Writing Program Can Help Ease Body Concerns After Treatment

https://www.breastcancer.org/research-news/writing-program-can-help-ease-body-concerns

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Expressive writing intervention and self-reported physical health out-comes – Results from a nationwide randomized controlled trial with breast cancer patients

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5825018/

Expressive Writing Intervention Improves Quality of Life Among Chinese-American Breast Cancer Survivors: A Randomized Controlled Trial

https://academic.oup.com/abm/article/52/11/952/4825804

Expressive writing intervention and self-reported physical health out-comes – Results from a nationwide randomized controlled trial with breast cancer patients

https://pure.au.dk/portal/en/persons/anders-bonde-jensen(bc1410f2-b563-4741-8f04-b019a2562102)/publications/expressive-writing-intervention-and-selfreported-physical-health-outcomes–results-from-a-nationwide-randomized-controlled-trial-with-breast-cancer-patients(28b0b1b2-7871-4288-b51a-0410171cd1f9)/export.html

How Does Insightful and Emotional Disclosure Bring Potential Health Benefits?: Study Based on Online Support Groups for Women with Breast Cancer.

J Commun. 2011 Jun;61(3):432-464.

Shim M1, Cappella JN2, Han JY3.

PMID:25568496PMCID:PMC4283796DOI:10.1111/j.1460-2466.2011.01555.x

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4283796/

 

Despite much research on the beneficial effects of written disclosure, relatively little attention has been paid to specifying the mechanism underlying the effects. Building upon the two theoretical models (the cognitive adaptation model and the emotional exposure-habituation model), this research focused on two aspects of disclosure content—insights and emotions—and examined how women with breast cancer benefit from written disclosure in online support groups. Using survey data collected at baseline and after four months and messages posted in bulletin-board-type online groups in between, we analyzed how the content of disclosive messages predicted health outcomes. Disclosure of insights led to greater improvements in health self-efficacy, emotional well-being, and functional well-being, which was mediated by lowered breast cancer concerns. Disclosure of negative emotions did not have main effects on health outcomes; instead, it weakened the unfavorable association between concerns at baseline and functional well-being at follow-up. Our findings support both theoretical models, but in regard to different aspects of disclosure content.

A randomized controlled trial of emotionally expressive writing for women with metastatic breast cancer.

Health Psychol. 2010 Jul;29(4):460-6. doi: 10.1037/a0020153.

Low CA1, Stanton AL, Bower JE, Gyllenhammer L.

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3128513/

 

Objective

To test the effects of emotionally expressive writing in a randomized controlled trial of metastatic breast cancer patients and to determine whether effects of the intervention varied as a function of perceived social support or time since metastatic diagnosis.

Design

Women (N = 62) living with Stage IV breast cancer were randomly assigned to write about cancer-related emotions (EMO; n = 31) or the facts of their diagnosis and treatment (CTL; n = 31). Participants wrote at home for four 20-min sessions within a 3-week interval.

Main Outcome Measures

Depressive symptoms, cancer-related intrusive thoughts, somatic symptoms, and sleep quality at 3 months postintervention.

Results

No significant main effects of experimental condition were observed. A significant condition × social support interaction emerged on intrusive thoughts; EMO writing was associated with reduced intrusive thoughts for women reporting low emotional support (η2 = .15). Significant condition × time since metastatic diagnosis interactions were also observed for somatic symptoms and sleep disturbances. Relative to CTL, EMO participants who were more recently diagnosed had fewer somatic symptoms (η2 = .10), whereas EMO participants with longer diagnosis duration exhibited increases in sleep disturbances (η2 = .09).

Conclusion

Although there was no main effect of expressive writing on health among the current metastatic breast cancer sample, expressive writing may be beneficial for a subset of metastatic patients (including women with low levels of emotional support or who have been recently diagnosed) and contraindicated for others (i.e., those who have been living with the diagnosis for years).

Using Expressive Writing to Explore Thoughts and Beliefs about Cancer and Treatment among Chinese American Immigrant Breast Cancer Survivors

Psychooncology. Author manuscript; available in PMC 2017 Nov 1.
Published in final edited form as:
Psychooncology. 2016 Nov; 25(11): 1371–1374.

Published online 2015 Sep 25. doi:  10.1002/pon.3991

Qian Lu, Ph.D., M.D.,1 Nelson C. Y. Yeung, M.Phil.,1 Jin You, Ph.D.,2 and Jiajie Dai, M.S.1