Research
Article
The Salivary Biochemical Changes
Associated with a Mood Induction Writing Task
Jason E. Warnick and Chelsea D. Liddell
Arkansas Tech University
Address correspondence to Jason E. Warnick, Ph.D, Department
of Behavioral Sciences, Arkansas Tech University, 407 West Q
St., Russellville, AR 72801 USA, e-mail:
jwarnick@atu.edu
ABSTRACT:
Writing about emotionally salient
topics to influence a participant’s mood is a common
experimental technique in emotion research. This study attempted
to begin the biological characterization of this research
paradigm. Thirty-eight participants were: 1) administered the
Positive and Negative Affect Schedule (PANAS)
and asked to provide a saliva sample, 2) assigned to either an
emotionally positive or negative writing task, and 3)
re-administered the PANAS and
asked to provide another saliva sample. Saliva samples were
analyzed using ELISA for concentration of a stress hormone (cortisol),
an immunological marker (secretory immunoglobulin A), and a sex
steroid (dehydroepiandrosterone).
Both writing tasks were found to influence mood in the
appropriate manner. That is, the positive writing task increased
positive mood and the negative writing task increased negative
mood. The negative writing task was found to lower salivary
cortisol concentration. The ability for the negative writing
task to attenuate stress hormone levels is discussed in the
context of this research paradigm’s potential similarity to
expressive written therapy.
The study of emotion commonly relies
on techniques that can produce mood alterations in a laboratory
setting. One frequently utilized technique has been the mood
induction writing task. In this task, participants are asked to
write about an emotionally arousing subject (e.g., the saddest time
in their life) while control-group participants are asked to write
about a neutral topic (e.g., the contents of a geography article;
Baker & Guttfreund, 1993). This experimental technique has the
benefits of requiring a short amount of time (approximately 20-30
minutes), necessitating few resources, produces a fairly large
effect, and possesses few risks for the experimental subject (Baker
& Guttfreund, 1993).
While the mood induction writing
task has been used in many psychological experiments, no research
has focused on the biological changes that accompany this technique.
In studies using a naturalistic setting, positive and negative moods
have been associated with certain biological characteristics. For
example, positive affect is associated with decreased release of the
stress hormone cortisol (Lai, Evans, Ng, Chong, Siu, Chan, Ho, Ho,
Chan, & Chan, 2005), exacerbated androgen release (Booth, Shelley,
Mazur, & Tharp, 1989) and increased immune system function (Stone,
Cox, Valdimarsdottir, Jandorf, & Neale, 1987). Conversely, negative
affect is associated with increased cortisol release (Smyth,
Ockenfels, Porter, Kirschbaum, Hellhammer, & Stone, 1998), decreased
androgen release (van Niekerk, Huppert, & Herbert, 2001) and
decreased immune system function (Stone et al., 1987). Based on the
similarity between one’s self-reported mood in the writing task and
a naturalistic setting, it could be argued that similar biological
changes would occur in the mood induction writing task. However, the
writing task mimics many aspects of a therapeutic practice that has
produced physical changes incongruent with this hypothesis.
The therapeutic practice of
self-disclosure has been studied extensively by James Pennebaker
(for reviews see: Pennebaker, 1997; Pennebaker & Chung, 2007). In
this paradigm, a person repeatedly writes about a topic that has
been negatively affecting his or her life over an extended period of
time (i.e., days to months). This paradigm has shown positive
therapeutic outcomes for a wide range of issues, including
depressive symptomology (Gortner, Rude, & Pennebaker, 2006),
insomnia (Harvey & Farrell, 2003), smoking cessation (Ames, Patten,
Offord, Pennebaker, Croghan, Tri, Stevens, & Hurt, 2005; Ames,
Patten, Werch, Schroeder, Stevens, Fredrickson, Echols, Pennebaker,
& Hurt, 2007), stress due to job loss (Spera, Buhrfeind, &
Pennebaker, 1994), and work absenteeism (Francis & Pennebaker,
1992). Interestingly, positive changes to participants’ health have
been a consistent outcome in this paradigm in spite of the
maintenance of a negative mood. For example, in one study, adults
suffering from fibromyalgia were assigned into either a disclosure
group, which wrote for four consecutive days about life stress, or a
control group, which wrote for four consecutive days about a neutral
topic (Gillis, Lumley, Mosley-Williams, Leisen, & Roehrs, 2006). At
a one-month follow-up, the disclosure group, relative to the control
group, showed signs of improvement in sleep quality, fatigue, pain,
and physical disability. However, the disclosure group also
experienced a significant worsening of mood and perceived social
support. At the 3-month follow-up point, the previously mentioned
biological factors of the disease continued to show improvement
relative to the control group but the negative effects on mood and
perceived social support were no longer evident. This mismatch
between health improvement and negative mood leads one to question
whether the operationally-similar mood induction writing task could
produce biological changes that are diametrically-opposed to those
caused by moods induced in a naturalistic setting.
