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dc.contributor.authorKupeli, Nuriye
dc.contributor.authorChatzitheodorou, G
dc.contributor.authorTroop, Nicholas
dc.contributor.authorMcInnerney, Daisy
dc.contributor.authorStone, Paddy
dc.contributor.authorCandy, Bridget
dc.date.accessioned2020-03-25T12:01:37Z
dc.date.available2020-03-25T12:01:37Z
dc.date.issued2019-08-02
dc.identifier.citationKupeli , N , Chatzitheodorou , G , Troop , N , McInnerney , D , Stone , P & Candy , B 2019 , ' Expressive writing as a therapeutic intervention for people with advanced disease: A systematic review ' , BMC Palliative Care , vol. 18 , no. 1 , 65 . https://doi.org/10.1186/s12904-019-0449-y
dc.identifier.issn1472-684X
dc.identifier.otherPURE: 17019254
dc.identifier.otherPURE UUID: 0b31a5d5-27e7-47aa-b713-7c9802e31f94
dc.identifier.otherScopus: 85070186650
dc.identifier.urihttp://hdl.handle.net/2299/22486
dc.description© The Author(s) 2019. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.description.abstractBackground Expressive writing involves writing about stressful or traumatic experiences. Despite trials in people with advanced disease, no systematic review to date has critiqued the evidence on expressive writing in this population. To synthesise the evidence of the effects of expressive writing on pain, sleep, depression and anxiety in people with advanced disease. Methods A systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. CINAHL, CENTRAL, PsycINFO and PubMed were searched from January 1986 to March 2018. Other sources included clinical data registers and conference proceedings. Studies were included if they were randomised controlled trials that assessed the impact of an intervention involving expressive writing for adults with advanced disease and/or studies involving linguistic analysis on the expressive writing output. Methodological quality was assessed using the Cochrane risk of bias tool and the Mixed Methods Appraisal Tool. The Grading of Recommendations Assessment, Development and Evaluation tool was used to assess the level of evidence for the outcomes of interest. The protocol of this systematic review has been registered on PROSPERO (CRD42017058193). Results Six eligible studies with a total of 288 participants were identified, including four randomised controlled trials. All of the trials were in cancer and recruited predominantly women. None of the interventions were tailored to the population. Studies had methodological shortcomings and evidence was generally of low quality. Combined analysis of the four trials, involving 214 participants in total, showed no clear difference in the effect of expressive writing on sleep, anxiety or depression compared to an active control. Pain was not evaluated in the trials. In contrast, analysis of the four studies that included linguistic analysis alluded to linguistic mechanisms for potential effects. Conclusion Although the trial results suggest there is no benefit in expressive writing for people with advanced disease, the current evidence is limited. There is a need for more rigorous trials. It would be of benefit first to undertake exploratory research in trial design including how best to measure impact and in tailoring of the intervention to address the specific needs of people with advanced disease.en
dc.format.extent12
dc.language.isoeng
dc.relation.ispartofBMC Palliative Care
dc.rightsOpen
dc.titleExpressive writing as a therapeutic intervention for people with advanced disease: A systematic reviewen
dc.contributor.institutionDepartment of Psychology and Sports Sciences
dc.contributor.institutionPsychology
dc.contributor.institutionCentre for Research in Psychology and Sport Sciences
dc.contributor.institutionHealth and Clinical Psychology group
dc.contributor.institutionPsycho-haematology Research Unit
dc.contributor.institutionWeight and Obesity Research Group
dc.contributor.institutionSchool of Life and Medical Sciences
dc.description.statusPeer reviewed
dc.relation.schoolSchool of Life and Medical Sciences
dc.description.versiontypeFinal Published version
dcterms.dateAccepted2019-08-02
rioxxterms.versionVoR
rioxxterms.versionofrecordhttps://doi.org/10.1186/s12904-019-0449-y
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by/4.0/
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue
herts.rights.accesstypeOpen


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