Journal ArticleDOI
Expressive disclosure and health outcomes in a prostate cancer population
Harriet J. Rosenberg,Stanley D. Rosenberg,Marc S. Ernstoff,George L. Wolford,Robert J. Amdur,Mary R. Elshamy,Susan M. Bauer-Wu,Tim A. Ahles,James W. Pennebaker +8 more
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TLDR
Results provide only limited support for the hypothesis that a written emotional disclosure task can positively impact health outcomes in a cancer population, and further studies with larger samples are needed to better assess the intervention's impact on psychological well-being and immunocompetence.Abstract:
Objective:This pilot study explored the feasibility and the efficacy of a brief, well-defined psychosocial intervention (expressive disclosure) in improving behavioral, medical, immunological, and emotional health outcomes in men with diagnosed prostate cancer.Method:Thirty prostate cancer patients receiving outpatient oncology care were randomized into experimental (disclosure) and control (non-disclosure) groups. All had been previously treated by surgery or radiation within the last 4 years and were being monitored without further intervention for change in PSA levels. Psychological and physical health surveys were administered and peripheral blood for PSA levels and immune assays was obtained upon study enrollment and again at 3 and 6 months post enrollment. Multivariate analyses were used to examine how the expressive disclosure impacted the hypothesized domains of functioning: physical and psychological symptoms; health care utilization; and immunocompetence.Results:Compared to controls, patients in...read more
Citations
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How does communication heal? Pathways linking clinician-patient communication to health outcomes.
TL;DR: Clinicians and patients should maximize the therapeutic effects of communication by explicitly orienting communication to achieve intermediate outcomes associated with improved health.
Journal ArticleDOI
Experimental Disclosure and Its Moderators: A Meta-Analysis
TL;DR: Results of random effects analyses indicate that experimental disclosure is effective, with a positive and significant average r-effect size of .075, and a number of moderators were identified.
Journal ArticleDOI
Psychological adjustment to chronic disease.
TL;DR: This Review discusses physiological, emotional, behavioural, and cognitive aspects of psychological adjustment to chronic illness, and identifies four innovative and promising themes that are relevant for understanding and explaining psychological adjustment.
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Narratives and Cancer Communication
TL;DR: In this paper, Green et al. describe the use of narratives for communicating cancer-related information, which can both change beliefs and motivate action, and may be particularly useful for conveying cancer information because they reduce counterarguments.
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A meta-analysis of the effects of written emotional disclosure on the health outcomes of clinical populations.
TL;DR: It was determined that expressive writing significantly improved health and was not moderated by any systemic variables because of the nonsignificant test of homogeneity, but future research with expressive writing should be tested with randomized controlled trials to increase the likelihood of detecting a larger treatment effect.
References
More filters
Journal ArticleDOI
The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection.
John E. Ware,Cathy D. Sherbourne +1 more
TL;DR: A 36-item short-form survey designed for use in clinical practice and research, health policy evaluations, and general population surveys to survey health status in the Medical Outcomes Study is constructed.
Journal ArticleDOI
The Functional Assessment of Cancer Therapy scale: development and validation of the general measure.
David Cella,David S. Tulsky,G Gray,Bernie Sarafian,E Linn,Amy E. Bonomi,M Silberman,Suzanne B. Yellen,Patsy Winicour,J Brannon +9 more
TL;DR: The FACT-G meets or exceeds all requirements for use in oncology clinical trials, including ease of administration, brevity, reliability, validity, and responsiveness to clinical change.
Journal Article
Pain assessment: Global use of the Brief Pain Inventory.
Charles S. Cleeland,Ryan Km +1 more
TL;DR: The development of the Brief Pain Inventory and the various applications to which the BPI is suited are described, being adopted in many countries for clinical pain assessment, epidemiological studies, and in studies of the effectiveness of pain treatment.
Journal ArticleDOI
Effect of psychosocial treatment on survival of patients with metastatic breast cancer
David Spiegel,David Spiegel,HelenaC. Kraemer,HelenaC. Kraemer,JoanR. Bloom,JoanR. Bloom,Ellen Gottheil,Ellen Gottheil +7 more
TL;DR: The effect of psychosocial intervention on time of survival of 86 patients with metastatic breast cancer was studied prospectively and survival plots indicated that divergence in survival began at 20 months after entry, or 8 months after intervention ended.
Journal ArticleDOI
Writing About Emotional Experiences as a Therapeutic Process
TL;DR: For the past decade, an increasing number of studies have demonstrated that when individuals write about emotional experiences, significant physical and mental health improvements follow as discussed by the authors, and although a reduction in inhibition may contribute to the disclosure phenomenon changes in basic cognitive and linguistic processes during writing predict better health.