In this experiment, the effects of a
mood induction writing task on the release of the stress hormone
cortisol, the immune system marker secretory immunoglobulin A (SIgA)
and the sex steroid dehydroepiandrosterone
(DHEA) were investigated. Participants were assigned to one of two
writing task groups: the positive writing task group wrote for 30
min about someone they love and the negative writing task group
wrote for 30 min about someone they hate. Participants completed a
self-report mood survey both before and after the writing task to
assess any change in mood. Also, participants provided a saliva
sample both before and after the writing task for the assessment of
any biological changes. The saliva was analyzed via Enzyme-Linked
ImmunoAssorbent Assay (ELISA) for changes in cortisol, SIgA, and
DHEA.
METHOD
Participants
Thirty-eight participants were
recruited from undergraduate psychology courses at Arkansas Tech
University. Students were provided extra credit for their
participation.
Procedure
When students volunteered to
participate in the study, they were explicitly told not to smoke,
eat or drink at least two hours prior to their scheduled time. Prior
to starting the experiment, students were asked if they had followed
this instruction before being allowed to participate in the study.
At this time, the study was explained and each participant was asked
to read and sign an informed consent agreement. Participants were
then asked to complete the Positive and Negative Affect Schedule (PANAS)
in order to assess the general mood of the individual. Each
participant was provided a bottle of water and asked to rinse their
mouth. A piece of gum (Trident; Cadbury Schweppes, Parsippany, NJ,
USA) was given to each person to increase saliva production and
participants were asked to provide a saliva sample in a supplied
test tube (e.g., Chatterton, Vogelsong, Lu, & Hudgens, 1997). At
this point, participants were randomly placed into one of two mood
induction tasks. In the positive mood induction task, participants
were asked to write for 30 minutes about someone they love and
describe why they love that person. In the negative mood induction
task, participants were asked to write for 30 minutes about someone
they hate and describe why they hate that person. When the mood
induction task was finished, participants were provided a new copy
of the PANAS to assess their current mood and another saliva sample
was also requested in the same manner.
Biochemical Analyses
Saliva samples were immediately
placed on ice after collection and then taken to a freezer for
storage. On the day of analysis, the samples were thawed and
centrifuged for 15 min at 3000 rpm prior to use. Salivary
concentrations of cortisol, SIgA, and DHEA were determined by ELISA
(ER HS Cortisol Research, SIgA and DHEA; Salimetrics, LLC, State
College, PA, USA). The assays were
conducted according to the manufacturer’s instructions. The
intra-assay coefficients for each assay ranged from 2.11% to 4.45%.
Ethical
Considerations
This experiment was approved by the Arkansas Tech University Human
Subjects Research Committee and conducted under the ethical
guidelines of the American Psychological Association.
RESULTS
The effect of the negative writing
task on participants’ self-reported mood is summarized in Figures 1A
and B. Participants in this group had a robust decrease in their
positive affect scale scores and a robust increase in their negative
affect scale scores. Consistent with this description, one-tailed
paired-subjects t-tests revealed significant differences between
pre- and post-tests for the positive affect scale scores, t(17)
= 2.71, p < 0.05 and the negative affect scale scores, t(17)
= -3.52, p < 0.005. The effect of the positive writing
task on participants’ self-reported mood is summarized in Figures 2A
and B. Participants in this group had a robust increase in their
positive affect scale scores and a decrease in their negative affect
scale scores. Consistent with this description, one-tailed
paired-subjects t-tests revealed a significant difference between
pre- and post-tests for the positive affect scale scores, t(19)
= -2.96, p < 0.001 and a significant difference between pre-
and post-tests for the negative affect scale scores, t(19) =
2.01, p < 0.05. Two tailed paired-subjects t-tests were
used to assess biological changes in saliva. Participants in the
negative writing task had a robust decrease in their salivary
cortisol concentration (see Figure 3). Consistent with this
description, a paired-subjects t-test revealed a significant
difference between pre- and post-test salivary cortisol
concentration, t(16) = 2.61, p < 0.025. Participants
in the positive writing task had a no change in their salivary
cortisol concentration. Consistent with this description, a
paired-subjects t-test revealed a non-significant difference between
pre- and post-test salivary cortisol concentration, t(18) =
0.43, p = 0.675.
