DOI: 10.14704/nq.2017.15.4.1153

Investigating the Effect of Maternal Narrative Writing on Depression, Anxiety and Stress in Pediatric Stem Cell Transplantation

Hojjatollah Farahani, Sara Afshari Azad, Mohammad Sahebalzamani

Abstract


Given the prevalence and huge impact of cancer on the life of the child and the family, it has become one of the most important chronic diseases that emerge during childhood. The results of extensive studies have indicated high prevalence of depression, anxiety and exposure to chronic stress in parents, especially mothers, of children with cancer. The present study was conducted to investigate the impact of maternal Narrative writing on depression, anxiety and stress. The present quasi-experimental study was performed on 62 mothers of children with stem cell transplantation cancer using pre-test and post-test single-group design; DASS-21 anxiety and stress depression questionnaire was used to collect required data. In the implementation process, the Narrative therapy was performed during one week, from the third to tenth day of admission after completing the DASS-21 questionnaire by the mothers; finally, the DASS-21 questionnaire was evaluated again after one week. Based on the results of the present study, there was a significant difference between the pretest and post-test scores of depression, anxiety and stress after the intervention (P <0.001); additionally, Narrative therapy decreased depression, anxiety and stress of mothers significantly. The findings of the present study showed that Narrative writing can be used as an effective, simple and cost-effective way to confront and cope with negative events in transplantation centers; it, also, can function as a complementary therapy, along with medical therapies.

Keywords


Narrative writing, Depression, Anxiety, Stress

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References


Ahmadi A, Abdollahi MA, Ramezani V, Heshmati R. The impact of written emotional expression on depressive symptoms and working memory capacity in Iranian students with high depressive symptoms. Procedia Social and Behavioral Science 2010; 5: 1610–4.

Amorous L. Emotional disclosure through writing and drawing: A controlled trial on emotion regulation, coping, and subjective well-being outcomes (Doctoral dissertation, University of Tasmania) 2012.

Anderson T, Guajardo J, Luthra R, Edwrads K. Effects of clinician-assisted emotional disclosure for sexual assault survivors: A pilot study. Journal of Interpersonal Violence 2010;25 (6): 1113-31.

Asgharimoghadam M, Dibajnia P, Saed F, Zanganeh J. Preliminary Validation of Depression Anxiety and Stress Scales (DASS) in non- clinical sample. Daneshvar Raftar Journal 2009; 1(31):23-38. [Persian]

Baikie KA, Geerligs L, Welhem K. Expressive writing and positive writing for participants with mood disorders: and online randomized controlled trial. J Affect Disorders, 2012; 136:310–19.

Castillo-Martinez ID, Juarez-Villegas LE, Palomo-Colli MA, Medina-Sanson A, Zapata-Tarres M. Quality of life in children with acute lymphoblastic leukemia during induction therapy with PedsQL Cancer Module (C). Boletín Médico del Hospital Infantil de México 2009;66(5):410.

Crawford JR, Henry JD. The Depression anxiety stress scales (DASS): normative data and latent structure in a large non-clinical sample. The British journal of clinical psychology / the British Psychological Society 2003; 42(2):111-31.

Davidsen AS, Fosgerau CF. General practitioners’ and psychiatrists’ responses to emotional disclosures in patients with depression. Patient Education and Counseling 2014;95(1):61-68.

Dubey A, Pandey R, Mishra K. Role of emotion regulation difficulties and Positive/negative affectivity in explaining alexithymia-health relationship. An overview. Indian Journal of Social Science Research 2010; 3(3):20-31.

Dunham G. Emotional skill falnes and marital satisfaction. Unpublished Doctoral Dissertation 2008; 34(2): 126-32.

Espirito E, Gaiva M, Espinosa M, Barbosa D, Belasco A. Taking care of children with cancer: evaluation of the caregivers’ burden and quality of life. Rev. Latino-Am. Enfermagem 2011; 19(3): 515-22.

Gellaitry G, Peters K, Bloofield D, Home R. Narrowing the gap: the effects of an expressive writing intervention on perceptions of actual and ideal emotional support in woman who have completed treatment for early stage breast cancer. Psycho-Oncology 2010;19(1): 77-84.

Hafeziahmadi MR, Javedani M, Ghiasi B, Samiramis G. Investigation Of The Relationship Between Phase Angle And Micro-Albuminuria In Type 2 Diabetic Patients With A History Of More Than 5 Years Of The Disease In Ilam Province, Iran, Acta Medica Mediterranea, 2017, 33: 357. DOI: 10.19193/0393-6384_2017_2_052.

HajiAlizadeh K, Bhrynyan AM, Naziri GH, Modaresgharavi M. Comparison of the dysfunctional attitudes in drug abusers and normal people and its psychological consequences. Addiction Journal of Substance Abuse, 2008; 2(7): 67-68. [Persian]

Ironson G, O’Cleirigh C,Leserman J, Stuetzle R, Fordiani J, AnnFletcher A, Schneiderman N.Gender-Specific Effects of an Augmented Written Emotional Disclosure intervention on Posttraumatic, Depressive, and HIV-Disease-Related Outcomes: A Randomized, Controlled Trial, Journal of Consulting and Clinical Psychology 2013; 81(2): 284–98.

