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Feasibility, acceptability, and potential effectiveness of an online expressive writing intervention for COVID-19 resilience.

作者信息

Bechard Elizabeth, Evans John, Cho Eunji, Lin Yufen, Kozhumam Arthi, Jones Jill, Grob Sydney, Glass Oliver

机构信息

Duke Integrative Medicine, 3475 Erwin Road, Durham, NC, 27705, USA.

Vanderbilt University School of Nursing, 461 21st Avenue South, Nashville, TN, 37240, USA.

出版信息

Complement Ther Clin Pract. 2021 Nov;45:101460. doi: 10.1016/j.ctcp.2021.101460. Epub 2021 Jul 27.


DOI:10.1016/j.ctcp.2021.101460
PMID:34332289
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8314796/
Abstract

BACKGROUND & PURPOSE: The COVID-19 pandemic has negatively impacted mental health in the general population. In this trial, our objective was to assess whether a 6-week expressive writing intervention improves resilience in a sample from the general population in the midst of the COVID-19 pandemic. MATERIALS & METHODS: This 6-week trial was conducted online. Eligible participants (n=63) were a sample of adults who self-identified as having been significantly affected by the COVID-19 pandemic. PRIMARY OUTCOME: Connor-Davidson Resilience Scale (CD-RISC). SECONDARY OUTCOMES: Perceived Stress Scale - 10-Item (PSS-10); Center for Epidemiologic Studies Depression Scale - Revised (CESD-R); Post-Traumatic Growth Inventory (PTGI). RESULTS: Resilience measures (CD-RISC) increased from baseline (66.6 ± 14.9) to immediately post-intervention (73.0 ± 12.4; p=0.014; Cohen's d =0.31), and at a 1- month follow-up (72.9 ± 13.6; p=0.024; Cohen's d =0.28). Across the same timepoints, perceived stress scores (PSS-10) decreased from baseline (21.8 ± 6.6) to immediately post-intervention (18.3 ± 7.0; p=0.008; Cohen's d =0.41), and at the 1- month follow-up to (16.8 ± 6.7; p=0.0002; Cohen's d =0.56). Depression symptoms (CESD-R) decreased from baseline (23.3 ± 15.3) at 6 weeks (17.8 ± 15.4; p=0.058; Cohen's d =0.22), and 10 weeks (15.5 ± 12.7; p=0.004; Cohen's d =0.38). Posttraumatic growth (PTGI) increased from baseline (41.7 ± 23.4) at 6 weeks (55.8 ± 26.4; p=0.004; Cohen's d =0.44), and at the 1-month follow-up (55.9 ± 29.3; p=0.008; Cohen's d =0.49). CONCLUSION: An online expressive writing intervention was effective at improving resilience in the midst of the COVID-19 pandemic. NCT#: NCT04589104.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a83/8314796/f5df087afd11/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a83/8314796/f5df087afd11/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a83/8314796/f5df087afd11/gr1_lrg.jpg

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[1]
Feasibility, acceptability, and potential effectiveness of an online expressive writing intervention for COVID-19 resilience.

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引用本文的文献

[1]
Effectiveness of online expressive writing in reducing psychological distress among the asymptomatic COVID-19 patients in Fangcang Hospitals: A quasi-experiment study.

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[2]
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[3]
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[4]
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[5]
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[6]
Resilience and Wellbeing Strategies for Pandemic Fatigue in Times of Covid-19.

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本文引用的文献

[1]
Benefits of Expressive Writing on Healthcare Workers' Psychological Adjustment During the COVID-19 Pandemic.

Front Psychol. 2021-2-25

[2]
Worsening of Preexisting Psychiatric Conditions During the COVID-19 Pandemic.

Front Psychiatry. 2020-12-16

[3]
Effectiveness of Expressive Writing in the Reduction of Psychological Distress During the COVID-19 Pandemic: A Randomized Controlled Trial.

Front Psychol. 2020-11-10

[4]
Expressive writing to combat distress associated with the COVID-19 pandemic in people with inflammatory bowel disease (WriteForIBD): A trial protocol.

J Psychosom Res. 2020-11-4

[5]
Impact of COVID-19 pandemic on mental health in the general population: A systematic review.

J Affect Disord. 2020-8-8

[6]
Outcomes from intensive care in patients with COVID-19: a systematic review and meta-analysis of observational studies.

Anaesthesia. 2020-7-15

[7]
The psychological impact of COVID-19 on the mental health in the general population.

QJM. 2020-6-22

[8]
The cytokine storm in COVID-19: An overview of the involvement of the chemokine/chemokine-receptor system.

Cytokine Growth Factor Rev. 2020-5-11

[9]
Preserving mental health and resilience in frontline healthcare workers during COVID-19.

Am J Emerg Med. 2020-7

[10]
Mental Health and the Covid-19 Pandemic.

N Engl J Med. 2020-8-6

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