A Systematic Review of the Effectiveness of Acceptance and Commitment Therapy for Managing Grief Experienced by Bereaved Spouses or Partners of Adults Who Had Received Palliative Care

Jones, Kerry; Methley, Abigail; Boyle, G.; Garcia, Rebecca; Všetečková, Jitka

doi:10.1177/10541373211000175

Cited by 8 publications

(6 citation statements)

References 43 publications

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“…A past study suggested that new parents who report partner and peer support perceive more control over health behaviors because of these reciprocal supports [76]. Higher perceived control in the general population is consistently correlated with decreased symptoms of depression and anxiety, which may be a result of mechanistic pathways related to adaptive coping behaviors, such as mindfulness [77][78][79][80]. MBIs are designed to integrate intention and awareness into everyday life [81][82][83].…”

Section: Discussionmentioning

confidence: 99%

A Mixed-Methods Pilot Study to Identify Facilitators Leading to Sustained Mindfulness Practice across the Perinatal Period

Walls¹,

Farewell²,

Traikoff³

et al. 2022

OBM ICM

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Many women experience depression and/or anxiety during pregnancy and/or the postpartum period. Mind-Body Interventions (MBIs) have shown great efficacy in the mitigation of these symptoms; however, there is limited research spanning the postpartum period and exploring long-term sustainability of mindfulness practice. Furthermore, little is known about specific facilitators that contribute to sustainability. The primary objective of this mixed-methods study is to use the Theory of Planned Behavior (TPB) framework to inform multi-level factors associated with the sustainability of mindfulness practices and associated mental health outcomes in the postpartum period after participating in a prenatal MBI to inform and improve future interventions. Measures of mental health including depression, anxiety, and perceived stress were evaluated via quantitative assessments at three time points (n = 24) across the prenatal and postpartum periods prior to and following the prenatal MBI. Interviews were conducted post-intervention (n = 10) and 5-12-months postpartum (n = 8) to identify sustainability facilitators. Measures of depression, anxiety, and perceived stress were significantly lower post-intervention than pre-intervention, and decreased levels of depression were sustained over three months postpartum. After participation, all interview participants reported intention to continue practice postpartum. In the postpartum period, 73% of participants reported weekly sustained practice. Qualitative interviews revealed significant facilitators to be informal practice (attitudes and beliefs), family and peer support (social norms), life-integration and self-compassion (perceived control) and benefits to child (intentions/ behaviors). These findings suggest that future interventions should focus on ease of integrating informal practice into daily routines, communication with support systems, self-compassion, and benefits of mindfulness practices for the child to promote sustainability.

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Section: Discussionmentioning

confidence: 99%

A Mixed-Methods Pilot Study to Identify Facilitators Leading to Sustained Mindfulness Practice across the Perinatal Period

Walls¹,

Farewell²,

Traikoff³

et al. 2022

OBM ICM

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“…The dearth of evidence on Acceptance and Commitment Therapy for bereavement was also recently noted in a systematic review on managing grief, which only identified two studies. 40 Future research is needed to explore the acceptability and value of Acceptance and Commitment Therapy for people who have been bereaved. Similarly, only two studies involving palliative care staff were identified, 45,56 however given the effectiveness of Acceptance and Commitment Therapy in promoting wellbeing in other occupational settings, 37 further research examining Acceptance and Commitment Therapy for palliative care staff wellbeing is warranted.…”

Section: Directions For Future Researchmentioning

confidence: 99%

“…28 However, despite the emerging evidence base for the effectiveness of Acceptance and Commitment Therapy across a range of populations and contexts, we identified only three reviews focused specifically on advanced progressive illness or bereavement. [38][39][40] Two of these reviews concluded that Acceptance and Commitment Therapy may be beneficial in improving quality of life and alleviating symptoms of anxiety and distress amongst patients with advanced cancer 38,39 However, both reviews excluded studies of people with advanced illnesses other than cancer, and considered evidence based on RCTs or quasi-experimental studies only. 38 Neither review sought to explore the potential value of Acceptance and Commitment Therapy for caregivers or staff involved in the care of people with advanced progressive illness.…”

Section: Introductionmentioning

confidence: 99%

Acceptance and Commitment Therapy (ACT) for people with advanced progressive illness, their caregivers and staff involved in their care: A scoping review

