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Trial registered on ANZCTR
Registration number
ACTRN12608000491369
Ethics application status
Approved
Date submitted
12/08/2008
Date registered
30/09/2008
Date last updated
30/09/2008
Type of registration
Retrospectively registered
Titles & IDs
Public title
Expressive Writing: An investigation of whether and how writing about stressful experiences can be used to enhance psychological and physical well-being in recently treated adult cancer patients and healthy community volunteers
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Scientific title
Expressive Writing: An investigation of whether and how writing about stressful experiences can be used to enhance psychological and physical well-being. Samples: healthy community volunteers and recently treated adult cancer patients. Primary outcomes: stress and psychosomatic symptoms.
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Secondary ID [1]
725
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Healthy participants (preventative: stress including PTSD symptoms)
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Adult cancer patients
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Condition category
Condition code
Cancer
3699
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0
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Other cancer types
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Mental Health
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0
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Anxiety
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
There are 2 separate arms to this study:
1. Healthy adult participants randomized to the Expressive Writing (EW) [or to the Neutral Writing/ Control condition]. Healthy participants randomized to the EW condition are asked to write about a nominated personal stressful life experience on 4 consecutive weekly sessions for 20 mins per session.
2. Recently treated adult cancer patients. Similarly there are 2 writing conditions for the cancer arm of this trial. Participants randomized to the EW condition are asked to write about their cancer experience over 4 consecutive weekly sessions for 20 mins per session.
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
1. Healthy adult participants
2. Recently adult treated cancer patients.
For both sub-samples, participants randomized to the Control conditions are asked to write about neutral (non-emotive events) over 4 consecutive weekly sessions for 20 mins per session.
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Control group
Active
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Outcomes
Primary outcome [1]
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PTSD symptoms & stress symptoms measured by (1) Impacte of Events Scale-Revised; and (2) Symptom Checklist (SCL-R90) - stress and anxiety subsubscales
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Assessment method [1]
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Timepoint [1]
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Baseline/ Pre-writing intervention; 1-month, 6-month, and 12-months follow-up.
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Primary outcome [2]
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Somatic symptoms assessed by Pennebaker Inventory of Limbic Languidness (PILL) scale
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Assessment method [2]
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Timepoint [2]
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Baseline/ Pre-writing intervention; peri-intervention; 1-month, 6-month, and 12-months follow-up.
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Primary outcome [3]
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Negative Cognitive Beliefs assessed by the Posttraumatic Cognitions Inventory (PTCI)
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Assessment method [3]
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Timepoint [3]
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Baseline/ Pre-writing intervention; 1-month, 6-month, and 12-months follow-up.
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Secondary outcome [1]
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Depressive symptoms assessed by the Symptom Checklist (SCL-R90) - depression subsubscale
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Assessment method [1]
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Timepoint [1]
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Baseline/ Pre-writing intervention; 1-month, 6-month, and 12-months follow-up.
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Eligibility
Key inclusion criteria
1. Healthy adult participants:
(i) able to speak, read and write basic English;
(ii) minimum 18 years or older
2. Cancer sub-sample
(i) minimum 18 years or older
(ii) completed all medical treatment for their cancer (any type of cancer)
(iii) able to speak, read and write basic English
(iv) medically fit to respond to assessment and intervention protocols
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Minimum age
18
Years
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Maximum age
85
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Both sub-samples (healthy volunteers and cancer patients):
i) no current suicidal ideation
ii) absence of severe levels of psychopathology (Axis I or II disorders)
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Random number table (allocation not concealed)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using randomisation table and stratified by gender
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/08/2006
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
200
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Australian Research Council
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Address [1]
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1st Floor, 8 Brindabella Circuit
Brindabella Business Park
CANBERRA AIRPORT ACT 2609
AUSTRALIA
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Macquarie University
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Address
Macquarie University
Department of Psychology
Building C3A - Room717
(Entrance via Waterloo Road)
Ryde, NSW 2109
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Macquarie University - Human Ethics Committee
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Ethics committee address [1]
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Macquarie University Building: C5C/Research HUB (Entrance via Waterloo Road) Ryde, NSW 2109
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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24/04/2006
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Ethics approval number [1]
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HE25NOV2005-RO4371 (Healthy subsample)/ HE28APR2006-RO4644 (Cancer sub-sample conjoint approval with RPA see Ethics Committee 2)
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Ethics committee name [2]
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Sydney South West Area Health Service (RPA Zone)
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Ethics committee address [2]
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Research Development Office Level 8, Blg 14 Royal Prince Alfred Hospital Camperdown NSW 2050
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
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Approval date [2]
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30/06/2006
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Ethics approval number [2]
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X06-0092 (for recruitment of cancer patients)
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Summary
Brief summary
The Expressive Writing technique involves writing about a stressful experience using both emotional and factual descriptive words utlising a journal format. The technique has been found to be helpful in improving psychological and physical health functioning in various populations, under experimental conditions. Researchers have yet to adequately explain how this technique leads to health benefits. The aim of this study is to investigate how the Expressive Writing task leads to positive health functioning in two distinct populations; cancer survivors and healthy individuals. The study outcomes will be helpful in identifying how this task can be adapted to be used as a therapeutic technique in clinical health settings, to enhance the well-being of Australians.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Maria Kangas
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Address
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Department of Psychology
Centre for Emotional Health
Macquarie University
Building C3A - Room 717
(Entrance via Waterloo Road)
Ryde, NSW 2109
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Country
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Australia
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Phone
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(02) 9850 8599
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Fax
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(02) 9850 8062
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Maria Kangas
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Address
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Department of Psychology
Centre for Emotional Health
Macquarie University
Building C3A - Room 717
(Entrance via Waterloo Road)
Ryde, NSW 2109
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Country
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Australia
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Phone
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(02) 9850 8599
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Fax
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(02) 9850 8062
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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