Expressive Writing Intervention Study on the Post-traumatic Growth in Breast Cancer Patients
-- A Qualitative Study to Explore the Intervening Mechanisms
DOI:
https://doi.org/10.54097/c6jcjb45Keywords:
Breast Cancer, Expressive Writing, Psychological Experience, Post-traumatic Growth, Qualitative ResearchAbstract
To explore the mechanism of the effect of expressive writing on the post-traumatic growth of breast cancer patients, and to provide evidence for the rehabilitation of cancer patients. A qualitative interview study was done among 15 young convalescent breast cancer patients who participated in expressive writing intervention in a tertiary A hospital in Guangdong Province, The interview focused on the psychological experience of post-traumatic growth in the process of expressive writing, while content analysis focuses on the content of expressive writing. The interview materials were sorted and analyzed using the Colaizzi 7-step analysis method, and the themes were organized. Results showed that Five themes were extracted from the psychological experience of the post-traumatic growth, including the personality change, the relationship change, the life change, the meaning of illness, the gratitude and dedication. The text content of breast cancer patients' expressive writing includes five dimensions: fact description, emotional expression, self affirmation, cognitive reappraisal, and meaning discovery. There were obvious post-traumatic growth in convalescent young breast cancer patients, while experiencing the negative events and negative psychology of illness. The potential therapeutic mechanism of expressive writing in breast cancer survivors includes five factors: fact description, emotional expression, self affirmation, cognitive reappraisal, and meaning discovery.
Downloads
References
[1] Du Hua, Hu Annie, Han Jiangying, et al. Study on the status quo of post-traumatic growth of young patients with breast cancer after surgery and its influencing factors [J]. Nursing Research, 2022,36 (6): 1072-1076.
[2] Choi E, Henneghan A M. Comparing Fatigue, Loneliness, Daytime Sleepiness, and S-tress in Younger and Older Breast Cancer Survivors: A Cross-Sectional Analysis[J]. C-lin J Oncol Nurs,2022,26(2):155-164.
[3] Tedeschi R G , Calhoun L G . The Posttraumatic Growth Inventory: measuring the positive legacy of trauma.[J]. J Trauma Stress, 1996, 9(3):455-471.
[4] Eunju Choi, Ashley M H. Comparing Fatigue, Loneliness, Daytime Sleepiness,and Stress in Younger and Older Breast Cancer Survivors: A Cross-Sectional Analysis[J]. Clinical Journal of Oncology Nursing,2022,26(2):155-164.
[5] Du Hua, Hu Annie, Han Jiangying, et al. Study on the status quo of post-traumatic growth of young patients with breast cancer after surgery and its influencing factors [J]. Nursing Research, 2022,36 (6): 1072-1076.
[6] Tedischi R G, Calhoun L G. Posttraumatic growth:con-Ceptual foundations and empirical evidence [J].Psy-cholInquiry,2004, 15(1):1-18.
[7] Liu J E, Wang H Y, Wang M L, et al. Posttraumatic growth and psychological distress in Chinese early-stage breast cancer survivors: a longitudinal study[J]. Psycho-Oncology, 2014, 23(4):437-443.
[8] Pennebaker J W, Chung C K. Expressive writing, emotional upheavals, and health [M].Handbook of Health Psychology, 2007, 263-284.
[9] Abu-Odah H, Su JJ, Wang M, et al. Systematic review and meta-analysis of the effectiveness of expressive writing disclosure on cancer and palliative care patients' health related outcomes[J]. Support Care Cancer,2023,32(1):70-101.
[10] Wu Qiong, Li Yuli, Chen Lijun, et al. Meta analysis of the effect of expressive writing on post-traumatic stress response in breast cancer patients [J].Military Nursing,2018,35(16):8-15.
[11] Ji L L, Lu Q, Wang L J, et al. The benefits of expressive writing among newly diagnosed mainland Chinese breast cancer patients[J]. J Behav Med,2020,43(3):468-478.
[12] Yaira, Hamama-Raz, Ruth, et al. Can posttraumatic growth after breast cancer promote positive coping?-A cross-lagged study.[J]. Psycho Oncology,2019.,28(4):767-774.
[13] Song Yuanyuan, Jiang Xiaolian. Longitudinal research progress on posttraumatic growth of cancer patients [J]. Nursing research 2022, 36(4):659-663.
