Effects of brief acceptance and commitment therapy (ACT) on subjective cognitive impairment in breast cancer patients undergoing chemotherapy

Shari, Nurul Izzah; Zainal, Nor Zuraida; Ng, Chong Guan

doi:10.1080/07347332.2020.1856283

Cited by 17 publications

(28 citation statements)

References 40 publications

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“…Seven interventions were broadly categorised as psychoeducational and psychosocial, with interventions including collaborative care 59 and self‐affirmation 62 . Unique psychoeducational programs encouraged practicing acceptance, educated on stress management skills and strategies to improve function, muscle relaxation and self‐care 55,63 . This intervention category has been mainly investigated since 2019 with interventions being highly heterogeneous making comparison difficult.…”

Section: Resultsmentioning

confidence: 99%

“…Most psychoeducational and psychosocial studies ( n = 7) measured cognitive function utilising either FACT‐Cog, 55,60 or EORTC‐QLQ‐C30, 58,61,63 demonstrating some development in cohesiveness of measurement. These recent studies also reported improvement in memory function; however, only one study employed objective neuropsychological testing not focused on memory 58,60,61 .…”

Section: Discussionmentioning

confidence: 99%

“…62 Unique psychoeducational programs encouraged practicing acceptance, educated on stress management skills and strategies to improve function, muscle relaxation and selfcare. 55,63 This intervention category has been mainly investigated Overall, six of the seven psychoeducational and psychosocial interventions were found to have a statistically significant impact on patient-reported cognitive function.…”

Section: Psychoeducational and Psychosocialmentioning

confidence: 99%

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Interventions promoting cognitive function in patients experiencing cancer related cognitive impairment: A systematic review

et al. 2022

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Objective: To examine the effect of interventions used to enhance cognitive function in patients experiencing cancer-related cognitive impairment. Methods: Studies including adults with a non-metastatic cancer who have received chemotherapy as part of their treatment and who have undergone interventions targeting cancer-related cognitive impairment were included. Studies involving patients with metastatic cancer and pre-existing cognitive deficits were excluded. Academic Search Complete, CINAHL Plus with full text, MEDLINE, Education Full Text, PsycARTICLES, PsycINFO, and ERIC were searched for studies published between January 2011 and September 2022. Data extraction and quality appraisal were conducted by two authors and cross-checked by the review team. Quality appraisal was conducted using 12 items from the Mixed Methods Appraisal Tool. Findings were presented narratively without meta-analysis. Results: Thirty-one studies were included. Interventions were categorised as integrative/complementary, cognitive behavioural therapy and compensatory strategies, exercise, psychoeducational/psychosocial, brain-training, and pharmacological. Over 100 instruments were identified, including the Functional Assessment of Cancer Therapy-Cognitive, Trail Making Tests-A and B, and instruments measuring secondary outcomes, including depression. Instruments often measured attention and concentration, language, memory, executive function, and/or patient-reported outcomes. Improvements were reported, with most studies measuring some or various aspects of cognitive functioning and very few studies measuring all domains of cognitive functioning, making it difficult to draw definitive conclusions about effectiveness. Conclusions: Various interventions are available to treat cancer-related cognitive impairment. Outcome measurement was inconsistent and future research should prioritise using standardised measures. Current evidence, whilst not being This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Psychoeducational and Psychosocialmentioning

confidence: 99%

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Interventions promoting cognitive function in patients experiencing cancer related cognitive impairment: A systematic review

et al. 2022

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“…To explain the study findings, it can be said that patients with cancer usually use experiential avoidance as a coping strategy that increases psychological problems among them. ACT does not directly focus on reducing symptoms, but reducing the symptoms as a byproduct of re-interacting with valuable life and accepting painful inner experiences (24). In other words, compared to other psychological interventions, the ACT is less problemoriented and, therefore, can better show the personal and dynamic nature of cancer adaptation (25).…”

