Examination of people's narratives after significant life changes revealed that engaging in current and future goal reconstruction was associated with higher levels of well-being while a failure to disengage from “what might have been” was associated with lower levels of well-being. This work led to the development of a life goal writing intervention that has received empirical support with most studies conducted among nonclinical populations. This study aims to assess the feasibility of a brief and minimally monitored internet-delivered writing therapy developed to facilitate life goal reconstruction among adults diagnosed with various chronic health conditions. Sixteen adults showing mild to moderate levels of anxiety or depression were recruited and a single group pretest/post-test design used. The 5-week program is comprised of psychoeducation, five weekly 30-min writing sessions, automated emails and symptom monitoring. Feasibility outcome measures included attrition, treatment adherence, acceptability and preliminary effectiveness. Primary outcome measures were The Patient Health Questionnaire -9 (PHQ-9) and the Generalized Anxiety Disorder -7 (GAD-7). Attrition was low (12%) and adherence high (93%). All but one study completer reported they would recommend the program. Mixed effects models revealed a significant and large reduction from pre-treatment to post-treatment on the PHQ-9 and GAD-7 and remission rates of 67% and 64% respectively. These findings suggest that it would be feasible to proceed to a larger trial. The brief duration of the intervention combined to a minimally monitored delivery may lend itself to implementation in routine clinical care milieus such as hospital settings.

在生活发生重大变化后对人们的叙述进行检查后发现，参与当前和未来目标重建与更高水平的幸福感相关，而未能摆脱“可能已经发生的事情”与更低水平的幸福感相关。这项工作导致了生活目​​标写作干预的发展，该干预得到了大多数在非临床人群中进行的研究的实证支持。本研究旨在评估一种简短且最低限度监控的互联网传输写作疗法的可行性，该疗法旨在促进被诊断患有各种慢性健康状况的成年人的生活目标重建。招募了 16 名表现出轻度至中度焦虑或抑郁的成年人，并使用了单组前测/后测设计。为期 5 周的计划包括心理教育、每周 5 次 30 分钟的写作课程、自动电子邮件和症状监测。可行性结果测量包括减员、治疗依从性、可接受性和初步有效性。主要结局指标是患者健康问卷 -9 (PHQ-9) 和广泛性焦虑症 -7 (GAD-7)。人员流失率低 (12%)，依从性高 (93%)。除了一名研究完成者外，其他所有人都表示他们会推荐该计划。混合效应模型显示，PHQ-9 和 GAD-7 从治疗前到治疗后显着降低，缓解率分别为 67% 和 64%。这些发现表明进行更大规模的试验是可行的。