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Related Experiment Videos

Written emotional disclosure for asthma.

Priyamvada Paudyal1, Paul Hine, Alice Theadom

  • 1Division of Primary Care and Public Health, Brighton and Sussex Medical School, Brighton, UK.

The Cochrane Database of Systematic Reviews
|May 21, 2014
PubMed
Summary

Written emotional disclosure shows uncertain effects on asthma outcomes. More high-quality studies are needed to determine its role in managing asthma symptoms and improving quality of life.

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Area of Science:

  • Psychology and Respiratory Medicine
  • Behavioral Interventions for Chronic Illness

Background:

  • Psychological stress is linked to asthma exacerbations.
  • Written emotional disclosure (WED) may reduce stress and improve well-being.
  • WED could potentially aid in asthma management.

Purpose of the Study:

  • To assess the efficacy of WED versus neutral writing on quality of life in asthma patients.
  • To evaluate WED's impact on objective health outcomes in asthma.
  • To compare the effectiveness of different WED types for asthma.

Main Methods:

  • Systematic review of randomized controlled trials (RCTs).
  • Included trials compared WED to emotionally neutral writing in asthma patients.
  • Searched multiple databases up to January 2014.

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Main Results:

  • Four RCTs with 414 participants were included; most had low risk of bias, but some had high risk.
  • Pooled analysis showed uncertain effects of WED on FEV1, FVC, and asthma symptoms.
  • WED may improve asthma control, but evidence for quality of life, medication use, and psychological well-being was insufficient.

Conclusions:

  • Current evidence is insufficient to conclude on the effectiveness of WED for asthma management.
  • Low-quality evidence limits conclusions regarding quality of life, psychological well-being, and healthcare utilization.
  • Further well-designed studies with standardized outcomes are necessary.