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| ID | Type | Description | Link |
|---|---|---|---|
| R01AT002477 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Center for Complementary and Integrative Health (NCCIH) | NIH |
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This study will determine whether the psychological benefits of expressive writing extend to diabetic patients, how long the benefits will last, and whether additional expressive writing "booster" sessions will lead to greater and more sustained improvement in diabetes symptoms and well-being.
Diabetes is one of the leading causes of blindness, kidney failure, and nontraumatic lower extremity amputation in the United States. Conditions such as stress and depression have been shown to worsen diabetic symptoms. Data indicate that expressive writing (an activity during which individuals deal with stressful experiences by writing about them on paper) has beneficial effects on psychological and physiological outcomes. This study will determine whether diabetes patients can benefit from expressive writing. This study will also determine the duration of the benefits and the effectiveness of booster sessions in improving their diabetic symptoms.
Participants will be randomly assigned to engage in expressive writing or neutral writing for 18 months. Participants in the expressive writing group will write about traumatic or stressful events; participants in the neutral writing group will write about neutral topics that do not affect them emotionally. Some participants in the expressive writing group will receive an additional 4 months of booster sessions of expressive writing. All participants will undergo interviews, blood collection, physical exams and complete clinical scales on their disease status, quality of life, and psychological well-being; these assessments will occur at study entry, every 4 months during the study, and at the end of the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Expressive writing | Experimental | Expressive writing |
|
| Neutral writing | Sham Comparator | Non-expressive writing |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Expressive writing | Behavioral | Writing as therapeutic intervention |
| |
| Measure | Description | Time Frame |
|---|---|---|
| hemoglobin A1C (indicator of blood glucose) | baseline, 4 months, 8 months, 12 months, and 16 months |
| Measure | Description | Time Frame |
|---|---|---|
| Diabetes symptoms | baseline, 4 months, 8 months, 12 months, and 16 months | |
| stress levels | baseline, 4 months, 8 months, 12 months, and 16 months | |
| depression |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Joshua M. Smyth, PhD | Syracuse University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| State University of New York Medical University | Syracuse | New York | 13244 | United States | ||
| Syracuse University |
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| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D003863 | Depression |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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| Neutral writing |
| Behavioral |
Non-expressive writing |
|
| baseline, 4 months, 8 months, 12 months, and 16 months |
| cognitive function | baseline, 4 months, 8 months, 12 months, and 16 months |
| quality of life | baseline, 4 months, 8 months, 12 months, and 16 months |
| Syracuse |
| New York |
| 13244 |
| United States |
| Pennsylvania State University | University Park | Pennsylvania | 16802 | United States |
| Vanderbilt University | Nashville | Tennessee | 37235 | United States |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |