Online writing about positive life experiences reduces depression and perceived stress reactivity in socially inhibited individuals
Open accessPublished version of a preprint
Abstract
Therapeutic writing can enhance psychological and physical health. Recent studies have suggested that these kinds of interventions can be effective when delivered online. The present study investigated whether positive emotional writing online can influence psychological and physical health in individuals reporting high levels of negative affectivity, who are most likely to benefit from psychological intervention (N = 72, M age = 28.5, SD age = 8.7), and further, to investigate the potential moderating role of social inhibition. Participants completed self-report measures of physical symptoms, perceived stress, perceived stress reactivity, depression and generalised anxiety, before completing either i) positive emotional writing, or ii) a non-emotive control writing task on an online portal, for 20 min per day over three consecutive days. State anxiety was measured immediately after each writing session, and self-report questionnaires were again administered four weeks post-writing. Socially inhibited individuals exhibited significant reductions in depression and perceived stress reactivity four weeks following positive emotional writing, relative to writing about a neutral topic. The present study supports the efficacy of online therapeutic writing in individuals who, due to their socially inhibited nature, are most likely to benefit from online interventions which avoid interaction with a therapist or other clients.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The text we found for this paper looks like another document, so the self-check wasn’t run.
Cites
The Hospital Anxiety and Depression Scale
Zigmond, A. S., & Snaith, R. P. (1983) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1983.tb09716.x · Cited by 47,139 · see citing works
A Global Measure of Perceived Stress
Cohen, S., Kamarck, T., & Mermelstein, R. (1983) · Journal of Health and Social Behavior · doi:10.2307/2136404 · Cited by 32,807 · see citing works
Marteau, T. M., & Bekker, H. (1992) · British Journal of Clinical Psychology · doi:10.1111/j.2044-8260.1992.tb00997.x · Cited by 3,238 · see citing works
Positive Events and Social Supports as Buffers of Life Change Stress <sup>1</sup>
Cohen, S., & Hoberman, H. M. (1983) · Journal of Applied Social Psychology · doi:10.1111/j.1559-1816.1983.tb02325.x · Cited by 2,675 · see citing works
Writing About Emotional Experiences as a Therapeutic Process
Pennebaker, J. W. (1997) · Psychological Science · doi:10.1111/j.1467-9280.1997.tb00403.x · Cited by 2,486 · see citing works
Linguistic Inquiry and Word Count (LIWC)
Chung, C. K., & Pennebaker, J. W. (2012) · IGI Global eBooks · doi:10.4018/978-1-60960-741-8.ch012 · Cited by 2,152 · see citing works
DS14: Standard Assessment of Negative Affectivity, Social Inhibition, and Type D Personality
Denollet, J. (2005) · Psychosomatic Medicine · doi:10.1097/01.psy.0000149256.81953.49 · Cited by 1,556 · see citing works
Disclosure of traumas and immune function: Health implications for psychotherapy.
Pennebaker, J. W., Kiecolt‐Glaser, J. K., & Glaser, R. (1988) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.56.2.239 · Cited by 1,041 · see citing works
Encyclopedia of Personality and Individual Differences
Nȩcka, E. (2016) · Springer eBooks · doi:10.1007/978-3-319-28099-8 · Cited by 1,029 · see citing works
Putting stress into words: Health, linguistic, and therapeutic implications
Pennebaker, J. W. (1993) · Behaviour Research and Therapy · doi:10.1016/0005-7967(93)90105-4 · Cited by 966 · see citing works
Disclosure of traumas and immune function: Health implications for psychotherapy.
