Improving Health Care Utilization, Improving Chronic Disease Utilization, Health Status, and Adjustment in Adolescents and Young Adults with Cystic Fibrosis: A Preliminary Report

  • Lloyd A. Taylor
  • Jan L. Wallander
  • Deborah Anderson
  • Pamela Beasley
  • Ronald T. Brown
Article

DOI: 10.1023/A:1022897512137

Cite this article as:
Taylor, L.A., Wallander, J.L., Anderson, D. et al. Journal of Clinical Psychology in Medical Settings (2003) 10: 9. doi:10.1023/A:1022897512137

Abstract

We conducted a randomized clinical trial of a 3-session written self-disclosure intervention for patients with cystic fibrosis (CF). Patients (n = 39) who were at least 15 years of age and diagnosed with CF participated in the intervention. Participants in the intervention arm were asked to write in the health care setting about an important emotionally distressing issue of personal significance for a 20-min period of time and two additional 20-min writing episodes at the patient's home, which were prompted by telephone calls. Patients in the control condition received standard care alone. Findings revealed that the intervention resulted in a reduction of the number of days patients spent in the hospital over a 3-month period. The intervention did not have an impact on physiological (Forced Expiratory Volume and Body Mass Index or subjective markers of health status. These findings extend those of Pennebaker's (cf., J. Smyth, 1998) demonstrating an effect of the written-self-disclosure intervention on health care utilization. These preliminary findings are promising and justify further investigation of the modified intervention in other chronic illness populations.

cystic fibrosis written self-disclosure health care utilization 

Copyright information

© Plenum Publishing Corporation 2003

Authors and Affiliations

  • Lloyd A. Taylor
    • 1
    • 2
  • Jan L. Wallander
    • 1
  • Deborah Anderson
    • 2
  • Pamela Beasley
    • 3
  • Ronald T. Brown
    • 4
  1. 1.University of Alabama at BirminghamBirmingham
  2. 2.Department of PediatricsMedical University of South CarolinaCharleston
  3. 3.Department of PsychiatryJudge Baker Children's Hospital and Harvard UniversityBoston
  4. 4.Departments of Health Professions and PediatricsMedical University of South CarolinaCharleston