The benefits of expressive writing among newly diagnosed mainland Chinese breast cancer patients

Ji, Lili; Lü, Qian; Wang, Limin; Sun, Xianglian; Wang, Huidong; Han, Bingxue; Ma, Yufeng; Li, Guohua

doi:10.1007/s10865-019-00127-z

Cited by 12 publications

(13 citation statements)

References 33 publications

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“…The characteristics of the 22 studies are present in Table 1 (Craft et al, 2013; de Moor et al, 2002; Gao et al, 2020; Grace et al, 2010; Ji et al, 2020; La Marca et al, 2019; Liu et al, 2017; Low et al, 2010; Lu et al, 2019; Lu et al, 2018; Lu et al, 2017; Ma et al, 2021; Milbury et al, 2014; Mosher et al, 2012; Sandgren & McCaul, 2003, 2007; Sohl et al, 2017; Wang et al, 2021; Wu, 2016; Zhang, 2019; Zhang et al, 2021; Zhao et al, 2017). A total of 2405 patients were recruited in all studies, with sample sizes ranging from 30 to 277.…”

Section: Resultsmentioning

confidence: 99%

The effects of different themes of self‐disclosure on health outcomes in cancer patients—A meta‐analysis

Yao,

Li,

et al. 2023

Int J Psychol

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Self‐disclosure (SD) is a common psychological intervention that involves expressing the patient's feelings and thoughts. The purpose of this study was to assess the effectiveness of different themes of SD on cancer patients. We searched eight databases including PubMed, Cochrane Library Trials, Web of Science, CINAHL, Medline, EMBASE, CNKI and Wanfang from inception to July 2022. Other sources included clinical data registers. The Cochrane Collaboration's tool was used to assess the risk of bias in the included studies. RevMan Analysis software 5.3 was used for data analysis. The protocol of this meta‐analysis has been registered on PROSPERO (CRD42022339661). Twenty‐two RCTs studies were included. The pooled results demonstrated that self‐regulation self‐disclosure (SRD) had significant effects on patients' sleep quality, benefit‐finding, anxiety and quality of life (QOL), whereas emotional disclosure (ED) did not. Furthermore, enhanced self‐regulation self‐disclosure (ESRD) or cancer‐related self‐disclosure (CD) significantly improved patients' QOL, although health education self‐disclosure (HED) and positive self‐disclosure (PD) did not. Our study suggests that different themes of SD have varied effects on patients, but it remains unclear which themes to use at what point in time. Future research should investigate what themes of SD are adopted at different points in time and the duration of different periods.

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Section: Resultsmentioning

confidence: 99%

The effects of different themes of self‐disclosure on health outcomes in cancer patients—A meta‐analysis

Yao,

Li,

et al. 2023

Int J Psychol

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“…Cognitive adaptation is an important psychological coping resource for the individual managing traumatic experiences such as cancer according to the cognitive adaptation theory. Previous studies showed that expressive writing enhanced self-affirmation, alleviated cancer-related stress, and positively affected functional health status [ 25 ]. However, in the current study, expressive writing showed only a temporary benefit immediately after an intervention in terms of the QoL and no significant improvement in self-care self-efficacy.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, an expressive writing intervention at home might not be as effective as in a clinical setting. Although emotional disclosure was more natural in a family setting, it might increase the likelihood of non-adherence and surrounding disturbance [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Effects of Structured Expressive Writing on Quality of Life and Perceived Self-Care Self-Efficacy of Breast Cancer Patients Undergoing Chemotherapy in Central China: A Randomized Controlled Trial

Wang

et al. 2022

Healthcare

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Expressive writing is a supportive psychological intervention allowing an individual to disclose and express their deepest thoughts and feelings related to personal traumatic experiences through writing. Previous studies suggested that expressive writing could promote the physical and mental health of cancer patients. The current study was conducted to evaluate the effect of expressive writing based on the theory of cognitive adaptation (TCA) on the quality of life and self-care self-efficacy in patients with breast cancer undergoing chemotherapy. A sample of 82 Chinese women receiving chemotherapy for breast cancer was randomly assigned to an experimental group (four 20 min writing activities focusing on emotional disclosure) or a control group (no writing activities). The quality of life (QoL) and self-care self-efficacy were assessed at baseline, 2 weeks, 4 weeks, and 6 weeks after the intervention, respectively. The sociodemographic characteristics, QoL, and self-care self-efficacy at baseline were comparable between the two groups. Repeated-measures ANOVA revealed significant effects of the time×group (F = 3.65, p < 0.05) on the QoL and significant effects of time (F = 4.77, p <0.05) on self-care self-efficacy. Compared with the control group, the QoL in the intervention group showed a significant and temporary increase at 2 weeks after the intervention (mean difference = −7.56, p < 0.05). As a low-cost and easily delivered psychological intervention, expressive writing is recommended to reduce stress when there is a lack of available emotional support.

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“…In this context, expressive writing is more brief and provides more exible time, space and privacy for the patients to express themselves freely. During expressive writing, participants reorganized their experience and feelings, hence allowed patients to disclose their private thoughts [22,23]. However, conventional expressive writing didn't have a speci c guide, participants' narration of their illness experiences was usually causal and it was di cult to explore deeper emotions and topics [24], so we conducted this invention with longer writing sessions (6 compared with normally 4 sessions) and more detailed writing guidance to solve the problems in previous research.…”

Section: Discussionmentioning

confidence: 99%

The experiences and attitudes among Chinese soft tissue sarcoma patients: a qualitative study using expressive writing

Lin¹,

Deng

Wei³

et al. 2022

Preprint

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PurposeWith poor diagnose and limited knowledge, soft tissue sarcoma (STS) patients were affected by their suffering. Chinese STS patients are often not willing to talk about their feelings and thoughts publicly, which may have negative impact on their psychological status. Expressive writing allows people to disclose their thoughts during writing, which has not yet been studied in patients with soft tissue sarcoma. This study was conducted to understand the experience and attitude of Chinese STS patients using expressive writing.MethodSeven participants with soft tissue sarcoma were included to take 6 episodes of expressive writing with structured guidance. Standard qualitative research method was used to analyze the writing materials.ResultFour themes were identified: treatment process, interpersonal relationship, coping strategies, views about the future. We depicted some crucial aspects of life for STS patients in China, that they may have many difficulties and struggles, but most of them still face life with a positive attitude.ConclusionExpressive writing was acceptable and feasible in Chinese STS patients. We revealed the dynamic process of acceptance and adaptation to life change in them. Itis necessary for doctors and nurses to understand the specific psychological status of STS patients in order to improve their quality of life.Trial registration: ChiCTR2000038923

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The benefits of expressive writing among newly diagnosed mainland Chinese breast cancer patients

Cited by 12 publications

References 33 publications

The effects of different themes of self‐disclosure on health outcomes in cancer patients—A meta‐analysis

The effects of different themes of self‐disclosure on health outcomes in cancer patients—A meta‐analysis

Effects of Structured Expressive Writing on Quality of Life and Perceived Self-Care Self-Efficacy of Breast Cancer Patients Undergoing Chemotherapy in Central China: A Randomized Controlled Trial

The experiences and attitudes among Chinese soft tissue sarcoma patients: a qualitative study using expressive writing

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