Maintaining Mental Health Through Positive Writing: Effects of a Resource Diary on Depression and Emotion Regulation

J Clin Psychol. 2017 Dec;73(12):1586-1598. doi: 10.1002/jclp.22463. Epub 2017 Feb 10.

Abstract

Objective: The present study investigated the beneficial effects of the resource-oriented positive writing intervention resource diary (RD) on mental health variables among patients recently discharged from psychiatric inpatient treatment.

Method: Eighty-nine patients were randomly assigned to either an intervention group completing RD over the course of 4 weeks (n = 45) or a control group receiving no intervention (n = 44). To measure changes in mental health, patients filled out a number of self-report questionnaires on depression, emotion regulation, and resource activation before and after the intervention. RESULTS: Participants completing RD had significantly lower depression scores than controls and reported an increased use of the functional emotion regulation strategy "reappraisal" 5 weeks after discharge. A decreased use of the dysfunctional strategy "expressive suppression" was found in the female subsample. No differences were found for resource activation.

Conclusion: These findings suggest that a resource-oriented positive writing intervention has potential for stabilizing mental health after psychiatric discharge and could therefore present an economical alternative or addition to established aftercare programs.

Keywords: depression; emotion regulation; positive psychology; psychiatric aftercare; resource activation; therapeutic writing.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Depression / therapy*
  • Emotions / physiology*
  • Female
  • Humans
  • Male
  • Mental Disorders / therapy*
  • Middle Aged
  • Narrative Therapy / methods*
  • Outcome Assessment, Health Care*
  • Self-Control*
  • Sex Factors
  • Writing*
  • Young Adult