Dataset Information

Examination of moderators of expressive writing in patients with renal cell carcinoma: the role of depression and social support.

ABSTRACT: OBJECTIVE:To identify groups most likely to benefit from an Expressive Writing (EW) intervention, we examined psychosocial variables as intervention moderators. We hypothesized that EW would be particularly effective for participants with high levels of depressive symptoms and social support at study entry. METHODS:Patients (n?=?277; 60.6% male) with kidney cancer were randomly assigned to either an expressive (EW) or neutral writing (NW) condition. Intervention outcomes included measures of depressive symptoms (CESD), cancer-related symptoms (MDASI), fatigue (BFI), and sleep disturbances (PSQI) assessed at baseline, 1, 4, and 10 months later. Moderators were measured at baseline. RESULTS:As hypothesized, depressive symptoms and social support moderated intervention efficacy. When examining both moderators simultaneously, EW appeared to be most effective in terms of cancer-related symptoms (p?

SUBMITTER: Milbury K

PROVIDER: S-EPMC5094904 | biostudies-literature | 2017 Sep

REPOSITORIES: biostudies-literature

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Examination of moderators of expressive writing in patients with renal cell carcinoma: the role of depression and social support.

Milbury Kathrin K Lopez Gabriel G Spelman Amy A Wood Christopher C Matin Surena F SF Tannir Nizar M NM Jonasch Eric E Pisters Louis L Wei Qi Q Cohen Lorenzo L

Psycho-oncology 20160503 9

<h4>Objective</h4>To identify groups most likely to benefit from an Expressive Writing (EW) intervention, we examined psychosocial variables as intervention moderators. We hypothesized that EW would be particularly effective for participants with high levels of depressive symptoms and social support at study entry.<h4>Methods</h4>Patients (n = 277; 60.6% male) with kidney cancer were randomly assigned to either an expressive (EW) or neutral writing (NW) condition. Intervention outcomes included ...[more]

PMID: 27145447

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Project description:BackgroundDepression and anxiety are common, often comorbid, conditions, and Internet support groups for them are well used. However, little rigorous research has been conducted on the outcome of these groups.ObjectiveThis study aimed to evaluate the efficacy of an Internet support group in reducing depression and anxiety, and increasing social support and life satisfaction.MethodsA randomized trial compared direction to an existing Internet support group for depression and anxiety with an online expressive writing condition. A total of 863 (628 female) United Kingdom, United States, and Canadian volunteers were recruited via the Internet. Online, self-report measures of depression, anxiety, social support, and satisfaction with life were administered at baseline, 3, and 6 months.ResultsAll four outcomes - depression, anxiety, social support, and satisfaction with life - improved over the 6 months of the study (all P <.001). There was no difference in outcome between the two conditions: participants responded similarly to the expressive writing and the Internet support group. Engagement with the Internet support group was low, it had high 6-month attrition (692/795, 87%) and low adherence, and it received mixed and often negative feedback. The main problems reported were a lack of comfort and connection with others, negative social comparisons, and the potential for receiving bad advice. Expressive writing had lower attrition (194/295, 65%) and participants reported that it was more acceptable.ConclusionsUntil further evidence accumulates, directing people with depression and anxiety to Internet support groups cannot be recommended. On the other hand, online expressive writing seems to have potential, and its use for people with depression and anxiety warrants further investigation.Trial registrationTrial registrationClinicaltrials.gov NCT01149265; https://clinicaltrials.gov/ct2/show/NCT01149265 (Archived by WebCite at http://www.webcitation.org/6hYISlNFT).

Dataset Information

Examination of moderators of expressive writing in patients with renal cell carcinoma: the role of depression and social support.

Publications

Examination of moderators of expressive writing in patients with renal cell carcinoma: the role of depression and social support.

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