Ren Hui, Meng Shanshan, Yin Xin, Li Pan, Xue Yingchun, Xin Wenhao, Li Hongyan
The First Hospital of Jilin University, No. 71 Xinmin Street, Changchun, Jilin, China.
Qingdao Stomatological Hospital Affiliated to Qingdao University, No.17 Dexian Road, Shinan District, Qingdao, 266001, Shandong Province, China.
Eur J Oncol Nurs. 2025 Feb;74:102756. doi: 10.1016/j.ejon.2024.102756. Epub 2024 Dec 14.
Patients with ovarian cancer often experience significant psychological distress during postoperative chemotherapy, including anxiety and depression. Expressive writing of positive emotions has shown potential in improving psychological health and fostering post-traumatic growth (PTG) in cancer patients. However, its application to ovarian cancer patients undergoing chemotherapy remains under-explored.
A quasi-experimental study was conducted with 82 ovarian cancer patients undergoing postoperative chemotherapy at a tertiary hospital in Changchun, China. Patients were divided into an experimental group (n = 40) receiving expressive writing intervention and a control group (n = 42) receiving routine care. Outcomes were assessed using the Post-Traumatic Growth Inventory (PTGI), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS) at baseline and after a 6-week intervention.
After the intervention, the experimental group exhibited significantly higher PTGI scores (mean ± SD: 73.43 ± 6.95) compared to the control group (63.19 ± 5.91, P < 0.001), with improvements observed across all five PTG dimensions (P < 0.05). The experimental group also showed a greater reduction in SAS (mean ± SD: 38.25 ± 4.31 vs. 45.12 ± 5.17, P < 0.001) and SDS scores (mean ± SD: 42.10 ± 3.86 vs. 48.75 ± 4.62, P < 0.001).
Expressive writing of positive emotions significantly enhances PTG and reduces anxiety and depression in ovarian cancer patients undergoing chemotherapy. This intervention offers a cost-effective and feasible approach for psychological support in clinical settings.
卵巢癌患者在术后化疗期间常经历显著的心理困扰，包括焦虑和抑郁。表达积极情绪的写作已显示出在改善癌症患者心理健康和促进创伤后成长（PTG）方面的潜力。然而，其在接受化疗的卵巢癌患者中的应用仍有待探索。
在中国长春的一家三级医院，对82例接受术后化疗的卵巢癌患者进行了一项准实验研究。患者被分为接受表达性写作干预的实验组（n = 40）和接受常规护理的对照组（n = 42）。在基线和为期6周的干预后，使用创伤后成长量表（PTGI）、焦虑自评量表（SAS）和抑郁自评量表（SDS）评估结果。
干预后，实验组的PTGI得分（均值±标准差：73.43±6.95）显著高于对照组（63.19±5.91，P < 0.001），在所有五个PTG维度上均有改善（P < 0.05）。实验组的SAS得分（均值±标准差：38.25±4.31 vs. 45.12±5.17，P < 0.001）和SDS得分（均值±标准差：42.10±3.86 vs. 48.75±4.62，P < 0.001）也有更大幅度的降低。
表达积极情绪的写作显著增强了接受化疗的卵巢癌患者的PTG，并减轻了焦虑和抑郁。这种干预为临床环境中的心理支持提供了一种经济有效且可行 的方法。
