)V1ESI.J RETURNING MATERIALS: PIace in book drop to LIBRARJES remove this checkout from .‘Innr‘lalL. your record. FINES wiII ' be charged if book is returned after the date stamped below. o 0*- JUN 0 212005 THECDNSIRJCTIWOFASQIETOMEASURECINFIICTOVEREXERESSWG MON: ‘IHEAMBIVAIENCEOVEREDGRESSIQJ QIESTIGINAIRE By Laura King A‘IHESIS £ktndtted.to Nfichigan.$tate‘University in l' 1 . fer the degree of MAS'I'EROFARIS Department of Psychology 1989 Am 'IHEQIS'IHICTICNOFASCEIETOMEASURECINFIICTOVEREDCPRIBSDIG WITCH: 'IHEAMBIVAIENCEOVEREDG’RESSIONGJESTIONNAIRE By laura King Msflfliesemminedtheinportanceofanbivalerneabaxtexpmsing amticn. A questionnaire measure of anbivalence over expression (Am) was designed and administered to 292 subjects along with the Emotional Expressiveness Questionnaire (E512), measures of social desirability and intense anbivalence. Factor analysis of the AH: indicated that it is unidimensicnal . The Am was negatively correlated with the Em and social desirability, and positively correlated with intense anbivalence. Wcmen scored significantly higherthanmmboththeAEDarfltheEm. Asecondsampleof 48 albjects participated in a 21-day study of mood and health. Ecprassivenass was positively correlated with sane measures of well-being and with daily negative affect. 'Ihe AR) was positively correlated with a several indices of psychological distress. Neither theEBertheAmwascorrelatedwimdailysynptanreports or umber of different illnesses. Results surport the contention that espressivenessisminsulatimagairsttheadverseconsequencs traditionally associated with imcpmssivernss. Dedicatedtomypam1ts,RwertC.andIdaS.King iii 'Iheautlnrexpressasgratitudetothematbersofmyccmnitte, Dr.'s JoelAmmoffarflSusanFrankfortheirhelpfulcaxmentscnthis research. VeryspecialtharflcstoDr.RobertEhmsforhis assistarnemthisthesisarflhiscmtimiingaxpportofmycareeras arasearcher. iv MECFGNI'ENI’S ListofTabl95 .............. ....vi Listof Figures ...... ...........vii Traditional Views of Emotimandmpmsim 9 Mimardfibcpmsicn: ADynamic Interactimll EbressmyactioshonestlyoutIam afraid that it may causemeabarrassnentorhurt." Instructions for tleAEnaQnasizedthattlesubjectanswereadnitenwithaviewto itsoverallneaning. This, ifastataenntcosistedoftwothoughts, subjectswereecouragedtogivetteitenahighratingonlyifboth thoughts applied to then. ‘lhe rating scale for the questionnaire was ascalefronnltos,with1indicatingthattherespodentneverfeels likethestatanentsuggestsandasirdicatingthattherespodent 41 frequently feels that way (See Appendix B). It may be ncted that re itas on the Am are negatively worded. responsebiashasbeenaneduringcocerninpsyonological research. W, becauseoftheconplennatnreoftheitasreversewording was deaed infeasible. 'Ihe potential contamination of scores by acquiesceceisnctlikelytobegreatrcweverassudnbiasisncst likely to influece dichotonos judgments nct rating scales (Schriesteim 8: Hill, 1981) . In addition, Schriesheim and Hill (1981) have reported that negative itas may inpair response accuracy. They found that negatively worded itae actually inpaired reliability. In tlecaseofaquestionnairewithitaethatarealreadycapoundin nature, the disadvantages of negatively worded itans were believed to outweigh the advantages. Predictios 1- Mwmmm It ispredicted that neither the AR) ncr tie Em will be positively correlated with the Marlon-Crowns Social Desirability Scale. It is further predicted that the Alan will be significantly positively correlated with the Raulin Intese Anbivalece Scale (Raulin, 1984) . Such a correlation can be taken as evidence of the validity of the AR). 2. g; M. For reasos specified previously, it is predicted that overall, wonen will be significantly ncre expressive and ncre ambivalent over expression than men. More specific predictioscanbenadewithregardtotteoriginofthisoverall differece. With regard to expression, Hodschild, Shields, and Bernardez-Boesatti suggest that female predoninance in the actional realm does not generalize to negative actions. ‘Innus the overall 42 differece in expressiveness should be due to differeces on positive and inntimacy actios rather than negative actions. With regard to anbivalence over expression, wonenn should be ncre annioivalent over expression of negative action, since develcpnental literature cited previously would suggest that nen are taLght explicit rules for dealing with negative action while wonen are nct. 'Ihus, theoverall differecebeteennenandvmenshouldbeaccounted for by differences in the anbivalece over the expression of negative auction and net in referece to positive actios. 3- mmmmmmm. BecauseEmonsandKim (1988) have found that individuals ted nct to act on the goals about midntheyfeel anbivalent, itispredictedthatscoresonthe anbivalece scale will be negatively correlated with scores on the expressiveness scale. nethod m. Two hundred and ninety-nine Michigan State University stdents (117 males and 182 fanales) coupleted a packet of questionnaires for extra credit in varios undergraduate psychology courses. Malesnbjectsrangedinagefronlstozswithaneanageof 19.8years. FaelesubjectsrangedinagefronlStoBZwithanean ageof 19.1. Allbuttwoofthefanalerespodentswereundertheage of 26. . Subjectswereinformdinclassthattheirpacketswouldbe checkedforconpletenessandcarefulness (inordertodeterminethe annountof credit received) afterwhichtheirnaneswouldberacved fronttepacket, esuringanonymity. Capletion ofthepacketwas conpletely volunntary. 43 m 'Itesmreyswhidnverecapletedbythissanple of subjects includedthenevlydesignedAmandEEn. 'IheRaulinIntense Anbivalece scale (Raulin, 1984) and the Marlow-Crowns Social Desirability Questionnaire (Marlow-Crone & , 1964) were included for construct validity purposes. Results and Discssion [htaanalyses forStdylinvolved4steps: 1) theitanand factor analysis and validation of the AEQ and Em; 2) a comparison of Am and EEK) scores for male and fanale subjects; 3) the computation of Psarson correlation coefficients for the Am, the RED, their subscales, the Marlow-Crone, and the Raulin I-A scale; and 4) the coupnntation of the Pearson correlation coefficients for the revised Am and revised mm. W ear—Id Easter files 21: he m ItasontheAmweredeleted forcoceptual reasons, becausethey seaedtopertainto inhibitionof actional expression ormaskingof expression without mention of a conflicting desire to express or because they referred to the quality of actional experiece itself. Several itensweredeletedbecatsetheyseenedtopertainncreto self-assertion than actional expression. One itan was deleted because itreferredtothinkingaboutlifeeventsratherthan ecpressing action. Additional items were deleted on the basis of low item-total correlatios. ‘Ite deletion of itans left a total of 28 itas in the revised Am with a mean inter-ital correlation of .23, a minimum inter-ital correlation of .02 and a maximum interitan correlation of .64. Ital-total correlatios for the A150 are shown in 44 Table 1. The alpha reliability coefficient of the Am was .89. The neanforscoresonthescalewasz.9 (onaS—pointscale) andthe scale standard deviation was .58. 