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Research article
First published online June 26, 2023

Words matter: The use of generic “you” in expressive writing in an oncology setting

Abstract

The use of generic “you” (GY) in writing samples fosters psychological distancing and functions as a linguistic mechanism to facilitate emotion regulation. This method of creating psychological distance from the traumatic experience of cancer may be used by patients processing emotions. We used behavioral coding to analyze expressive writing samples collected from 138 cancer patients to examine the association between the use of “you” and cancer-related symptoms and psychological outcomes. Occurrences of GY were low, but our qualitative results showed how the use of GY could create a universal experience of cancer. The use of GY was not associated with cancer-related symptoms and depressive symptoms, but longitudinal analyses revealed that those using GY had fewer intrusive thoughts and avoidance behaviors across the follow-up period of 1, 4, and 10 months after the intervention. The development of psychological self-distancing prompts to use in writing interventions or as a clinical tool for cancer patients should be explored.

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Data availability statement

The current article is accompanied by the relevant raw data generated during and/or analysed during the study, including files detailing the analyses and either the complete database or other relevant raw data. These files are available in the Figshare repository and accessible as Supplemental Material via the sage Journals platform. Ethical approval, participant permissions, and all other relevant approvals were granted for this data sharing.

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Published In

Article first published online: June 26, 2023
Issue published: January 2024

Keywords

  1. cancer
  2. emotion regulation
  3. mental health
  4. psycho-oncology
  5. quality of life

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© The Author(s) 2023.
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Data availability statement

Data is available for this article. View more information
PubMed: 37358056

Authors

Affiliations

Stella Snyder
Indiana University-Purdue University Indianapolis, USA
The University of Texas MD Anderson Cancer Center, USA
Kathrin Milbury
The University of Texas MD Anderson Cancer Center, USA
Richard Wagner
The University of Texas MD Anderson Cancer Center, USA
Lorenzo Cohen
The University of Texas MD Anderson Cancer Center, USA

Notes

Stella Snyder, Department of Psychology, Indiana University-Purdue University Indianapolis, 402 North Blackford Street, LD 133, Indianapolis, IN 46202, USA. Email: [email protected]

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