Evidence map›Paper›PMID 30159604›Full record

Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2019

Efficacy of Pennebaker's expressive writing intervention in reducing psychiatric symptoms among patients with first-time cancer diagnosis: a randomized clinical trial.

Luana La Marca, Erika Maniscalco, Francesco Fabbiano, Francesco Verderame, Adriano Schimmenti

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Systematic review and meta-analysis of the effectiveness of expressive writing disclosure on cancer and palliative care patients' health-related outcomes.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Pooled it
  2. Trial
  3. Article
  4. Putting pain into words: the psalms of lament as an aid for the alexithymic.Frontiers in pain research (Lausanne, Switzerland) · 2025
    Article
  5. Article
  6. Article
  7. Writing cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Review
  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Luana La MarcaFaculty of Human and Social Sciences, UKE-Kore University of Enna, Enna, Italy. luana.lamarca@unikore.it.ORCID http://orcid.org/0000-0003-4007-9131
Erika ManiscalcoFaculty of Human and Social Sciences, UKE-Kore University of Enna, Enna, Italy.
Francesco FabbianoDepartment of Hematology and Oncology, Hospital Vincenzo Cervello, Palermo, Italy.
Francesco VerderameDepartment of Hematology and Oncology, Hospital Vincenzo Cervello, Palermo, Italy.
Adriano SchimmentiFaculty of Human and Social Sciences, UKE-Kore University of Enna, Enna, Italy.
Università degli Studi di Enna Kore · ITOspedale Vincenzo Cervello · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this randomized clinical trial was to examine the efficacy of Pennebaker's expressive writing intervention (EWI) in improving the perceived quality of life (QoL) and in reducing psychiatric symptoms among patients who received a cancer diagnosis.

methodsSeventy-one consecutively recruited patients who received a cancer diagnosis for the first time in their life were randomized into two groups: an EWI group (EWG: n = 35) and a control group (CG n = 36). At the baseline, anamnestic information was collected for all patients, and the patients completed a series of self-reported measures assessing psychiatric symptoms, alexithymia, and health-related QoL. A modified Pennebaker's EWI adapted to cancer diagnosis was also administered to the EWG. Six months later, 32 patients (EWG: n = 17, CG: n = 15) participated in the follow-up and filled out the same questionnaires.

resultsThe Pennebaker's EWI was effective in decreasing global psychopathology (d =  -.55). Small but significant effects were also observed for alexithymia levels and health-related QoL, with the EWG showing a reduction in alexithymia levels (d =  -.31) and an increase in the mental component of QoL (d = .31) compared to the CG.

conclusionsOur findings indicate that the Pennebaker's EWI is effective in reducing the negative impact of cancer diagnosis on patients' mental health.

Indexed as

WritingAffective SymptomsExpressed EmotionFemaleHumansMaleMental DisordersMiddle AgedNeoplasmsPsychotherapyQuality of LifeSelf ReportSurveys and QuestionnairesAlexithymiaCancerExpressive writing interventionPsychopathologyQuality of lifeRandomized clinical trial

Identifiers

PMID30159604
OpenAlexW2889511299

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.