“…Based on the limitations reviewed with regard to the study of emotional disclosure and health, the present study had two goals: the first goal was to investigate the effects of quantity and quality of emotional disclosure on psychological distress before cardiac surgery, and addressed the first limitation. Previous studies have systematically linked preoperative distress to postoperative recovery, adaptation and quality of life (Andrew, Baker, Kneebone, & Knight, 2000;Bruin, Schaefer, Krohne, & Dreyer, 2001;Kain, Sevarino, Alexander, Pincus, & Mayes, 2000;van der Zee, Huet, Gallandat, & Evers, 2002). Identifying factors influencing preoperative distress could help us design interventions enhancing patient adjustment before and after surgery.…”