This study examined the effects of expressive writing on depression, posttraumatic stress disorder (PTSD) and pain symptoms among women who have survived intimate partner violence (IPV). Forty-seven women completed baseline and four-month follow-up assessments and were randomly assigned to four writing sessions of either expressive writing focused on traumatic life events or writing about a neutral topic. Main effects were not significant for changes in depression, pain or PTSD symptoms. However, among depressed women, those assigned to expressive writing showed a significantly greater drop in depression. For depressed women with IPV histories, expressive writing may lead to reduced depression.
American Medical Association . (1992). Diagnostic and treatment guidelines on domestic violence. Chicago, IL: American Medical Association .
2.
Batten, S. V. , Follette, V. M. , & Palm, K. M. (2002). Physical and psychological effects of written disclosure among sexual abuse survivors . Behavior Therapy, 33, 107–122 .
3.
Beck, A. T. , & Beamesderfer, A. (1974). Assessment of depression: The depression inventory . Modern Problems of Pharmacopsychiatry, 7, 151–169 .
4.
Blake, D. , Weathers, F. , Nagy, L. , Kaloupek, D. , Klauminzer, G. , Charney, D. , & Keane, T. (1990). Clinician-Administered PTSD Scale (CAPS) for the diagnosis of post-traumatic stress disorder in motor vehicle accident victims . Behavior, Research and Therapy, 33, 471–475 .
5.
Blanchard, E. , Jones-Alexander, J. , Buckley, T. C. , & Forneris, C. A. (1996). Psychometric properties of the PTSD Checklist . Behavior Research and Therapy, 34(8), 669–673 .
6.
Booth, R. J. , & Petrie, K. J. (2002). Emotional expression and health changes: Can we identify biological pathways? In S. J. Lepore & J. M. Smyth (Eds.), The writing cure: How expressive writing promotes health and emotional well-being (pp. 157–175). Washington, DC: American Psychological Association .
7.
Brown, E. J. , & Heimberg, R. G. (2001). Effects of writing about rape: Evaluating Pennebaker’s paradigm with a severe trauma . Journal of Traumatic Stress, 14, 781–781 .
8.
Campbell, J. C. (2002). Health consequences of intimate partner violence . The Lancet, 359, 1331–1336 .
9.
Campbell, J. C. , & Lewandowski, L. A. (1997). Mental and physical health effects of intimate partner violence on women and children . Psychiatric Clinics of North America, 20(2), 353–374 .
10.
Cascardi, M. , O’Leary, K. D. , Lawrence, E. E. , & Schlee, K. A. (1995). Characteristics of women physically abused by their spouses and who seek treatment regarding marital conflict . Journal of Consulting and Clinical Psychology, 63, 616–623 .
11.
Cavanaugh, S. , Clark, D. C. , & Gibbons, R. D. (1983). Diagnosing depression in the hospitalized medically ill . Psychosomatics, 24(9), 809–815 .
12.
Classen, C. , Koopman, C. , Nevill-Manning, K. , & Spiegel, D. (2001). A preliminary report comparing trauma-focused and present-focused group therapy against a wait-listed condition among childhood sexual abuse survivors with PTSD . Journal of Aggression, Maltreatment and Trauma, 4(2), 265–288 .
13.
Davidson, K. , Schwartz, A. R. , Sheffield, D. , McCord, R. S. , Lepore, S. J. , & Gerin, W. (2002). Expressive writing and blood pressure. In S. J. Lepore & J. M. Smyth (Eds.), The writing cure: How expressive writing promotes health and emotional well-being (pp. 17–30). Washington, DC: American Psychological Association .
14.
Drozd, L. , & Dalenberg, C. (1994). The self as mediator in the psychopathology of female children of alcoholics . International Journal of the Addictions, 29(14), 1787–1800 .
15.
Fischbach, R. L. , & Herbert, B. (1997). Domestic violence and mental health: Correlates and conundrums within and across cultures . Social Science and Medicine, 45(8), 1161–1176 .
16.
Gidron, Y. , Gal, R. , Freedman, S. , Twiser, I. , Lauden, A. , Snir, Y. , & Benjamin, J. (2001). Translating research findings to PTSD prevention: Results of a randomized controlled pilot study . Journal of Traumatic Stress, 14, 773–780 .
17.
Gidron, Y. , Peri, T. , Connolly, J. F. , & Shalev, A. Y. (1996). Written disclosure in posttraumatic stress disorder: Is it beneficial for the patient?Journal of Nervous and Mental Disease, 184, 505–507 .
18.
Greenberg, M. A. , & Stone, A. A. (1992). Writing about disclosed versus undisclosed traumas: Immediate and long-term effects on mood and health . Journal of Personality and Social Psychology, 63, 75–84 .
