Evidence map›Paper›PMID 30530460›Full record

ArticleJMIR mental health2018

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.

Joshua M Smyth, Jillian A Johnson, Brandon J Auer, Erik Lehman, Giampaolo Talamo, Christopher N Sciamanna

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JMIR mental health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01873599 (Impact of an Online Positive Affect Journaling Intervention), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
14.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01873599 nacompletednot on this map

Impact of an Online Positive Affect Journaling Intervention

TypeinterventionalSponsorMilton S. Hershey Medical CenterRan2013 to 2014Enrolled70ConditionsStressArmsPositive Affect Journaling
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 136 citations in OpenAlex.

  1. Digital training for building resilience: Systematic review, meta-analysis, and meta-regression.Stress and health : journal of the International Society for the Investigation of Stress · 2022
    Pooled it
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  6. Navigating Care and Self-Care: Understanding Latina Caregivers' Prioritization and Engagement in Self-Care Practices.Journal of transcultural nursing : official journal of the Transcultural Nursing Society · 2026
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  15. MindScape Study: Integrating LLM and Behavioral Sensing for Personalized AI-Driven Journaling Experiences.Proceedings of the ACM on interactive, mobile, wearable and ubiquitous technologies · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Joshua M SmythDepartment of Biobehavioral Health, The Pennsylvania State University, University Park, PA, United States.ORCID http://orcid.org/0000-0002-0904-5390
Jillian A JohnsonDepartment of Biobehavioral Health, The Pennsylvania State University, University Park, PA, United States.ORCID http://orcid.org/0000-0003-1379-2150
Brandon J AuerDepartment of Medicine, Penn State College of Medicine, The Pennsylvania State University, Hershey, PA, United States.ORCID http://orcid.org/0000-0001-6506-904X
Erik LehmanDepartment of Public Health Sciences, Penn State College of Medicine, The Pennsylvania State University, Hershey, PA, United States.ORCID http://orcid.org/0000-0003-3642-0632
Giampaolo TalamoDepartment of Medicine, Penn State College of Medicine, The Pennsylvania State University, Hershey, PA, United States.ORCID http://orcid.org/0000-0003-1953-4144
Christopher N SciamannaDepartment of Medicine, Penn State College of Medicine, The Pennsylvania State University, Hershey, PA, United States.ORCID http://orcid.org/0000-0002-1568-341X
Pennsylvania State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPositive 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.

objectiveThis 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.

methodsA 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.

resultsPatients 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.

conclusionsWeb-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 registrationClinicalTrials.gov NCT01873599; https://clinicaltrials.gov/ct2/show/NCT01873599 (Archived by WebCite at http://www.webcitation.org/73ZGFzD2Z).

Indexed as

adultanxietydepressionemotionsexpressed emotioninternetstress, psychological/physiopathologysurveys and questionnairestreatment outcomewriting

Identifiers

PMID30530460
PMCPMC6305886
OpenAlexW2891248689

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.