To explore the intervention effect of expressive writing on the quality of life in convalescent young breast cancer patients. A total of eighty young breast cancer patients were randomly divided into control group and observation group, with 40 cases in each group. The control group received routine health education, while the observation group underwent three sessions of expressive writing intervention in addition to routine health education. A longitudinal study was conducted to follow up the breast cancer patients before the intervention and 1 month after the intervention, using the Functional Assessment of Cancer Therapy-Breast Cancer. The research results show that the overall quality of life and physiological condition scores of the observation group were significantly higher after intervention than before intervention (P<0.05); After intervention, the overall quality of life and physiological condition scores of the observation group were significantly higher than those of the control group (P<0.05). Expressive writing can improve the quality of life of young breast cancer patients during the rehabilitation period.

Jianfeng Tan, Jingyi Cai, Lvchang Wen, Yongcun Wang. Study on the quality of life in convalescent young breast cancer patients: A randomized controlled feasibility trial. International Journal of Frontiers in Medicine (2024), Vol. 6, Issue 10: 59-65. https://doi.org/10.25236/IJFM.2024.061010.

[1] Du Hua, Hu Annie, Han Jiangying, et al. Study on the status quo of post-traumatic growth of young patients with breast cancer after surgery and its influencing factors [J]. Nursing Research, 2022,36 (6): 1072-1076. DOI: 10.12102/j.issn.1009-6493.2022.06.06.24

[2] Choi E, Henneghan A M. Comparing Fatigue, Loneliness, Daytime Sleepiness, and S-tress in Younger and Older Breast Cancer Survivors: A Cross-Sectional Analysis[J]. C-lin J Oncol Nurs,2022, 26(2): 155-164. DOI: 10.1188/22.CJON.155-164.

[3] Zhang Wan, Lu Qian, Liu Chunlei, et al. Study on the status quo of body image of young patients with breast cancer and its influencing factors [J]. Chinese Journal of Modern Nursing, 2022,28 (7): 893-900. DOI: 10.3760/cma.j.cn115682-20210801-03406

[4] Tan Jianfeng, Wang Yongcun, Zheng Xiuying, et al. Qualitative study on rehabilitation psychological experience and benefit discovery of young patients with breast cancer [J]. Journal of Nursing, 2023,30 (23): 73-78. DOI: 10.16460/j.issn1008-9969.2023.23.073

[5] Paunescu A C ,Marie Préau, Delpierre C ,et al. Quality of life among French breast cancer survivors in comparison with cancer-free women: the Seintinelles study[J]. B-MC women's health,2024,24(1):17-34. DOI:10.1186/s12905-023-02827-w.

[6] Pennebaker J W, Chung C K. Expressive writing, emotional upheavals, and health [M]. Handbook of Health Psychology,2007,263-284.

[7] Abu-Odah H, Su JJ, Wang M, et al. Systematic review and meta-analysis of the effectiveness of expressive writing disclosure on cancer and palliative care patients' health related outcomes[J]. Support Care Cancer,2023,32(1):70-101.DOI:10.1007/s00520-023-08255-8.

[8] Wu Qiong, Li Yuli, Chen Lijun, et al. Meta analysis of the effect of expressive writing on post-traumatic stress response in breast cancer patients [J]. Military Nursing, 2018, 35 (16): 8-15. DOI: 10.3969/j.issn.1008-9993.2018.16.002

[9] Ji L L, Lu Q, Wang L J, et al. The benefits of expressive writing among newly diagnosed mainland Chinese breast cancer patients[J]. J Behav Med,2020,43(3):468-478. DOI: 10.1007/s10865-019-00127-z. 

[10] China Anti Cancer Association. Guidelines and norms for diagnosis and treatment of breast cancer (2019 edition) [J]. Chinese Journal of Cancer, 2019, 29 (8): 609-680. DOI: 10.19401/j.cnki.1007-3639.2019.08.009

[11] Wan C, Zhang D, Yang Z, et al. Validation of the simplified Chinese version of the FACT-B for measuring quality of life for patients with breast cancer[J]. Breast Can-cer Res,2007,106(3):413-418. DOI:10.1007/s10549-007-9511-1. 

[12] Shen Aomei, Qiang Wanmin, Wang Ying, et al. Study on mindfulness rehabilitation intervention for young patients with breast cancer in transition period [J]. Journal of Nursing, 2020,35 (19): 95-98. DOI: 10.3870/j.issn.1001-4152.2020.19.095

[13] Cai Jianping, Jiang Zifang. Research on the relationship between breast cancer patients' fear of disease progression and quality of life [J]. Journal of Nursing Management, 2020,20 (01): 23-26. DOI: 10.3969/j.issn.1671-315x.2020.01.005

[14] Ning Fan, Wang Wen, Wang Xiao, et al. The intervention effect of attribution psychological adjustment on health-related quality of life of newly diagnosed breast cancer patients [J]. Chinese Journal of Mental Health, 2023,37 (04): 306-311. DOI: 10.3969/j.issn.1000-6729.2023.04.006

[15] Maribel S, Margaret M, Colleen C, et al. Health-related quality of life in women wit-h breast cancer: a review of measures[J]. BMC Cancer,2022,22(1):66-86. DOI:10.1186/s12885-021-09157-w.

