Acceptance and commitment therapy for symptom interference in metastatic breast cancer patients: a pilot randomized trial

Mosher, Catherine E.; Secinti, Ekin; Li, Ruohong; Hirsh, Adam T.; Bricker, Jonathan B.; Miller, Kathy D.; Schneider, Bryan P.; Storniolo, Anna Maria; Mina, Lida A.; Newton, Erin V.; Champion, Victoria L.; Johns, Shelley A.

doi:10.1007/s00520-018-4045-0

Cited by 81 publications

(138 citation statements)

References 45 publications

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“…Furthermore, in a study, sleep related impairment was 1 year follow up The mean score of insomnia was reduced equally by CBT and ACT. However, follow-up after one year showed that the severity of insomnia in the ACT treatment method was almost higher than the initial state and measured by the PROMIS questionnaire [39]. The ESS questionnaire, which measures daytime sleepiness, was used in 1 research work, and the DBAS questionnaire, was used in 2 studies [42,44].…”

Section: Participantsmentioning

confidence: 99%

“…The Pittsburgh Sleep Quality Index (PSQI) was used in 4 studies; PSQI showed improvement in sleep quality after intervention in 2 studies, which was statistically significant [21,44], yet this was not statistically significant in the other two works [27,33]. Sleep disturbance was measured in 2 research works using parts of the PROMIS questionnaire; the findings demonstrated only a minor change in the score from the questionnaire, and that it was not statistically significant [35,39]. Sleep related impairment were also assessed with the PROMIS questionnaire, and the score changes were not statistically significant [39].…”

Section: Investigating the Interventionsmentioning

confidence: 99%

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The effect of acceptance and commitment therapy on insomnia and sleep quality: A systematic review

et al. 2020

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Background: Acceptance and Commitment Therapy (ACT), as a type of behavioral therapy, attempts to respond to changes in people's performance and their relationship to events. ACT can affect sleep quality by providing techniques to enhance the flexibility of patients' thoughts, yet maintaining mindfullness. Therefore, for the first time, a systematic review on the effects of ACT on sleep quality has been conducted. Methods: This systematic review was performed to determine the effect of ACT on insomnia and sleep quality. To collect articles, the PubMed, Web of Science (WOS), Cochrane library, Embase, Scopus, Science Direct, ProQuest, Mag Iran, Irandoc, and Google Scholar databases were searched, without a lower time-limit, and until April 2020. Results: Related articles were derived from 9 research repositories, with no lower time-limit and until April 2020. After assessing 1409 collected studies, 278 repetitive studies were excluded. Moreover, following the primary and secondary evaluations of the remaining articles, 1112 other studies were removed, and finally a total of 19 intervention studies were included in the systematic review process. Within the remaining articles, a sample of 1577 people had been assessed for insomnia and sleep quality. Conclusion: The results of this study indicate that ACT has a significant effect on primary and comorbid insomnia and sleep quality, and therefore, it can be used as an appropriate treatment method to control and improve insomnia.

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Section: Participantsmentioning

confidence: 99%

Section: Investigating the Interventionsmentioning

confidence: 99%

The effect of acceptance and commitment therapy on insomnia and sleep quality: A systematic review

et al. 2020

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“…This finding is in line with Ost (23) research, Kemani et al (24), Johnston et al (25), and Scott and McCracken (26). Mosher et al (29) in an attempt to assess the effectiveness of acceptance therapy and commitment to psychological symptoms in breast cancer patients came to this conclusion that acceptance and commitment therapy was effective in reducing pain and improving the quality of sleep in patients with breast cancer. It seems that the acceptance and commitment therapy has reduced the participants 'intensity of perceived pain through factors such as adoption without judgment, being in the moment, coping with the inner experiences without avoiding, suppressing or attempting to change negative emotions.…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Acceptance and Commitment Therapy (ACT) on Reducing the Severity of Perceived Pain in Women with Breast Cancer

Mami

Tahmasebian

Jahangiri

2018

J Clin Res Paramed Sci

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Background: Breast cancer is one of the most prevalent and painful cancers amongst women in the world. The purpose of this study was to investigate the effectiveness of acceptance and commitment therapy on reducing the severity of pain in women with breast cancer. Methods: This was a quasi-experimental study which was conducted on 30 women with breast cancer referring to Ilam Medical Center in 2018. Patients were randomly assigned into two groups of experimental and control groups. Participants in the pre-test stage completed the multivariate questionnaire for the West Haven-Yale. At the next stage, the experimental group participants were exposed to 8 sessions of acceptance and commitment therapy while the control group did not receive any special treatment. Both groups completed the same questionnaire again at the posttest stage. Results: In terms of severity pain, mean scores of the experimental and control groups at the pretest stage were 76.66 and 74.98, respectively. Meanwhile, mean scores of the mentioned groups at the posttest stage were 70.08 and 74.06. The mean score of the experimental group in the posttest phase was decreased after the intervention compared to the control group. Conclusions: The results of the study reveal that acceptance and commitment therapy is a suitable intervention model for reducing the severity of perceived pain in breast cancer patients.

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“…Among breast cancer treatment completers, a pilot 8 session ACT group intervention decreased depressive and anxious symptoms . Another feasibility trial of a six‐session telephone‐based ACT intervention for symptom interference among patients with metastatic breast cancer found reductions in fatigue and sleep interference . These findings indicate the potential utility of ACT among breast cancer patients.…”

Section: Introductionmentioning

confidence: 90%

A single‐session acceptance and commitment therapy intervention among women undergoing surgery for breast cancer: A randomized pilot trial to reduce persistent postsurgical pain

et al. 2019

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Objective Oncologic breast surgeries carry a risk for persistent postsurgical pain. This study was a randomized pilot and feasibility study of a single‐session Acceptance and Commitment Therapy (ACT) intervention compared with treatment as usual among women undergoing surgery for breast cancer or ductal carcinoma in situ. Methods Participants were recruited via letter of invitation and follow‐up phone call from a single site in the United States from 2015 to 2017. Participants were at risk for persistent postsurgical pain, based on young age (<50), a preexisting chronic pain condition, or elevated anxiety, depression, or pain catastrophizing. Results The 54 participants were female with a mean age of 52.91 years (SD=11.80). At 3‐month postsurgery, 11% of the sample reported moderate‐severe pain (>3 on a 0‐10 numeric rating scale) in the operative breast or with arm movement. Written qualitative responses indicated that the majority of participants who received the intervention understood the concepts presented and reported continued practice of exercises learned in the session. The between group effect sizes for moderate‐severe pain and elevated anxiety at 3‐month post‐surgery were small (Phi=0.08 and 0.16, respectively). The between group effect sizes for depression, pain acceptance, and pain catastrophizing at 3‐month postsurgery were minimal. Conclusions This study found small positive effects on postsurgical pain and anxiety for a single‐session ACT intervention among women with breast cancer. This study supports the use of ACT with this population.

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Acceptance and commitment therapy for symptom interference in metastatic breast cancer patients: a pilot randomized trial

Abstract: ACT shows feasibility and promise in improving fatigue and sleep-related outcomes in MBC patients and warrants further investigation.

Cited by 81 publications

References 45 publications

The effect of acceptance and commitment therapy on insomnia and sleep quality: A systematic review

The effect of acceptance and commitment therapy on insomnia and sleep quality: A systematic review

The Effectiveness of Acceptance and Commitment Therapy (ACT) on Reducing the Severity of Perceived Pain in Women with Breast Cancer

A single‐session acceptance and commitment therapy intervention among women undergoing surgery for breast cancer: A randomized pilot trial to reduce persistent postsurgical pain

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