Randomised trial of expressive writing for distressed metastatic breast cancer patients

被引：57

作者：

Mosher, Catherine E. ^{[1
]}

DuHamel, Katherine N. ^{[1
]}

Lam, Joanne ^{[1
]}

Dickler, Maura ^{[2
]}

Li, Yuelin ^{[1
]}

Massie, Mary Jane ^{[1
]}

Norton, Larry ^{[2
]}

机构：

[1] Mem Sloan Kettering Canc Ctr, Dept Psychiat & Behav Sci, New York, NY 10022 USA

[2] Mem Sloan Kettering Canc Ctr, Dept Med, New York, NY 10065 USA

来源：

PSYCHOLOGY & HEALTH | 2012年 / 27卷 / 01期

关键词：

metastatic breast cancer; expressive writing; psychological distress; sleep; fatigue; WRITTEN EMOTIONAL EXPRESSION; FUNCTIONAL ASSESSMENT; PSYCHOLOGIC DISTRESS; HEALTH OUTCOMES; DISCLOSURE; THERAPY; WOMEN; EXPERIENCES; PREDICTORS; DEPRESSION;

D O I：

10.1080/08870446.2010.551212

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Women with metastatic breast cancer and significant psychological distress (N = 87) were assigned randomly to engage in four home-based sessions of expressive writing or neutral writing. Women in the expressive writing group wrote about their deepest thoughts and feelings regarding their cancer, whereas women in the neutral writing group wrote about their daily activities in a factual manner. No statistically significant group differences in existential and psychological well-being, fatigue and sleep quality were found at 8-weeks post-writing. However, the expressive writing group reported significantly greater use of mental health services during the study than the neutral writing group (55% vs. 26%, respectively; p < 0.05). Findings suggest that expressive writing may improve the uptake of mental health services among distressed cancer patients, but is not broadly effective as a psychotherapeutic intervention.

引用

页码：88 / 100

页数：13

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