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Expressive Writing as a Therapeutic Process for Drug Dependent Women

表达性写作作为药物依赖女性的治疗过程

基本信息

批准号：
7353077
负责人：
Sarah Meshberg-Cohen
金额：
$ 5.4万
依托单位：
VIRGINIA COMMONWEALTH UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-02-01 至 2010-01-31
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): Studies point to overwhelming rates of interpersonal trauma in the lives of women with Substance Use Disorders (SUD). Trauma and addiction comorbidity studies consistently reveal these women are likely to have poorer health, more severe clinical profiles, and worse treatment adherence, than those without traumatic experiences or Posttraumatic Stress Disorder (PTSD) symptomatology. While trauma has traditionally not been incorporated into SUD treatment, studies indicate that addressing trauma during SUD treatment may improve treatment outcomes. Accumulating evidence over the past two decades indicates disclosure of traumatic or stressful experiences through expressive writing has widespread mental and physical health benefits. Although much attention has focused on the benefits of Pennebaker's expressive writing paradigm, it has not been examined with a SUD population. Expressive writings' efficacy, efficiency, and cost-effectiveness suggest its use as a means for disclosing traumatic experiences may be a powerful adjunct to traditional SUD treatment. The proposed project will examine: a) whether Pennebaker's expressive writing paradigm benefits women currently in SUD treatment; b) the influence of the writing task over immediate and long-term distress; c) language variables in essays using a Linguistic Inquiry and Word Count (LIWC). The population will be women enrolled in residential treatment at Rubicon, Inc. The writing paradigm includes writing about an assigned topic daily for 20 minute sessions over four consecutive days. At baseline, participants will complete questionnaires assessing post-traumatic severity, distress, craving, depressive, and health symptoms. At writing session one, participants will be assigned to one of two conditions, and asked to write about either a personal traumatic/stressful experience or a neutral topic. In writing sessions two through four, participants will write for 20 min maintaining the same condition as assigned in session one. At follow-up, measures administered prior to writing will be completed. If results prove promising, they will support expressive writing as a brief, cost effective, adjunct to current SUD treatment. Results will also imply that its use, in conjunction with current SUD treatment modalities, should be more broadly considered, and that problems underlying SUD and trauma could be simultaneously addressed during treatment.

描述（由申请人提供）：研究表明，在物质使用障碍（SUD）女性的生活中，人际创伤的比例非常高。创伤和成瘾共病研究一致表明，与没有创伤经历或创伤后应激障碍（PTSD）症状的女性相比，这些女性的健康状况可能更差，临床表现更严重，治疗依从性更差。虽然创伤传统上没有纳入SUD治疗，但研究表明，在SUD治疗期间处理创伤可能会改善治疗效果。在过去的二十年中，越来越多的证据表明，通过表达性写作来披露创伤或压力经历对身心健康有广泛的好处。尽管很多注意力都集中在Pennebaker的表达性写作范式的好处上，但它还没有在SUD人群中得到检验。表达性写作的功效、效率和成本效益表明，它作为披露创伤经历的手段，可能是传统SUD治疗的有力辅助手段。该项目将研究：a) Pennebaker的表达性写作范式是否有利于目前正在接受SUD治疗的女性；B)写作任务对即时和长期困扰的影响；c)使用语言调查和单词计数（LIWC）的文章中的语言变量。研究对象将是在卢比孔河公司接受住院治疗的女性。写作范例包括在连续四天中每天就指定的主题写20分钟的文章。在基线，参与者将完成评估创伤后严重程度、痛苦、渴望、抑郁和健康症状的问卷。在写作环节一，参与者将被分配到两个条件中的一个，并被要求写一个个人创伤/压力经历或一个中立的话题。在第二到第四节写作课中，参与者将在与第一节相同的条件下写作20分钟。在后续工作中，将完成在撰写之前实施的措施。如果结果证明是有希望的，它们将支持表达性写作作为当前SUD治疗的一种简短、经济有效的辅助方法。结果还表明，应更广泛地考虑将其与目前的SUD治疗方式结合使用，并在治疗过程中同时解决SUD和创伤的潜在问题。

项目成果

期刊论文数量（3）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Posttraumatic Stress Disorder, Health Problems, and Depression Among African American Women in Residential Substance Use Treatment.

住院药物使用治疗中非裔美国妇女的创伤后应激障碍、健康问题和抑郁症。

DOI：
10.1089/jwh.2015.5328
发表时间：
2016
期刊：
Journal of women's health (2002)
影响因子：
0
作者：
Meshberg-Cohen,Sarah;Presseau,Candice;Thacker,LeroyR;Hefner,Kathryn;Svikis,Dace
通讯作者：
Svikis,Dace

Expressive writing as a therapeutic process for drug-dependent women.