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The Effects of Guided Written Disclosure on Psychological Symptoms Among Parents of Children With Cancer

Glasgow Caledonian University, Scotland, edu @gcal.ac.uk

Yori Gidron, PhD

University of Tilburg, the Netherlands

Eyal Rabin, BA

Hebrew University of Jerusalem, Israel

Liza Gouchberg, BA

Bar Ilan University, Israel

Asher M. Moser, MD

Ben Gurion University of the Negev, Israel

Josef Kapelushnik, MD

Ben Gurion University of the Negev, Israel

This study examines whether structured writing about receiving a diagnosis and treatment for pediatric cancer reduces distress among highly distressed parents of children with cancer (PCWC). Eight PCWC completed measures of posttraumatic stress symptoms (PTSS) and depressive symptoms at two baselines, and again after writing, with 1-month gaps between assessments. Using a guided disclosure protocol (GDP), parents were asked to write about receiving the diagnosis first in a chronological manner, then to explicitly label their emotions at the time of diagnosis and explain the impact of the child's illness on their life. Finally, they were asked to reflect on current feelings, future coping ability, and personal growth. Although symptoms of distress did not change between baselines, significant reductions were found in PTSS from the first baseline to postwriting, but not in depression. This preliminary study suggests that the GDP may reduce PTSS in distressed PCWC.

Key Words: parents • pediatric cancer • guided written disclosure • distress

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