Effects of an expressive writing intervention on cancer-related distress in Danish breast cancer survivors - results from a nationwide randomized clinical trial.
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| Title: | Effects of an expressive writing intervention on cancer-related distress in Danish breast cancer survivors - results from a nationwide randomized clinical trial. |
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| Authors: | Jensen‐Johansen, M. B., Christensen, S., Valdimarsdottir, H., Zakowski, S., Jensen, A. B., Bovbjerg, D. H., Zachariae, R. |
| Source: | Psycho-Oncology. Jul2013, Vol. 22 Issue 7, p1492-1500. 9p. 1 Diagram, 2 Charts. |
| Subjects: | Cancer patient psychology, Graphotherapy, Psychological distress, Therapeutics, Mental depression, Psychology of women, Breast cancer research, Clinical trials |
| Abstract: | Objective To examine the effects of an expressive writing intervention (EWI) on cancer-related distress, depressive symptoms, and mood in women treated for early stage breast cancer. Methods A nationwide sample of 507 Danish women who had recently completed treatment for primary breast cancer were randomly assigned to three 20-min home-based writing exercises, one week apart, focusing on either emotional disclosure (EWI group) or a non-emotional topic (control group). Cancer-related distress [Impact of Event Scale (IES)], depressive symptoms (Beck Depression Inventory-Short Form), and negative (37-item Profile of Moods State) and positive mood (Passive Positive Mood Scale) were assessed at baseline and at 3 and 9 months post-intervention. Choice of writing topic (cancer versus other), alexithymia (20-item Toronto Alexithymia Scale), and social constraints (Social Constraints Scale) were included as possible moderators. Results Significant ( p < 0.01) group differences in mood change from before to immediately after each session suggested successful manipulation. Reductions over time in psychological symptoms were seen in both groups ( p < 0.05), but no time × group interactions were found. Choice of writing topic moderated effects on IES, with women writing about other themes showing greater reductions in cancer-related avoidance than women writing about their cancer. Fewer depressive symptoms and higher levels of positive mood were seen 3 months post-intervention in women writing about their cancer when compared with the control group. Difficulties describing feelings and externally oriented thinking (20-item Toronto Alexithymia Scale) moderated effects on positive mood and IES-total, while no moderating effects were found of social constraints. Conclusions In concordance with the majority of previous results with cancer patients, no main effects of EWI were found for cancer-related distress, depressive symptoms, and mood. Moderator analyses suggested that choice of writing topic and ability to process emotional experiences should be studied further. Copyright © 2012 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR] |
| Copyright of Psycho-Oncology 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.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 88939837 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Effects of an expressive writing intervention on cancer-related distress in Danish breast cancer survivors - results from a nationwide randomized clinical trial. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Jensen‐Johansen%2C+M%2E+B%2E%22">Jensen‐Johansen, M. B.</searchLink><br /><searchLink fieldCode="AR" term="%22Christensen%2C+S%2E%22">Christensen, S.</searchLink><br /><searchLink fieldCode="AR" term="%22Valdimarsdottir%2C+H%2E%22">Valdimarsdottir, H.</searchLink><br /><searchLink fieldCode="AR" term="%22Zakowski%2C+S%2E%22">Zakowski, S.</searchLink><br /><searchLink fieldCode="AR" term="%22Jensen%2C+A%2E+B%2E%22">Jensen, A. B.</searchLink><br /><searchLink fieldCode="AR" term="%22Bovbjerg%2C+D%2E+H%2E%22">Bovbjerg, D. H.</searchLink><br /><searchLink fieldCode="AR" term="%22Zachariae%2C+R%2E%22">Zachariae, R.</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Psycho-Oncology%22">Psycho-Oncology</searchLink>. Jul2013, Vol. 22 Issue 7, p1492-1500. 9p. 1 Diagram, 2 Charts. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Cancer+patient+psychology%22">Cancer patient psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Graphotherapy%22">Graphotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+distress%22">Psychological distress</searchLink><br /><searchLink fieldCode="DE" term="%22Therapeutics%22">Therapeutics</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+women%22">Psychology of women</searchLink><br /><searchLink fieldCode="DE" term="%22Breast+cancer+research%22">Breast cancer research</searchLink><br /><searchLink fieldCode="DE" term="%22Clinical+trials%22">Clinical trials</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objective To examine the effects of an expressive writing intervention (EWI) on cancer-related distress, depressive symptoms, and mood in women treated for early stage breast cancer. Methods A nationwide sample of 507 Danish women who had recently completed treatment for primary breast cancer were randomly assigned to three 20-min home-based writing exercises, one week apart, focusing on either emotional disclosure (EWI group) or a non-emotional topic (control group). Cancer-related distress [Impact of Event Scale (IES)], depressive symptoms (Beck Depression Inventory-Short Form), and negative (37-item Profile of Moods State) and positive mood (Passive Positive Mood Scale) were assessed at baseline and at 3 and 9 months post-intervention. Choice of writing topic (cancer versus other), alexithymia (20-item Toronto Alexithymia Scale), and social constraints (Social Constraints Scale) were included as possible moderators. Results Significant ( p < 0.01) group differences in mood change from before to immediately after each session suggested successful manipulation. Reductions over time in psychological symptoms were seen in both groups ( p < 0.05), but no time × group interactions were found. Choice of writing topic moderated effects on IES, with women writing about other themes showing greater reductions in cancer-related avoidance than women writing about their cancer. Fewer depressive symptoms and higher levels of positive mood were seen 3 months post-intervention in women writing about their cancer when compared with the control group. Difficulties describing feelings and externally oriented thinking (20-item Toronto Alexithymia Scale) moderated effects on positive mood and IES-total, while no moderating effects were found of social constraints. Conclusions In concordance with the majority of previous results with cancer patients, no main effects of EWI were found for cancer-related distress, depressive symptoms, and mood. Moderator analyses suggested that choice of writing topic and ability to process emotional experiences should be studied further. Copyright © 2012 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Psycho-Oncology 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: BibEntity: Identifiers: – Type: doi Value: 10.1002/pon.3193 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 9 StartPage: 1492 Subjects: – SubjectFull: Cancer patient psychology Type: general – SubjectFull: Graphotherapy Type: general – SubjectFull: Psychological distress Type: general – SubjectFull: Therapeutics Type: general – SubjectFull: Mental depression Type: general – SubjectFull: Psychology of women Type: general – SubjectFull: Breast cancer research Type: general – SubjectFull: Clinical trials Type: general Titles: – TitleFull: Effects of an expressive writing intervention on cancer-related distress in Danish breast cancer survivors - results from a nationwide randomized clinical trial. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Jensen‐Johansen, M. B. – PersonEntity: Name: NameFull: Christensen, S. – PersonEntity: Name: NameFull: Valdimarsdottir, H. – PersonEntity: Name: NameFull: Zakowski, S. – PersonEntity: Name: NameFull: Jensen, A. B. – PersonEntity: Name: NameFull: Bovbjerg, D. H. – PersonEntity: Name: NameFull: Zachariae, R. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 07 Text: Jul2013 Type: published Y: 2013 Identifiers: – Type: issn-print Value: 10579249 Numbering: – Type: volume Value: 22 – Type: issue Value: 7 Titles: – TitleFull: Psycho-Oncology Type: main |
| ResultId | 1 |
