@Article{info:doi/10.2196/11290,
author="Smyth, Joshua M
and Johnson, Jillian A
and Auer, Brandon J
and Lehman, Erik
and Talamo, Giampaolo
and Sciamanna, Christopher N",
title="Online Positive Affect Journaling in the Improvement of Mental Distress and Well-Being in General Medical Patients With Elevated Anxiety Symptoms: A Preliminary Randomized Controlled Trial",
journal="JMIR Ment Health",
year="2018",
month="Dec",
day="10",
volume="5",
number="4",
pages="e11290",
keywords="adult; anxiety; depression; emotions; expressed emotion; internet; stress, psychological/physiopathology; surveys and questionnaires; treatment outcome; writing",
abstract="Background: Positive affect journaling (PAJ), an emotion-focused self-regulation intervention, has been associated with positive outcomes among medical populations. It may be adapted for Web-based dissemination to address a need for scalable, evidence-based psychosocial interventions among distressed patients with medical conditions. Objective: This study aimed to examine the impact of a 12-week Web-based PAJ intervention on psychological distress and quality of life in general medical patients. Methods: A total of 70 adults with various medical conditions and elevated anxiety symptoms were recruited from local clinics and randomly assigned to a Web-based PAJ intervention (n=35) or usual care (n=35). The intervention group completed 15-min Web-based PAJ sessions on 3 days each week for 12 weeks. At baseline and the end of months 1 through 3, surveys of psychological, interpersonal, and physical well-being were completed. Results: Patients evidenced moderate sustained adherence to Web-based intervention. PAJ was associated with decreased mental distress and increased well-being relative to baseline. PAJ was also associated with less depressive symptoms and anxiety after 1 month and greater resilience after the first and second month, relative to usual care. Conclusions: Web-based PAJ may serve as an effective intervention for mitigating mental distress, increasing well-being, and enhancing physical functioning among medical populations. PAJ may be integrated into routine medical care to improve quality of life. Trial Registration: ClinicalTrials.gov NCT01873599; https://clinicaltrials.gov/ct2/show/NCT01873599 (Archived by WebCite at http://www.webcitation.org/73ZGFzD2Z) ",
issn="2368-7959",
doi="10.2196/11290",
url="http://mental.jmir.org/2018/4/e11290/",
url="https://doi.org/10.2196/11290",
url="http://www.ncbi.nlm.nih.gov/pubmed/30530460"
}