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How writing impacts our emotions and thoughts

How writing impacts our emotion and thoughts: a randomized controlled trial

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN12914732
Enrollment
200
Registered
2022-04-19
Start date
2022-04-20
Completion date
Unknown
Last updated
2025-10-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Daily stress in adults with mild/moderate depressive symptoms and/or anxiety symptoms Mental and Behavioural Disorders

Interventions

There are four writing interventions: expressive writing, guided narrative writing, self-compassionate writing and lifestyle writing (active control group). The writing intervention includes three wri

Sponsors

University of Exeter
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Native English speakers 2. Aged 18 years and above 3. Currently living in the UK 4. They are currently experiencing mild/moderate levels of distress (HADS score between 8-14) 5. Can read and write using a computer or laptop

Exclusion criteria

Exclusion criteria: 1. Currently experience high levels of distress or low mood (HADS score above 14) or no symptoms (HADS score below 8) 2. Not be involved in any forms of psychological therapies (e.g., talking therapy, group intervention, support group, meditation exercises) during the study (i.e., 3 months) 3. On any form of anti-psychotic

Design outcomes

Primary

MeasureTime frame
1. Depressive symptoms and anxiety symptoms measured using the hospital anxiety and depression scale at pre-assessment, post-assessment, 1-month follow-up and 3-month follow-up 2. Stress measured using the perceived stress scale at pre-assessment, post-assessment, 1-month follow-up and 3-month follow-up 3. PTSD symptoms measured using the PDS-5 trauma test, peri-traumatic emotions questionnaire, and post-trauma growth at pre-assessment, post-assessment, 1-month follow-up and 3-month follow-up 4. Self-compassion measured using the self-compassion scale (short form) at pre-assessment, post-assessment, 1-month follow-up and 3-month follow-up 5. Mood measured using three basic dimensions of mood at each pre-/post- writing session 6. Self-compassion and state of connectedness with others measured using the visual analogue scale (VAS) at each pre-/post- writing session 7. Distress measured using subject units of distress scale at each pre-/post- writing session 8. Psychological processes in the writing (cognitive processes, positive emotion, negative emotion, and social processes) measured using Linguistic Inquiry and Word Count (LIWC) during writing sessions 9. Emotion regulation measured using the rumination reflection scale, short-form cognitive emotion regulation scale and difficulties in emotion regulation scale at pre-assessment, post-assessment, 1-month follow-up and 3-month follow-up

Secondary

MeasureTime frame
1. Adverse childhood experiences measured using adverse childhood experience questionnaires at pre-assessment, post-assessment, 1-month follow-up and 3-month follow-up 2. Sleeping problems measured using the insomnia severity index at pre-assessment, post-assessment, 1-month follow-up and 3-month follow-up 3. Psychological wellbeing measured using the satisfaction with life scale and subjective happiness scale at pre-assessment, post-assessment, 1-month follow-up and 3-month follow-up 4. Loneliness is measured using the UCLA loneliness scale at pre-assessment, post-assessment, 1-month follow-up and 3-month follow-up 5. The impact of mental health problems measured using the work and social adjustment scale at pre-assessment, post-assessment, 1-month follow-up and 3-month follow-up 6. Social support measured using the multidimensional scale of perceived social support scale at pre-assessment, post-assessment, 1-month follow-up and 3-month follow-up 7. Gratitude measured using the gratitude questionnaire at pre-assessment, post-assessment, 1-month follow-up and 3-month follow-up 8. Self-efficacy is measured using the general self-efficacy scale at pre-assessment, post-assessment, 1-month follow-up and 3-month follow-up 9. Meaning of life is measured using the meaning in life questionnaire at pre-assessment, post-assessment, 1-month follow-up and 3-month follow-up 10. Resilience is measured using the brief resilience scale at pre-assessment, post-assessment, 1-month follow-up and 3-month follow-up

Countries

England, United Kingdom

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026