[16] Lianne T, Jane M E, Brenda T, et al. Gender Socialization as a Predictor of Psychosocial Well-Being in Young Women with Breast Cancer[J]. Current Oncology,2022,29(11):8121-8132. DOI:10.3390/curroncol29110641.

[17] XueMei X, Jing G, DingXi B, et al. Assessment tools for stigma in breast cancer pa-tients based on COSMIN guidelines: a systematic review[J]. Support Care Cancer, 2023,32(1),65-77. DOI:10.1007/ s00520-023-08276-3.

[18] He Dongmei, Hu Jianping, Gao Qian, et al. A descriptive phenomenological study on the sense of shame of patients after radical surgery for breast cancer [J]. Modern Clinical Nursing, 2020,19 (10): 1-7. DOI: 10.3969/j.issn.1671-8283.2020.10.001

[19] Amini-Tehrani M, Zamanian H, Daryaafzoon M, et al. Body image, internalized stig-ma and enacted stigma predict psychological distress in women with breast cancer: Aserial mediation model[J]. J Adv Nurs,2021,77(8):3412-3423. DOI: 10.1111/jan.14881

[20] Tang W Z, Yusuf A, Jia K, et al. Correlates of stigma for patients with breast canc-er: a systematic review and meta-analysis[J]. Support Care Cancer,2022,31(1):55-71. DOI: 10.1007/s00520-022-07506-4. 

[21] Wang Jing, Liu Wei, Li Feifei, et al. The effect of written expression on self-efficacy, physical symptoms and mental health of young breast cancer patients [J]. Chinese Journal of Health Psychology, 2021,29 (07): 973-978. DOI: 10.13342/j.cnki.cjhp.2021.07.004

[22] Rong W, Lu L, Jing X, et al. Effects of Structured Expressive Writing on Quality of Life and Perceived Self-Care Self-Efficacy of Breast Cancer Patients Undergoing Ch-emotherapy in Central China: A Randomized Controlled Trial[J]. Healthcare,2022,10(9):1762-1772.DOI: 10.3390/ healthcare 10091762.

[23] Zhu Keyi. The Modern Significance of the Concept of "Narrative" [J]. Fudan Journal (Social Sciences Edition), 2007, (4): 96-104. DOI: 10.3969/j.issn.0257-0289.2007.04.015

[24] Klein K, Boals A. Expressive writing can increase working memory capacity[J]. J Exp Psychol Gen, 2001,130(3):520–533. DOI:10.1037/0096-3445.130.3.520

[25] Chu Q, Wu I H C, Lu Q. Expressive writing intervention for posttraumatic stress di-sorder among Chinese American breast cancer survivors: the moderating role of social constraints[J]. Qual Life Res, 2020, 29(4):891-899. DOI:10.1007/s11136-019-02385-5.

[26] Tedeschi G R, Calhoun G L. The Posttraumatic Growth Inventory: measuring the pos-itive legacy of trauma[J]. J Trauma Stress, 1996,9(3):455-471.DOI:10.1007/BF02103658.

[27] Yaira, Hamama-raz, Ruth, et al. Can posttraumatic growth after breast cancer promote positive coping? A cross-lagged study[J]. Psycho-Oncology,2019,28(4):767-774.DOI: 10.1002/pon.5017

[28] Song Yuanyuan, Jiang Xiaolian. Longitudinal research progress on post-traumatic growth of cancer patients [J]. Nursing Research, 2022, 36 (4): 659-663. DOI: 10.12102/j.issn.1009-6493.2022.04.01

[29] Tedeschi G R,Calhoun G L. Posttraumatic Growth: Conceptual Foundations and Empirical Evidence[J]. Psychological Inquiry,2004,15(1):1-18. DOI:10.1207/s15327965pli1501_01.

[30] Black N, Gruyter E D, Petrie D, et al. Altruism born of suffering? The impact of an adverse health shock on pro-social behaviour[J]. J Econ Behav Organ,2021,191:902-915. DOI:10.1016/j.jebo. 2021.09.038

[31] Cafaro V, Iani L, Costantini M, et al. Promoting post-traumatic growth in cancer patients: A study protocol for a randomized controlled trial of guided written disclosure[J]. J Health Psychol,2019,24(2), 240-253. DOI:10.1177/1359105316676332.

[32] Gallagher M, Long L, Tsai W, et al. The unexpected impact of expressive writing on posttraumatic stress and growth in Chinese American breast cancer survivors.[J]. J Clin Psychol,2018,74(10),1673-1686. DOI:10.1002/jclp.22636.