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首页> 外文期刊>Annals of Behavioral Medicine >The health effects of at-home written emotional disclosure in fibromyalgia: A randomized trial
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The health effects of at-home written emotional disclosure in fibromyalgia: A randomized trial

机译：在家中书面情绪披露对纤维肌痛的健康影响：一项随机试验

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Background: The presence and severity of the chronic pain syndrome fibromyalgia (FM) is associated with unresolved stress and emotional regulation difficulties. Written emotional disclosure is intended to reduce stress and may improve health of people with FM.Purpose: This study tests the effects of at-home, written emotional disclosure about stressful experiences on the health of people with FM and uses multiple follow-ups to track the time course of effects of disclosure.Methods: Adults with FM (intention-to-treat, n = 83; completers, n = 72) were randomized to write for 4 days at home about either stressful experiences (disclosure group) or neutral time management (control group). Group differences in immediate mood effects and changes in health from baseline to 1-month and 3-month follow-ups were examined.Results: Written disclosure led to an immediate increase in negative mood, which did not attenuate across the 4 writing days. Repeated-measures analyses from baseline to each follow-up point were conducted on both intention-to-treat and completer samples, which showed similar outcomes. At 1 month, disclosure led to few health benefits, but control writing led to less negative affect and more perceived support than did disclosure. At 3-month follow-up, these negative affect and social support effects disappeared, and written disclosure led to a greater reduction in global impact, poor sleep, health care utilization, and (marginally) physical disability than did control writing. Interpretation of these apparent benefits needs to be made cautiously, however, because the disclosure group had somewhat poorer health than controls at baseline and the control group showed some minor worsening over time.Conclusions: Written emotional disclosure can be conducted at home, and there is tentative evidence that disclosure benefits the health of people with FM. The benefits, however, may be delayed for several months after writing and may be of limited clinical significance.
机译：背景：慢性疼痛综合征纤维肌痛（FM）的存在和严重程度与无法解决的压力和情绪调节困难有关。书面情绪披露旨在减轻压力并可能改善FM人群的健康目的：这项研究测试了关于压力经历的家庭书面书面情绪披露对FM人群健康的影响，并通过多次随访来追踪方法：将患有调频的成年人（意向性治疗，n = 83；完成者，n = 72）随机分组，在家里写4天，涉及压力经历（披露组）或中性时间管理（对照组）。研究了从基线到1个月和3个月随访的即时情绪影响和健康变化的组差异。结果：书面披露导致负面情绪立即增加，但在4个写作日中并未减弱。从基线到每个随访点的重复测量分析均在意向治疗样本和完成样本上进行，结果相似。在1个月时，披露对健康几乎没有好处，但是与披露相比，写控制报告所产生的负面影响更少，而获得的支持也更多。在3个月的随访中，这些负面影响和社会支持作用消失了，书面披露导致整体影响，控制睡眠不良，医疗保健利用和（部分）身体残疾的程度大大低于对照写作。但是，必须谨慎地解释这些明显的益处，因为披露组的健康状况比基线时的对照组差一些，并且对照组随着时间的推移表现出一些轻微的恶化。结论：可以在家里进行书面情绪披露，并且可以初步证据表明披露有益于FM人群的健康。但是，这些好处可能会在写作后延迟几个月，并且可能具有有限的临床意义。

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