Service Delivery

Emotional Disclosure Through Journal Writing: Telehealth Intervention for Maternal Stress and Mother-Child Relationships.

Whitney et al. (2015) · Journal of autism and developmental disorders 2015
★ The Verdict

Guided online journaling lowers stress and boosts relationship quality for moms of kids with ASD/ADHD/SPD.

✓ Read this if BCBAs running telehealth parent programs or serving rural families.
✗ Skip if Clinicians who only work in-center and never address parent well-being.

01Research in Context

01

What this study did

Moms of kids with autism, ADHD, or sensory issues wrote in a private online journal. They got prompts like "What was hard today?" and typed for 15 minutes, three nights a week.

Half the moms were in a control group. They wrote about daily plans instead of feelings. The study lasted six weeks and used random assignment.

02

What they found

Moms who wrote about feelings had lower stress scores than the control group. They also said their relationship with their child felt warmer and easier.

The study calls this an "emotional-disclosure" effect. Putting hard feelings into words seems to shrink them.

03

How this fits with other research

Lee (2013) shows moms of kids with developmental issues carry chronic stress and poor sleep. Worsham et al. (2015) adds a cheap, at-home tool to ease that load.

Rodgers et al. (2025) went further. They blended group boards plus live coaching and also cut parent stress. Their hybrid model keeps the telehealth angle but adds real-time support.

Ozturk et al. (2016) found child communication gains predict lower maternal distress. Worsham et al. (2015) flips the direction: help the mom first, and the bond with the child still grows.

04

Why it matters

You can hand a busy parent a low-tech journal link tonight. No travel, no cost, no extra staff. Use it as a stand-alone stress buffer or as a bridge while families wait for heavier services. Track stress with a quick five-item scale every two weeks; celebrate even small drops.

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→ Action — try this Monday

Email one journal prompt to each parent on your caseload and ask them to reply with their thoughts before your next session.

02At a glance

Intervention
not applicable
Design
randomized controlled trial
Population
autism spectrum disorder, adhd, other
Finding
positive

03Original abstract

This study examines emotional disclosure through the activity of journaling as a means of coping with maternal stress associated with parenting a child with disruptive behaviors. Through a randomized control and pre-test post-test study design of an online journal writing intervention, change to maternal stress and quality of mother-child relationship for children with ASD, ADHD and SPD was addressed. Behavioral symptoms were found to be the primary source of parenting stress for mothers and a significant relationship between child characteristics and maternal stress was identified. Emotional disclosure through the online journal writing program (especially in the presence of high disclosure of negative emotions) was shown to reduce maternal stress and improve the quality of mother-child relationship. These findings suggest cost-effective telehealth interventions may support maternal health. Important clinical implications are discussed.

Journal of autism and developmental disorders, 2015 · doi:10.1007/s10803-014-2332-2