Expressive writing as a therapeutic process for drug-dependent women.
Expressive writing as a therapeutic process for drug-dependent women.
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DOI：
10.1080/08897077.2013.805181
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发表时间：
2014
期刊：
影响因子：
3.5
通讯作者：
McMahon TJ
中科院分区：
文献类型：
--
作者：
Meshberg-Cohen S;Svikis D;McMahon TJ
尽管患有物质使用障碍（SUD）的女性有很高的创伤和创伤后压力，但许多成瘾项目并不提供针对创伤的治疗。Pennebaker的表达性写作是一种很有希望的干预方法，它包括每天20分钟的写作，以促进压力经历的披露。接受住院治疗的女性（N = 149）完成了一项比较表达性写作和对照写作的随机临床试验。使用重复测量方差分析来记录从基线到2周和1个月随访期间心理和生理困扰的变化。分析还检查了表达性写作后的直接负面影响水平。在两周的随访中，表达性写作参与者在创伤后症状严重程度、抑郁和焦虑得分上比对照写作参与者表现出更大的下降。随访1个月无组间差异。安全数据令人鼓舞；虽然表达性写作的参与者在每次写作后立即表现出增加的负面情绪，但在第二天的写作前的负面情绪得分在不同的条件下没有差异。在最后的写作阶段，参与者能够在没有负面情绪的情况下写下创伤/压力事件。结果表明，表达性写作可能是一种简短、安全、低成本的辅助治疗方法，值得进一步研究，作为解决药物滥用妇女创伤后痛苦的策略。
Although women with Substance Use Disorders (SUD) have high rates of trauma and post-traumatic stress, many addiction programs do not offer trauma-specific treatments. One promising intervention is Pennebaker’s expressive writing, which involves daily, 20-minute writing sessions to facilitate disclosure of stressful experiences. Women (N = 149) in residential treatment completed a randomized clinical trial comparing expressive writing to control writing. Repeated measures analysis of variance was used to document change in psychological and physical distress from baseline to 2-week and 1-month follow-ups. Analyses also examined immediate levels of negative affect following expressive writing. Expressive writing participants showed greater reductions in post-traumatic symptom severity, depression, and anxiety scores, when compared to control writing participants at the 2-week follow-up. No group differences were found at the 1-month follow-up. Safety data were encouraging; while expressive writing participants showed increased negative affect immediately after each writing session, there were no differences in pre-writing negative affect scores between conditions the following day. By the final writing session, participants were able to write about traumatic/stressful events without having a spike in negative affect. Results suggest expressive writing may be a brief, safe, low cost, adjunct to SUD treatment that warrants further study as a strategy for addressing post-traumatic distress in substance-abusing women.
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影响因子：
4.6
作者：
PENNEBAKER, JW;BEALL, SK
通讯作者：
BEALL, SK
影响因子：
3.3
作者：
Najavits, LM;Weiss, RD;Muenz, LR
通讯作者：
Muenz, LR
影响因子：
5.9
作者：
PENNEBAKER, JW;KIECOLTGLASER, JK;GLASER, R
通讯作者：
GLASER, R
影响因子：
7.6
作者：
Lepore, SJ
通讯作者：
Lepore, SJ
影响因子：
7.6
作者：
GREENBERG, MA;STONE, AA
通讯作者：
STONE, AA