Emotional Disclosure Through Journal Writing: Telehealth Intervention for Maternal Stress and Mother-Child Relationships.
Guided online journaling lowers stress and boosts relationship quality for moms of kids with ASD/ADHD/SPD.
01Research in Context
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.
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.
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.
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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02At a glance
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