Randomised controlled trial of expressive writing and quality of life in men and women treated for colon or rectal cancer.
Randomised controlled trial of expressive writing and quality of life in men and women treated for colon or rectal cancer.
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DOI：
10.1080/08870446.2014.971798
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发表时间：
2015
影响因子：
3.3
通讯作者：
Davey A
中科院分区：
文献类型：
--
作者：
Lepore SJ;Revenson TA;Roberts KJ;Pranikoff JR;Davey A
这项随机试验测试了（1）基于家庭的表达性写作（EW）干预是否能改善结直肠癌患者的生活质量，以及（2）干预是否对男性或那些在披露癌症相关问题和感受时感到受限的人更有益。接受结直肠癌治疗的患者被随机分配到EW（n = 101）或对照书写（CW; n = 92）组。在干预前和干预后1个月完成评估。性别和感知的社会限制披露被评估为主持人。主要结果是抑郁症状，睡眠问题和生活质量指标。81%的参与者完成了所有的写作任务。与假设一致，相对于CW组，EW组的参与者在写作中表达了更多的情感，并将他们的作品评为更有意义，个人和情感揭示。没有显着的主效应EW或调节效应的性别或社会约束的结果。虽然EW是可行的，用于结直肠癌患者，它不是一个独立的心理治疗干预有效。对于男性或那些认为自己不能自由地透露与癌症有关的担忧和感受的人来说，这也不是更有效。
This randomized trial tested (1) whether a home-based expressive writing (EW) intervention improves quality of life in patients with colorectal cancer and (2) whether the intervention is more beneficial for men or for people who feel constrained in disclosing cancer-related concerns and feelings. Patients treated for colorectal cancer were randomized to an EW (n = 101) or control writing (CW; n = 92) group. Assessments were completed at 1 month pre- and post-intervention. Sex and perceived social constraints on disclosure were evaluated as moderators. Primary outcomes were depressive symptoms, sleep problems and quality of life indicators. 81% of participants completed all writing assignments. Consistent with hypotheses, relative to the CW group, participants in the EW group expressed more emotion in writing and rated their writings as more meaningful, personal, and emotionally revealing. There were no significant main effects of EW or moderating effects of sex or social constraints on outcomes. Although EW is feasible to use with persons who have colorectal cancer, it was not effective as a stand-alone psychotherapeutic intervention. Nor was it more effective for men or for people who felt they could not freely disclose cancer-related concerns and feelings.
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影响因子：
7.6
作者：
Lepore, SJ
通讯作者：
Lepore, SJ
影响因子：
3.5
作者：
Chambers, Suzanne K.;Meng, Xingqiong;Baade, Peter
通讯作者：
Baade, Peter
影响因子：
9.8
作者：
Merz, Erin L.;Fox, Rina S.;Malcarne, Vanessa L.
通讯作者：
Malcarne, Vanessa L.
影响因子：
1.7
作者：
Lepore, SJ;Helgeson, VS
通讯作者：
Helgeson, VS
影响因子：
1.9
作者：
Frisina, PG;Borod, JC;Lepore, SJ
通讯作者：
Lepore, SJ