A postdeployment expressive writing intervention for military couples: a randomized controlled trial.

The current study tested the effectiveness of a brief expressive writing intervention on the marital adjustment of 102 military couples recently reunited following a deployment to Iraq or Afghanistan. Active duty soldiers and their spouses were randomly assigned to write about either their relationship or a nonemotional topic on 3 occasions on a single day. The resulting design included 4 couple-level writing topic conditions: soldier-expressive/spouse-expressive, soldier-expressive/spouse-control, soldier-control/spouse-expressive, and soldier-control/spouse-control. Participants completed marital adjustment measures before writing, 1 month, and 6 months after writing. When soldiers, but not spouses, did expressive writing, couples increased in marital satisfaction over the next month, particularly if the soldier had had high combat exposure.

[1]  James W. Pennebaker,et al.  The psychology of physical symptoms , 1982 .

[2]  J. Pennebaker,et al.  Confronting a traumatic event: toward an understanding of inhibition and disease. , 1986, Journal of abnormal psychology.

[3]  Susan S. Hendrick A generic measure of relationship satisfaction. , 1988 .

[4]  Brian P Marx,et al.  Further examination of the exposure model underlying the efficacy of written emotional disclosure. , 2005, Journal of consulting and clinical psychology.

[5]  Paul D Bliese,et al.  Battlemind debriefing and battlemind training as early interventions with soldiers returning from iraq: Randomization by platoon. , 2009, Journal of consulting and clinical psychology.

[6]  Lynda A. King,et al.  PTSD symptom increases in Iraq-deployed soldiers: comparison with nondeployed soldiers and associations with baseline symptoms, deployment experiences, and postdeployment stress. , 2010, Journal of traumatic stress.

[7]  D. Snyder,et al.  Treating affair couples: Extending the written disclosure paradigm to relationship trauma , 2006 .

[8]  Julie S. Gottman,et al.  The Comprehensive Soldier Fitness program: family skills component. , 2011, The American psychologist.

[9]  C. Hoge,et al.  Combat duty in Iraq and Afghanistan, mental health problems and barriers to care. , 2004, U.S. Army Medical Department journal.

[10]  Keith D. Renshaw,et al.  Psychological symptoms and marital satisfaction in spouses of Operation Iraqi Freedom veterans: relationships with spouses' perceptions of veterans' experiences and symptoms. , 2008, Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association.

[11]  J. Frattaroli Experimental disclosure and its moderators: a meta-analysis. , 2006, Psychological bulletin.

[12]  R. Spitzer,et al.  Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. , 1999, JAMA.

[13]  J. Pennebaker,et al.  How Do I Love Thee? Let Me Count the Words , 2006, Psychological science.