Gibson Watt,

Gillanders,

Spiller

et al. 2023

Palliat Med

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Background: People with an advanced progressive illness and their caregivers frequently experience anxiety, uncertainty and anticipatory grief. Traditional approaches to address psychological concerns aim to modify dysfunctional thinking; however, this is limited in palliative care, as often concerns area valid and thought modification is unrealistic. Acceptance and Commitment Therapy is a mindfulness-based behavioural therapy aimed at promoting acceptance and valued living even in difficult circumstances. Evidence on its value in palliative care is emerging. Aims: To scope the evidence regarding Acceptance and Commitment Therapy for people with advanced progressive illness, their caregivers and staff involved in their care. Design: Systematic scoping review using four databases (Medline, PsychInfo, CINAHL and AMED), with relevant MeSH terms and keywords from January 1999 to May 2023. Results: 1,373 papers were identified and 26 were eligible for inclusion. These involved people with advanced progressive illness ( n = 14), informal caregivers ( n = 4), palliative care staff ( n = 3), bereaved carers ( n = 3), and mixed groups ( n = 2). Intervention studies ( n = 15) showed that Acceptance and Commitment Therapy is acceptable and may have positive effects on anxiety, depression, distress, and sleep in palliative care populations. Observational studies ( n = 11) revealed positive relationships between acceptance and adjustment to loss and physical function. Conclusion: Acceptance and Commitment Therapy is acceptable and feasible in palliative care, and may improve anxiety, depression, and distress. Full scale mixed-method evaluation studies are now needed to demonstrate effectiveness and cost-effectiveness amongst patients; while further intervention development and feasibility studies are warranted to explore its value for bereaved carers and staff.

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“…A inflexibilidade psicológica, especialmente a esquiva experiencial tem se mostrado como um preditor da maior presença de luto prolongado, enquanto os valores e ações com compromisso reduzem o luto prolongado (Davis et al, 2015;Eisma et al, 2015). Uma revisão sistemática sobre o uso da ACT para cuidadores enlutados no contexto de CP encontrou evidências de benefícios, especialmente em relação à aceitação de emoções dolorosas advindas desse momento (Jones, Methley, Boyle, Garcia, & Vseteckova, 2021). Ainda, a flexibilidade psicológica teve um papel protetivo contra psicopatologias nos enlutados, o que pode prevenir o luto prolongado ou traumático.…”

Section: Act Para Cuidadores Informais No Contexto De Cpunclassified

Terapia de Aceitação e Compromisso no contexto de cuidados paliativos: revisão narrativa

Peloso,

Brust-Renck,

Zibetti

2023

PSIUNISC

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A terapia de aceitação e compromisso (ACT) e os cuidados paliativos (CP) parecem coerentes em seus princípios por promoverem qualidade de vida apesar do sofrimento, por focar na aceitação da morte ou de doenças que não podem ser “curadas” e por se estenderem tanto para a população clínica quanto saudável. Pacientes, cuidadores e profissionais da saúde são atingidos pelos desconfortos advindos do contexto de CP. O objetivo do presente estudo de revisão narrativa da literatura foi explorar a produção científica e compreender o estado da arte sobre o emprego do modelo de intervenções da ACT em pacientes, seus cuidadores informais e os profissionais da saúde no contexto de CP. Foi utilizado o método de revisão narrativa e os termos “palliative care” AND "psychological flexibility" OR "acceptance and commitment therapy" foram pesquisados nos bancos de dados Medline, Embase e PsycInfo sem critério de tempo. A pesquisa ocorreu em julho de 2022 e foram encontrados 35 artigos. Estudos tem demonstrado que o processo de aceitação e valores pode beneficiar pacientes com doenças que ameaçam a vida a viver com qualidade até o momento da morte. Morrer com qualidade pode impactar os cuidadores informais, que ainda precisam lidar com o luto. A conexão com valores também pode auxiliar os profissionais da saúde a lidar com os dilemas éticos e decisões morais no contexto de CP. Essa revisão não visa esgotar a temática entre a aplicação da ACT no contexto de CP.

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A Systematic Review of the Effectiveness of Acceptance and Commitment Therapy for Managing Grief Experienced by Bereaved Spouses or Partners of Adults Who Had Received Palliative Care

Cited by 8 publications

References 43 publications

A Mixed-Methods Pilot Study to Identify Facilitators Leading to Sustained Mindfulness Practice across the Perinatal Period

A Mixed-Methods Pilot Study to Identify Facilitators Leading to Sustained Mindfulness Practice across the Perinatal Period

Acceptance and Commitment Therapy (ACT) for people with advanced progressive illness, their caregivers and staff involved in their care: A scoping review

Terapia de Aceitação e Compromisso no contexto de cuidados paliativos: revisão narrativa

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