45 Table 1 Ital-total Oorrelatios for Revised AEQ Lg Dig-.1222; correlation 1. Itishardtofindthatrightmrdstoindicate .58 to others what I am really feeling. 2. Iworrythat iercpressnegativeactiossuchas .56 fear and anger, otherpeople will nct approve of ne. 3.IwanttoexpressmyactioshonestlybutIam .56 afraidthatitmaycausemeabarrassnentorhurt. 4. IoftencannnctbringmyselftoecpresswhatIam .56 really feeling. 5. I'd like to talk about my problas with others, .55 but at tines I just can’t. 6. Iwanttotellsoneoewhenllovethen, .55 but it is difficult to find the right words. 7. Iwmldliketoenpressmydisappointnentwren .55 thingsdon'tgoaswellasplamed,butIdon't wanttoappearvulnerable. 8. OftenI’dliketostcwothershowaeel,but .52 saethingse-stobeholdingmeback. 9. Itrytchidemynegative feelingsaroundothers, .52 eventhoughIannnctbeingfairtotrcseclcsetonne. 10. OftenIfindthatIamnctabletotellothershow .51 mudntheyreallyneantone. 11. Itrytokeepmydeepestfearsandfeelings hidden, .48 butattimesI’dliketocpenuptoothers. 12. Iwouldliketobencrespontaneosinmyactional .46 reactiosbnutljustcan'tseantodoit. 13. IcanrecallatinewhenlwishthatIhadtold .45 soneoehovmuchIreallycaredaboltthen. 14. Ifeel guilty afterlhaveexpressedangertosoneone. .44 15. Iwould lihetoexpressmyaffectionncre .42 pnysicallybutIamafraidotherswillget ttewroginpression. 16. Itrytosuppressmyanger,b\utlwou1dlikeother .42 pecpletoknnowtcwlfeel. 46 Table 1, continued 11% Item-totalcorrelation 17. ItrytoapologizethenIhavedonesonething .41 wrogbuthorrythathillbeperceivedas incapetent. 18. AfterIexpressangeratsoneoe,itbothersne .41 foralogtinne. 19. I trytoshcwpecple I love than, although at times .40 Iamafraidthatitntaymakemeappearweakortoo sesitive. 20. Istrivetokeepasnileonmyfaceinorderto .40 convinceothersIamharpierthanIreallyam. 21. Mnensoneoebothersne, I trytoappear indifferent .38 eventhoughI’dliketotellthentcwaeel. 22. ItrytoavoidsnlkingevenwhenI feel like it. .36 23. WenIamreallyproudofsonethingIacconplish .36 Iwanttotellsoneoe,butIfearIwillbethought ofascoceited. 24. Itrytorefrainfrongettingangryatmyparents .36 eventhoghIwanttoattines. 25. Itryncttoworryotherseventhough .36 sonetimestheyshouldknowthetrnuth. 26. Itrytocontrolmyjealousycocemingmyboyfried .34 girlfriedeventhoghIwanttoletthenlmowI’m hurting. 27. Ithinnkaboutactingwtenlamangryhutltrynctto. .33 28. Imakeanefforttocontrolmytaperat all times .25 eventhoghI’dliketoactonttesefeelingsattimes. 47 An exploratory factor analysis was conducted on the interitenn correlationnatrix fortheAm fornenandwonenseparatelyto see if therewereinportantdifferemsbetweenthesexesinthefactor structureoftlescale. Forbothmaleandfaale subjects, 2 large factors aerged—one for positive enction and 1 for negative action. Since there were only slight differeces in the factor solutios, data were contuined across sexes in furtl'er annalyses. An exploratory factor analytic procedure was used to investigate the factor structure of the AH). Principle capoennts extracted two factors with eigenvalues greaterthanone. AVARIMAXrotationwas used because it was judged ncst likely to yield an interpretable solution (Hunter, 1985) . Sixteen itans loaded highest on the first factor (eigenvalue = 6.70) accounting for 17% of the variance. Itas andloadingscanbeseeninTable 2. Itans loadingonthis factor cocerned love and affection as well as a fear of expression of actios that might lead to vulnerability. Ebenples of the types of itens that loaded on the first factor include, "Often I find that I am nctabletotellottershowmudntteyreallyneantone," "Itryto slmpeoplel lovethennalthoghattineslamafraidthat itmaymake neappearweak,"and"IwanttotellsoneonewhenI lovethan, buntit is difficult to find the right words." This factor can be terned aunbivalece over the expression of positive action and self-disclosure. Twelve itens loaded on the secod factor (eigenvalue== 1.35) . This factor accounted for 12% of the variance. Itans loading on on this factor also pertained to anbivalece over expressing primarily negative enotios (e. g., "Afterquuressangeratsoneoneitbothers 48 neforalog tine") However, oeiten dealing with pride also loadedontlesecodfactor,"¥henlamreallyprodofsouethingl acconplishIwanttotellsoneoebntIfearIwillbethoghtofas coceited." Anctherenanpleofanitenfronthatclusterisiten4, "I try to control my jealousy cocerning my boyfried or girlfried eventinghIwanttoletthanlocwI'mmurting." 'Iheseitansand theirloadingsareshowninTablez. Becauseitasloadingonthe secodfactorpertainednctonlytoangerbuttofeelingsofprideand jealousy, the term of "entitlement" (as per Shields, 1987) was selectedtoecolpassallofthese. Thesecodfactorwasconcltded to tap anbivalence over expression of actios of entitlaent. 49 Table 2 Ioadings forTwoFactorSolution forRevisedAm Factor 1 Factor 2 M Mgf-Disclosure Entitlaent 32. OftenIfindthatIamnctableto .68 .04 tell others how mudn ttey really mean to re. 33. Iwanttotellsoneoewhenlove .66 .12 then, but it is difficult to find the right words. 16. Often I’d like to show others how .61 .13 I feel, but sonnething seems to be holding me back. 25. I’d like to talk about my problas .59 .20 with otters, but at times I just can't. 23. Itrytokeepmydeepestfearsand .57 .12 feelings hidden, but at times I'd like to open up to others. 2. I wannt to egress my actions .55 .27 honestlybnntIamafraidthat it may cause re abarrassnent or hurt. 36. I often cannnct bring myself to .54 .30 egress what I am really feeling. 42. It is hard to find that right words .54 .34 toindicateotherswhatIamreally feeling. 13. I would like to egress my affection .51 .09 ncrephysicallybnutIamafraid otterswillgetthewrongingression. 34. I would like to egressmy .46 .35 disappointment when things don’t goaswellasplannned, butIdon't want to agear vulnerable. 39. Itrytohidemynegative feelings .45 .33 aroundothers, eventhoghIamnct beingfairtottcseclosetome. 40. 28. 22. 38. 14. 48. 44. 41. 43. 46. 