WRITING AND THE DAILY EXPERIENCE OF ILLNESS

写作与疾病的日常经历

• 批准号: 7951320
• 负责人: JAN S. ULBRECHT
• 金额: $ 1.9万
• 依托单位: PENNSYLVANIA STATE UNIV HERSHEY MED CTR
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-04-01 至 2010-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7951320
• 关键词: Adult; Blood Glucose; Chronically Ill; Clinical Research; Computer Retrieval of Information on Scientific Projects Database; Control Groups; Diabetes Mellitus; Disease; Emotional; Exercise; Funding; Grant; Individual; Institution; Intervention; Life; Measures; Medical; Non-Insulin-Dependent Diabetes Mellitus; Outcome; Participant; Patients; Pilot Projects; Quality of life; Randomized; Research; Research Personnel; Resources; Site; Source; Stress; Stressful Event; United States National Institutes of Health; Universities; Writing; blood glucose regulation; depression; experience; expressive writing; psychologic; psychosocial

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.

该子项目是利用该技术的众多研究子项目之一 资源由 NIH/NCRR 资助的中心拨款提供。子项目和 研究者 (PI) 可能已从 NIH 的另一个来源获得主要资金， 因此可以在其他 CRISP 条目中表示。列出的机构是 对于中心来说，它不一定是研究者的机构。 一种表达性写作（EW）干预措施，让个人写下创伤性、压力性事件，已被证明可以改善健康和患有慢性病的成年人的医疗和情感结果。鉴于糖尿病患者抑郁症的发病率较高，以及压力与血糖控制之间的关系，糖尿病可能对电子疗法有反应。试点研究表明，EW 对于成人 2 型糖尿病患者来说是可以接受且可行的。这项由美国国立卫生研究院 (NIH) 资助的研究是多项试点研究的延伸，使用了额外的措施并修改了干预措施。 该研究将在三个地点（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。 一组（对照组）将每 4 个月参加一次中性写作练习和中性“助推器”写作课程，为期 2 年。 两组将参加 EW 练习（写 3 个关于他们生活中的创伤或压力事件的课程）；这两组中的一组将接受 5 次额外 EW 的强化课程，而另一组将每隔 4 个月接受中性写作的强化课程。 所有参与者将在 2 年内每 4 个月完成一次疾病状况、生活质量和心理状态的测量。总体目标是了解电子战的体验是否会导致医疗和社会心理结果的改善，这些改善能持续多久，以及增加加强课程是否会带来更大或更持久的改善。