Pennebaker, J. W., Kiecolt‐Glaser, J. K., & Glaser, R. (1988) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.56.2.239 · Cited by 846 · see citing works
Experimental Personality Designs: Analyzing Categorical by Continuous Variable Interactions
West, S. G., Aiken, L. S., & Krull, J. L. (1996) · Journal of Personality · doi:10.1111/j.1467-6494.1996.tb00813.x · Cited by 651 · see citing works
Personality in 100,000 Words: A large-scale analysis of personality and word use among bloggers
Yarkoni, T. (2010) · Journal of Research in Personality · doi:10.1016/j.jrp.2010.04.001 · Cited by 637 · see citing works
Linguistic Inquiry and Word Count (LIWC2007)
Pennebaker, J., Booth, R. J., & Francis, M. T. (2007) · ResearchSpace (University of Auckland) · Cited by 604 · see citing works
Word Use in the Poetry of Suicidal and Nonsuicidal Poets
Wiltsey Stirman, S., & Pennebaker, J. W. (2001) · Psychosomatic Medicine · doi:10.1097/00006842-200107000-00001 · Cited by 547 · see citing works
Stanton, A. L., Danoff-Burg, S., Sworowski, L. A., Collins, C. A., Branstetter, A. D., Rodriguez-Hanley, A., Kirk, S. B., & Austenfeld, J. L. (2002) · Journal of Clinical Oncology · doi:10.1200/jco.2002.08.521 · Cited by 519 · see citing works
Emotional and physical health benefits of expressive writing
Baikie, K. A., & Wilhelm, K. (2005) · Advances in Psychiatric Treatment · doi:10.1192/apt.11.5.338 · Cited by 517 · see citing works
The health benefits of writing about intensely positive experiences
Burton, C. M., & King, L. A. (2003) · Journal of Research in Personality · doi:10.1016/s0092-6566(03)00058-8 · Cited by 410 · see citing works
Greenberg, M. A., & Stone, A. A. (1992) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.63.1.75 · Cited by 346 · see citing works
Emerging mHealth and eHealth interventions for serious mental illness: a review of the literature
Naslund, J. A., Marsch, L. A., McHugo, G. J., & Bartels, S. J. (2015) · Journal of Mental Health · doi:10.3109/09638237.2015.1019054 · Cited by 327 · see citing works
Writing about the Perceived Benefits of Traumatic Events: Implications for Physical Health
King, L. A., & Miner, K. N. (2000) · Personality and Social Psychology Bulletin · doi:10.1177/0146167200264008 · Cited by 321 · see citing works
Francis, M. E., & Pennebaker, J. W. (1992) · American Journal of Health Promotion · doi:10.4278/0890-1171-6.4.280 · Cited by 303 · see citing works
Greenberg, M. A., & Stone, A. A. (1992) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.63.1.75 · Cited by 301 · see citing works
Schlotz, W., Yim, I. S., Zoccola, P. M., Jansen, L., & Schulz, P. (2011) · Psychological Assessment · doi:10.1037/a0021148 · Cited by 194 · see citing works
Smyth, J. M., Hockemeyer, J. R., & Tulloch, H. E. (2008) · British Journal of Health Psychology · doi:10.1348/135910707x250866 · Cited by 184 · see citing works
Low, C. A., Stanton, A. L., & Danoff‐Burg, S. (2006) · Health Psychology · doi:10.1037/0278-6133.25.2.181 · Cited by 171 · see citing works
Baikie, K. A., Geerligs, L., & Wilhelm, K. (2012) · Journal of Affective Disorders · doi:10.1016/j.jad.2011.11.032 · Cited by 150 · see citing works
Effects of (very) brief writing on health: The two‐minute miracle
Burton, C. M., & King, L. A. (2008) · British Journal of Health Psychology · doi:10.1348/135910707x250910 · Cited by 142 · see citing works
The effect of positive writing on emotional intelligence and life satisfaction
Wing, J. F., Schutte, N. S., & Byrne, B. (2006) · Journal of Clinical Psychology · doi:10.1002/jclp.20292 · Cited by 115 · see citing works
Krpan, K. M., Kross, E., Berman, M. G., Deldin, P. J., Askren, M. K., & Jonides, J. (2013) · Journal of Affective Disorders · doi:10.1016/j.jad.2013.05.065 · Cited by 94 · see citing works
