Evidence map›Paper›PMID 36592575›Full record

Trial reportBehaviour research and therapy2023

The effects of culturally adapted expressive writing interventions on depressive and anxiety symptoms among Chinese American breast cancer survivors: A randomized controlled trial.

Qian Lu, Nelson C Y Yeung, William Tsai, Jacqueline H J Kim

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Behaviour research and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02946619 (Reducing Psychological Burdens Among Chinese Breast Cancer Survivors), which is not on this 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
2.5field-weighted citation impact, top 11% 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.

NCT02946619 nacompletednot on this map

Reducing Psychological Burdens Among Chinese Breast Cancer Survivors

TypeinterventionalSponsorUniversity of HoustonRan2012 to 2016Enrolled136ConditionsBreast Cancer, Breast NeoplasmsArmsSelf-Regulation Condition, Enhanced self-Regulation Condition
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
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  4. 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

4 authors at 4 institutions in 3 countries.

Qian LuDepartment of Health Disparities Research, the University of Texas MD Anderson Cancer Center, Houston, TX, USA. Address: 1400 Pressler St. Unit 1440, Houston, TX 77030-3906, USA. Electronic address: qlu@mdanderson.org.
Nelson C Y YeungJockey Club School of Public Health and Primary Care, the Chinese University of Hong Kong Address: Room 508, Postgraduate Education Centre, Prince of Wales Hospital, the New Territories, Hong Kong. Electronic address: nelsonyeung@cuhk.edu.hk.
William TsaiDepartment of Applied Psychology, New York University, New York, NY, USA: Address: 246 Greene Street 8th Floor, New York, NY 10003, USA. Electronic address: will.tsai@nyu.edu.
Jacqueline H J KimDepartment of Medicine, University of California, Irvine, CA, USA. Address: 100 Theory, Suite 100, Irvine, CA 92617, USA. Electronic address: jhjkim@hs.uci.edu.
Chinese University of Hong Kong · HKNew York University · USThe University of Texas MD Anderson Cancer Center · USUniversity of California, Irvine · US

Funding

Writing to Heal: A Culturally Based Brief Expressive Writing Intervention for Chinese Immigrant Breast Cancer SurvivorsR01CA248213 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI LU, QIAN · 2021 to 2025
$3.0M
Helping Oneself by Helping Others: A Writing Intervention for Chinese American Cancer SurvivorsK01MD014750 · NIMHD · NEW YORK UNIVERSITY · PI TSAI, WILLIAM · 2020 to 2025
$652k
Supportive Care Needs in Asian Americans with Metastatic CancerK99CA246058 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI KIM, JACQUELINE H. J. · 2020 to 2021
$272k
NCI NIH HHS K99 CA246058NIMHD NIH HHS K01 MD014750
6 · The paper itself

Abstract

backgroundExpressive writing interventions confer mental health benefits for non-Hispanic Whites. However, research is lacking in adapting this paradigm for minoritized groups. This study evaluated the impacts of two culturally adapted expressive writing interventions on depressive and anxiety symptoms and potential mediators (perceived stress and intrusive thoughts) among Chinese American breast cancer survivors (CABCS). METHODS AND

resultsCABCS (N = 136) were randomly assigned to one of three conditions to write three weekly essays: enhanced self-regulation condition (ESR) to write about stress and coping (Week 1), deepest feelings (Week 2), and finding benefits (Week 3); self-regulation condition (SR) to write about deepest feelings (Week 1), stress and coping (Week 2), and finding benefits (Week 3); and control condition to write about facts relevant to their cancer experience (Weeks 1-3). Compared with the control condition, the ESR but not SR, reduced depressive and anxiety symptoms at all follow-up time points (1, 3, and 6-months) through reductions in perceived stress.

conclusionA cultural adaptation altering the order of expressive writing prompts resulted in the greatest benefit for CABCS' depressive and anxiety symptoms. Research testing both the content and ordering of components may be vital to advance cultural adaptation science and optimize intervention efficacy. CLINICAL TRIAL REGISTRATION NUMBER: NCT02946619.

Indexed as

Breast NeoplasmsCancer SurvivorsAdaptation, PsychologicalAnxietyEast Asian PeopleFemaleHumansWritingCancer survivorsChinese AmericanDepressive and anxiety symptomsExpressive writing intervention

Identifiers

PMID36592575
PMCPMC11403477
OpenAlexW4313399570

What OpenQuestion holds

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Registered trials

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.