Randomized clinical trial of expressive writing on wound healing following bariatric surgery

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dc.contributor.author Koschwanez, H en
dc.contributor.author Robinson, H en
dc.contributor.author Beban, G en
dc.contributor.author MacCormick, Andrew en
dc.contributor.author Hill, Andrew en
dc.contributor.author Windsor, John en
dc.contributor.author Booth, Roger en
dc.contributor.author Jüllig, M en
dc.contributor.author Broadbent, Elizabeth en
dc.date.accessioned 2017-07-26T21:33:52Z en
dc.date.issued 2017-07 en
dc.identifier.citation Health Psychology, 36(7):630-640, Jul 2017 en
dc.identifier.issn 0278-6133 en
dc.identifier.uri http://hdl.handle.net/2292/34530 en
dc.description.abstract Writing emotionally about upsetting life events (expressive writing) has been shown to speed healing of punch-biopsy wounds compared to writing objectively about daily activities. We aimed to investigate whether a presurgical expressive writing intervention could improve surgical wound healing.Seventy-six patients undergoing elective laparoscopic bariatric surgery were randomized either to write emotionally about traumatic life events (expressive writing) or to write objectively about how they spent their time (daily activities writing) for 20 min a day for 3 consecutive days beginning 2 weeks prior to surgery. A wound drain was inserted into a laparoscopic port site and wound fluid analyzed for proinflammatory cytokines collected over 24 hr postoperatively. Expanded polytetrafluoroethylene tubes were inserted into separate laparoscopic port sites during surgery and removed after 14 days. Tubes were analyzed for hydroxyproline deposition (the primary outcome), a major component of collagen and marker of healing. Fifty-four patients completed the study.Patients who wrote about daily activities had significantly more hydroxyproline than did expressive writing patients, t(34) = -2.43, p = .020, 95% confidence interval [-4.61, -0.41], and higher tumor necrosis factor-alpha, t(29) = -2.42, p = .022, 95% confidence interval [-0.42, -0.04]. Perceived stress significantly reduced in both groups after surgery.Expressive writing prior to bariatric surgery was not effective at increasing hydroxyproline at the wound site 14 days after surgery. However, writing about daily activities did predict such an increase. Future research needs to replicate these findings and investigate generalizability to other surgical groups. (PsycINFO Database Record en
dc.description.uri https://www.ncbi.nlm.nih.gov/pubmed/28383927 en
dc.format.medium Print-Electronic en
dc.language English en
dc.publisher American Psychological Association en
dc.relation.ispartofseries Health Psychology en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://sherpa.ac.uk/romeo/issn/0278-6133/ http://www.apa.org/pubs/authors/posting.aspx en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title Randomized clinical trial of expressive writing on wound healing following bariatric surgery en
dc.type Journal Article en
dc.identifier.doi 10.1037/hea0000494 en
pubs.issue 7 en
pubs.begin-page 630 en
pubs.volume 36 en
dc.identifier.pmid 28383927 en
pubs.author-url http://doi.apa.org/record/2017-15259-001?doi=1 en
pubs.end-page 640 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Article en
pubs.elements-id 622748 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Medical Sciences en
pubs.org-id Molecular Medicine en
pubs.org-id School of Medicine en
pubs.org-id Psychological Medicine Dept en
pubs.org-id South Auckland clinical school en
pubs.org-id Surgery Department en
pubs.org-id Science en
pubs.org-id Biological Sciences en
pubs.org-id Science Research en
pubs.org-id Maurice Wilkins Centre (2010-2014) en
dc.identifier.eissn 1930-7810 en
pubs.record-created-at-source-date 2017-07-27 en
pubs.dimensions-id 28383927 en

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