Traditional expressive writing (EW) and EW augmented by emotion-acceptance instructions (EWEA) were compared to non-emotional control writing for their ability to forestall depression symptoms in undergraduates with high or low initial levels of depression symptomatology. EWEA instructions encouraged participants to take a more accepting, “emotion friendly” approach toward expressive writing, stressing the importance of “staying present” with difficult emotional experiences non-judgmentally and with openness. Writing condition interacted significantly with initial depression such that at the 5-week posttest, EWEA was more beneficial than control writing for participants with low to mild initial depression symptoms (CESD <17) and EW was more beneficial than control writing for participants with very low initial depression symptoms (CESD <8). But for the EW condition, this effect was reversed such that participants in this condition with high initial depression (CESD >26) fared worse at posttest than those in the control group.
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This article is based on the dissertation of the first author.
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Baum, E.S., Rude, S.S. Acceptance-Enhanced Expressive Writing Prevents Symptoms in Participants with Low Initial Depression. Cogn Ther Res 37, 35–42 (2013). https://doi.org/10.1007/s10608-012-9435-x
- Expressive writing
- Emotional acceptance
- Emotion regulation
- Contextual thinking
- Self compassion