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The written-heart study. A randomized controlled clinical trial on expressive writing for heart healing
AIM: Coronary heart disease (CHD) is typically associated with impaired quality of life, depression, anxiety and psychological stress. Expressive writing (EW) has shown beneficial effects on such variables in patients with a variety of chronic illnesses. We sought to determine for the first time whether EW benefits also patients with CHD. METHODS: A prospective, randomized, controlled trial was carried out in order to evaluate the psychological and physical effects of administering EW to patients with CHD (N=64) participating in a residential cardiac rehabilitation (CR) program. Patients were randomly assigned to write thoughts and emotions (EW group) or facts (control group) about heart disease and treatment. Depression, anxiety, health-related quality of life, post-traumatic growth and weight were recorded at baseline, at the end of the 4-week CR program, at 3 months and at 6 months after discharge. RESULTS: Physical health significantly improved in both groups at 3 months and no between-group effect was evident in longitudinal multilevel regression modeling. Post-traumatic growth showed a significant improvement only within EW group. CONCLUSION: EW showed additional psychological and physical benefits in patients with CHD when included as a component of residential cardiac rehabilitation
Scale per la misurazione della qualità di vita nell’obesità
Scale per la misurazione della qualità di vita nell’obesita
Scale per la misurazione della qualità di vita nell’obesità
Scale per la misurazione della qualità di vita nell’obesita
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