社会心理的
医学
乳腺癌
感觉
人口
随机对照试验
生存曲线
应对(心理学)
心理信息
临床心理学
老年学
心理干预
心理学
癌症
内科学
美籍华人
生活质量(医疗保健)
民族
心理治疗师
梅德林
社会心理学
精神科
社会学
法学
环境卫生
人类学
政治学
作者
Qian Lu,Celia C. Y. Wong,Matthew W. Gallagher,Reese Tou,Lucy H. Young,Alice Loh
出处
期刊:Health Psychology
[American Psychological Association]
日期:2017-04-01
卷期号:36 (4): 370-379
被引量:37
摘要
Despite the significant size of the Asian American population, few studies have been conducted to improve cancer survivorship in this underserved group. Research has demonstrated that expressive writing interventions confer physical and psychological benefits for a variety of populations, including Non-Hispanic White cancer survivors. The study aims to evaluate the health benefits of an expressive writing intervention among Chinese-speaking breast cancer survivors in the U.S. It was hypothesized that expressive writing would increase health-related quality of life (HRQOL).Ninety-six Chinese breast cancer survivors were randomly assigned to 1 of 3 writing conditions: a self-regulation group, an emotional disclosure group, or a cancer-fact group. The self-regulation group wrote about one's deepest feelings and coping efforts in addition to finding benefits from their cancer experience. The emotional disclosure group wrote about one's deepest thoughts and feelings. The cancer-fact group wrote about facts relevant to their cancer experience. HRQOL was assessed by FACT-B at baseline, 1, 3, and 6-month follow-ups. Effect sizes and residual zed change models were used to compare group differences in HRQOL.Contrary to expectations, the cancer-fact group reported the highest level of overall quality of life at the 6-month follow-up. The self-regulation group had higher emotional well-being compared to the emotional disclosure group.The study challenges the implicit assumption that psychosocial interventions validated among Non-Hispanic Whites could be directly generalized to other populations. It suggests that Asians may benefit from writing instructions facilitating more cognitive than emotional processes. (PsycINFO Database Record
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