The effect of expressive writing on Chinese cancer patients: A systematic review and meta-analysis of randomized control trails

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL Clinical psychology & psychotherapy Pub Date : 2023-06-21 DOI:10.1002/cpp.2878

Chen Zhang, Shuo Xu, Xinyue Wen, Mowen Liu

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Abstract

Cancer patients in China encounter distinctive challenges stemming from cultural disparities and variations in the healthcare systems. This meta-analysis aimed to provide a synthesis of the expressive writing (EW) interventions delivered to Chinese cancer patients and assess the pooled effect of EW on their well-being. The review adheres to the latest PRISMA 2020 guidelines to ensure transparency and rigour. Randomized control trials (RCTs) published before 1 April 2023, and meeting the inclusion criteria were included. Keywords searching was performed in both English and Chinese electronic databases. Ten RCTs were identified and included in the analysis. The results showed that EW usually encompassed four to six writing sessions; the most common writing themes were ‘emotional expression’, ‘cognitive appraisal’, ‘benefit finding’, ‘coping strategies’ and ‘looking to the future’. The meta-analysis suggested that EW had a substantial impact on reducing anxiety levels (Hedges' g = −1.22, 95% CI [−1.54, −0.90], I2 = 0.00%). It is worth noting that although the results of these studies could not be statistically synthesized, their individual findings suggest that EW may be beneficial in reducing anxiety, self-perceived burden and depressive symptoms, as well as increasing self-efficacy in Chinese cancer patients. In conclusion, this review highlights the importance and effectiveness of Ewin alleviating anxiety among Chinese cancer patients and underscores the potential benefits of incorporating EW into comprehensive care programmes for cancer patients in China. More RCTs are needed to explore the broader impact of EW in China.

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表达性写作对中国癌症患者的影响：随机对照试验的系统回顾和荟萃分析。

由于文化差异和医疗体系的不同，中国的癌症患者面临着独特的挑战。本荟萃分析旨在对为中国癌症患者提供的表达性写作（EW）干预措施进行综述，并评估EW对癌症患者福祉的综合影响。该综述遵循最新的PRISMA 2020指南，以确保其透明度和严谨性。纳入的随机对照试验（RCT）发表于 2023 年 4 月 1 日之前，且符合纳入标准。在中英文电子数据库中进行了关键词检索。共确定了 10 项 RCT 并将其纳入分析。结果显示，EW通常包括四到六次写作；最常见的写作主题是 "情绪表达"、"认知评估"、"发现益处"、"应对策略 "和 "展望未来"。荟萃分析表明，EW 对降低焦虑水平有很大影响（Hedges' g = -1.22, 95% CI [-1.54, -0.90]，I2 = 0.00%）。值得注意的是，虽然这些研究的结果无法进行统计学上的综合，但它们各自的研究结果表明，电子病历可能有益于减轻中国癌症患者的焦虑、自我感觉负担和抑郁症状，以及提高自我效能感。总之，本综述强调了易赢娱乐缓解中国癌症患者焦虑的重要性和有效性，并强调了将易赢娱乐纳入中国癌症患者综合护理计划的潜在益处。还需要进行更多的 RCT 研究，以探索 EW 在中国的广泛影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.