Effects of expressive writing intervention for women's PTSD, depression, anxiety and stress related to pregnancy: A meta-analysis of randomized controlled trials

Qian, Jialu; Zhou, Xiaoli; Sun, Xueshan; Wu, Mengyin; Sun, Shiwen; Yu, Xiaoyan

doi:10.1016/j.psychres.2020.112933

Cited by 35 publications

(28 citation statements)

References 45 publications

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“…Interventions focused on enhancing resilience can help prevent and treat individuals with PTSD 52 53. The ‘three good things’ writing therapy showed benefits in relieving PTSD,31 which is consistent with previous studies 54–56. With the development of positive psychology, many studies have tried to improve PTSD symptoms by increasing positive psychological changes, which may help individuals re-establish a new understanding of life 57 58.…”

Section: Discussionsupporting

confidence: 77%

“…52 53 The 'three good things' writing therapy showed benefits in relieving PTSD, 31 which is consistent with previous studies. [54][55][56] With the development of positive psychology, many studies have tried to improve PTSD symptoms by increasing positive psychological changes, which may help individuals re-establish a new understanding of life. 57 58 Group format workshops tend to be used because they can help share useful information on trauma management and help them gain sufficient peer support and organisational support.…”

Section: Discussionmentioning

confidence: 99%

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Interventions to reduce post-traumatic stress disorder symptoms in health care professionals from 2011 to 2021: a scoping review

Qian

Wang²,

Sun

et al. 2022

BMJ Open

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ObjectivesThis scoping review aimed to describe available interventions for decreasing (post-traumatic stress disorder) PTSD symptoms among healthcare professionals in hospital care.MethodA scoping review was conducted following Arksey and O’Malley’s framework. PubMed, EMBASE, Cochrane Library, CINAHL, PsycINFO, Web of Science, Scopus and ProQuest were searched for original research published in English from 2011 to 2021, on 8 July 2021. We included studies that described interventions that focused on reducing the PTSD symptoms of healthcare professionals. A narrative synthesis was adopted to synthesise the data.ResultsA total of eight studies out of 2558 articles were identified. Six used a quantitative study design and two adopted qualitative methods. cognitive behavioural therapy and mindfulness-based interventions were the most commonly adopted. Most studies used a combination of different intervention strategies. Trauma-related knowledge, emotion regulation and relaxation skill training, and psychological support from peers and psychologists were three core intervention components. The duration ranged from 2 weeks to 6 months. Healthcare professionals who participated in training programmes reported both positive experiences and suggestions for the improvement of PTSD-reducing interventions in their qualitative feedback.ConclusionsThe scoping review provides a practical summary of the intervention characteristics for reducing the PTSD symptoms of healthcare professionals. Hospitals and managers could use the overview of interventions to assist healthcare professionals with PTSD symptoms. More research investigating the effects of PTSD symptom-reducing interventions for healthcare professionals with appropriate follow-up assessments is needed in the future.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Interventions to reduce post-traumatic stress disorder symptoms in health care professionals from 2011 to 2021: a scoping review

Qian

Wang²,

Sun

et al. 2022

BMJ Open

Self Cite

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“…Furthermore, other promising types of psychological intervention for postnatal mothers such as expressive writing ( Qian et al, 2020), and eye movement desensitization and reprocessing treatment (Sandstrom et al, 2008;Stramrood et al, 2012), which were not examined in this review should be explored in future trials to examine their effects in women who have experienced traumatic childbirth.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Psychological Interventions to Improve the Mental Well-Being of Parents Who Have Experienced Traumatic Childbirth: A Systematic Review and Meta-Analysis

Shorey

Downe

Chua

et al. 2021

Trauma, Violence, & Abuse

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Considering the adverse impact that traumatic childbirth experiences can have on parental mental well-being, studies that have investigated the potential of providing postnatal psychological support for this group of parents require evaluation. This systematic review aimed to examine the effectiveness of psychological interventions at improving the mental well-being of parents who have experienced traumatic childbirth in terms of anxiety, depression, fear of childbirth, and post-traumatic stress disorder (PTSD) symptoms. Seven electronic databases were searched from their respective inception dates up to January 2021. Only quantitative studies that reported the effects of psychological interventions on anxiety, depression, fear of childbirth, and/or PTSD symptoms in selective (at risk of traumatic childbirth experience) or indicated (self-defined childbirth experience as traumatic for any reason) populations of parents (mothers and/or fathers) were included. Eight studies were included and meta-analyses were conducted using a random-effect model. All studies were conducted on mothers only, and one study had minimal father involvement. Results showed that psychological interventions were more effective in reducing fear of childbirth and improving PTSD symptoms compared to anxiety and depression. Greater improvement in depression was reported at 3–8 weeks’ follow-up than at immediate post-intervention. Subgroup analyses showed that technology-based interventions were feasible, and indicated interventions were more effective than selective interventions. Conducting future interventions in more geographical regions, engaging and including fathers more actively, incorporating both personalized professional therapy and informal peer support, striving for flexibility and convenience, as well as addressing topics on self-doubt and coping skills can improve current interventions.

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“…al., 2019). Expressive writing performed on women with post-traumatic syndrome showed that writing about traumatic experiences significantly reduced the major symptoms of post-traumatic syndrome (Qian et. al., 2020).…”

Section: Introductionmentioning

confidence: 99%

Expressive writing therapy for a client with low self-esteem, hallucination and post-traumatic syndrome

Septiana

Putri

Tungtrongvisolkit

2022

Inn. Health. and Soc

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Schizoaffective is a mental disorder that exhibits psychotic symptoms of schizophrenia and mood disorders which can be depressive episodes, manic episodes, or a mixture of the two episodes. This paper reported a case study of Ms. R, a 24-year-old woman diagnosed with schizoaffective disorder. She has self-esteem problems, hallucinations, and post-traumatic syndrome that interfere with her productivity and social life functions. The generalist psychiatric nursing care process and expressive writing therapy were implemented for her treatment for 18 days. The result supports that the combination of the two interventions positively impacted reducing signs and symptoms of low self-esteem, hallucinations, and anxiety symptoms in a client with schizoaffective.

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Effects of expressive writing intervention for women's PTSD, depression, anxiety and stress related to pregnancy: A meta-analysis of randomized controlled trials

Cited by 35 publications

References 45 publications

Interventions to reduce post-traumatic stress disorder symptoms in health care professionals from 2011 to 2021: a scoping review

Interventions to reduce post-traumatic stress disorder symptoms in health care professionals from 2011 to 2021: a scoping review

Effectiveness of Psychological Interventions to Improve the Mental Well-Being of Parents Who Have Experienced Traumatic Childbirth: A Systematic Review and Meta-Analysis

Expressive writing therapy for a client with low self-esteem, hallucination and post-traumatic syndrome

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