de Moor Janet S, Moyé Lemuel, Low M David, Rivera Edgardo, Singletary S Eva, Fouladi Rachel T, Cohen Lorenzo
Division of Health Behavior and Health Promotion, The Ohio State University College of Public Health, Columbus, OH 43210, USA.
J Soc Integr Oncol. 2008 Spring;6(2):59-66.
This study evaluated whether expressive writing (EW) was an effective stress management intervention for breast cancer patients. Women were recruited at the end of neoadjuvant chemotherapy and assigned to write about their cancer experience (EW group; n = 24) or neutral topics (neutral writing [NW] group; n = 25). Women were asked to write for 20 minutes a day for a total of four writing sessions that were completed over a 7-day period. Participants were reassessed approximately 3 days before and 2 weeks after surgery. The intervention did not significantly decrease women's distress, perceived stress, sleep disturbance, or pain. There was some evidence that the EW group used more sleep medication at the presurgical assessment than the NW group. Social constraints moderated the effect of the intervention. Among women with high social constraints, the EW group reported lower average daily pain than the NW group. Among women with low social constraints, the EW group reported higher average daily pain than the NW group. EW was not broadly effective as a stress management intervention for women with breast cancer. These data do not support the use of EW as a presurgical mind-body complementary medicine program for this population.
本研究评估了表达性写作（EW）是否是一种对乳腺癌患者有效的压力管理干预措施。在新辅助化疗结束时招募女性，将其分为两组，一组被分配撰写关于她们的癌症经历（EW组；n = 24），另一组撰写中性主题（中性写作[NW]组；n = 25）。要求女性每天写作20分钟，共进行四次写作课程，在7天内完成。在手术前约3天和手术后2周对参与者进行重新评估。该干预措施并未显著降低女性的痛苦、感知压力、睡眠障碍或疼痛。有一些证据表明，在术前评估中，EW组比NW组使用了更多的助眠药物。社会限制因素调节了干预效果。在社会限制较高的女性中，EW组报告的平均每日疼痛低于NW组。在社会限制较低的女性中，EW组报告的平均每日疼痛高于NW组。EW作为乳腺癌女性的压力管理干预措施并没有广泛的效果。这些数据不支持将EW作为该人群术前身心辅助医学项目。