26. 50 Table 2, continued Factor 1 minute/W Iwouldliloetobencre inmyenotionalreactionsbutI justcan'tseantodoit. ItrytoshowpecpleIlovethem, althoghattimesIamafraidthat itmaymakenearpearweakortoo sesitive. Istrivetokeepasnileonmy faceinordertoconvinceothersI amhamierthanIreallyam. Icanrecallatiunewhenlwish thatIhadtoldsoneoehowmuchI reallycaredaboutthan. Itryncttoworryothersevenn thoughsonetimestheyslmldlucw thetruth. AfterIegressargeratsoneoe, itbothersneforalogtinle. Ifeelguiltyaftethave egressedangertosoneoe. Itrytosuppressmyanger,b\utI muldlikeotherpetgletokncwhow Ifeel. Iworry that iergress negative actiossuonasfearandannger, otherpeople will nctanprove of ne. Ithinkaboutactingwhenl amangrybnutItrynctto. Muensoneo'ebothersme, Itry toappearindiffereuteventhough I'dliketotellthanhowaeel. Imakeanefforttocontrolmy taperatalltineseventhough I'dliketoactonthesefeelings attiunes. .44 .41 .39 .38 .38 .10 .16 .15 .36 .09 .20 .03 Factor 2 Midst—en; .15 .21 .31 .15 .63 .59 .51 .49 .49 .42 .38 4. 9. 51 Table 2, continued Factorl Ira mew—L—Sel-Disclosum 8. ItrytoavoidsulkingevenwhenI .17 feellikeit. 27. Itrytorefrainfrongetting .19 angryatmyparentseventhoughI wanttoat . 30. ItrytoapolcgizethenIhavedone .29 Itrytocontrolmyjealousy .18 cocerning my boyfried or girlfried eventhoughIwanttoletthanknov I’m hurting. MnenIamreallyprodofsonething .24 IacconplishIwanttotellsoneone, butIfearIwillbethoughtofas coceited. Factor 2 Erntitlaent .38 .37 .35 .34 .32 52 A subsequent confirmatory factor analysis was perfornred on for the results of the egloratory factor annalysis. A confirmatory factor analysis was undertaken as a follow-up to the egloratory analysis for several reasons. First, the confirmatory factor analysis allows. for a deckoftheinnternalconsistencyoftheclusters. Iftheanalysis aploys comrmalities in the diagonal, the itas’ loadings on the clustersrepresentanestimate oftheircorrelationwiththetrue score for the trait underlying the cluster. If the itans all load highestontheclusterinwhichtheyhavebeenplacedbythe egloratory analysis, the clusters can be coclrded to be internally ccsistent (Hunter, 1985) . Most ingortanntly, a confirmatory factor analysisallows forthetestingofaneasurenentncdelbasedon classic reliability theory (Hunter). Itae loadingoneachfactorwereenteredintoaclusteranalysis using PACIQnGE (Hunter, 1988) . Both clusters had high reliabilities (o<= .87 for the anbivalece over positive action cluster and d = .77 for tie anbivalece over egressios of entitlement cluster). All oftheitasdidloadhigtestontieclusterintowhichthe egloratory annalysis placed then. Generally, however, itens were highly correlated with both of the clusters. In addition, the two clusters were thanselves highly correlated (_r: = .71). This high correlation as well as the high correlatios of itas with both clusterssuggestedttettleAmmightbebestdnaracterizedastaming a single general costruct, anbivalece over actional egression. A secod order coufirnatory factor analysis was perforuned on the two cltsters yielding the netrix shown in Table 3. A single geeral factor aerged with an eigenvalue of 1.39 on which both clusters 53 loaded highly. Table 3 Am Cluster Correlation Matrix with the General Factor Factor 1 Factor 2 Factor 3 Positive . 71 . 70 . 84 Negative .71 .84 General 1 . 00 Apathanalysiswasusedtotesttheneasuranentngdelthatisshom inFigure4. 'Ihepnrposeofthistestwastodenonstratethatthe correlations between the clusters could be seen as spurious—a product ofthegenneralfactorunderlyingthenboth. ‘nnesumofthesquared deviations of the predicted correlations fron the observed oorrelations(ameasureof overall fit)waslessthan.02. A dni-squaretestoftheresidualswasnotneoassarytodemomtrate these deviations to be insignificant. Altlnghtheseresnfltssupporttheoontentionthatthemis unidinnennsional,wewill retainthesubclusters whidnemergedinthese analysesinordertoinwestigatetheprqoosedsexdifferenoesforthe different specific types of auctions, after which the subscales will bedisregarded. 54 Figure 4. Measuranent model with path coefficients. Anbivalenoe over mpressing Love / .84 General Anbivalenoe \. 84 Anbivalenoe over Expressing Enotions of Entitlanenrt 55 ____Miabili g m m QI IE m Initially, items on the Emotional Expressiveness Questionnaire (Elfin) were deleted for conceptual reasons. Upon close enaminnation it became clear that several of tie itans tapped positive self-assertiveness rather than auctional expressiveness per se, and theseitansweredeleted. Otteritansweredeletedbecausethey referred to emotional experience itself rather than to emotional expression. Additional items were deleted on the basis of low item-total correlations and inconsistent inter-item correlations . The deletionof items leftatctalof 16 itasintheEEQwithanrean inrter-itan correlation of . 18, a mininunn innterhitemn correlation of . 06 and a maximmn inter-iten correlation of . 59 . Item—total correlations fortrefimareshcwnin‘rablell. 'Ihenneanforscoresonthescale was 4.6 (on a 7-poinnt scale) and the scale standard deviation was .76. 'lte alpha reliability coefficient of the E151: was .78. 56 Table 4 Iten—total Correlations for Revised Em Item Itsnicgtel 92mm 8. I often tell people that I love then. .54 45. Istmthatllijesoneonebynnnggirg .49 or touching that person. 36. I often touch friends during conversations. .49 23. Watching television or reading a book can make ne .49 laugh out loud. 10. I laugh a lot. .42 1. MenIamangrypeoplearcmrineusuallylom. .40 12. People can tell from my facial expressions how .37 I am feeling. 30. Whenever people do nice things for me, I feel .37 "pnt on the spot" annd have trouble expressing my gratitude. (-) 18. mnen I really like saneone they know it. .37 25. I often laugh sohardthatmyeyeswater .34 or my sides ache. 22. When I am alone, I em make myself laugh by .31 by remembering sanething fron the past. 34. My laugh is soft annd subdued. (-) .30 29. If a friend surprised me with a gift, I numldn't .29 know how to react. 