The effects of expressive writing before or after punch biopsy on wound healing

Robinson, Hayley; Jarrett, Paul; Vedhara, Kavita; Broadbent, Elizabeth

doi:10.1016/j.bbi.2016.11.025

Cited by 15 publications

(21 citation statements)

References 37 publications

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“…These instructions were modified from the original scale, which asked the participants to rate how they felt over a typical week. These modified instructions have been used successfully in previous studies (Nair et al, 2015;Robinson et al, 2017).…”

Section: Affectmentioning

confidence: 99%

Viewing Landscapes Is More Stimulating Than Scrambled Images After a Stressor: A Cross-disciplinary Approach

et al. 2020

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Research has demonstrated that nature is beneficial for many aspects of one's health. This pilot study aimed to investigate whether viewing landscape artworks, as a form of representational nature, could improve psychological and physiological recovery from a laboratory stressor. A sample of 30 participants was randomized to one of two conditions: landscape and scrambled. After a laboratory stress task, participants in the landscape condition viewed a series of landscape paintings for 30 min; participants in the scrambled condition viewed digitally scrambled versions of these artworks as a control condition. Pupil size was measured while viewing the images using an eye tracker. Affect, drowsiness and fatigue, and the salivary stress biomarkers, cortisol, and alpha-amylase were measured at baseline, after the stressor, and after the artwork viewing period. After the viewing period, the scrambled condition had increased reports of low negative affect (which contains the variables of sleepy, dull, and sluggish) (p = 0.045, h p 2 = 0.12) and increased reports of drowsiness (p = 0.038, h p 2 = 0.12). Salivary cortisol levels decreased more rapidly while viewing the scrambled images compared to the landscape artworks (p = 0.027, h p 2 = 0.62). Lastly, pupil size while viewing the landscape artworks was larger than when viewing a blank screen (p = 0.025, h p 2 = 0.33), an effect not seen in the scrambled condition. This pilot study suggests that viewing landscape artworks was more stimulating and reduced drowsiness after stress when compared to viewing scrambled images.

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Section: Affectmentioning

confidence: 99%

Viewing Landscapes Is More Stimulating Than Scrambled Images After a Stressor: A Cross-disciplinary Approach

et al. 2020

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“…Psychological interventions such as relaxation and disclosure writing have indeed been found to improve healing of surgical wounds , wounds induced by skin biopsy (Robinson et al 2016;Weinman et al 2008), and to speed recovery of skin permeability after mild injury induced by tape-stripping (Robinson et al 2015).…”

Section: Introductionmentioning

confidence: 99%

“…Participants were not specifically selected for elevated stress levels to ensure comparability with previous studies investigating the effects of psychological interventions on wound healing in healthy participants (e.g. Koschwanez et al 2013;Robinson et al 2015Robinson et al , 2016Weinman et al 2008). In addition, MBSR has been found to reduce stress in healthy populations not selected for elevated stress levels (Khoury et al 2015).…”

Section: Introductionmentioning

confidence: 99%

The effect of Mindfulness-Based Stress Reduction on wound healing: a preliminary study

et al. 2017

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Psychological factors have been shown to influence the process of wound healing. This study examined the effect of Mindfulness-Based Stress Reduction (MBSR) on the speed of wound healing. The local production of pro-inflammatory cytokines and growth factors was studied as potential underlying mechanism. Forty-nine adults were randomly allocated to a waiting-list control group (n = 26) or an 8-week MBSR group (n = 23). Preand post-intervention/waiting period assessment for both groups consisted of questionnaires. Standardized skin wounds were induced on the forearm using a suction blister method. Primary outcomes were skin permeability and reduction in wound size monitored once a day at day 3, 4, 5, 6, 7, and 10 after injury. Secondary outcomes were cytokines and growth factors and were measured in wound exudates obtained at 3, 6, and 22 h after wounding. Although there was no overall condition effect on skin permeability or wound size, post hoc analyses indicated that larger increases in mindfulness were related to greater reductions in skin permeability 3 and 4 days after wound induction. In addition, MBSR was associated with lower levels of interleukin (IL)-8 and placental growth factor in the wound fluid 22 h after wound induction. These outcomes suggest that increasing mindfulness by MBSR might

