Brief report: A qualitative evidence synthesis of the psychological processes of school-based expressive writing interventions with adolescents

https://www.sciencedirect.com/science/article/pii/S0140197118301829

Writing in solidarity: the lived experience of African American adolescent girls writing poetry

Pages 1-14 | Received 25 Jul 2017, Accepted 15 Sep 2017, Published online: 28 Nov 2017

This article offers an expansion of the poetry writing and research featured in “Culturally Responsive Poetry” published in the Journal of Poetry Therapy in 2011. In this article, a follow up to the coeducational poetry pilot is provided through the experiences of African American adolescent girl poets. “Writing in Solidarity: The Lived Experience of African American Adolescent Girls Writing Poetry” is the outcome of an in-depth phenomenological research study exploring the lived experience of eight African American female high school students participating in an after school poetry group. The process of writing in solidarity is one of call and response that evokes a sense of understanding and concern for one’s self, poetry group members and community. Through this writing process, a sense of sisterhood is forged for the adolescent girls and the power of individual and collective naming (to call forth one’s own identity or identities) uncovered.

http://www.tandfonline.com/doi/full/10.1080/08893675.2018.1396725

Beyond the classroom: Writing as therapy

Pages 93-104 | Published online: 09 May 2011

The focus of this article is on the use of therapeutic writing methods in high school English classes. The genres include essay, autobiography, and poetry. Classroom assignments and student work are included with the delineation of specific techniques. A review of the theory and practice of writing is therapy is provided. Implications for further practice and research, including ethical issues, are also addressed.

http://www.tandfonline.com/doi/full/10.1080/08893675.2011.574355

The diary as a transitional object in female adolescent development.

Adolesc Psychiatry. 1983;11:92-103.

Sosin DA.

The concept of the diary as a transitional object adds a new perspective to the theory and treatment of adolescents. The findings of this pilot study suggest that the diary mirrors, soothes , helps inhibit frightening impulses, and helps integrate inner and outer realities. These functional aspects of the diary become internalized into the evolving psychic structure just as the analogous functions of the therapist in the context of a positive transference are internalized. The use of the adolescent diary in psychotherapy enhances and enriches the meaning of the treatment alliance and promotes the progress of the “second separation-individuation.” The therapist’s sensitive and creative understanding of the diary- diarist relationship can lead to improved treatment strategies for adolescent patients. Further empirical research on the phenomenon of adolescent diary writing may deepen our clinical and theoretical understanding of this challenging population.

https://www.ncbi.nlm.nih.gov/pubmed/6677159

How effective are expressive writing interventions for adolescents? A meta-analytic review.

Clin Psychol Rev. 2015 Mar;36:42-55. doi: 10.1016/j.cpr.2015.01.003. Epub 2015 Jan 15.

Travagin G1, Margola D2, Revenson TA3.

This meta-analysis evaluated the effects of the expressive writing intervention (EW; Pennebaker & Beall, 1986) among adolescents. Twenty-one independent studies that assessed the efficacy of expressive writing on youth samples aged 10-18 ears were collected and analyzed. Results indicated an overall mean g-effect size that was positive in direction but relatively small (0.127), as well as significant g-effect sizes ranging from 0.107 to 0.246 for the outcome domains of Emotional Distress, Problem Behavior, Social Adjustment, and School Participation. Few significant effects were found within specific outcome domains for putative moderator variables that included characteristics of the participants, intervention instructions, or research design. Studies involving adolescents with high levels of emotional problems at baseline reported larger effects on school performance. Studies that implemented a higher dosage intervention (i.e., greater number and, to some extent, greater spacing of sessions) reported larger effects on somatic complaints. Overall, the findings suggest that expressive writing tends to produce small yet significant improvements on adolescents’ well-being. The findings highlight the importance of modifying the traditional expressive writing protocol to enhance its efficacy and reduce potential detrimental effects. At this stage of research the evidence on expressive writing as a viable intervention for adolescents is promising but not decisive.

