Chasing elusive expressive writing effects: emotion-acceptance instructions and writer engagement improve outcomes

IntroductionPennebaker’s expressive writing (EW) paradigm in which participants are encouraged to explore their “deepest thoughts and feelings” about a difficult experience in several short writing sessions has yielded impressive mental health outcomes and holds great promise as a cost-effective int...

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Main Authors: Stephanie S. Rude, Crystal Lantrip, Vanessa A. Aguirre, William A. Schraegle
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-06-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1192595/full
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author Stephanie S. Rude
Crystal Lantrip
Crystal Lantrip
Vanessa A. Aguirre
William A. Schraegle
author_facet Stephanie S. Rude
Crystal Lantrip
Crystal Lantrip
Vanessa A. Aguirre
William A. Schraegle
author_sort Stephanie S. Rude
collection DOAJ
description IntroductionPennebaker’s expressive writing (EW) paradigm in which participants are encouraged to explore their “deepest thoughts and feelings” about a difficult experience in several short writing sessions has yielded impressive mental health outcomes and holds great promise as a cost-effective intervention. Yet results have been difficult to replicate and it is unclear what conditions are necessary for observing the effect. Our aim was to discover reasons for the variability in EW outcomes. We explored the impact of augmenting writing instructions to encourage acceptance of emotional experience, which we thought would encourage engagement with writing; and we examined essay length, an index of writer engagement, as a possible moderator of writing outcomes.MethodsWe compared traditional expressive writing (tEW), conducted according to Pennebaker’s paradigm in which participants write about a self-chosen emotional experience for 15 min at a time on each of three closely spaced days, with an acceptance-enhanced version (AEEW), identical except that it supplemented traditional instructions with encouragement of an accepting approach to emotional experience, and with a control condition which asked participants to write about their use of time on particular days. Self-reported depression was the outcome measure.ResultsEssay length (a proxy for writer engagement) moderated effects of writing at posttest 2 weeks later: Condition differences were found only for participants who wrote longer essays: For these participants the AEEW condition outperformed both control and tEW; and tEW did not differ significantly from control.ConclusionFindings suggest that degree of engagement in the writing process may partially explain the puzzle of variable outcomes in the EW literature. Results also provide practical guidance: those who are motivated to engage deeply in the writing process are most likely to benefit; and encouraging writers to accept and to openly explore emotional experience is expected to enhance benefits.
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spelling doaj.art-8dbc246bfcfc465886ff1519648803bb2023-06-13T04:54:34ZengFrontiers Media S.A.Frontiers in Psychology1664-10782023-06-011410.3389/fpsyg.2023.11925951192595Chasing elusive expressive writing effects: emotion-acceptance instructions and writer engagement improve outcomesStephanie S. Rude0Crystal Lantrip1Crystal Lantrip2Vanessa A. Aguirre3William A. Schraegle4Department of Educational Psychology, The University of Texas at Austin, Austin, TX, United StatesCenter of Excellence for Research on Returning War Veterans at Central Texas Veterans Health Care System, Waco, TX, United StatesDepartment of Psychology and Neurosciences, Baylor University, Waco, TX, United StatesDepartment of Psychology, The University of Texas at Austin, Austin, TX, United StatesDepartment of Neurology, Dell Medical School, The University of Texas at Austin, Austin, TX, United StatesIntroductionPennebaker’s expressive writing (EW) paradigm in which participants are encouraged to explore their “deepest thoughts and feelings” about a difficult experience in several short writing sessions has yielded impressive mental health outcomes and holds great promise as a cost-effective intervention. Yet results have been difficult to replicate and it is unclear what conditions are necessary for observing the effect. Our aim was to discover reasons for the variability in EW outcomes. We explored the impact of augmenting writing instructions to encourage acceptance of emotional experience, which we thought would encourage engagement with writing; and we examined essay length, an index of writer engagement, as a possible moderator of writing outcomes.MethodsWe compared traditional expressive writing (tEW), conducted according to Pennebaker’s paradigm in which participants write about a self-chosen emotional experience for 15 min at a time on each of three closely spaced days, with an acceptance-enhanced version (AEEW), identical except that it supplemented traditional instructions with encouragement of an accepting approach to emotional experience, and with a control condition which asked participants to write about their use of time on particular days. Self-reported depression was the outcome measure.ResultsEssay length (a proxy for writer engagement) moderated effects of writing at posttest 2 weeks later: Condition differences were found only for participants who wrote longer essays: For these participants the AEEW condition outperformed both control and tEW; and tEW did not differ significantly from control.ConclusionFindings suggest that degree of engagement in the writing process may partially explain the puzzle of variable outcomes in the EW literature. Results also provide practical guidance: those who are motivated to engage deeply in the writing process are most likely to benefit; and encouraging writers to accept and to openly explore emotional experience is expected to enhance benefits.https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1192595/fullexpressive writingemotion acceptancemoderatorsengagementinterventiondepression
spellingShingle Stephanie S. Rude
Crystal Lantrip
Crystal Lantrip
Vanessa A. Aguirre
William A. Schraegle
Chasing elusive expressive writing effects: emotion-acceptance instructions and writer engagement improve outcomes
Frontiers in Psychology
expressive writing
emotion acceptance
moderators
engagement
intervention
depression
title Chasing elusive expressive writing effects: emotion-acceptance instructions and writer engagement improve outcomes
title_full Chasing elusive expressive writing effects: emotion-acceptance instructions and writer engagement improve outcomes
title_fullStr Chasing elusive expressive writing effects: emotion-acceptance instructions and writer engagement improve outcomes
title_full_unstemmed Chasing elusive expressive writing effects: emotion-acceptance instructions and writer engagement improve outcomes
title_short Chasing elusive expressive writing effects: emotion-acceptance instructions and writer engagement improve outcomes
title_sort chasing elusive expressive writing effects emotion acceptance instructions and writer engagement improve outcomes
topic expressive writing
emotion acceptance
moderators
engagement
intervention
depression
url https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1192595/full
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AT vanessaaaguirre chasingelusiveexpressivewritingeffectsemotionacceptanceinstructionsandwriterengagementimproveoutcomes
AT williamaschraegle chasingelusiveexpressivewritingeffectsemotionacceptanceinstructionsandwriterengagementimproveoutcomes