{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T10:19:34Z","timestamp":1746613174378,"version":"3.37.3"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,9,29]],"date-time":"2023-09-29T00:00:00Z","timestamp":1695945600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Individuals with cystic fibrosis (CF) often have psychological difficulties on top of their medically complex care, such as anxiety, depression, and medical mistrust. These have been shown to be associated with worse adherence, pulmonary function test results, and other health outcomes. In this pilot trial, we implemented a journaling program based on narrative therapy methodology to improve mental and physical health outcomes for individuals with CF.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Eight adolescents aged 12\u201317 with a confirmed diagnosis of CF followed in a single center CF clinic were emailed weekly journaling prompts that explored topics like treatment adherence, feeling different with CF, anxiety, depression, and interpersonal relationships. Subjects completed surveys about their experience with the writing assignment and measures of wellness including the Pediatric Symptom Checklist (PSC\u201017) and baseline health data was collected from the electronic medical records.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The average score for the PSC\u201017 decreased by 5.5 points, and fell to less than 28 (mean 23.5, SD 12.2), which is the cutoff for screening positive for behavioral or emotional problems. Participants reported the study was enjoyable and had improvement in feelings of anxiety\/depression. 100% of participants responded \u201cStrongly Agree\u201d to the statement \u201cI recommend other people with CF to write about the topics from this study.\u201d<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The journaling intervention for individuals with CF was feasible and well received. Initial results show improvement in PSC\u201017 and other well\u2010being measures. Further studies are needed to evaluate the impact of journaling on mental health and disease outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ppul.26708","type":"journal-article","created":{"date-parts":[[2023,9,29]],"date-time":"2023-09-29T10:27:47Z","timestamp":1695983267000},"page":"63-71","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The positive impact of journaling on adolescents with cystic fibrosis"],"prefix":"10.1002","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6748-7808","authenticated-orcid":false,"given":"Sean","family":"Kow","sequence":"first","affiliation":[{"name":"Department of General Pediatrics Children's Hospital Los Angeles Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brenda","family":"Rieger","sequence":"additional","affiliation":[{"name":"Department of General Pediatrics Children's Hospital Los Angeles Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly","family":"Morse","sequence":"additional","affiliation":[{"name":"Department of General Pediatrics Children's Hospital Los Angeles Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Keens","sequence":"additional","affiliation":[{"name":"Department of General Pediatrics Children's Hospital Los Angeles Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of General Pediatrics Children's Hospital Los Angeles Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,9,29]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1569-1993(03)00020-1"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0b013e3282ef480a"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2014-205983"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.23017"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.21195"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1442-2018.2003.00149.x"},{"volume-title":"Maps of Narrative Practice","year":"2007","author":"White M","key":"e_1_2_10_8_1"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.4276\/030802213X13651610908452"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1192\/apt.11.5.338"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.psy.0000116782.49850.d3"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.psy.0000156933.04566.bd"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.281.14.1304"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.nmd.0000138317.30764.63"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1188\/10.ONF.749-757"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-9-51"},{"issue":"7","key":"e_1_2_10_17_1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0131802","article-title":"Effect of expressive writing intervention on health outcomes in breast cancer patients: a systematic review and meta\u2010analysis of randomized controlled trials","volume":"10","author":"Zhou C","year":"2005","journal-title":"PLoS One"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(88)80056-8"},{"key":"e_1_2_10_21_1","unstructured":"KaneSP. 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