https://www.ncbi.nlm.nih.gov/pubmed/25656314

Expressive Writing Intervention for Teens Whose Parents Have Cancer

https://kuscholarworks.ku.edu/handle/1808/8082?show=full

The role of emotional expression was explored in the writings of adolescent children of parents with cancer. Participants ages 12-18 (n=40) were assigned randomly to write in 3 sessions about their thoughts and feelings regarding their parents’ cancer (experimental condition) or their time management (fact control condition). Physical health (i.e., doctor visits, school absences, physical symptoms) and psychological health variables (i.e., internalizing and externalizing behavior, depression, anxiety, positive emotion, negative emotion, post traumatic growth) were assessed as a function of writing condition and participants’ temporal orientation (i.e., the time period on which a person bases the majority of his or her perceptions of reality). Results from analysis of covariance indicated experimental condition was related to decreases in negative affect, self reported depression symptoms, parent-reported anxiety symptoms, and parent- reported internalizing problems in the adolescent participants and increases in post traumatic growth reported by the adolescent participants. Past temporal orientation was related to increased conduct problems reported by parents, increased physical symptoms, and decreased school absences. Conduct problems scores reported by parent were related to increased positive affect, increased anxiety, and decreased illness-related doctor visits. Adolescent Atypicality scores were related to increased parent-reported anxiety in the child, physical symptoms, and school absences. Problem solving coping was related to decreased anxiety, and behavioral avoidance coping was related to increased depression as reported by parent and increased internalizing problems as reported by parent. Given the significant results for the experimental condition, the findings are discussed in light of future possible research on the use of emotional expressive writing in adolescents as well as use of emotional writing tasks as interventions for adolescent children of cancer patients.

full text: https://kuscholarworks.ku.edu/bitstream/handle/1808/8082/LaubHuizenga_ku_0099D_11305_DATA_1.pdf?sequence=1&isAllowed=y

Health effects of written emotional disclosure in adolescents with asthma: a randomized, controlled trial.

J Pediatr Psychol. 2006 Jul;31(6):557-68. Epub 2005 Jul 13.

Warner LJ1, Lumley MA, Casey RJ, Pierantoni W, Salazar R, Zoratti EM, Enberg R, Simon MR.

To test the effects of written emotional disclosure on the health of adolescents with asthma and to examine how language in disclosures predicts outcomes.

METHODS:

We randomized 50 adolescents with asthma to write for 3 days at home about stressful events (disclosure) or control topics. At baseline and 2 months after writing, we assessed symptoms, affect, disability, internalizing behavior problems, and lung function; parents independently rated internalizing behavior and disability.

RESULTS:

Compared with control writing, disclosure writing led to improved positive affect and internalizing problems. Disclosure also decreased asthma symptoms and functional disability among adolescents with baseline elevations of these difficulties. Lung function was not changed. Disclosures with more negative emotion, insight, and causal words–and increased causal or insight words over days–predicted improved health.

CONCLUSIONS:

Written emotional disclosure improves emotional and behavioral functioning among adolescents with asthma, particularly those whose writings suggest emotional processing and cognitive restructuring.

https://www.ncbi.nlm.nih.gov/pubmed/16014820

Resource diary: A positive writing intervention for promoting well-being and preventing depression in adolescence

Resource diary: A positive writing intervention for promoting well-being and preventing depression in adolescence

The Journal of Positive Psychology

Dedicated to furthering research and promoting good practice

Volume 11, 2016 – Issue 1

Pages 99-108

https://doi.org/10.1080/17439760.2015.1025423

 

Depression in adolescence is a widespread problem and leads to extensive psychosocial impairments. For these reason, a resource diary has been developed as a four-week positive writing intervention. The aims of this intervention were to enhance well-being, to promote emotion regulation and resource realization, as well as to prevent symptoms of depression in adolescence. Seventy-seven students of 8th form were randomized either to a positive writing group (n = 38) or to a neutral writing group (n = 39). At the post-test, the positive writing group showed a lower dysphoric mood, fewer worries and less rumination in comparison with the neutral writing group. No effects on resource realization were detected. This study provides the first evidence of the beneficial effects of positive writing on indicators of well-being and depressive symptoms. In conclusion, the resource diary represents an economical intervention for preventing depression in adolescence.

http://www.tandfonline.com/doi/full/10.1080/17439760.2015.1025423?src=recsys

How effective are expressive writing interventions for adolescents? A meta-analytic review

GabrieleTravaginaDavideMargolaaTracey A.Revensonb

Clinical Psychology Review

Volume 36, March 2015, Pages 42-55
This meta-analysis evaluated the effects of the expressive writing intervention (EW; Pennebaker & Beall, 1986) among adolescents. Twenty-one independent studies that assessed the efficacy of expressive writing on youth samples aged 10–18 years were collected and analyzed. Results indicated an overall mean g-effect size that was positive in direction but relatively small (0.127), as well as significant g-effect sizes ranging from 0.107 to 0.246 for the outcome domains of Emotional Distress, Problem Behavior, Social Adjustment, and School Participation. Few significant effects were found within specific outcome domains for putative moderator variables that included characteristics of the participants, intervention instructions, or research design. Studies involving adolescents with high levels of emotional problems at baseline reported larger effects on school performance. Studies that implemented a higher dosage intervention (i.e., greater number and, to some extent, greater spacing of sessions) reported larger effects on somatic complaints. Overall, the findings suggest that expressive writing tends to produce small yet significant improvements on adolescents’ well-being. The findings highlight the importance of modifying the traditional expressive writing protocol to enhance its efficacy and reduce potential detrimental effects. At this stage of research the evidence on expressive writing as a viable intervention for adolescents is promising but not decisive.