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Does Self-Compassion Expressive Writing Benefit People With an Ostomy? A Randomized Controlled Trial
Lauren Harris1,2, Lisa M Reynolds1,2
1Lauren Harris, PG, DipHealthPsych, Health Psychologist, Cancer Services, Te Whatu Ora - Waitemata, New Zealand.
Summary
Self-compassion writing improved well-being for ostomy patients with low disgust. This psychological intervention showed benefits only for specific individuals, highlighting the need for further research in this population.
Area of Science:
- Psychology
- Health Psychology
- Medical Sociology
Background:
- Individuals with an ostomy often experience psychological distress, including body image issues and reduced quality of life.
- Self-compassion is a potential protective factor for psychological well-being in chronic illness populations.
Purpose of the Study:
- To evaluate if a self-compassion expressive writing intervention can enhance psychological well-being in ostomy patients.
- To assess changes in body image distress, ostomy-specific quality of life (QOL), self-compassion, and dispositional disgust.
Main Methods:
- A randomized controlled trial involving 175 ostomy patients recruited online.
- Participants completed either a self-compassion expressive writing exercise or a control writing exercise.
- Repeated-measure ANOVA was used to analyze changes in psychological measures, with dispositional disgust sensitivity as a moderator.
Main Results:
- No significant main effects of the writing intervention were found on primary outcomes.
- However, participants with lower dispositional disgust in the intervention group showed improved self-compassion, ostomy-specific QOL, and reduced body image distress.
- Younger participants and those with shorter ostomy duration reported poorer outcomes.
Conclusions:
- Self-compassion expressive writing may benefit ostomy patients, but its effectiveness is limited to those with low dispositional disgust.
- The intervention's accessibility is noted, but further research is needed to develop effective psychological tools for this under-researched group.
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Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
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