Zheng Xican, Qu Jingrui, Xie Jun, Yue Wei, Liang Xuejun, Shi Zhen, Bai Jing, Sun Zhiyan, Cheng Fangna, Li Xiaoxia, Liu Chunxia
Administration Office of the 988th Hospital, Zhengzhou, China.
Department of Psychiatry, the 988th Hospital, Zhengzhou, China.
Front Psychol. 2023 Jan 4;13:1042274. doi: 10.3389/fpsyg.2022.1042274. eCollection 2022.
This study aimed to assess the applicability and effectiveness of an online format of expressive writing (EW) in reducing psychological distress among the asymptomatic COVID-19 patients in Fangcang Hospitals with a quasi-experiment.
Altogether 244 patients were assigned to the EW group(n=122) and the control group(n=122). Besides the routine psychological intervention (broadcast relaxation training at a fixed time) in Fangcang hospitals, The EW group was engaged in 8-day theme-based adaption EW intervention, whereas the control group received no interventions. All the participants were tested with the Brief Profile of Mood States (BPOMS) and Inpatient Mental Health Preliminary Screening Scale(IMHPS) before and after the intervention. After the intervention, the writing quality and intervention satisfaction of the EW group were evaluated by a self-designed writing quality questionnaire and EW satisfaction questionnaire.
The results indicated that the EW significantly improved in the BPOMS test, whereas the control group showed no significant change. The IMHPS score in the control group was statistically deteriorated than that before intervention, whereas the EW group showed no significant change. The writing quality was highly correlated with the score change of BPMOS. The overall satisfaction of patients with EW was 81.13%.
EW can reduce psychological distress among the asymptomatic COVID-19 patients in Fangcang Hospitals. The higher the quality of writing, the greater the improvement of mood states. As a new form of psychological intervention in Fangcang hospitals with high patient satisfaction, EW has a value of popularization and application.
本研究旨在通过一项准实验评估在线形式的表达性写作（EW）在降低方舱医院无症状新冠肺炎患者心理困扰方面的适用性和有效性。
共244例患者被分为EW组（n = 122）和对照组（n = 122）。除方舱医院常规心理干预（定时播放放松训练）外，EW组进行为期8天的主题适应性EW干预，而对照组不接受干预。所有参与者在干预前后均接受情绪状态简表（BPOMS）和住院患者心理健康初步筛查量表（IMHPS）测试。干预后，通过自行设计的写作质量问卷和EW满意度问卷对EW组的写作质量和干预满意度进行评估。
结果表明，EW组在BPOMS测试中显著改善，而对照组无显著变化。对照组的IMHPS评分在统计学上比干预前恶化，而EW组无显著变化。写作质量与BPMOS评分变化高度相关。患者对EW的总体满意度为81.13%。
EW可降低方舱医院无症状新冠肺炎患者的心理困扰。写作质量越高，情绪状态改善越大。作为方舱医院一种患者满意度高的新型心理干预形式，EW具有推广应用价值。