Participants in the negative writing
task had no change in their salivary SIgA concentration. Consistent
with this description, a paired-subjects t-test revealed a
non-significant difference between pre- and post-test salivary SIgA
concentration, t(13) = 1.39, p = 0.187. Similarly,
participants in the positive writing task had a no change in their
salivary SIgA concentration. Consistent with this description, a
paired-subjects t-test revealed a non-significant difference between
pre- and post-test salivary SIgA concentration, t(13) =
-0.58, p = 0.575.
a
b
Fig. 1.
The effects of the negative writing task on mean PANAS positive
affect scale scores (panel A) and mean negative affect scale scores
(panel B). * indicates a significant change compared to the pre-test
mean score. All ps < .05.
Participants in the negative writing
task had no change in their salivary DHEA concentration. Consistent
with this description, a paired-subjects t-test revealed a
non-significant difference between pre- and post-test salivary DHEA
concentration, t(16) = 0.74, p = 0.47. Similarly,
participants in the positive writing task had a no change in their
salivary DHEA concentration. Consistent with this description, a
paired-subjects t-test revealed a non-significant difference between
pre- and post-test salivary DHEA concentration, t(18) = 0.05,
p = 0.958.
a
b
Fig. 2. The effects of the positive writing task on mean PANAS positive
affect scale scores (panel A) and mean negative affect scale scores
(panel B). * indicates a significant change compared to the pre-test
mean score. All ps < .05.
Fig. 3. The effects of the negative writing task on mean salivary cortisol
concentration. * indicates a significant change compared to the
pre-test mean score (p < .025).
DISCUSSION
The purpose of this experiment was to
examine the biochemical profiles associated with changes in
emotional states when using a mood induction writing task.
Participants were assigned to one of two writing task groups (i.e.,
a positive group and a negative group) and changes in mood and
salivary concentrations of cortisol, SIgA and DHEA were measured.
Both writing task groups had robust changes in their mood.
Specifically, participants in the negative mood induction task had a
more negative mood at post-test and the participants in the positive
mood induction task had a more positive mood at post-test.
Measurement of salivary biochemicals revealed that the level of
cortisol had decreased at post-test in the negative writing task
group. None of the other analyses of interest showed any changes in
either group.
These findings provide preliminary
evidence that the mood induction writing task is biologically
dissimilar from other more natural mood induction techniques.
Instead, the mood induction writing task appears to more closely
resemble expressive written therapy. Pennebaker and colleagues have
repeatedly demonstrated that expressive written therapy produces
positive health outcomes, including stress relief (Pennebaker,
1997), while often producing short-term negative effects on mood
(e.g., Marlo & Wagner, 1999).
While most of the previous studies on
writing therapy have investigated long-term therapeutic effects, one
study directly investigated the effects of this therapeutic exercise
on immediate physical arousal (Sloan & Marx, 2004). In that study,
participants who wrote about a personal traumatic event showed an
increased concentration of salivary cortisol following the first
writing exercise. The difference between that finding and those of
this study may point to key differences between expressive written
therapy and the mood induction writing task. Most notably, writing
therapy appears to use topics that are more specific and traumatic
than the mood induction task. Thus, writing therapy may produce more
immediate physiological arousal than the mood induction task, which
could lead to differences in cortisol release. Participants in a
mood induction writing task could potentially be less aroused and
show immediate therapuetic-like effects. However, a direct
comparison between the studies is difficult as differences in the
saliva collection procedure could account for dissimilar outcomes.
While the current study provides an
interesting biochemical profile of an experimental technique, future
research will be necessary to further characterize its similarities
and differences with expressive written therapy. In particular, it
would be interesting to determine whether the physiological arousal
that occurs after the initial writing therapy session declines over
multiple sessions to resemble the findings of the current study.
Further, future studies will need to further describe the
biochemical profiles of the mood induction writing task at multiple
time points. This would also allow for further comparisons to be
made between this experimental task and writing therapy.
Acknowledgements
This project was partially funded by
an Arkansas Tech University Faculty Undergraduate Grant awarded to
JE Warnick and an Arkansas Department of Higher Education Student
Undergraduate Research Fellowship awarded to JE Warnick and CD
Liddell. The authors would like to thank Dr. Caleb Lack for allowing
the recruitment of students from his courses.
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Accepted for
publication: 10 December 2008
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