Cocreating Meaning Through Expressive Writing and Reading for Cancer Caregivers

J Palliat Care. 2023 Jul;38(3):307-315. doi: 10.1177/0825859719871538. Epub 2019 Sep 2.

Abstract

Purpose: Caregivers of patients with cancer cope with socioemotional challenges, which can adversely affect their well-being. We developed an intervention, expressive writing and reading (EWR), to promote emotional processing and social connectedness among caregivers. In a single-arm pilot study, we assessed its feasibility and perceived usefulness.

Methods: Caregivers participated in weekly 1.5-hour EWR workshops offered over 20 weeks. After 4 sessions, they completed semistructured interviews, which were analyzed using qualitative descriptive analysis.

Findings: Of 65 caregivers approached, 25 were eligible, 18 consented, and 9 (50%) caregivers completed at least 4 workshops and the interview. Their responses revealed 3 themes: "inner processing," "interpersonal learning," and "enhanced processing and preparedness." Perceived benefits of EWR included emotional and cognitive processing (individual and collaborative), learning from the emotions and experiences of other caregivers, and preparing for upcoming challenges.

Conclusions: Expressive writing and reading can be a safe and cost-effective supportive intervention for caregivers of patients with cancer.

Keywords: caregiving; emotional processing; expressive writing; interventions; social support.

MeSH terms

  • Caregivers* / psychology
  • Emotions
  • Humans
  • Neoplasms* / psychology
  • Neoplasms* / therapy
  • Pilot Projects
  • Reading
  • Writing