The effect of expressive writing on Chinese cancer patients: A systematic review and meta‐analysis of randomized control trails.

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Title: The effect of expressive writing on Chinese cancer patients: A systematic review and meta‐analysis of randomized control trails.
Authors: Zhang, Chen (AUTHOR), Xu, Shuo (AUTHOR), Wen, Xinyue (AUTHOR), Liu, Mowen (AUTHOR)
Source: Clinical Psychology & Psychotherapy. Nov2023, Vol. 30 Issue 6, p1357-1368. 12p.
Subjects: Cancer patient psychology, Well-being, Psychology information storage & retrieval systems, Online information services, CINAHL database, Medical databases, Meta-analysis, Medical information storage & retrieval systems, Systematic reviews, Self-control, Medical care, Life, Quality of life, Research funding, Written communication, Psychological adaptation, MEDLINE, Emotions
Abstract: Cancer patients in China encounter distinctive challenges stemming from cultural disparities and variations in the healthcare systems. This meta‐analysis aimed to provide a synthesis of the expressive writing (EW) interventions delivered to Chinese cancer patients and assess the pooled effect of EW on their well‐being. The review adheres to the latest PRISMA 2020 guidelines to ensure transparency and rigour. Randomized control trials (RCTs) published before 1 April 2023, and meeting the inclusion criteria were included. Keywords searching was performed in both English and Chinese electronic databases. Ten RCTs were identified and included in the analysis. The results showed that EW usually encompassed four to six writing sessions; the most common writing themes were 'emotional expression', 'cognitive appraisal', 'benefit finding', 'coping strategies' and 'looking to the future'. The meta‐analysis suggested that EW had a substantial impact on reducing anxiety levels (Hedges' g = −1.22, 95% CI [−1.54, −0.90], I2 = 0.00%). It is worth noting that although the results of these studies could not be statistically synthesized, their individual findings suggest that EW may be beneficial in reducing anxiety, self‐perceived burden and depressive symptoms, as well as increasing self‐efficacy in Chinese cancer patients. In conclusion, this review highlights the importance and effectiveness of Ewin alleviating anxiety among Chinese cancer patients and underscores the potential benefits of incorporating EW into comprehensive care programmes for cancer patients in China. More RCTs are needed to explore the broader impact of EW in China. [ABSTRACT FROM AUTHOR]
Copyright of Clinical Psychology & Psychotherapy is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
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  Data: The effect of expressive writing on Chinese cancer patients: A systematic review and meta‐analysis of randomized control trails.
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  Data: <searchLink fieldCode="AR" term="%22Zhang%2C+Chen%22">Zhang, Chen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Xu%2C+Shuo%22">Xu, Shuo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wen%2C+Xinyue%22">Wen, Xinyue</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Liu%2C+Mowen%22">Liu, Mowen</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Clinical+Psychology+%26+Psychotherapy%22">Clinical Psychology & Psychotherapy</searchLink>. Nov2023, Vol. 30 Issue 6, p1357-1368. 12p.
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  Data: <searchLink fieldCode="DE" term="%22Cancer+patient+psychology%22">Cancer patient psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Well-being%22">Well-being</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+information+storage+%26+retrieval+systems%22">Psychology information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22Online+information+services%22">Online information services</searchLink><br /><searchLink fieldCode="DE" term="%22CINAHL+database%22">CINAHL database</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+databases%22">Medical databases</searchLink><br /><searchLink fieldCode="DE" term="%22Meta-analysis%22">Meta-analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+information+storage+%26+retrieval+systems%22">Medical information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22Self-control%22">Self-control</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Life%22">Life</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Written+communication%22">Written communication</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+adaptation%22">Psychological adaptation</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22Emotions%22">Emotions</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Cancer patients in China encounter distinctive challenges stemming from cultural disparities and variations in the healthcare systems. This meta‐analysis aimed to provide a synthesis of the expressive writing (EW) interventions delivered to Chinese cancer patients and assess the pooled effect of EW on their well‐being. The review adheres to the latest PRISMA 2020 guidelines to ensure transparency and rigour. Randomized control trials (RCTs) published before 1 April 2023, and meeting the inclusion criteria were included. Keywords searching was performed in both English and Chinese electronic databases. Ten RCTs were identified and included in the analysis. The results showed that EW usually encompassed four to six writing sessions; the most common writing themes were 'emotional expression', 'cognitive appraisal', 'benefit finding', 'coping strategies' and 'looking to the future'. The meta‐analysis suggested that EW had a substantial impact on reducing anxiety levels (Hedges' g = −1.22, 95% CI [−1.54, −0.90], I2 = 0.00%). It is worth noting that although the results of these studies could not be statistically synthesized, their individual findings suggest that EW may be beneficial in reducing anxiety, self‐perceived burden and depressive symptoms, as well as increasing self‐efficacy in Chinese cancer patients. In conclusion, this review highlights the importance and effectiveness of Ewin alleviating anxiety among Chinese cancer patients and underscores the potential benefits of incorporating EW into comprehensive care programmes for cancer patients in China. More RCTs are needed to explore the broader impact of EW in China. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Clinical Psychology & Psychotherapy is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1002/cpp.2878
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      – Code: eng
        Text: English
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        PageCount: 12
        StartPage: 1357
    Subjects:
      – SubjectFull: Cancer patient psychology
        Type: general
      – SubjectFull: Well-being
        Type: general
      – SubjectFull: Psychology information storage & retrieval systems
        Type: general
      – SubjectFull: Online information services
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      – SubjectFull: CINAHL database
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      – SubjectFull: Meta-analysis
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      – SubjectFull: Medical information storage & retrieval systems
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      – SubjectFull: Systematic reviews
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      – SubjectFull: Self-control
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      – SubjectFull: Medical care
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      – SubjectFull: Life
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      – SubjectFull: Research funding
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      – SubjectFull: Written communication
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      – SubjectFull: Psychological adaptation
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      – SubjectFull: MEDLINE
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      – SubjectFull: Emotions
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      – TitleFull: The effect of expressive writing on Chinese cancer patients: A systematic review and meta‐analysis of randomized control trails.
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            NameFull: Zhang, Chen
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            – D: 01
              M: 11
              Text: Nov2023
              Type: published
              Y: 2023
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