Summary of Introduction and method Set the context of the Systematic Review by providing a very brief account of the background and the method as a reminder to the reader. Results Should include how many papers were identified by the search strategy and how you decided which to include in the review. Explain how/why you selected these papers (for example, selecting the 5 most recent or those with largest sample sizes). Details of papers included in the review should be provided in a table as an appendix and therefore excluded from the word limit (for an example see Table 1 in Michie, S. and Williams, S. (2003) Reducing work related psychological ill health and sickness absence; a systematic literature review. Occup. Environ. Med. 60:3-9 (pdf provided on Succeed). These papers should then be reviewed and critically evaluated using the Critical Appraisal Tool (CAT) provided. This gives each paper a quality rating score. ( for the critical appraisal you can see ‘ Barriers to voluntary participation in sport for children: systematic review’ This section included: 1- Selection of studies 2- Study characteristic 3- Outcome measures 4- Methodological strength 5- Methodological weakness Discussion/Conclusions Based on the results, what conclusions can be drawn about the effectiveness of your chosen intervention for the health condition or illness under review? This section include: 1- Discussion 2- Future research 3- Conclusion the topic is ‘the effectiveness of written emotional disclosure with breast cancer women to reduce psychological distress ‘ *I have chosen only five RCT articles after meeting the criteria. These are the article I want you to write about. (UK) – Gellaitry, G., Peters, K., Bloomfield, D., & Horne, R. (2010). Narrowing the gap: the effects of an expressive writing intervention on perceptions of actual and ideal emotional support in women who have completed treatment for early stage breast cancer. Psycho‐Oncology, 19(1), 77-84. (UK) – Owen, J. E., Klapow, J. C., Roth, D. L., Shuster, J. L., Bellis, J., Meredith, R., & Tucker, D. C. (2005). Randomized pilot of a self-guided internet coping group for women with early-stage breast cancer. Annals of Behavioral Medicine, 30(1), 54-64. (Denmark)- Jensen‐Johansen, M. B., Christensen, S., Valdimarsdottir, H., Zakowski, S., Jensen, A. B., Bovbjerg, D. H., & Zachariae, R. (2013). Effects of an expressive writing intervention on cancer‐ related distress in Danish breast cancer survivors—Results from a nationwide randomized clinical trial. Psycho‐Oncology, 22(7), 1492-1500. (US)-Henry, E. A., Schlegel, R. J., Talley, A. E., Molix, L. A., & Bettencourt, B. (2010, November). The feasibility and effectiveness of expressive writing for rural and urban breast cancer survivors. In oncology nursing forum (Vol. 37, No. 6). (US)Mosher, C. E., DuHamel, K. N., Lam, J., Dickler, M., Li, Y., Massie, M. J., & Norton, L. (2012). Randomised trial of expressive writing for distressed metastatic breast cancer patients. Psychology & Health, 27(1), 88-100. Based on these criteria: Method: Eligibility Criteria: Types of studies: For an article to be considered for selection, Quantitive Articles which peer reviewed and published in English only were considered eligible for the present study. An article had to be based on a randomized control trial design to be included. Female adult above the age of eighteen and under the age of seventeen will be included. Since the research will examine only a breast cancer patient, other types of cancer will be excluded. Finally. PICO’s framework will be used to device the question and search strategy (patient, intervention, comparison, outcome). Population: The population of interest are adult female from WEIRD sample who’s have breast cancer and under psychological distress. Women diagnosed with cancer are experience high risk of physical and physiological impairments which cause poor quality of life. Emotional disclosure is a technique to help patients decrees and manage their distress-related-cancer. Adult diagnosed with another type of cancer will be excluded. Women above the age of eighteen will be included, as inclusion criteria animal study and patient above the age of 70 will be excluded as well as children.