumatic experience) and global meaning (world views, personality, and coping styles) in order to reduce the discrepancy between global and situational meaning. Forty-one trauma-writing participants and 21 nontrauma-writing control participants completed 4 days of writing and a 4 month follow-up. Decrements in health were noted for the control group but not for the trauma-writing group. Over time, the trauma-writing group's appraisals changed to reflect less aversive situational meaning (e.g., less stressful, less threatening), and their cognitive processing, reflected by intrusions and avoidance, decreased. Less stressful appraisals and reduced cognitive processing were related to improved health outcomes. Results indicate that writing about trauma facilitates the making of meaning. A second study examined whether scores on several measures used in the first study changed across 4 months without a writing intervention. It was found that these measures did not change across time.

disclosure meaning-making cognitive processing emotional processing 

Copyright information

© Plenum Publishing Corporation 2002

Authors and Affiliations

  • Crystal L. Park
    • 1
  • Carol Joyce Blumberg
    • 2
  1. 1.Department of PsychologyUniversity of ConnecticutStorrs
  2. 2.Department of Mathematics and StatisticsWinona State UniversityWinona