Expressive Writing Improves Subjective Health Among Testicular Cancer Survivors: A Pilot Study

Pauley, Perry M.; Morman, Mark T.; Floyd, Kory

doi:10.3149/jmh.1003.199

Cited by 14 publications

(35 citation statements)

References 45 publications

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“…Results of these studies overwhelmingly support the notion that discussing stressful experiences is related to increases in health, including improved mental and physical health (Lyubomirsky, Sousa, & Dickerhoof, 2006;Pauley, Morman, & Floyd, 2011), reduced posttraumatic health symptoms (Campbell, 2003), fewer physician visits (e.g., Pennebaker, Colder, & Sharp, 1990), higher grades (Pennebaker et al, 1990), positive effects on blood markers of immune function (Pennebaker, Kiecolt-Glaser, & Glaser, 1988), and less distress, negative affect, and depression over time (Murray & Segal, 1994). Since expressive disclosure has been linked to improved life satisfaction, mental health, and positive and negative affect (Lyubomirsky, et al, 2006;Murray & Segal, 1994;Pauley et al, 2011), we chose to focus on these psychological health indicators in the present.…”

Section: The Benefits Of Expressive Disclosurementioning

confidence: 76%

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The Benefits and Risks of Telling and Listening to Stories of Difficulty Over Time: Experimentally Testing the Expressive Writing Paradigm in the Context of Interpersonal Communication Between Friends

Kellas

Horstman

Willer

et al. 2014

Health Communication

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Section: The Benefits Of Expressive Disclosurementioning

confidence: 76%

“…Since expressive disclosure has been linked to improved life satisfaction, mental health, and positive and negative affect (Lyubomirsky, et al, 2006;Murray & Segal, 1994;Pauley et al, 2011), we chose to focus on these psychological health indicators in the present.…”

Section: The Benefits Of Expressive Disclosurementioning

confidence: 99%

The Benefits and Risks of Telling and Listening to Stories of Difficulty Over Time: Experimentally Testing the Expressive Writing Paradigm in the Context of Interpersonal Communication Between Friends

Kellas

Horstman

Willer

et al. 2014

Health Communication

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“…Of the 64 included studies, 9,51-58,66-119 59 9,51,[54][55][56][57][58][66][67][68][71][72][73][74][75][76][77][79][80][81][82][83][84][85][86]88,89,91, were RCTs, and four 52,78,87,92 were non-randomised studies. The remaining study 53 was a matched case-control study.…”

Section: Systematic Review Resultsmentioning

confidence: 99%

“…There were five studies [80][81][82][83][84] included in this section with different ICD-10 codes; however, all were of gynaecological or genitourinary cancers:…”

Section: C57 C61 and C62: Gynaecological And Genitourinary Cancersmentioning

confidence: 99%

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Does therapeutic writing help people with long-term conditions? Systematic review, realist synthesis and economic considerations

Nyssen

Taylor

Wong

et al. 2016

Health Technol Assess

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BackgroundWriting therapy to improve physical or mental health can take many forms. The most researched model of therapeutic writing (TW) is unfacilitated, individual expressive writing (written emotional disclosure). Facilitated writing activities are less widely researched.Data sourcesDatabases, including MEDLINE, EMBASE, PsycINFO, Linguistics and Language Behaviour Abstracts, Allied and Complementary Medicine Database and Cumulative Index to Nursing and Allied Health Literature, were searched from inception to March 2013 (updated January 2015).Review methodsFour TW practitioners provided expert advice. Study procedures were conducted by one reviewer and checked by a second. Randomised controlled trials (RCTs) and non-randomised comparative studies were included. Quality was appraised using the Cochrane risk-of-bias tool. Unfacilitated and facilitated TW studies were analysed separately underInternational Classification of Diseases, Tenth Revision chapter headings. Meta-analyses were performed where possible using RevMan version 5.2.6 (RevMan 2012, The Cochrane Collaboration, The Nordic Cochrane Centre, Copenhagen, Denmark). Costs were estimated from a UK NHS perspective and three cost–consequence case studies were prepared. Realist synthesis followed Realist and Meta-narrative Evidence Synthesis: Evolving Standards guidelines.ObjectivesTo review the clinical effectiveness and cost-effectiveness of TW for people with long-term conditions (LTCs) compared with no writing, or other controls, reporting any relevant clinical outcomes. To conduct a realist synthesis to understand how TW might work, and for whom.ResultsFrom 14,658 unique citations, 284 full-text papers were reviewed and 64 studies (59 RCTs) were included in the final effectiveness reviews. Five studies examined facilitated TW; these were extremely heterogeneous with unclear or high risk of bias but suggested that facilitated TW interventions may be beneficial in individual LTCs. Unfacilitated expressive writing was examined in 59 studies of variable or unreported quality. Overall, there was very little or no evidence of any benefit reported in the following conditions (number of studies): human immunodeficiency virus (six); breast cancer (eight); gynaecological and genitourinary cancers (five); mental health (five); asthma (four); psoriasis (three); and chronic pain (four). In inflammatory arthropathies (six) there was a reduction in disease severity [n = 191, standardised mean difference (SMD) –0.61, 95% confidence interval (CI) –0.96 to –0.26] in the short term on meta-analysis of four studies. For all other LTCs there were either no data, or sparse data with no or inconsistent, evidence of benefit. Meta-analyses conducted acrossallof the LTCs provided no evidence that unfacilitated emotional writing had any effect on depression at short- (n = 1563, SMD –0.06, 95% CI –0.29 to 0.17, substantial heterogeneity) or long-term (n = 778, SMD –0.04 95% CI –0.18 to 0.10, little heterogeneity) follow-up, or on anxiety, physiological or biomarker-based outcomes. One study reported costs, no studies reported cost-effectiveness and 12 studies reported resource use; and meta-analysis suggested reduced medication use but no impact on health centre visits. Estimated costs of intervention were low, but there was insufficient evidence to judge cost-effectiveness. Realist synthesis findings suggested that facilitated TW is a complex intervention and group interaction contributes to the perception of benefit. It was unclear from the available data who might benefit most from facilitated TW.LimitationDifficulties with developing realist synthesis programme theory meant that mechanisms operating during TW remain obscure.ConclusionsOverall, there is little evidence to support the therapeutic effectiveness or cost-effectiveness of unfacilitated expressive writing interventions in people with LTCs. Further research focused on facilitated TW in people with LTCs could be informative.Study registrationThis study is registered as PROSPERO CRD42012003343.FundingThe National Institute for Health Research Health Technology Assessment programme.

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Systematic review and meta-analysis of the effectiveness of expressive writing disclosure on cancer and palliative care patients’ health-related outcomes

Abu-Odah,

SU,

Wang

et al. 2023

Support Care Cancer

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Expressive Writing Improves Subjective Health Among Testicular Cancer Survivors: A Pilot Study

Cited by 14 publications

References 45 publications

The Benefits and Risks of Telling and Listening to Stories of Difficulty Over Time: Experimentally Testing the Expressive Writing Paradigm in the Context of Interpersonal Communication Between Friends

The Benefits and Risks of Telling and Listening to Stories of Difficulty Over Time: Experimentally Testing the Expressive Writing Paradigm in the Context of Interpersonal Communication Between Friends

Does therapeutic writing help people with long-term conditions? Systematic review, realist synthesis and economic considerations

Systematic review and meta-analysis of the effectiveness of expressive writing disclosure on cancer and palliative care patients’ health-related outcomes

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