Client tendencies to disclose versus conceal personally distressing informa
tion (termed distress disclosure) were hypothesized to relate to measures o
f social support, personality, perceived stress, and symptomatology at inta
ke, as well as improvement over the course of counseling, Seventy-nine coll
ege counseling center clients completed questionnaires at intake; 45 of the
se clients also completed measures at termination. Distress disclosure was
related to social support, trait positive affectivity, and trait negative a
ffectivity at intake; and distress disclosure was associated with a decreas
e in client-rated stress and symptomatology over the course of counseling.
These findings point to the importance of attending to client differences i
n tendencies to disclose versus conceal personally distressing information
both at intake and as it relates to change in counseling.