14. I apologize when I have done sanething wrong. .24 26. If some makes ne angry in a pablic place, I will .19 "cause a scee." 7. I always express disappointment when things .18 don’t go as I’d like then to. 57 Initially, factor analyses for the EEQ were conducted for males and females separately, waver because tie solutions were virtually idennticalthegronpwasusedasawholeinall furtheranalysos. Becausenoapriori clusterswerehypcthesized fortheEEQ, the inter-item correlations were entered into an exploratory factor analysis, using comunalities to correct for attenuation due to error of measurennent. Principle conponents extracted 3 factors with eigenvalues greater than 1 whidn were rotated orthogonally via VARIMAX rotation. The eigenvalue for the first factor was 3.41, for the second factor it was 1.10 annd for the third factor it was 1.30. Seven itens (23, 22, 15, 10, 45, 36, annd 34) loaded on the first factor. All of these itens refer to the expression of positive ennotions such as laughter, liking, and affection. ‘Ilms, this factor was labeled "Ebcpression of Positive Emotion" . It accounted for 14% of the variannce. Itens and their loadings appear in Table 5. AscanbeseeninTableS, fonritens (1, 12, 7, 26) loaded highest on the second factor. All but one of these itens (i. e., #12) concern tie expression of negative auctions (e. g., anger, disappointment). ‘Ihus, this factor was tented the "Expression of Negative Emotion" . It accounted for 10% of the variance. Five itens loaded highest on the third factor. All of these items (30, 29, 8, 18, 14) pertain to liking (18), love (8), gratitude (29, 30) and apologizing (l4) . Because these auctions center aronnd relational concerns this factor was retained as different fron the first factor and it was termed "Expressions of Intimacy". This third factor accomted for 12% of tie variannce. 58 Table 5 'Ihree Factor Solution for Revised Em a gift, I wouldn’t knonr how to react. Ioaggg' Factor 1 Factor 2 Factor 3 Itenn E; tive Negative Intimagy 23. Watching television or reading .72 .07 .10 abookcanmakenelaughontlond. 22. When I am aloe, I can make myself .67 -.05 -.01 laugh by rerenbernng smething fron the past. 25. I often laugh so hard that my eyes .58 -.02 .06 water or my sides ache. 10. I laugh a lot. .50 .02 .24 45. I show that I like sonneoe by lugging .49 .29 .35 or tondnirg that person. 36. I often tonch friends during .42 .19 .39 conversations. 34. My laugh is soft and subdued. (-) .30 .20 .05 1. When I amangrypeoplearouninne .07 .67 .12 usually know. 12. People can tell fron my facial .12 .51 .15 expressions how I am feeling. 7. I always express disamoinntmennt when .00 .50 -.06 thingsdon'tgoasI’dlikethento. 26. If soneone makes ne angry in a -.03 .50 .01 public place, I will "case a scene." 30. Whenever people do nice things .07 -.05 .74 forne, I feel "ertonthesport" and have tronble expressing my gratitude. (-) 29. If a friend surprised ne with .02 -.08 .67 59 Table 5, continued leaning Factor 1 Factor 2 Factor 3 8. I often tell people that I love then. .20 .41 .49 18. When I really like soneoe they knew it. .24 .33 .47 14. I apologize when I have done sonething wrong. .19 .13 .24 A subsequent confirmatory factor analysis (using PACKAGE, Hunter, 1988) wasconductedusingtheclusterswhichenergedinthe exploratory analysis. Each cluster had a substantial reliability coefficient considering the enall number of itens in each; for the expression of positive auction cluster, °< = .74; for the expression of negative enortion cluster, 0‘ = .63; and for the expression of inntimacy cluster, 9‘ = 67. The cluster correlation matrix is shown in Table 6. All of the clusters were positively correlated althongh the expression of negative enotion cluster was net correlated as strongly with either the expression of positive enetion cluster or the expression of intimacy cluster as tlese two clusters were correlated with each other. 60 Table 6 Cluster Intercorrelation Matrix for Three Factor Solution FortheRevisedEEDScale EEP EEN INT EEP 1.00 .29 .58 EEN 1.00 .37 M 1.00 Note. EEP = Expression of Positive Emotions; EEN = Expression of Negative Emotions; INT = Enpressions of auctions of Intimacy/Relationship. S__gc_ig_l fiirabilitv annd Anbivalm Correlations were conpnted between scores on the Am, the EEJQ, their subscales, and the nerlov-Crwne Social Desirability scale to eeurethatthenewscaleearenetcontaminatedbysocial desirability. The correlation between the AH) annd the Marlow-Crowne was significantly negative (1‘ = -.20; p < .001). For both of the AH) subscales the correlation with the Marlow-Crowne was similarly negative and significant. For the annbivalence over expressions of positive enction subscale, the correlation was -.16 (p < .01) annd for the ambivalence over expression of auctions of entitlement the correlation was -.22 (p < .01). The correlation between the Em and the Marlow—Crone was also negative (;= -.11; p < .03). For the three expressiveness subscales, correlations with tie Marlow-Crone were negative but nnonsignificent. As a test of convergent validity, correlations between scores on 61 theAEn, its subscalesandtheRaulinInteseAnbivaleee sonlewere conputed. As expected, the AH) was significantly positively correlated with the Raulin I-A scale (1 = .35; p < .001). The subscale measure of annbivalence over egressios of love was also significantly positively correlated with the Raulin I-A sale (3 = .32; p < .001) as was the subscale for anbivalence over expressions of entitlenent (r = .30; p < .001). Sex differences Pearson correlation coefficients were conpnted between sex of subjectandscoresontheEEn, Am, andtherespectiveclusterscoree forthesetwoscales. Because fennalevescodedasZandmaleas 1, positive correlations inndicate that wonen scored higher on the scale in question. As was predicted, wonnen scored significantly higher on theEEnthandidnen (;= .15;p< .005). Themeanforwonnenonthe EEQ was 4.72 while the nean fornen was 4.47. Also as expected, wonen reported thenselves as more expressive of positive auction and intimacy (_r; = .14; p < .009 and r = .17 p < .002, respectively). Contmry to predictions men were net nere expressive of negative enotiosthanwonenalthonghtnecorrelationwas inthepredicted direction (; = -.06; n.s.). With regard to the Alan, predictios were partially supported. Wonenscoredsignificantlyhigherthanmenonthem (r= .10; p< .05). ‘Ihemean forwonenontheAEDwas 2.99 whilethennean formen was 2.88. However, with regard to the subscale scores predictions werenotsupported. Ithadbeenpredictedthatnnenwculdbemore annbivalent than woten over the expression of positive enotions while wonen would be more ambivalent over the expression of entitlenent 62 emotios. Contrarytopredictios, vunenscoreihigherthannnenon the ambivalence over egression of positive auction subscale (; = .11: p < .03) while there was re sex difference on the annbivaleee over auctions of entitlenennt onbscale (_r = .03; n.s.). Table 7 Correlatios for Em, Am and Cluster scores, Sannple 1 1. 