Cited by 92Sexual function and dysfunction studiesMental Health via WritingChild Abuse and Trauma

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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Meston, Cindy M., Lorenz, Tierney A., Stephenson, Kyle R.·2013·The Journal of Sexual Medicine

Abstract

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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Research works printed but not linked: 2

  1. [52]Harte CB Hamilton LD Meston CM The effects of an expressive writing intervention for adult women survivors of childhood sexual abuse: Comparisons between completers and dropouts Journal of Child Sexual Abuse in press
  2. [63]First M Spitzer R Gibbon M Williams J Structured clinical interview for DSM-IV-TR axis I disorders, research version, patient edition (SCID-I/P) New York Biometrics Research, New York State Psychiatric Institute 2002

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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
Published
2013-09-01
Volume
10
Issue
9
Pages
2177-2189
ISSN
  • 1743-6095 (ISSN-L)
  • 1743-6109
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
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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