Center for Human Sexuality Studies, Widener University, One University Place, Chester, PA, 19013, USA.
Interdisciplinary Sexuality Research Collaborative, Widener University, Chester, PA, USA.
AIDS Behav. 2022 Feb;26(2):584-595. doi: 10.1007/s10461-021-03413-7. Epub 2021 Aug 6.
This pilot randomized controlled trial evaluated the feasibility, acceptability, and preliminary efficacy of expressive writing to reduce HIV-related sexual risk taking and symptoms of drug dependence among emerging adult gay and bisexual men (EAGBM) through linguistic mechanisms involving use of words associated with cognitive processing (e.g., think, cause), positive emotion (e.g., love, nice), and negative emotion (e.g., hurt, shame). Between 2014 and 2015, EAGBM (n = 78; aged 18-29) completed a baseline survey and were randomized to complete three 15-min expressive writing or equivalent control-group writing sessions and follow-up assessments 2 months post-baseline. EAGBM in the expressive writing condition utilized significantly more positive emotion, negative emotion, and cognitive processing words. Path model results indicated the intervention condition resulted in significant reductions in symptoms of drug dependence and frequency of condomless anal sex (CAS) through paths mediated by positive emotion words, and significant increases in CAS through a path mediated by negative emotion words.
本试点随机对照试验通过涉及使用与认知加工（如思考、原因）、积极情绪（如爱、好）和消极情绪（如伤害、羞耻）相关词汇的语言机制，评估表达性写作在减少新成年男同性恋和双性恋者（EAGBM）中与 HIV 相关的性风险行为和药物依赖症状方面的可行性、可接受性和初步疗效。在 2014 年至 2015 年期间，EAGBM（n=78；年龄 18-29 岁）完成了基线调查，并被随机分配完成三次 15 分钟的表达性写作或等效对照组写作会议，并在基线后 2 个月进行随访评估。表达性写作组的 EAGBM 使用了更多的积极情绪词、消极情绪词和认知加工词。路径模型结果表明，通过积极情绪词介导的路径，干预组导致药物依赖症状和无保护肛交（CAS）频率显著降低，通过消极情绪词介导的路径，CAS 显著增加。
