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This study will determine whether the psychological and physical benefits of expressive writing extend to obese in-patients with Ischemic Heart Disease (IHD)referred to cardiac rehabilitation
Expressive writing, for as little as 3-5 sessions of 20 minutes, has been found to improve both physical and psychological health based on health outcome measures such as number of doctor's visits and hospital days, blood pressure control, lung and immune function, pain, anxiety and depression. Given its simplicity and obvious advantages in terms of cost-effectiveness, expressive writing has great potential as a therapeutic tool or as a means of self-help, either alone or as an adjunct to traditional therapies. This modality has not been studied in obese patients with Ischemic Heart Disease.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Disease-related expressive writing | Experimental | Participants in the disease-related expressive writing condition write about their feelings about cardiac disease four times, for at least 20 minutes each time, during a two week period |
|
| Traditional expressive writing | Active Comparator | Participants in the traditional expressive writing condition write about their feelings about one or more stressful experiences they lived in the past, for at least 20 minutes each time, during a two week period |
|
| Neutral writing | Sham Comparator | Participants in the neutral writing condition write about the facts about cardiac disease, for at least 20 minutes each time, during a two week period |
|
| Control condition | No Intervention | Participants in the control condition do not receive any intervention and complete only the assessments |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Disease-related Expressive writing | Behavioral | Participants in the disease-related expressive writing condition write about their feelings about cardiac disease four times, for at least 20 minutes each time, during a two week period. |
| Measure | Description | Time Frame |
|---|---|---|
| SF12 | The SF12 is a generic measure of both physical and emotional components of health-related quality of life | 1 year |
| BDI-II | The Beck Depression Inventory is a measure of depressive symptoms | 1 year |
| BDI | The Beck Anxiety Inventory is a measure of cognitive and somatic symptoms of anxiety | 1 year |
| Brief-PTGI | The Brief Post-Traumatic Growth Inventory is a measure of positive growth following adversity | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| BMI | Body Mass Index (BMI) is a measure of obesity and is calculated as weight in kilograms divided by height in meters squared | 1 year |
| Multiple Coronary Risk Factors | Hypertension, HDL, LDL, |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gianluca Castelnuovo, Ph.D. | Istituto Auxologico Italiano | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| San Giuseppe Hospital, Istituto Auxologico Italiano IRCSS | Verbania | 28921 | Italy |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17073523 | Background | Frattaroli J. Experimental disclosure and its moderators: a meta-analysis. Psychol Bull. 2006 Nov;132(6):823-65. doi: 10.1037/0033-2909.132.6.823. | |
| 21740564 | Derived | Manzoni GM, Castelnuovo G, Molinari E. The WRITTEN-HEART study (expressive writing for heart healing): rationale and design of a randomized controlled clinical trial of expressive writing in coronary patients referred to residential cardiac rehabilitation. Health Qual Life Outcomes. 2011 Jul 8;9:51. doi: 10.1186/1477-7525-9-51. |
| Label | URL |
|---|---|
| Related Info | View source |
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| ID | Term |
|---|---|
| D017202 | Myocardial Ischemia |
| D009765 | Obesity |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D014652 | Vascular Diseases |
| D050177 | Overweight |
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| Active Comparator: Traditional expressive writing | Behavioral | Participants in the traditional expressive writing condition write about their feelings about one or more stressful experiences they lived in the past, for at least 20 minutes each time, during a two week period |
|
| Sham Comparator: Neutral writing | Behavioral | Participants in the neutral writing condition write about the facts about cardiac disease, for at least 20 minutes each time, during a two week period |
|
| 1 year |
| METs | Metabolic equivalents are a measure of exercise capacity. 1 MET represents the amount of oxygen consumed at rest and is equal to approximately 3.5 ml O2 kg-1 min-1 | 1 year |
| D044343 |
| Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |