ABSTRACT
Expressive writing is a supportive psychological intervention allowing an individual to disclose and express their deepest thoughts and feelings related to personal traumatic experiences through writing. Previous studies suggested that expressive writing could promote the physical and mental health of cancer patients. The current study was conducted to evaluate the effect of expressive writing based on the theory of cognitive adaptation (TCA) on the quality of life and self-care self-efficacy in patients with breast cancer undergoing chemotherapy. A sample of 82 Chinese women receiving chemotherapy for breast cancer was randomly assigned to an experimental group (four 20 min writing activities focusing on emotional disclosure) or a control group (no writing activities). The quality of life (QoL) and self-care self-efficacy were assessed at baseline, 2 weeks, 4 weeks, and 6 weeks after the intervention, respectively. The sociodemographic characteristics, QoL, and self-care self-efficacy at baseline were comparable between the two groups. Repeated-measures ANOVA revealed significant effects of the time×group (F = 3.65, p < 0.05) on the QoL and significant effects of time (F = 4.77, p <0.05) on self-care self-efficacy. Compared with the control group, the QoL in the intervention group showed a significant and temporary increase at 2 weeks after the intervention (mean difference = −7.56, p < 0.05). As a low-cost and easily delivered psychological intervention, expressive writing is recommended to reduce stress when there is a lack of available emotional support.
ABSTRACT
OBJECTIVE: To explore the impact of intermittent hypoxia on long-term facilitation (LTF) of hypoglossal nerve discharge. METHODS: Twelve adult SD rats were divided into the experimental group (CIH group, n = 6) and the control group (normoxia group, n = 6) by the random number table. The rats in the CIH group were fed in the intermittent hypoxia animal chambers, while the control group was placed in the normoxia animal chambers for 8 h per day (from 8:00 AM to 4:00 PM) for 4 consecutive weeks. After that, 5 min×3 stimulations of acute intermittent hypoxia (AIH) were administered and the hypoglossal never signals were recorded before and after AIH. RESULTS: The baseline frequency and average peak amplitude of hypoglossal nerve discharge in the CIH experimental group were significantly greater than those in the control group. The discharge frequency in the CIH and the control groups was (73 ± 13) Hz, and (58 ± 11) Hz, respectively(P < 0.05); and the discharge amplitude in the 2 groups was (4.6 ± 1.1) µV, and (3.3 ± 0.7) µV, respectively(P < 0.05). After intervention with AIH, the frequency and the average peak amplitude of the hypoglossal nerve discharge in the experimental and the control groups were significantly increased(all P < 0.05). The increased discharge lasted more than 1 h and this typical phenomenon was referred to as LTF. In the CIH group, the discharge frequency before and after exposure to AIH was (68 ± 16) Hz and (133 ± 20) Hz, respectively; and the discharge amplitude was (4.6 ± 1.1) µV and (8.9 ± 1.4) µV, respectively. In the control group, the discharge frequency before and after AIH was (59 ± 12) Hz and (102 ± 16) Hz, respectively; and the discharge amplitude was (3.3 ± 0.7) µV and (4.5 ± 0.7) µV, respectively(P < 0.05). After AIH stimulation, the enhanced respiratory intensity of rats in CIH group was much higher than that in the control group [(408 ± 149)% vs (242 ± 31)%, P < 0.05]. CONCLUSION: Both AIH and CIH can induce LTF of the hypoglossal nerve discharge, while the induction of LTF by AIH can be strengthened by CIH.