Benefit finding and expressive writing in adults with lupus or rheumatoid arthritis
Danoff‐Burg, S., Agee, J. D., Romanoff, N. R., Kremer, J. M., & Strosberg, J. M. (2006) · Psychology and Health · doi:10.1080/14768320500456996 · Cited by 88 · see citing works
Cognitive-Behavioral Models of Emotional Writing: A Validation Study
Guastella, A. J., & Dadds, M. R. (2006) · Cognitive Therapy and Research · doi:10.1007/s10608-006-9045-6 · Cited by 63 · see citing works
Analysis of Covariance (ANCOVA) vs. Moderated Regression (MODREG): Why the Interaction Matters
Leppink, J. (2018) · Health Professions Education · doi:10.1016/j.hpe.2018.04.001 · Cited by 59 · see citing works
Baikie, K. A. (2008) · British Journal of Health Psychology · doi:10.1348/135910707x250893 · Cited by 57 · see citing works
Expressive writing and posttraumatic growth: an internet-based study
Stockton, H., Joseph, S., & Hunt, N. (2014) · Traumatology An International Journal · doi:10.1037/h0099377 · Cited by 46 · see citing works
Coulson, N., Bullock, E. P., & Rodham, K. (2017) · JMIR Mental Health · doi:10.2196/mental.8084 · Cited by 45 · see citing works
Insights from an expressive writing intervention on Facebook to help alleviate depressive symptoms
Lee, S. W., Kim, I., Yoo, J., Park, S., Jeong, B., & Cha, M. (2016) · Computers in Human Behavior · doi:10.1016/j.chb.2016.04.034 · Cited by 40 · see citing works
Effects of Emotional Disclosure in Caregivers: Moderating Role of Alexithymia
Ashley, L., O'Connor, D. B., & Jones, F. A. (2011) · Stress and Health · doi:10.1002/smi.1388 · Cited by 39 · see citing works
O'Connor, D. B., & Ashley, L. (2007) · British Journal of Health Psychology · doi:10.1348/135910707x224496 · Cited by 37 · see citing works
Smith, M., Thompson, A., Hall, L. J., Allen, S. F., & Wetherell, M. A. (2018) · British Journal of Health Psychology · doi:10.1111/bjhp.12320 · Cited by 33 · see citing works
Lovell, B., Moss, M. C., & Wetherell, M. A. (2015) · Journal of Family Studies · doi:10.1080/13229400.2015.1020987 · Cited by 30 · see citing works
Svansdóttir, E., van den Broek, K. C., Karlsson, H. D., Ólason, D. Þ., Thorgilsson, H., & Denollet, J. (2013) · Personality and Individual Differences · doi:10.1016/j.paid.2013.02.008 · Cited by 19 · see citing works
Online Surveys: Investigating Social Media Use and Online Risk
Branley-Bell, D., Covey, J. A., & Hardey, M. (2014) · SAGE Publications Ltd eBooks · doi:10.4135/978144627305013514666 · Cited by 15 · see citing works
Social inhibition and treatment‐resistant depression
Crawford, J., Parker, G. B., Malhi, G. S., Mitchell, P. B., Wilhelm, K. A., & Proudfoot, J. G. (2007) · Personality and Mental Health · doi:10.1002/pmh.5 · Cited by 6 · see citing works
Paulus, D. J., & Zvolensky, M. J. (2017) · Springer eBooks · doi:10.1007/978-3-319-28099-8_1255-1 · Cited by 3 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Grodniewicz, J. P., & Hohol, M. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1190084 · Cited by 100 · see citing works
Ruini, C., & Mortara, C. C. (2021) · Journal of Contemporary Psychotherapy · doi:10.1007/s10879-021-09520-9 · Cited by 91 · see citing works
Positive memory intervention techniques: a scoping review
Miguel-Álvaro, A., Guillén, A. I., Contractor, A. A., & Crespo, M. (2021) · Memory · doi:10.1080/09658211.2021.1937655 · Cited by 32 · see citing works
Shouldering the load yet again: Black women's experiences of stress during COVID-19
Kalinowski, J., Wurtz, H. M., Baird, M., & Willen, S. S. (2022) · SSM - Mental Health · doi:10.1016/j.ssmmh.2022.100140 · Cited by 23 · see citing works
