Randomised trial of expressive writing for distressed metastatic breast cancer patients.

Randomised trial of expressive writing for distressed metastatic breast cancer patients.
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DOI:
10.1080/08870446.2010.551212
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发表时间:
2012
影响因子:
3.3
通讯作者:
Norton L
Norton L
中科院分区:
医学3区
文献类型:
--
作者:
Mosher CE;Duhamel KN;Lam J;Dickler M;Li Y;Massie MJ;Norton L

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有转移性乳腺癌和显著心理困扰的妇女(N = 87)被随机分配参加四个以家庭为基础的表达性写作或中性写作。表达型写作组的女性写下了她们对癌症最深的想法和感受,而中性写作组的女性则以事实的方式写下了她们的日常活动。在写作后8周,存在和心理健康、疲劳和睡眠质量方面没有统计学上的显著差异。然而,表达性写作组在研究期间使用心理健康服务的比例明显高于中性写作组(分别为55%对26%;p < 0.05)。研究结果表明,表达性写作可以提高痛苦癌症患者对心理健康服务的接受程度,但作为一种心理治疗干预手段并不广泛有效。
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 < .05). Findings suggest that expressive writing may improve uptake of mental health services among distressed cancer patients, but is not broadly effective as a psychotherapeutic intervention.
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发表时间: 2004-05-01
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