A randomized controlled trial testing the benefits of prosocial writing in young adult survivors of adolescent and young adult cancer.

IF 3.2 2区心理学 Q1 PSYCHOLOGY

Health Psychology Pub Date : 2025-09-01 Epub Date: 2025-05-05 DOI:10.1037/hea0001512

Marcie D Haydon, Annette L Stanton, Michael A Hoyt, Julienne E Bower

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引用次数: 0

Abstract

Background: Research on psychosocial interventions for survivors of adolescent and young adult (AYA) cancer is lacking, despite many experiencing adverse sequelae, including disruptions in psychosocial well-being.

Method: The AYA Writing Project, an online randomized controlled trial, tested the efficacy of two prosocial writing interventions-peer helping and expressive writing + peer helping-against a cancer-specific fact-writing control. Young adults (18-39 years old) diagnosed with cancer at age 15-39 completed one 20-min writing activity each week for 4 weeks. Assessments were conducted at preintervention, postintervention, and 1-month postintervention. Analyses compared each intervention to the control condition using linear mixed models. The primary outcome was a change in well-being (i.e., total, hedonic, eudaimonic social, and eudaimonic psychological well-being) from preintervention to postintervention. Secondary outcomes included social support and depressive symptoms.

Results: Participants (N = 201, M_age = 32.33 years, 76% female) were, on average, 5.07 years since diagnosis. Those assigned to the peer helping condition had significantly greater increases in eudaimonic psychological well-being (p = .038, f² = 0.03) and ratings of social support (p = .043, f² = 0.04) from preintervention to postintervention (but not 1 month later) relative to controls. Similar nonsignificant trends were observed when comparing the expressive writing + peer helping condition to controls (ps ≥ .051, f²s ≤ 0.04). For all other outcomes, no significant interaction effects emerged.

Conclusion: Engaging in online peer helping via prosocial writing is an effective and accessible means of enhancing eudaimonic psychological well-being and social support among young adult survivors of AYA cancer. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

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一项随机对照试验测试亲社会写作对青少年和青年癌症幸存者的益处。

背景：青少年和青壮年（AYA）癌症幸存者的社会心理干预研究缺乏，尽管许多人经历了不良后遗症，包括社会心理健康的中断。方法：AYA写作项目是一项在线随机对照试验，测试了两种亲社会写作干预——同伴帮助和表达性写作+同伴帮助——对癌症特异性事实写作控制的效果。在15-39岁时被诊断为癌症的年轻人（18-39岁）每周完成一次20分钟的写作活动，持续4周。评估分别在干预前、干预后和干预后1个月进行。分析使用线性混合模型将每个干预措施与控制条件进行比较。主要结果是从干预前到干预后幸福感的变化（即总体幸福感、享乐幸福感、幸福社会幸福感和幸福心理幸福感）。次要结局包括社会支持和抑郁症状。结果：参与者（N = 201，年龄32.33岁，76%为女性）自诊断以来平均为5.07年。与对照组相比，同伴帮助组在干预前和干预后（但不是1个月后）的幸福感（p = 0.038, f²= 0.03）和社会支持评分（p = 0.043, f²= 0.04）显著增加。当将表达性写作+同伴帮助条件与对照组进行比较时，观察到类似的无显著趋势（ps≥0.051,f²s≤0.04）。对于所有其他结果，没有出现显著的相互作用效应。结论：通过亲社会写作参与在线同伴帮助是提高青年AYA癌症幸存者幸福感和社会支持的有效途径。（PsycInfo Database Record (c) 2025 APA，版权所有）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Psychology 医学-心理学

CiteScore

4.90

自引率

2.40%

发文量

170

审稿时长

4-8 weeks

期刊介绍： Health Psychology publishes articles on psychological, biobehavioral, social, and environmental factors in physical health and medical illness, and other issues in health psychology.