19.
Holmes, D., Koopman, C., Ismailji, T., Alpers, G., Bendel, T., Classen, C., Cheasty, V., & Spiegel, D. (2004). Cognitive and emotional processing in written narratives of women abused by intimate partners. Unpublished manuscript.
20.
Housecamp, B. M. , & Foy, D. W. (1991). The assessment of posttraumatic stress disorder in battered women . Journal of Interpersonal Violence, 6, 367–375 .
21.
Kemp, A. , Rawlings, E. I. , & Green, B. L. (1991). Post-traumatic stress disorder (PTSD) in battered women . Journal of Traumatic Stress, 4, 137–148 .
22.
Klein, K. (2002). Stress, expressive writing, and working memory. In S. J. Lepore & J. M. Smyth (Eds.), The writing cure: How expressive writing promotes health and emotional well-being (pp. 135–155). Washington, DC: American Psychological Association .
23.
Koopman, C. , Angell, K. , Kreshka, M. A. , Turner-Cobb, J. , Donnelly, P. , McCoy, R. , & Spiegel, D. (1999). Workbook-journal significantly reduces posttraumatic stress disorder symptoms among rural women with primary breast cancer . Psycho-Oncology, 8(43), Supplement.
24.
Marcus, I. (1994). Reframing ‘domestic violence’: Terrorism in the home. In M. A. Fineman & R. Mykitiuk (Eds.), The public nature of private violence: The discovery of domestic abuse (pp. 11–35). New York: Routledge .
25.
Pennebaker, J. W. , & Beall, S. K. (1986). Confronting a traumatic event: Toward an understanding of inhibition and disease . Journal of Abnormal Psychology, 95, 274–281 .
26.
Pennebaker, J. W. , & Francis, M. E. (1996). Cognitive, emotional, and language processes in disclosure . Cognition and Emotion, 10, 601–626 .
27.
Pennebaker, J. W. , Mayne, T. J. , & Francis, M. E. (1997). Linguistic predictors of adaptive bereavement . Journal of Personality and Social Psychology, 72(4), 863–871 .
28.
Pennebaker, J. W. , & Seagal, J. D. (1999). Forming a story: The health benefits of a narrative . Journal of Clinical Psychology, 55(10), 1243–1254 .
29.
Petrie, K. J. , Booth, R. J. , & Pennebaker, J. W. (1998). The immunological effects of thought suppression . Journal of Personality and Social Psychology, 75(5), 1264–1272 .
30.
Richards, J. M. , & Gross, J. J. (2000). Emotional regulation and memory: The cognitive costs of keeping one’s cool . Journal of Personality and Social Psychology, 79(3), 410–424 .
31.
Schnurr, P. P. , Friedman, M. J. , Foy, D. W. , Shea, M. T. , Hsieh, F. Y. , Lavori, P. W. , Glynn, S. M. , Wattenberg, M. , & Bernardy, N. C. (2003). Randomized trial of trauma-focused group therapy for posttraumatic stress disorder: Results from a department of veterans affairs cooperative study . Archives of General Psychiatry, 60(5), 481–489 .
32.
Smyth, J. M. (1998). Written emotional expression: Effect sizes, outcome types, and moderating variables . Journal of Consulting and Clinical Psychology, 66(1), 174–184 .
33.
Smyth, J. M. , Stone, A. A. , Hurewitz, A. , & Kaell, A. (1999). Effects of writing about stressful experiences on symptom reduction in patients with asthma or rheumatoid arthritis . Journal of the American Medical Association, 281(14), 1304–1309 .
34.
Stein, M. B. , & Kennedy, C. (2001). Major depressive and post-traumatic stress disorder comorbidity in female victims of intimate partner violence . Journal of Affective Disorders, 66, 133–138 .
35.
Sutherland, C. A. , Bybee, D. I. , & Sullivan, C. M. (2002). Beyond bruises and broken bones: The joint effects of stress and injuries on battered women’s health . American Journal of Community Psychology, 30(5), 609–636 .
36.
Tjaden, P. , & Thoennes, N. (1998). Prevalence, incidence, and consequences of violence against women: Findings from the National Violence against Women survey. Washington, DC: United States Department of Justice (NCJ-172837).
37.
US Department of Justice . (2000). Extent, nature, and consequences of intimate partner violence: Findings from the National Violence against Women Survey. Washington, DC: US Department of Justice .
38.
Ware, J. E. , Snow, K. K. , Kosinski, M. , & Gandek, B. (1993). SF-36 Health Survey: Manual and interpretation guide. Boston, MA: The Health Institute, New England Medical Center .
