Expressive Writing Crosses Cultural Lines in Breast Cancer Treatment

Asian-American women are just as likely to develop breast cancer as European-American women but are far more likely to die as a result. Women of Asian descent also struggle with mental health issues because of their cancer but are not as likely to find culturally and socially assimilated mental health professionals as their non-Asian counterparts. Due to this, and other factors, breast cancer has become the leading cause of mortality for Asian-American women. Psychological health is crucial for recovery from physical illness, and the scant availability of Asian-American clinicians equipped to address the language barriers that accompany this group of women increases their risk for elevated physical and psychological symptoms. However, Qian Lu of the Department of Psychology at the University of Houston believes that there may be an avenue of treatment that could address the emotional turmoil of breast cancer while crossing cultural boundaries.

In a recent study, Lu and colleagues enlisted 19 Asian-American breast cancer survivors in an expressive writing program that required the participants to reveal their most intimate feelings and thoughts, positive and negative, regarding their breast cancer diagnosis and treatment. The writing was completely confidential and allowed the participants to effectively express their deepest emotions without regard to language barriers, inconsistencies in translation or cultural nuances. The participants wrote for 3 weeks and underwent physical screenings at baseline and again 3 and 6 months after the exercise. The researchers found that the participants experienced improved physical health, and, more importantly, better overall psychological health, increased quality of life, and more energy. Additionally, the compliance rate was high, and the participants reported that they found the exercise to be very valuable to their recovery. “Our pilot study suggests that the expressive writing intervention is culturally sensitive in an Asian-American population and is associated with long-term improvement of health outcomes among Chinese breast cancer survivors,” said Lu. “Expressive writing interventions may have the potential to be utilized by other underserved populations with limited English fluency and cultural backgrounds that differ from non-Hispanic White groups.”

Lu, Q., Zheng, D., Young, L., Kagawa-Singer, M., & Loh, A. (2012, January 9). A Pilot Study of Expressive Writing Intervention Among Chinese-Speaking Breast Cancer Survivors. Health Psychology. Advance online publication. doi: 10.1037/a0026834

© Copyright 2012 All rights reserved.

The preceding article was solely written by the author named above. Any views and opinions expressed are not necessarily shared by Questions or concerns about the preceding article can be directed to the author or posted as a comment below.

  • Leave a Comment
  • Minako


    January 18th, 2012 at 3:58 PM

    This is a very distressing article to read.
    I am of Japanese descent and know that we typically have a harder time sharing our feelings than many other cultures, especially than those that I have found in America.
    But who would have thought that this could have such a negative impact on our physical health>

  • WILL


    January 19th, 2012 at 7:57 AM

    Really? Because common knowledge would say its genetics at play here. Members from certain racial backgrounds are more prone to certain disorders than others. It’s a well established fact. And one that we don’t really have a permanent solution to.

  • Yvonne James

    Yvonne James

    January 19th, 2012 at 1:45 PM

    One hopes that this kind of report will be a real eye opener to health care providers from around the world. I am not jaded enough to think that one report is totally going to change how a specific culture deals with issues like cancer, but it takes small steps to implement change and maybe starting right here we can do something positive that could have a huge impact on women from all over the world.

  • ilene


    January 23rd, 2012 at 4:57 PM

    Don’t know why this should have anything to do at all with cultural backgrounds. Some will benefit and some will not, and who cares what race or ethnicity you are? It is a good whay to communicate and get those feelings out but like anything else this is not one size fits all, or it shouldn’t be at least.

Leave a Comment

By commenting you acknowledge acceptance of's Terms and Conditions of Use.

* Indicates required field.

GoodTherapy uses cookies to personalize content and ads to provide better services for our users and to analyze our traffic. By continuing to use this site you consent to our cookies.