Evidence map›Paper›PMID 32601853›Full record

Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2021

Effect of prolonged expressive writing on health outcomes in breast cancer patients receiving chemotherapy: a multicenter randomized controlled trial.

Yanni Wu, Liping Liu, Wanting Zheng, Chunrao Zheng, Min Xu, Xiaohong Chen, Wenji Li, Lijun Xie, Pengyan Zhang, Xiaoli Zhu and 2 more

Abstract readMulticenter StudyRandomized 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, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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, 2 syntheses or guidelines pooled it.

  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. Pooled it
  3. Review
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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

12 authors.

Yanni Wu *Nanfang Hospital, Southern Medical University, NO.1838 North Guangzhou Avenue, Baiyun District, Guangzhou City, Guangdong Province, China.ORCID http://orcid.org/0000-0003-1938-2785
Liping Liu *Nanfang Hospital, Southern Medical University, NO.1838 North Guangzhou Avenue, Baiyun District, Guangzhou City, Guangdong Province, China.
Wanting Zheng *Affiliated Hospital of Guangdong Medical University, Zhanjiang, Guangdong, People's Republic of China.
Chunrao Zheng *Shenzhen People's Hospital, Shenzhen, Guangdong, People's Republic of China.
Min Xu *Cancer Center of Guangzhou Medical University, Guangzhou, Guangdong, People's Republic of China.
Xiaohong Chen *The First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong, People's Republic of China.
Wenji Li *Nanfang Hospital, Southern Medical University, NO.1838 North Guangzhou Avenue, Baiyun District, Guangzhou City, Guangdong Province, China.
Lijun XieAffiliated Hospital of Guangdong Medical University, Zhanjiang, Guangdong, People's Republic of China.
Pengyan ZhangShenzhen People's Hospital, Shenzhen, Guangdong, People's Republic of China.
Xiaoli ZhuCancer Center of Guangzhou Medical University, Guangzhou, Guangdong, People's Republic of China.
Chuanglian ZhanThe First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong, People's Republic of China.
Chunlan ZhouNanfang Hospital, Southern Medical University, NO.1838 North Guangzhou Avenue, Baiyun District, Guangzhou City, Guangdong Province, China. lanchun200488@126.com.

Funding

Guangdong Medical Research Foundation A2018090
6 · The paper itself

Abstract

purposeThis study aims to evaluate the effects of prolonged expressive writing on health outcomes in breast cancer patients undergoing chemotherapy to help understand how the dosage of an expressive writing intervention might moderate its effects.

methodsA total of 112 breast cancer patients undergoing chemotherapy were randomly allocated to the expressive writing group (n = 56) or the prolonged expressive writing group (n = 56). The expressive writing group received the standard expressive writing intervention based on Pennebaker's prompt to write for at least 20 min over four consecutive days (4 sessions). The prolonged expressive writing group used a modified prompt: write for at least 20 min 3 times a week over a 4-week period (12 sessions); patients could choose whether to write on consecutive days or not. All participants were required to write about their stressor-related upsetting or traumatic feelings about breast cancer. Outcomes were assessed and compared at baseline, as well as 1 month, 3 months, and 6 months postintervention.

resultsThere was no significant difference in the patients' quality of life, or physical and psychological wellbeing between the expressive writing group and the prolonged expressive writing group at any time point (all p > .05). The quality of life of breast cancer patients significantly decreased in the two groups over time (F = 40.64, p < .001).

conclusionOur findings suggest that the writing dosage does not moderate the effects of expressive writing on breast cancer patients undergoing chemotherapy.

trial registrationChiCTR1800016278.

Indexed as

WritingBreast NeoplasmsFemaleHumansOutcome Assessment, Health CareProspective StudiesQuality of LifeBreast cancerChemotherapyExpressive writingNursing practiceQuality of life

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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.