Mayer, G., Hummel, S., Oetjen, N., Gronewold, N., Bubolz, S., Blankenhagel, K. J., Slawik, M., Zarnekow, R., Hilbel, T., & Schultz, J. (2022) · Digital Health · doi:10.1177/20552076221091353 · Cited by 22 · see citing works
Round, E. K., Wetherell, M. A., Elsey, V., & Smith, M. (2022) · Cogent Psychology · doi:10.1080/23311908.2022.2060628 · Cited by 19 · see citing works
Azuaje, G., Liew, K., Buening, R., She, W. J., Siriaraya, P., Wakamiya, S., & Aramaki, E. (2023) · Royal Society Open Science · doi:10.1098/rsos.220238 · Cited by 16 · see citing works
Lillelien, K., & Jensen, M. T. (2025) · Education Sciences · doi:10.3390/educsci15070799 · Cited by 17 · see citing works
Hoult, L. M., Wetherell, M. A., Edginton, T. L., & Smith, M. (2025) · PLoS ONE · doi:10.1371/journal.pone.0308928 · Cited by 12 · see citing works
Hansen, S. R., Wetherell, M. A., & Smith, M. (2021) · Psychology and Health · doi:10.1080/08870446.2021.1936521 · Cited by 12 · see citing works
Miao, M., Zhou, Z., Qi, W., & Zheng, L. (2024) · Anxiety Stress & Coping · doi:10.1080/10615806.2024.2378864 · Cited by 8 · see citing works
Porras-Segovia, A., Escobedo-Aedo, P., de Albornoz, C. M. C., Guerrero-Jiménez, M., Lis, L., Molina-Madueño, R., Gutiérrez-Rojas, L., & Alacreu-Crespo, A. (2024) · Current Psychiatry Reports · doi:10.1007/s11920-024-01511-6 · Cited by 6 · see citing works
Xiao, Q., Cao, Y., Wu, S., Zou, Y. S., & Hu, X. (2024) · BMC Medical Education · doi:10.1186/s12909-024-06186-4 · Cited by 6 · see citing works
Online self-compassion training vs. expressive writing: A randomized controlled trial
Linford, L. B., & Warren, J. S. (2024) · Journal of Positive Psychology · doi:10.1080/17439760.2024.2362431 · Cited by 6 · see citing works
Fondren, A. H., Banducci, A. N., Cox, R. J., & Contractor, A. A. (2021) · Clinical Case Studies · doi:10.1177/15346501211035841 · Cited by 6 · see citing works
Towards Empathetically Responsive Voice Assistants
Aggarwal, T., & Gonçalves, J. (2023) · Australian Conference on Computer-Human Interaction (OzCHI) · doi:10.1145/3638380.3638398 · Cited by 5 · see citing works
Smith, M., Hoult, L. M., Rippon, D., O’Brien, N., Branley-Bell, D., Byrne-Davis, L. M. T., Collins, C., Gallagher, S., Kinman, G., Mark, A., et al. (2025) · PLoS ONE · doi:10.1371/journal.pone.0328801 · Cited by 4 · see citing works
Connections that Care: WhatsApp as a Support Space for Stroke Survivors
Rodrigues, M., Silva, I. D. S., & Soares, L. (2025) · Advances in Geriatric Medicine and Research · doi:10.20900/agmr20250020 · Cited by 3 · see citing works
Hallford, D. J., Gerring, K. S., Button, M., Campbell, R., & Sutton, K. (2024) · Cognitive Therapy and Research · doi:10.1007/s10608-024-10554-1 · Cited by 3 · see citing works
Rizkina, T., Damaianti, V. S., Muslim, A. B., Sumiyadi, S., & Laeli, W. (2025) · Journal of Poetry Therapy · doi:10.1080/08893675.2025.2557575 · Cited by 3 · see citing works
Levová, L., & Smith, M. (2024) · Nutrients · doi:10.3390/nu16172875 · Cited by 2 · see citing works
Music in the moment: The use of a musical intervention to impact state experiences
Reiter, M. D., Li, P., Klee, S., & Sabo, K. (2023) · The Arts in Psychotherapy · doi:10.1016/j.aip.2023.102053 · Cited by 1 · see citing works
Tee, Y. Q., Kee, P., & Danaee, M. (2023) · International Journal of Learning Teaching and Educational Research · doi:10.26803/ijlter.22.7.16 · Cited by 1 · see citing works
Demographic and psychological factors in type 2 diabetes risk and progression
Panagi, L. (2020) · UCL Discovery (University College London) · doi:10.13140/rg.2.2.10768.93444
Escritura Expresiva sobre Sintomatología Ansiosa en Tiempos de Pandemia Covid-19: un Estudio Piloto
