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Cancer and aging: Reflections for elders- Expressive writing intervention: A pilot study.
Rebecca C Tutino1, Rebecca M Saracino2, Judith Kelman2
1Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 641 Lexington Avenue, New York, NY, United States; Fordham University, 441 East Fordham Road, Dealy 226, Bronx, NY, United States.
Journal of Geriatric Oncology
|March 5, 2022
Summary
The Cancer and Aging: Reflections for Elders Expressive Writing Intervention (CARE-Express) is a feasible program for older adults with cancer, showing initial benefits in reducing depression and demoralization.
Area of Science:
- Gerontology
- Oncology
- Psychology
Background:
- Older adults with cancer experience significant psychological distress.
- Expressive writing interventions show promise for improving coping mechanisms.
Purpose of the Study:
- To evaluate the feasibility of the Cancer and Aging: Reflections for Elders Expressive Writing Intervention (CARE-Express).
- To assess the initial efficacy of CARE-Express in reducing psychological distress in older adults with cancer.
Main Methods:
- A randomized controlled trial comparing CARE-Express to an Enhanced Social Work Control (ESWC).
- Seventy-one distressed older adults (≥70) with cancer participated.
- Intervention involved five telephone sessions over seven weeks; psychosocial variables were assessed at baseline, post-intervention, and four-month follow-up.
Main Results:
- CARE-Express demonstrated adequate feasibility rates (acceptance, retention, fidelity).
- Participants in CARE-Express reported significantly less depression and demoralization post-intervention compared to ESWC.
- Small to moderate effects favoring CARE-Express were observed for spirituality and behavioral disengagement, with some effects persisting at four months.
Conclusions:
- CARE-Express is a feasible intervention for older adults with cancer.
- The intervention shows potential for positively impacting psychological well-being, including reduced depression and demoralization.
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