1a. 1b. 2. 2a. 2b. 1. Am - la. Positive .79 - 1b. Ehtitlenent .88 .71 - 2. E2152 -.24 -.31 -.10 - 2a. Negative -.19 -.21 -.08 -.09 - 2b. Positive -.12 -.05 .03 -.03 .81 - 2C. Inntimacy -.30 -.40 -.15 -.11 .76 .81 Me. For _N = 292, _r’s 2 .10 are significant (p < .05); _r’s 2 .13 are significant (p < .01). Correlation§ betwee_n me Am g E Tanble7 showsthecorrelatiosbetweentheAEn, its subscalesannd theEEQarditssubscales. Itwaspredictedthatthetwosalesvmld be negatively correlated and this prediction was born ont (; = -.24) . The anbivaleee over egressing love subscale was negatively correlated with the Em and the expression of negative enortion and intimacy subscales, however it was net correlated with the egression 63 of positive ennotion subsale. Tie anbivaleee over egression of entitlenent subscale was significantly negatively correlated with the EEQ, and the egressionn of intimacy subscale but was net significantly correlated with either the egression of negative enetion or egression of positive action subscales. Several conclusioscanbedrawnformtheresults ofStndyl. First of all while the AFT) is best characterized as unidimesional, the BBQ taps three different subsets of egressiveness: expression of positive enotions, egression of negative enetions and egressions of intimacy. The factor structure of tie Em is net surprising, given that the egerience of positive and negative auction has been coeeprtualized as indepedent (Dieer & Firms, 1985) . Whether or net the individuals experieeed differing degrees of positive enotions ornegative enetionscannetbeaddressedbyStudyl, however. The question of whether individuals wle feel more of a particular quality ofenetionegressmoreofthatenctionrenainstobeaddressed. PredictionsabonttheotheranalysesinStudylwereconfirned fortnenestpartaltlnghthereweresoneinportantecceptios. Neither the AEQ nor tne Em was positively correlated with social desirability. These scales were, in fact, negatively correlated with the Marlon-Crone scale. This negative correlation indicates that for an individualtoscorehighlyontheAmreorshenustbewillingor able to admit to negative affect. This conclusion is a sensible one althongh it is importanttonetethat itrevealsoeweaknessofthe Amineasure. TheAEDdoesnettapintotheannbivaleeethatmaybe felt by individuals who do net or cannnet admit to experiencing 64 negative affect. This coelusion would indicate that the scale cannnet, for instance, uncover uncoscions conflict over egression. lIheAmrequiresanopennnesstotheawarenessofnegativeaffectin oe’s life. This snertccmning may net be fatal, however. Ehnnncns and King (1988) have denonstrated the inplicatios of coscions conflict for psychological and physical well-being. Still, it will be inportanttobearinmindthattheAEDdoesnetpurporttoneasure unconscions conflict or negative affect whidn an individual will net acknewledge. The negative correlation between the ER) and the Marlow-Crone is sonewhat more puzzling than the negative correlation between the AEQ and the Marlow-Crone In order to further examine this correlation, Pearson correlation coefficients were coguted between all of the itensintheEEQandthemrlow-mene. Fiveofthe16 itenswere negatively correlated with the Marlow-Crowns. Two of these iters concerned laughing (23 and 10 inAppedixA). (be concerned facial egressions (12 in Appedix A), one apologizing (14 in Appedix A), and oe love (8 in Appedix A). The correlation with the apologizing itenmakessonesenseinnthatinordertorespodpositivelytothat itenoenustadmittoawronqioing-mthimthatmnldnetbe egected from one scoring highly on the Marlow-Crone. However, with regard to the laughter, facial egressios and love itens the negative correlation is net as easily understood. Pennaps trese correlatios can be best described in tens of self-disclosure. Emotional egression has previonsly been disonssed in terns of self-disclosure. ItislikelythatoewhoscoreshighlyontheMarlOw-Crcwneisnot 65 very self-disclosive. In fact, by respodirg positively to the itens in the Marlow-Crowns individuals are net being self-disclosive and so the negative correlation with a measure of expressiveess, the Em, is net only reasonable—it might have been egected. The AR) was significantly positively correlated with the Raulin I—A scale, suggesting that it also taps annbivalece. It is inportant toncte, however, thattheAEQismtsinplyequivalenttotheRaulin scale. Inn the first place, the two scales were highly correlated but net perfectly correlated. Secodly, these scales did net behave in a perfectly parallel manner when correlated with the m2. Although the Raulin I—A scale was negatively correlated with the Em (r = -12; p < .05) , this correlatios was net as strong as us correlation between theAEnandtneEEQ. WhiletleRaulinI—Ascaletapsintese annbivalece in geeral, tie Am taps specifically annbivalece over enotional egression. With regard to the third prediction, cocerning sex differeces, only the first general statenent was wtelly supported. Wonen were nere expressive of intimacy than men and nere expressive of positive enotionthannen. Aspredictedwonenwerenereannbivalentover innhibition of egression, even thogh trey were more expressive. Theseresults supporttheideathatwonnenarelessconfortablethan hen with inegressiveess as an enetion managennent strategy. Also, these results suggest that, as postulated earlier, althongh men are less egressive, they may be confortable within their inengressiveness It steuldbenetedherethattherewasnesex differece in scores on tte Marlow-Crowns. ms, the differences in 66 expressiveess and ambivalece over expression between male and fenale subjectsisnetlikelytobeduetoamalereluctancetoself—disclose or to admit to negative affect. Predicted sex differeces did net emerge with regard to the expression of negative auction. The predictios for sex differeces in annbivalece over egressios of negative enetios and love were also net supported. Results indicatedthatwonenwerennereannbivalentthannenabort egressios of love and abont inhibition, while re se: differece energedwithregardtoenetionsofentitlenent. Theseresultssuggest that individuals who are highly expressive of certain enotios are aneivalent abort those very enetions. Thus, rather than being oconpied by problens with the enetio's abont whidn oe is inegressive, individuals seems to worry nere about those enetios they do egress. Aswaspredicted, tteAEDandtheEmwerenegatively correlated. This correlation suggests that individuals who are