Effects of expressive writing on sexual dysfunction, depression, and PTSD in women with a history of childhood sexual abuse: results from a randomized clinical trial
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INTRODUCTION: Women with a history of childhood sexual abuse (CSA) have high rates of depression, posttraumatic stress disorder, and sexual problems in adulthood. AIM: We tested an expressive writing-based intervention for its effects on psychopathology, sexual function, satisfaction, and distress in women who have a history of CSA. METHODS: Seventy women with CSA histories completed five 30-minute sessions of expressive writing, either with a trauma focus or a sexual schema focus. MAIN OUTCOME MEASURES: Validated self-report measures of psychopathology and sexual function were conducted at posttreatment: 2 weeks, 1 month, and 6 months. RESULTS: Women in both writing interventions exhibited improved symptoms of depression and posttraumatic stress disorder (PTSD). Women who were instructed to write about the impact of the abuse on their sexual schema were significantly more likely to recover from sexual dysfunction. CONCLUSIONS: Expressive writing may improve depressive and PTSD symptoms in women with CSA histories. Sexual schema-focused expressive writing in particular appears to improve sexual problems, especially for depressed women with CSA histories. Both treatments are accessible, cost-effective, and acceptable to patients.
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Writing approaches have been frequently investigated in the context of physical and mental wellbeing.
“Meanwhile, writing approaches have been frequently investigated in the context of physical and mental wellbeing (Krpan et al., 2013; Baikie et al., 2012; Meston et al., 2013; Kállay, 2015).”
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- Authors
- Meston, C. M., Lorenz, T. A., & Stephenson, K. R.
- Affiliations
- The University of Texas at Austin (US)
- Department of Psychology , Austin, TX , USA
- Corresponding author
- Meston, Cindy M.
- Venue
- The Journal of Sexual Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2013-09-01
- Volume
- 10
- Issue
- 9
- Pages
- 2177-2189
- ISSN
- 1743-6095 (ISSN-L)
- 1743-6109
- PMC
- PMC3775987
- OpenAlex
- W2137408875
- Cited by
- 92
- References
- 72
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 8 · 2023: 5 · 2022: 8 · 2021: 9 · 2020: 8 · 2019: 4 · 2018: 5 · 2017: 8 · 2016: 9 · 2015: 9 · 2014: 4 · 2013: 1 · 2012: 1
- FWCI
- 5.45
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- The Journal of Sexual Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Child Health and Human Development (1 RO1 HD051676)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Social Sciences › Psychology › Social Psychology › Mental Health via Writing
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Keywords
- expressive writing, child sexual abuse, sexual dysfunction, depression, post-traumatic stress disorder, women, sexual function, sexual satisfaction
- MeSH terms
- Adult, Child, Child Abuse, Sexual, Depression, Female, Humans, Middle Aged, Personal Satisfaction, Sexual Behavior, Stress Disorders, Post-Traumatic, Texas, Writing, Treatment Outcome, Sexual Dysfunctions, Psychological, Young Adult
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