Expressive writing reduces avoidance and somatic complaints in a community sample with constraints on expression.

DESIGN AND METHODS: This experimental study examined expressive writing (EW) in a community sample with social constraints on self-expression. Gay men (N=62) were assigned randomly to describe gay-related thoughts and feelings (EW) or to write objectively (CTRL). Self-reported symptoms and physician visits were assessed at baseline and 1- and 2-month follow-ups. RESULTS: Significant GroupxTime interaction for somatic symptoms indicated buffering effect of EW. EW reduced gay-related avoidance, relative to CTRL. Avoidance and symptom changes were significantly, positively associated. CONCLUSIONS: Consistent with inhibition theory, EW reduces chronic avoidance and buffers stress-related physical symptoms in stigmatized groups.