annbivalent about egression ted to be inegressive This correlation may explain why nenegression has been associated with ill-being in pastresearch. Itmaybethat individualswleseemtosufferthe adverse cosequeces traditionally associated with nonegression are actually suffering fron the cosegnences of annbivalece. This statement supports the contention made earlier that ambivalece may relptoseparatethosewhoarehealthily innexpressive fronthosewho areacmallyinhibited. Suchastatenentnlstbetakenasnere conjecunre, giventhescopeofStudyl. Whilethe firststudymakes ne strong clainns about the relative inportance of egression and 67 ambivalecetowell-being, thesecodsudywilladdressthis issue nere directly. Study 2: Application Thepurposeofthesecodstudywastodeteminewhetherornet the anbivalece over actional expressiveess scale, the actional egressiveess scaleandthefactorswhichaergedinStudylpredict well-being. Literature reviewed previosly presents equivocal results pertaining to the relationship between expression and well-being. The secod study will examine the contributios of egression and ambivalence over egression to psydelogical and physical well-being. Inthisstudy, scoresontheAm, theEEDandtwoct‘rerneasuresof expressiveness, peer ratings and the Affective Oammication Test (A.C.T.; Friedman, Prince, Riggio, and DeMattea, 1980) will be used to predict psycl'elogical and physical well—being as measured by self-report questionnaires, daily reports of neod and physical well-being, as well as objective neasuree of physical synptonnatology. Because of the low nimber of nen participating, geder differences willnetbeaddressedinthesecodstudy. Predictios 1. m‘mflmW. TheAmispredictedtobepositively associated with negative mood. The Am is predicted to be negatively associated with positive neod, based on the rationale that ambivalece may lead to inhibited egression and that egression feeds back into actional engeriece. Thus, individuals wte inhibit egression of positive action sholld egeriece less positive action. Scores on the EB), the A.C.T., and peer ratings of egressiveness are net 68 predicted to be related to daily mood. 2. Qgestionnaire measures 9: mm gum. It is predicted that Am scores will be positively correlated with measures of ill-being and negatively correlated with measures of positive well-being. Because expressiveess may be correlated with extraversion, scores on the three meaenres of egressiveness are predicted to show a positive correlation with positive affect, but, as has been argued previonsly, scores on the egressiveness measures shonld net be correlated with measures of negative affect. These predictios are in keeping with the rationale that egressiveness itself is re insulation against the adverse psycl'elogical cosequeces which have been associated with inegressiveess 3. Measures 9: wical W. With regard to physical symptons, scores on the AH) are predicted to be positively correlated with daily symptom scores, scores on qnestionnaire nneasures of synptons, themmberofI-lealthOentervisits, andthenumberof different illnesses. Engressiveess scores are predicted to show no relatioship with these synptonn indices. Matted Subjects. A sample of 48 Michigan State University undergraduates (35 fenales and 13 males) participated in a 10-week log course and research project entitled, "Research on Goals, mod, and Health." Subjects were from varions academic levels and in varios courses of study. Theywererecruitedviaannunncaentspostedinthepsychology departnnent. Participation was open to virtually anyoe and participants received 3 honrs of conrse credit. Althongh subjects 69 weremdergraduatestheycanefronnvarionsagegronps. Amogthe women, the age range was 19 to 47, with 5 of the subjects falling betweenage33 and47. Themeanageforfaaleonbjectswasma years. Amogthenen, agesrangedfronl9to27. 'nenneanagefor male subjects was 21.6. Procedure m 32993.5 Dailyneodreportswerecogletedbythesnbjects for 21 conseontive days. The form were cogleted eadn day, oe at the "middle" of the subject's day (usually in the mid to late afterreon) andonebeforethesubjectwenttosleq). Thesenneodreports cosisted of a list of adjectives describing varios positive and negative actions (happy, joyful, pleased, enjoyment/fun, unnhappy, angry, annxions, depressed, and frustrated). ‘Ihe adjectives listed on these reports were chosen on de basis of earlier factor annalytic work by Dieerand Runners (1984). Subjects ratedtheectenttowhichthey had egerieced the auction listed during the part of the day prior to completion of the form on a 6-point scale with 1 indicating "net at all" and 6 indicating "ectraely men". The ratings on the positive affectadjectivesweresnmlnedovertl'ezldaystoprodnceaconposite positive affect score and the ratings on the negative affect adjective were sunmed to produce a conposite negative affect score. These conposite scales have been utilized in other studies (see Dieer, 1984 for a review) and their taporal reliability and innternal cosisteey coefficients approach .90. Egoholgical Well-Beg m During the first weeks of the term-log study, subjects capleted 70 a several questionnaires nneasuring psychological well-being. These questionnaires included the Hopkins Syngton Checklist (Derogatis, Lipnan, Rickels, Uhlenhuth, & Ccvi, 1974) which neasures psychological synpvtons on several dinnersios, inclnding Depression, Guilt, Annxiety, Paraneia, Phobias, and Cbsessive-Cogulsive tedencies. Subjects also connpleted the well-being scale fron the Differential Personality Questionnaire (DPQ; T‘ellegen, 1979) , the Satisfaction with Life Scale (SWLS; Dieer, Ehmcns, Larsen, and Griffin, 1985), Rosenberg’s Self-Esteenn Scale (Rosenberg, 1963) and a revised version of the Bradburnn Affect Balance scale (Bradburn, 1969; revised by Warr, Barter, & Brcwnnbridge, 1983) , which assesses the extent to which the respodent has recently egerieced positive and negative affect. The Beck Depression Inventory was also cogleted by subjects as a further measure of psychological ill-being. Also presented at this tinne was the Affective Communication Test (A.C.T.; Friedman, Prince, Riggio, DeMattea, 1980) a treasure of enotional egressiveness. gnygical Symptomatoloqv Five different measures of physical synprtons were obtained for these subjects. First, subjects cogleted tte Pennebaker Inventory of Linnbic Ianguidness (PILL; Pennebaker, 1982) a questionnaire neasure of cannon physiological synnprtons. Secod, subjects capleted the Sonatization scale