Learning Objective #1: List at least two benefits seen in groups using expressive writing after suffering a traumatic event

Learning Objective #2: Discuss a research method to explore the use of expressive writing in medical populations

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A diagnosis of breast cancer can lead to physical, cognitive and affective distress (Cimprich, 1999). Positive benefits of expressive writing have been reported in other groups dealing with traumatic events (Pennebaker, 1986). Expressive writing has been studied to a limited degree in breast cancer patients; however several questions remain about the specific writing type that is most beneficial to this group, and the impact expressive writing has on physical and psychological distress. This study is a longitudinal randomized controlled trial evaluating the use of expressive writing in newly diagnosed breast cancer patients (< 2 years since diagnosis). Reflection/reframing (Mezirow, 1978) and caring consciousness (Watson, 2002) provide the theoretical framework to explore the events that occur when a person experiences a life-altering experience and does expressive writing. Positive benefits seen in other populations using expressive writing include improved physical and psychological well-being. Participants will be recruited from multiple sites in central Oklahoma and randomized to three intervention writing groups and one control group. Depression, anxiety and quality of life will be measured at pre-test, one-month and 6 months posttest. Findings from this study will provide information for evidenced-based practice about an intervention women might use following a diagnosis of breast cancer.