Left Write Hook: proof of concept for a survivor-designed, and peer-led programme incorporating expressive writing and boxing to support mental health in adult survivors of child sexual abuse.

Background

Existing approaches to supporting victim-survivors (herein referred to as 'survivors') of childhood sexual abuse (CSA) are resource-intensive and traditionally led by mental health professionals. Left Write Hook (LWH) is a novel survivor-designed, peer-led programme for survivors of CSA. By combining trauma-related expressive writing and non-contact, trauma-informed boxing, the programme promotes self-empowerment and supports survivors to rewrite their stories and reclaim their bodies.

Objective

This study sought to demonstrate proof of concept for LWH as an intervention to enhance survivors' mental health and wellbeing.Method: 17 women and gender diverse survivors completed an 8-week programme of weekly 2-hour sessions and completed both pre- and post-intervention assessments.

Results

From pre- to post-intervention, we observed a significant decrease in self-reported symptoms of post-traumatic stress disorder, complex post-traumatic stress disorder, depression, anxiety and stress. We also observed a significant decrease in maladaptive post-traumatic cognitions and fragmentation of trauma memories, and a significant increase in emotional wellbeing and engagement in vigorous physical activity from pre- to post-intervention.

Conclusion

Though evaluated in a small sample, these findings build on early pilot research (2020) and provide further support for LWH as a peer-led mental health intervention. LWH offers a multifaceted, empowering, and survivor-centred approach. This preliminary evidence illustrates the promise of LWH to support survivors.