fron the Hopkins Synpton Checklist (Derogatis, Lipton, Rickels, Uhlenhuth, & Ccvi, 1974). Third, the daily ncod reports ineludedasynprtonchecklist. Subjectsdeckedthesynptons whichtleyhadexperiecedonthegivenday. Thesynptonslistedon the daily reports included, readaches, stonach ad's/pain, chest pain, 71 runny/cogested nese, conghing/sore throat, fainntnness/dizziness, out of breath, acre/pimples, and stiff/sore Insoles. The nine categories werechosenbaseduponfactoranalyticworkonalarge listof physical synptcms (Pennnebaker, 1982). Friedmn n. Bocth-Kewley (1987) state that stomach ache/pain, chest/heart pain, ont of breath, and sore/stiff muscles can be cosidered preonrsors to serions illnesses which have also been related to action: ulcers, heart disease, asthma, andarthritis. Thesesynnptonnreportsweresnmuedcverall daystocreateaglobalsynptonscoreforeadnsnbject. Subjectswereaskedtosignaconsent formgivingthe experimenters permissiontoaeeeestheirl'ealthrecords atthe University health center. Subjects were assured that their records would be kept conpletely confidential. Given these records, a rater, blind to the subjects’ anbivalece scores, connted the number of visitsmadetothehealthoenteraswellasthenmberofdifferent illnessesdiagcsedinthepastyear. ‘nnefolrthandfifthnneasures of synetonatologywereprovidedbytlesetwecomts, ofhealthcenter visits and of different illnesses. Tne number of visits ranged from 0 to 18, with a nean of 2.89 and a standard deviation of 4.35. The nnmberof illnessesrangedfronOtolo, withanneanandstandard deviation of 1.81 and 2.19 respectively. Beer m Lastly, subjects provided the names and addresses of individuals wneknewthenwell. Theseindividualswerecontactedandaskedto complete a a brief packet of questionnaires. Included in this packet was a 6-itan expressiveness scale ( = .59) abort the subjects. These "peer ratings" of egressiveess provided an additional neasure 72 of egressiveness. All subjects were asked to provide 10 addresses. onlythosesubjects forwhonat least2peersrespodedtothemailer wereusedinpeerratinganalyses. 'netotalnemberofpeers respodingwa5207. Thenmberofpeerspersubjectreturnningthe packetrangedfromnenetolo. Tremeannnunberofpeerspersubject was 4, with a standard deviation of 1.9. Of the individuals who conpleted and returned the peer questionnaire 58% were frieds, 14% were parents, 13% were otter relatives, 4% were boyfrieds or girlfrieds, and 11% shared sole otter relationship with the subject. Three subjects were eliminated fronn annalyses involving peer data because of lack of peer respodents. Results and Discssion Threesets ofannalyseswereperformedonthedatacollected in Study 2: 1) Correlatios for measures of egressiveness and annbivalece of egressiveness were coguted to see if the correlatios fronn Study 1 replicate. 2) Pearson correlatios well-being measures andAEnandegressivenessneasureswerecapnted. 3) Partial correlations of Am and E512 scores as predictors of symptons, ill-being, negative affect, positive affect and positive well-being were conputed. TteneansfortleAEDandtheEEpforS‘udwaerecogarableto those forStudyl, 2.84 fortheAmand4.33 fortheEEn. TteAEDhad a standard deviation of .60 and the E112 standard deviation was .63. Correlatios between the BBQ, the A.C.T. and tie Am are presented in Table 8. The BBQ and the A.C.T. were signifiantly positively correlated. Pearson correlatios were also coguted within peer 73 ratings so that the each subjects' self reported expressiveness could be corpared with each of his or her peers' estimates of expressiveness. Peer ratings of expressiveness were significantly positively correlated withscoresontheEEn (;'= .43; p< .001, y=207) andscoresonthe A.C.T. (_r; = .21; p < .01) FortheAEQandtheEEn, resnfltsweresimilartoSb.dy1,(;= -.25; p < .05) . However, the A.C.T. was not significantly correlated with the AEQ. Peer ratings of expressiveness were significantly negatively correlated with the Am (r = -.31; p < .001) . Table 8 Correlations for Am, Cluster Scores and Ebcpressiveness Measures, Sannple 2 1. 2. 3. 1. Am - 2. BBQ -.25 — 3. Peer Rating -.31 .43 - 4. A.C.T. -.08 .36 .21 Note. For all but the peer ratings of expressiveness, _Ij = 48. For g: 48, £2 .24 are significant (p < .05); _rz .33 is significant (p < .01). For peer ratings, 11 = 207, r 2 .10 is significant, p < .05 and I _>_ .16 is significant, p < .01: 74 .ImmoMHOAOAnm u .uo:ouum newoouudm u .uudm newnosm u .aonm uhHOMxe< u .x:< ”newnaoheon u .909 “abwnaonloo obfiuaomnno u .o.o "massacol sewage: you .oadom acouu< o>mudwoz shonoaum u moz .m "huouaobam newnumueon Moon u Ham “Hummus o>wuumue huwdo u <2 “acouu< o>uawoom ehsnodum u .nom .m meadow an“; new: newscauowudm u mazm noumd::o«auuoa humadoonuom unwasououuwa on» loan canon masonndaox u on: “Hummus o>wuwnon mama: u em ..ee. v a. eauoeeeauea use an. A e “Ame. v a. eaaoeeeamea use as. A s .me u 2 has .oeoz va. mm. «m. mm. no. No. we. on. on. Na. a~.n v¢.n m¢.n ¢¢.I .bom .6 .mu In so. an. an. no. no. Hm. av. ow. no. mN.I wv.l N¢.I H¢.I .HOAOhum .wn on. an. >5. am. he. an. ow. on. Hc.n mN.I ¢N.I HN.I Hawsw .m~ II «n. no. em. Hm. «V. an. «N. «N.n vv.l cv.l ov.n .dhdm .NH In on. av. NM. ov. on. «N. N~.I «m.n mn.n ¢~.I .noam .nm In am. mm. mm. NM. ha. no.l NN.I O¢.I «v.1 ..xu< .Oa 1: mm. am. me. ha. o~.n nm.n mv.l av.l .non .m In «a. on. em. cN.I ON.I cN.I Nm.l .U.O .m assume: I: am. am. no.1 c~.n an.l an.l .moz.m .5 nu ma. mo.n vm.n va.n mH.n Ham .m In ac. NN.I wN.I oN.I <2 .m In an. on. vH. .uom.m .v an be. no. mutm .n II «n. can .N In .11 is significant (p < .05) and r 2 .16 is significant (p < .01). Pearson correlation coefficients were counted for the expressiveness neasures and the 5 neasures of physical conplaints. These correlations are presented in Table 13. mile the questionnaire 82 measure of synptonatology was correlated with the Am, the objective neasures of physical distress (i.e., number of health center visits and nunber of illnesses) were not correlated with either expressiveness or ambivalence over expression. Daily synpton reports were nnot associated with either expressiveness or anbivalence. One surprising, though only marginnally significant result is that the Em was positively correlated with health center visits (; = .21; p < .1). In order to further test the predicted relationships between ambivalence over expression and expression, partial correlatios were conpltedbetweenthevariousneasuresofpnysical illnessandtheAEQ partialling out the influennce of first the Elm then the A.C.T. and