Vindicating pollyanna? An experimental test of cognitive restructuring and positive thinking interventions

Psychother Res. 2023 Jul;33(6):696-703. doi: 10.1080/10503307.2022.2152397. Epub 2022 Dec 6.

Abstract

Objective: Despite its considerable potential, psychotherapy research has made limited use of small-scale experimental study designs to test intervention components. This study employs such a design to test the immediate effects on emotional experience of two approaches to changing negative thoughts, cognitive restructuring and fostering positive thinking. Cognitive restructuring draws on the strategies core to cognitive behavioral therapies. Fostering positive thinking has also received attention, though less so as a psychological intervention.

Method: We tested the benefits of these strategies over a brief interval by randomizing 230 participants to complete a worksheet introducing one of the two strategies. Participants reported their skills prior to exposure to these worksheets and affect was assessed immediately prior to and following use of worksheets.

Results: Participants' negative affect reduced following both strategies. Conditions did not differ significantly in affect change. Analysis of potential moderators showed that, among those with higher levels of cognitive behavioral therapy skills, the positive thinking condition produced greater gains in positive affect than the cognitive restructuring condition.

Conclusions: These results indicate that both forms of brief interventions promote reductions in negative affect. Positive thinking interventions, which are not focused on the accuracy of one's thinking, appear to be particularly effective in promoting positive affect.

Keywords: cognitive restructuring; positive thinking.

MeSH terms

  • Cognitive Behavioral Therapy* / methods
  • Cognitive Restructuring*
  • Emotions
  • Humans
  • Optimism
  • Psychotherapy