title: Reducing symptoms of trauma among carers of people with psychosis: pilot study examining the impact of writing about caregiving experiences.
abstract: OBJECTIVE
  To establish whether writing about experiences of the first episode of psychosis may alleviate trauma-like symptoms among carers of people with psychosis.
  
  
  METHODS
  A total of 37 people caring for someone with early psychosis were randomized to two conditions: either writing about the first psychotic episode, or writing about time management. Data were collected before and after intervention, and 8 weeks later.
  
  
  RESULTS
  Those in the writing group were significantly less likely to avoid reminders and feelings associated with their relative's episode at follow up. Furthermore, carers in this group who exhibited trauma-like symptoms had significantly greater reductions in trauma severity.
  
  
  CONCLUSIONS
  Written emotional disclosure can help carers who are experiencing trauma symptoms following a relative's first episode of psychosis. If writing about emotional events is beneficial through mechanisms of exposure then screening participants for trauma symptoms may eliminate previous research inconsistencies. These results, however, need to be replicated in a larger study.
authors.affiliation: Department of Psychology, Birmingham and Solihull Mental Health Trust, Great Barr, Birmingham, UK. karen.barton@bsmht.nhs.uk
authors.forename: Karen
authors.initials: K
authors.lastname: Barton
authors.forename: Chris
authors.initials: C
authors.lastname: Jackson
mesh_terms: D000367:Age Factors; D017028:Caregivers / Q000523:psychology* / Q000706:statistics & numerical data*; D017281:Cost of Illness; D003710:Demography; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005006:Ethnicity / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D011618:Psychotic Disorders / Q000209:etiology* / Q000523:psychology*; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology*; D014956:Writing