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“…The content of the written scripts in both groups was assessed using the Linguistic Inquiry Word Count 2015 software program (2015) [79] to examine for differences in positive emotion words and cognitive insight words. This validated method provides a content analysis of the language used in the scripts, quantifying the number of words used from specific categories (eg, emotions and cognitive processes) and has previously been used in numerous studies of therapeutic writing [51,59,80-82]. Linguistic Inquiry Word Count scores for word categories were compared between the two groups using ANOVAs.…”

Section: Methodsmentioning

confidence: 99%

Web-Based Benefit-Finding Writing for Adults with Type 1 or Type 2 Diabetes: Preliminary Randomized Controlled Trial

Crawford¹,

Wilhelm²,

Proudfoot³

2019

JMIR Diabetes

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Background The high prevalence of diabetes distress and subclinical depression in adults with type 1 and type 2 diabetes mellitus (T1DM and T2DM, respectively) indicates the need for low-intensity self-help interventions that can be used in a stepped care approach to address some of their psychological needs. However, people with diabetes can be reluctant to engage in mental health care. Benefit-finding writing (BFW) is a brief intervention that involves writing about any positive thoughts and feelings concerning a stressful experience such as an illness, avoiding potential mental health stigma. It has been associated with increases in positive affect and positive growth and has demonstrated promising results in trials in other clinical populations. However, BFW has not been examined in people with diabetes. Objective This study aimed to evaluate the efficacy of a Web-based BFW intervention for reducing diabetes distress and increasing benefit finding in diabetic adults with T1DM or T2DM compared to a control writing condition. Methods Adults with T1DM or T2DM and diabetes distress were recruited online through the open access Writing for Health program. After completing baseline questionnaires, they were randomly allocated to receive online BFW or an active control condition of online writing about the use of time (CW). Both groups completed 15-minute online writing sessions, once per day, for 3 consecutive days. Online measures were administered at baseline, 1 month, and 3 months postintervention. Participants were also asked to rate their current mood immediately prior to and following each writing session. Results Seventy-two adults with T1DM or T2DM were recruited and randomly allocated to receive BFW (n=24) or CW (n=48). Participants adhered to the BFW regimen. Greater increases in positive affect immediately postwriting were found in the BFW group than in the CW group. However, there were no significant group-by-time interactions (indicating intervention effects) for benefit finding or diabetes distress at either the 1-month or 3-month follow-up. Both the BFW and CW groups demonstrated small, significant decreases in diabetes distress over time. Conclusions BFW was well tolerated by adults with diabetes in this study but did not demonstrate efficacy in improving diabetes distress or benefit finding compared to an active control writing condition. However, due to recruitment difficulties, the study was underpowered and the sample was skewed to individuals with minimal diabetes distress and none to minimal depression and anxiety at baseline. Future research should continue to investigate the efficacy of variants of therapeutic writing for adults with T1DM or T2DM, using larger samples of participants with elevated diabetes distress. Trial Registration Australiand New Zealand Clinical Trials Registry ACTRN12615000241538; https://www.anzctr.org.au/Tria...

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The effects of expressive writing before or after punch biopsy on wound healing

Cited by 15 publications

References 37 publications

Viewing Landscapes Is More Stimulating Than Scrambled Images After a Stressor: A Cross-disciplinary Approach

Viewing Landscapes Is More Stimulating Than Scrambled Images After a Stressor: A Cross-disciplinary Approach

The effect of Mindfulness-Based Stress Reduction on wound healing: a preliminary study

Web-Based Benefit-Finding Writing for Adults with Type 1 or Type 2 Diabetes: Preliminary Randomized Controlled Trial

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