Moreno, L. M., & García, M. B. (2021) · Revista Akadèmeia · doi:10.61144/0718-9397.2021.392
Mayer, G., Hummel, S., Oetjen, N., Gronewold, N., Bubolz, S., Slawik, M., Blankenhagel, K. J., Zarnekow, R., Hilbel, T., & Schultz, J. (2021) · doi:10.2196/preprints.32151
The promotion of functional expected teaching-related emotions through expressive writing
Forster, M., & Kuhbandner, C. (2022) · PLoS ONE · doi:10.1371/journal.pone.0267905
Positive expressive writing interventions for improving wellbeing
Hoult, L. M. (2023) · PsyPag Quarterly · doi:10.53841/bpspag.2023.1.124.22
Definitions and a Brief History of Writing for Health and Well-being
Pearson, M., & Foster, H. (2024) · Emerald Group Publishing Limited eBooks · doi:10.1108/978-1-83753-372-520241001
Jin, S., Zhuang, S., Wang, L., Shang, X., Liu, Y., Shi, L., & Zhu, X. (2025) · Journal of Ethnicity in Substance Abuse · doi:10.1080/15332640.2025.2516558
Haertl, K. L. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1663697
Kornacka, M., Maj, A., Szastok, M., Karkosz, S., Barnes, S., Para, M., Prescott, J., Lesnierowska, M., & Smoktunowicz, E. (2025) · Przegląd Psychologiczny · doi:10.31648/przegldpsychologiczny.11430
The language use patterns and corresponding interventions in adolescents with depressive tendencies
Wang, J., & Zhou, P. (2026) · Current Psychology · doi:10.1007/s12144-026-09238-8
Representation of letters as a narrative device in films: a systematic review of literature
Kripa, M. S., & Lakshmanan, R. (2026) · SN Social Sciences · doi:10.1007/s43545-026-01459-9
Hung, R.-T., & Chuang, Y.-S. (2026) · Smart innovation, systems and technologies · doi:10.1007/978-3-032-23104-8_24
Evidence-Based Psychological Internet Interventions: Challenges, Best Practices, and Recommendations
Kornacka, M., Maj, A., Szastok, M., Karkosz, S., Barnes, S., Para, M., Prescott, J., Lesnierowska, M., & Smoktunowicz, E. (2025) · Przegląd Psychologiczny · doi:10.31648/przegldpsychologiczny.12962
Habsi, R. A., Ang, C. S., & Lee, J. A. (2026) · International Journal of Human-Computer Interaction · doi:10.1080/10447318.2026.2682910
- Authors
- Allen, S. F., Wetherell, M. A., & Smith, M. A.
- Affiliations
- Northumbria University (GB)
- The University of Western Australia (AU)
- Corresponding author
- Smith, Michael A
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2020-02
- Volume
- 284
- Pages
- 112697
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W2990734855
- Cited by
- 39
- References
- 45
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 7 · 2023: 7 · 2022: 5 · 2021: 6 · 2020: 1
- FWCI
- 3.77
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Licence
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Northumbria Research Link (Northumbria University) (acceptedVersion)
- TeesRep (Teesside University) (submittedVersion, cc-by-nc-nd)
- UWA Profiles and Research Repository (UWA) (submittedVersion)
- Teesside University Research Portal (Teesside University) (submittedVersion, cc-by-nc-nd)
- PsyArXiv (OSF Preprints) (submittedVersion)
- PsyArXiv (OSF Preprints) (submittedVersion, public-domain)
- Funders
- Northumbria University
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health via Writing
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Keywords
- social inhibition, depression, negative affectivity, state anxiety, generalized anxiety disorder, online intervention, somatic symptoms
- MeSH terms
- Internet-Based Intervention, Adolescent, Adult, Anxiety, Depression, Emotions, Female, Humans, Life Change Events, Male, Middle Aged, Negativism, Social Behavior, Stress, Psychological, Writing, Linear Models, Young Adult, Self Report
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review