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Journal Writing: The Write Treatment

Study Shows Journal Writing May Reduce Rheumatoid Arthritis Disease Activity

By Carol & Richard Eustice, About.com

Updated: May 31, 2006

About.com Health's Disease and Condition content is reviewed by Kate Grossman, MD

The act of putting pen to paper encourages pause for thought, this in turn makes us think more deeply about life, which helps us regain our equilibrium. ~ Norbet Platt

The Write Treatment

Journal writing can serve as a vehicle for the expression of negative emotions. Study shows emotional relief from stressful events may directly impact the manifestation of arthritis.

  • The 8 Best Things To Do For Arthritis
  • The Many Emotions Of Chronic Arthritis
  • A Positive Approach To Arthritis
  • The Journal Writing Study

    Journal writing study gives credence to a physical-psychological connection of stress and illness. The randomized, controlled study was conducted at the State University of New York at Stony Brook between October 1996 and December 1997.

    A group of 112 patients with asthma or rheumatoid arthritis participated in the study. Thirty nine asthma patients and 32 rheumatoid arthritis patients were instructed to write about the most stressful event in their lives.

    Serving as a control group, 22 asthma patients and 19 rheumatoid arthritis patients were asked to write about their daily plans. The patients were asked to write for 20 minutes on 3 consecutive days. There were 107 participants who actually completed the task.

  • Rheumatoid arthritis patients were examined and assessed by a rheumatologist. (a doctor who specializes in arthritis and related conditions)
  • Spirometry was used to evaluate the asthma patients.
  • Following the journal writing assignment, for comparison to baseline, the journal writing study patients were re-examined at intervals of 2 weeks, 2 months, and 4 months.

    Study Results

    Substantial improvement was demonstrated by 47.1 percent of the overall group after journal writing about stressful experiences they endured.

  • Comparatively, 24.3 percent of those journal writing about daily plans improved.
  • Conversely, 21.6 percent who wrote about daily plans exhibited a worsening condition compared to only 4.3 percent who wrote about stressful occurrences.
  • Journal writing study results specific to the rheumatoid arthritis group revealed a 28 percent reduction in overall disease activity for those journal writing about stress compared to no change in the control group. It was notable that the group of rheumatoid arthritis patients did not improve until the end of the 4 month study. The reason is unexplained.

    Study Conclusions

    Stress

    Though many questions remain regarding the study, the data is considered "clinically relevant", certainly enough to suggest that psychological events impact medical events. Stress and stress relief are likely contributory to disease.

  • The Effect Of Stress On Arthritis
  • How Much Impact Does Stress Have On Arthritis?
  • The Benefits of Journal Writing for Stress Management
  • Journal Writing

    Journal writing which chronicles experiences of anxiety and disquietude can serve as a vehicle for the expression of negative emotion. Assuming a physical-psychological connection, the release of negative emotion has a positive influence on physical well-being.

  • How To Keep An Arthritis Journal
  • How To Pick An Arthritis-Friendly Pen
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  • Related Resources - Journal Writing - Rheumatoid Arthritis

  • Journal Writing / Journaling
  • How To Begin Journal Writing
  • Rheumatoid Arthritis Screening Quiz
  • Rheumatoid Arthritis - Test Your Knowledge
  • Subscribe to: The Rheumatoid Arthritis Guide: Free Newsletter E-Course
  • Sources: JAMA, Effects Of Writing About Stressful Experiences On Symptom Reduction In Patients With Asthma Or Rheumatoid Arthritis, Abstract April 14, 1999; Study Shows Stress-Illness Link, Intelihealth, April 14, 1999

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