{"title":"表达性写作与缓和疗护专业人员自我照顾：一项质性纵向研究。","authors":"Chiara Cosentino, Giovanna Artioli, Giovanna Casella, Stella Neri, Gisele Manfrini, Clelia D'Apice, Annavittoria Sarli, Antonio Bonacaro","doi":"10.1007/s10880-025-10082-4","DOIUrl":null,"url":null,"abstract":"<p><p>Palliative care professionals are exposed to emotionally intense situations. Stress, anxiety, and burnout can impact the dimension of care through the loss of motivation. Expressive writing in the general population effectively promotes emotion regulation through meaning-making. This study aimed to evaluate the impact of Expressive writing on the meaning change in the perception of traumatic professional events in multi-professional palliative care settings in Italy. We conducted a prospective study with longitudinal qualitative methodology, following an ad-hoc expressive writing protocol. The study involved the selection of 10 various palliative care professionals working in hospices, hospital palliative care units, and community palliative care. We identified six main themes that shifted meaning throughout the four writing sessions: description of the phenomena, strong emotions, health workers' elaborations, processing feelings, improvement strategies, and interior resources. Expressive writing is effective in helping palliative care professionals process intense emotions and feelings related to a traumatic event, stimulating critical self-reflection and self-care, and supporting meaning-making.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Expressive Writing and Self-Care in Palliative Care Professionals: A Qualitative Longitudinal Study.\",\"authors\":\"Chiara Cosentino, Giovanna Artioli, Giovanna Casella, Stella Neri, Gisele Manfrini, Clelia D'Apice, Annavittoria Sarli, Antonio Bonacaro\",\"doi\":\"10.1007/s10880-025-10082-4\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Palliative care professionals are exposed to emotionally intense situations. Stress, anxiety, and burnout can impact the dimension of care through the loss of motivation. Expressive writing in the general population effectively promotes emotion regulation through meaning-making. This study aimed to evaluate the impact of Expressive writing on the meaning change in the perception of traumatic professional events in multi-professional palliative care settings in Italy. We conducted a prospective study with longitudinal qualitative methodology, following an ad-hoc expressive writing protocol. The study involved the selection of 10 various palliative care professionals working in hospices, hospital palliative care units, and community palliative care. We identified six main themes that shifted meaning throughout the four writing sessions: description of the phenomena, strong emotions, health workers' elaborations, processing feelings, improvement strategies, and interior resources. Expressive writing is effective in helping palliative care professionals process intense emotions and feelings related to a traumatic event, stimulating critical self-reflection and self-care, and supporting meaning-making.</p>\",\"PeriodicalId\":15494,\"journal\":{\"name\":\"Journal of Clinical Psychology in Medical Settings\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-07-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Clinical Psychology in Medical Settings\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1007/s10880-025-10082-4\",\"RegionNum\":3,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Psychology in Medical Settings","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1007/s10880-025-10082-4","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
Expressive Writing and Self-Care in Palliative Care Professionals: A Qualitative Longitudinal Study.
Palliative care professionals are exposed to emotionally intense situations. Stress, anxiety, and burnout can impact the dimension of care through the loss of motivation. Expressive writing in the general population effectively promotes emotion regulation through meaning-making. This study aimed to evaluate the impact of Expressive writing on the meaning change in the perception of traumatic professional events in multi-professional palliative care settings in Italy. We conducted a prospective study with longitudinal qualitative methodology, following an ad-hoc expressive writing protocol. The study involved the selection of 10 various palliative care professionals working in hospices, hospital palliative care units, and community palliative care. We identified six main themes that shifted meaning throughout the four writing sessions: description of the phenomena, strong emotions, health workers' elaborations, processing feelings, improvement strategies, and interior resources. Expressive writing is effective in helping palliative care professionals process intense emotions and feelings related to a traumatic event, stimulating critical self-reflection and self-care, and supporting meaning-making.
期刊介绍：
Journal of Clinical Psychology in Medical Settings is an international forum for the publication of peer-reviewed original papers related to all areas of the science and practice of psychologists in medical settings. Manuscripts are chosen that have a broad appeal across psychology as well as other health care disciplines, reflecting varying backgrounds, interests, and specializations. The journal publishes original research, treatment outcome trials, meta-analyses, literature reviews, conceptual papers, brief scientific reports, and scholarly case studies. Papers accepted address clinical matters in medical settings; integrated care; health disparities; education and training of the future psychology workforce; interdisciplinary collaboration, training, and professionalism; licensing, credentialing, and privileging in hospital practice; research and practice ethics; professional development of psychologists in academic health centers; professional practice matters in medical settings; and cultural, economic, political, regulatory, and systems factors in health care. In summary, the journal provides a forum for papers predicted to have significant theoretical or practical importance for the application of psychology in medical settings.
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