WRITING AND THE DAILY EXPERIENCE OF ILLNESS

这个子项目是许多研究子项目中利用 资源由NIH/NCRR资助的中心拨款提供。子项目和 调查员(PI)可能从NIH的另一个来源获得了主要资金， 并因此可以在其他清晰的条目中表示。列出的机构是 该中心不一定是调查人员的机构。 一种表达写作(EW)干预，其中个人写创伤性、应激性事件，已被证明能改善健康和慢性病成年人的医疗和情感结果。考虑到糖尿病患者的高抑郁发生率，以及压力和血糖控制之间的关系，糖尿病可能对电子战有反应。初步研究表明，对于患有2型糖尿病的成年人，EW是可以接受和可行的。这项由美国国立卫生研究院资助的研究是几项先导性研究的延伸，使用了额外的措施并修改了干预措施。它将在三个地点(锡拉丘兹大学、宾夕法尼亚州立大学和范德比尔特大学)进行，总共300名糖尿病患者将被随机分配到三组中的一组。其中一组(对照组)将参加为期两年的每4个月一次的中性写作练习和中性“助推器”写作课程。两组将参加EW练习(写3次关于他们生活中的创伤或压力事件)；这两组中的一组将接受5次额外的EW强化训练，而另一组将每隔4个月接受中性写作的强化训练。所有参与者将在两年内每4个月完成一次疾病状况、生活质量和心理状况的测量。总体目标是看EW的经历是否导致医疗和心理社会结果的改善，这些改善持续多长时间，以及增加助推器课程是否会带来更大或更持久的改善。

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. An expressive writing (EW) intervention in which individuals write about traumatic, stressful events, has been shown to produce improvements in medical and emotional outcomes for healthy and chronically ill adults. Given the high rate of depression in individuals with diabetes, and the relationship between stress and blood glucose control, diabetes may be responsive to EW. Pilot studies demonstrated that EW is acceptable and feasible for adults with type 2 diabetes. This NIH-funded study is an extension of several pilot studies using additional measures and modifing the intervention. It will be carried out at three sites (Syracuse, Penn State and Vanderbilt Universities) at which a total of 300 patients with diabetes will be randomly assigned to one of three groups. One group (control) will participate in a neutral writing exercise and neutral "booster" writing sessions every 4 months for a period of 2 years. Two groups will participate in an EW exercise (writing for 3 sessions about traumatic or stressful events in their lives); one of these two groups will receive 5 booster sessions of additional EW, while the other will receive booster sessions of neutral writing, at 4 month intervals. All participants will complete measures of disease status, quality of life, and psychological status every 4 months for a period of 2 years. The overall aim is to see if the experience of EW results in improvements in medical and psychosocial outcomes, how long these improvements last, and whether adding booster sessions leads to greater or more lasting improvement.