Javedani M, Aerab-Sheibani H, Madadi Y. Ladanyoonesi relationship between C-reactive protein and carotid artery intima media thickness in polycystic ovarian syndrome patients, Acta Medica Mediterranea, 2015, 31: 1393.

Kadivar M, Seyedfatemi N, Akbari N, Haghani H. The effect of narrative writing on maternal stress in neonatal intensive care settings. The Journal of Maternal-Fetal & Neonatal Medicine 2015;28(8):938-43.

Kahn JH, Garrison AM. Emotional self-disclosure and emotional avoidance: Relations with symptoms of depression and anxiety. Journal of Counseling Psychology 2009;56(4): 573-84.

Krich H. A test of wrriten emotional disclosure as an intervention for posttrumatic stress disorder. Behaviour and Therapy 2011; 49(4): 299-304.

Krpant M, Kross E, Berman G, Deldin JA, Jondis J. An everyday activity as a treatment for depression: The benefits of expressive writing for people diagnosed with major depressive disorder. The Journal of Affective Disorders 2013; 150(3): 1148-51.

Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the depression anxiety stress scales (DASS) with the beck depression and anxiety inventories. Behaviour Research and Therapy 1995; 33(3):335-43.

Lu Q, Stanton AL. How benefits of expressive writing vary as a function of writing instructions, ethnicity and ambivalence over emotional expression. Psychology & Health 2010; 25: 669–84.

Maria M, Freda L, Francesca M, Flavia C. Effects of Guided Written Disclosure Protocol on mood states and psychological symptoms among parents of off-therapy acute lymphoblastic leukemia children. Journal of Health Psychology 2013; 18(6):727-36.

Moradmand M, Khanbani M, Efficacy of written emotional disclosure on self-efficacy and affective control in student with anxiety. Journal of Applied Psychology 2016; 1(37):21-37. [Persian].

Niles AN, Haltom KE, Mulvenna CM, Lieberman MD, Stanton AL. Randomized controlled trial of expressive writing for psychological and physical health: the moderating role of emotional expressivity. Anxiety, Stress & Coping 2014;27(1):1-7.

North RJ, Pai AV, Hixon JG, Holahan CJ. Finding happiness in negative emotions: An experimental test of a novel expressive writing paradigm. Journal of Positive Psychology 2011; 6(3), 192-203.

O'connor DB, Hurling R, Hendrickx H, Osborne G, Hall J, Walklet E, Whaley A, Wood H. Effects of written emotional disclosure on implicit self‐esteem and body image. British Journal of Health Psychology 2011;16(3):488-501.

Park Y, Yi M. Development and effectiveness of expressive writing program for women with breast cancer in Korea. Journal of Korean Academy of Nursing 2012; 42(2), 269-79.

Pennebaker W, Chung K. Expressive writing: Connections to physical and mental health. In Friedman HS (Ed.), Oxford Handbook of Health Psychology. New York, NY: Oxford University Press, 2011: 417-37.

Radcliff M, Lumley A, Kendall J, Stevenson k, Beltran J. Written Emotional Disclosure: Testing Whether Social Disclosure Matters. Journal of Social and Clinical Psychology 2010;26(3), 362-84.

Rahmati S, Delpishe A, Azami M, Hafezi Ahmadi MR, Sayehmiri K. Maternal Anemia during pregnancy and infant low birth weight: A systematic review and Meta-analysis. International Journal of Reproductive Biomedicine 2017;15(3):125-34.

Riddle JP, Smith HE, Jones CJ. Does written emotional disclosure improve the psychological and physical health of caregivers? A systematic review and meta-analysis. Behaviour Research and Therapy 2016;80:23-32.

Rodriguez EM, Dunn MJ, Zuckerman T, Vannatta K, Gerhardt CA, Compas BE. Cancer-related Sources of stress for children with cancer and their parents. Journal of Pediatric Psychology 2012; 37(2): 158-97.

Seih YT, Chung CK, Pennebaker JW. Experimental manipulations of perspective taking and perspective switching in expressive writing. Cognition & Emotion 2011;25(5):926-38.

Sloan DM, Marx BP, Greenberg EM. A test of written emotional disclosure as an intervention for posttraumatic stress disorder. Behaviour Research and Therapy 2011;49(4):299-304.

Zauszniewski JA, Musil CM, Burant CJ, Au TY. Resourcefulness training for grandmothers: Preliminary evidence of effectiveness. Research in Nursing & Health 2014;37(1):42-52.


Supporting Agencies

The researches feel obligated to hereby thank all individuals, including supervisor and nurses of Pediatric Stem Cell Transplantation Department, Shariati Hospital, Tehran, and mothers, who participated in, and made the completion of, this study possible.



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