both of these neasures of expressiveess. The results of these partial correlations were not as expected. AlthoLgh the correlations between the AEQ and the questionnaire neasures of synptonatology remained positive, nno correlatios energed between daily synptons, health center visits or number of illnesses. Next, anediansplitwasperformedonthescoresontheAEnand EEQinordertotesttherelationshipsprtposedinFigure 3. Two (high vs low ambivalence over expression) by two (high vs low expressiveness) annalyses of variance were conducted for each measure of synptonatology as a depedent variable. A min effect for anbivalence over expression was expected, however, no significant effects were fond. Iast, a sinnilarprocedurewasused, thistinneusingonlytheupperandloer thirdsofscoresontheAmandEm. Subsequentanalysesofvariance revealed nno significant effects. Analyses were repeated using only fenale subjects and only those subjects within a traditional college 83 age range (i.e., < 26 years). Once again, neither anbivalence over expression nnor expression predicted health status. Tosunmnarize, theresultsofthesecodsundycanbedividedinto twoparts, theresultspertainingtotherelationshipsbetween expressiveness, anbivalence over expression and psychological well-being and the results pertaining to expression, anbivalence over expression and physical well-being. With newect to the former, results were basically as expected. Ecpressiveness correlated with sons measures of positive well-being but did nnot correlate negatively with neasures of psychological ill-being. The positive correlation betweentheEEnandneasuresofnegativeaffectmnsdirectlycontrary to the thesis that expression is a positive, advantageous behavior in and of itself. These positive correlations are sonewhat surprising and three explannationns will be suggested for this finding. The first two explanations assume tint the self-reports of negative affect do in fact reflect differences in affective experience between expressive and inexpressive individuals. The positive correlations between the neasures of lowered psychological functioning and expressiveess may be explained via the feedback relationship that has been postulated as existing between expression and enotional experience (e. g., Iaird, 1974) . Individuals who are very expressive of emotions in general should experience more of all of these auctions—positive and negative. An alternative explanation would be that individuals who are expressive actually feel more negative affect because of their expressive behaviors. That is, given the previous discussion of the cultural disdain for enotional display, it is nno woder that these 84 individuals may experience enbarrasenent, shame, or guilt over their expression. A f innal explanation for tress positive correlations does not assunne that the correlations reflect real differences in affective experience between expressive and inexpressive individuals. The positive correlation between measures of ill-being and expression may be due to the fact that reporting negative affect is, itself, an expressive behavior. Thus, individuals who are expressive of their enotional states are more likely to report their negative affect than innexpressive individuals—regardless of whether there is any difference in the affective experience of these he groups. Tne data collected in thetwostndiespresentedrereismtsufficienttoconfirmordiscomt these three possibilities. In any case, the positive correlations thenselvesdoat leastcastsonedoubtontheideathatexpressive individuals are more enotionally healthy than innexpressive individuals. Ambivalence over expression, on the other hand, was consistently correlated with neasures of poor psychological funnctioning. It also correlated negatively with sons measures of psychological well-being. These correlations are in keeping with initial predictions. A connparisonoftheAEpandtheneasuresof expressiveness illustrates the accuracy of the contention that expressiveness aloe can reveal little about an individual's psychological health status. Expressiveness did not show a negative relationship with measures of ill-being. on the contrary, annbivalence over expression did correlate with ill-being. Thus, these results support the thesis that expression of sanction provide: nno innsulation against the kinds of adverse psychological consequences that have been traditionally associated with 85 innexpressiveness. Tiesecodsetofresultspertainstotherelationshipsbetween expression, antbivalence over expression and physical health. As predicted, expressiveness was generally nnot associated with neasures of health status, supporting further the contention that expression of enotionisnotthekeytol'ealthyendtionmanagenent. Indeed, expressiveness as measured by the Em was positively correlated with health center visits. This rather startling finding will be discussed further below. Ambivalence over expression was positively correlated with questionnaire neasures of synptone, as predicted. However, contrary to predictions, anbivalence over expression showed no relationship with health center visits or umber of different illnesses. The finding that the BBQ was positively associated with health center visits while the AR} was not deserves special consideration here. Thismnexpectedresultcanbeecplainedthronghreseardnthat hasbeencoductedintheareaofhealthpsychology, focusingon that there is considerable variation in synpton perception, experience and interpretation (Roseetock & Kirsdnt, 1979). Zola (1972, cited in Rosenstock & Kirscht) reported differences in Italian Americans and Irish Americans in their synpvtonn reportage. Italian Annericanns teded to exaggerate synptons while Irish Americans teded to "suffer in silence". Although there are nany obvious cultural differences between thesetwogroups, withinthecontectofthisstndyoeofthese differences—emotional expressiveess—warrants consideration. If 86 synptonreportingisthoghtofasanecpressivebehaviortientlelack of correlation between synpton reports and the AEQ is understandable. This conceptualization of synpton reporting also offers further explanation for the positive correlation between health center visits and expressiveness. Researdninl‘ealthpsydnologyalsocastsadifferentlightonthe variable of health center visits as a measure of psychological well-being rather than physical ill-being. Within the field of health psychology, the concept of "readiness to use services" or "orientation tocare" (Rosenstocl<&l