[14] Aderhold C, Morawa E, Paslakis G, et al. Protective factors of depressive symptoms in adult cancer patients:the role of sense of coherence and posttraumatic growth in different time spans since diagnosis[J]. J Psychosoc Oncol,2019:1-20.
[15] Groarke A, Curtis R,Groarke J M, et al. Post-traumatic growth in breast cancer:how and when do distress and stress contribute? [J]. Psychooncology, 2017,26(7):967-974. DOI:10. 1002/ pon. 4243.
[16] Darshit P, Paolo D I, Gail G, et al. Post-traumatic stress disorder and post-traumatic growth in breast cancer patients-a systematic review[J].Asian Pacific journal of cancer prevention, 2015,16(2)641-646.
[17] Coroiu A, Koerner A, Burke S M, et al. Stress and Posttraumatic Growth Among Survivors of Breast Cancer: A Test of Curvilinear Effects[J].International journal of stress management,2016,23(1):84-97.
[18] Marziliano A, Tuman M,Moyer A. The relationship between post-traumatic stress and post-traumatic growth in cancer patients and survivors: a systematic review and meta-analysis[J]. Psy-chooncology, 2020,29(4):604-616.
[19] Zsigmond O, Vargay A,Józsa E,et al. Factors contributing to post-traumatic growth following breast cancer: Results from a randomized longitudinal clinical trial containing psychological interventions[J].Developments in Health Sciences, 2019.
[20] Liu Z , Doege D , Thong M S Y ,et al.Distress mediates the relationship between cognitive appraisal of medical care and benefit finding/posttraumatic growth in long-term cancer survivors[J].Cancer, 2021,127(19):3690-3690.
[21] Chen Jieling, Wu Xinchun, An Yuanyuan. Promoting Posttraumatic Growth: Basic Principles and Main Methods. Journal of Beijing Normal University:Social Sciences Editions [J]. 2015,(6): 114-122.
[22] Tan Jianfeng, Wang Yongcun, Zheng Xiuying, et al. Qualitative study on rehabilitation psychological experience and benefit discovery of young patients with breast cancer [J]. Journal of Nursing, 2023,30 (23): 73-78.
[23] Pennebaker J W, Chung C K. Expressive writing, emotional upheavals, and health [M].Handbook of Health Psychology, 2007, 263-284.
[24] Zhu Keyi The Modern Significance of the Concept of "Narrative" [J]. Fudan Journal (Social Sciences Edition), 2007, (4): 96-104.
[25] Klein K, Boals A. Expressive writing can increase working memory capacity[J]. J Exp Psychol Gen,2001,130(3):520–533.
[26] Chu Q, Wu I H C, Lu Q. Expressive writing intervention for posttraumatic stress di-sorder among Chinese American breast cancer survivors: the moderating role of social constraints[J]. Qual Life Res,2020, 29(4):891-899.
[27] Tedeschi G R, Calhoun G L. The Posttraumatic Growth Inventory: measuring the pos-itive legacy of trauma[J]. J Trauma Stress, 1996,9(3):455-471.
[28] Yaira, Hamama-raz, Ruth, et al. Can posttraumatic growth after breast cancer promote positive coping? A cross-lagged study[J]. Psycho-Oncology,2019,28(4):767-774.
[29] Song Yuanyuan, Jiang Xiaolian. Longitudinal research progress on posttraumatic growth of cancer patients [J]. Nursing Research, 2022, 36 (4): 659-663.
[30] Tedeschi G R,Calhoun G L. Posttraumatic Growth: Conceptual Foundations and Empirical Evidence[J]. Psychological Inquiry,2004,15(1):1-18. DOI:10.1207/s15327965pli1501_01.
[31] Sherman D K , Cohen G L .The Psychology of Self-defense: Self-affirmation Theory[J].Advances in Experimental Social Psychology, 2006, 38(06):183-242.
[32] Black N, Gruyter E D, Petrie D, et al. Altruism born of suffering? The impact of an adverse health shock on pro-social behaviour[J]. J Econ Behav Organ,2021,191:902-915.
[33] Cafaro V, Iani L, Costantini M, et al. Promoting post-traumatic growth in cancer patients: A study protocol for a randomized controlled trial of guided written disclosure[J]. J Health Psychol,2019,24(2),240-253.
[34] Gallagher M, Long L, Tsai W, et al. The unexpected impact of expressive writing on posttraumatic stress and growth in Chinese American breast cancer survivors.[J]. J Clin Psychol, 2018,74(10),1673-1686.
Downloads
Published
Issue
Section
License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

