Imrie Susan, Troop Nicholas A
School of Psychology, University of Hertfordshire, Hertfordshire, United Kingdom.
Palliat Support Care. 2012 Jun;10(2):115-22. doi: 10.1017/S1478951512000181.
Research has found that writing about stress can confer physical and psychological health benefits on participants and that adopting a self-compassionate stance may have additional benefits. This pilot study evaluated a self-compassionate expressive writing intervention in a Day Hospice setting.
Thirteen patients with life-limiting illnesses wrote on two occasions about recent stressful experiences. Half also received a self-compassion instruction for their writing. Outcome measures were taken at baseline and one week after the second writing session, and text analysis was used to identify changes in the types of words used, reflecting changes in psychological processes.
Patients given the self-compassion instruction increased in their self-soothing and self-esteem in contrast to patients in the stress-only condition. Happiness broadly increased in both groups although reported levels of stress generally increased in patients given the self-compassion instruction but decreased in patients in the stress-only condition. Those given the self-compassion instruction also increased in their use of causal reasoning words across the two writing sessions compared with those in the stress-only condition.
Expressive writing appears to be beneficial in patients at a hospice and was viewed as valuable by participants. The inclusion of a self-compassion instruction may have additional benefits and a discussion of the feasibility of implementing expressive writing sessions in a Day Hospice is offered.
研究发现，书写压力经历能给参与者带来身心健康益处，而采取自我同情的立场可能会有额外的好处。这项初步研究评估了在日间临终关怀机构中进行的自我同情式表达性写作干预。
13名患有危及生命疾病的患者分两次书写近期的压力经历。其中一半患者在写作时还接受了自我同情指导。在基线以及第二次写作 session 后一周进行结果测量，并使用文本分析来识别所使用词汇类型的变化，以反映心理过程的变化。
与仅接受压力写作的患者相比，接受自我同情指导的患者在自我安抚和自尊方面有所提高。两组患者的幸福感总体上都有所增加，尽管接受自我同情指导的患者报告的压力水平普遍上升，而仅接受压力写作的患者压力水平下降。与仅接受压力写作的患者相比，接受自我同情指导的患者在两次写作过程中使用因果推理词汇的频率也有所增加。
表达性写作似乎对临终关怀机构的患者有益，且参与者认为其有价值。纳入自我同情指导可能会带来额外的好处，并对在日间临终关怀机构开展表达性写作课程的可行性进行了讨论。