Section: Discussionmentioning

confidence: 99%

Acceptance and Commitment Therapy for Demoralization Syndrome and Cancer-related Trauma: A Randomized Clinical Trial Study

et al. 2021

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Background: Many women with breast cancer in the process of diagnosing, treating, and surviving show psychological distress such as hopelessness and cancer-related stress. On the other hand, Acceptance and Commitment Therapy (ACT) as a psychological intervention provides a good model for coping with the disease. Objectives: This study aimed at investigating the effectiveness of ACT on demoralization syndrome and cancer-related trauma in patients with breast cancer and survivors. Methods: The present study was a clinical trial with pre-test and post-test. It was performed on 52 patients with breast cancer and survivors referred to the Golestan Cancer Patients Association in Gorgan in 2020. Initially, participants were selected by convenient sampling and randomly divided into two treatment groups (patients group and survivors group) and two control groups (patients group and survivors group). Then, the treatment groups underwent ACT for 8 consecutive weekly sessions, but the control groups did not receive any intervention. The data were obtained, using the Demoralization Scale (DS) and Post-traumatic Stress Disorder Checklist for DSM-5 (PCL-5) and analyzed by multivariate analysis of covariance (MANCOVA). Results: The results of the study showed a significant difference in demoralization syndrome components and PCL-5 between the treatment groups of patients and survivors with control groups of patients and survivors (P < 0.05). Also, there was no significant difference between the treatment groups of patients and survivors in the components of demoralization and PCL-5 (P > 0.05) except for the feeling of failure component (P = 0.048). Conclusions: According to the results, using ACT as a complementary treatment along with medical treatment to prevent and reduce demoralization syndrome and cancer-related trauma is recommended in patients with breast cancer and survivors.

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“…11,12 Numerous researchers have confirmed the efficiency of ACT in improving physical and psychological disorders. [13][14][15] Hadlandsmyth et al 16 demonstrated that ACT significantly reduced catastrophizing pain and anxiety in women with breast cancer.…”

Section: Introductionmentioning

confidence: 99%

The Comparison of the Effectiveness of Acceptance and Commitment Therapy and Spirituality Therapy in Reducing Anxiety in Women with Breast Cancer

2022

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Background: The experience of anxiety as a bad experience creates a different behavioral, cognitive, and emotional response that preserves annoying thoughts and inefficient beliefs. The present study aimed to investigate the effectiveness of acceptance and commitment therapy (ACT) and spirituality therapy in reducing anxiety in women with breast cancer in Tehran. Methods: This was a pre-test/post-test quasi-experimental design research with a control group and a three-month follow-up. The statistical population comprised women with breast cancer visiting the Gynecological Ultra-Specialized Cancer Center of Khatam-al-Anbya Hospital in Tehran in 2021. In total, 45 women with breast cancer were selected and randomly divided into two experimental groups and one control group (n=15). The first and second experimental groups underwent eight 60-minute sessions of ACT and eight 60-minute sessions of spiritual therapy, respectively. The research instruments included the Penn State Worry Questionnaire (PSWQ). The collected data were analyzed using repeated measures ANOVA. Results: The results showed that ACT and spiritual therapy significantly reduced generalized anxiety scores in the experimental groups compared to the control group (P<0.01). Moreover, the absence of anxiety significantly increased in the two experimental groups that underwent ACT and spirituality therapy compared to the control group (P<0.01). However, ACT and spirituality therapy did not differ significantly in their effects on the dependent variables. Conclusion: This study achieved promising results concerning the applicability of ACT and spirituality therapy in reducing anxiety in women with breast cancer. Based on the results, holding ACT and spirituality therapy workshops may exert beneficial effects on reducing anxiety in women with breast cancer.

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Effects of brief acceptance and commitment therapy (ACT) on subjective cognitive impairment in breast cancer patients undergoing chemotherapy

Cited by 17 publications

References 40 publications

Interventions promoting cognitive function in patients experiencing cancer related cognitive impairment: A systematic review

Interventions promoting cognitive function in patients experiencing cancer related cognitive impairment: A systematic review

Acceptance and Commitment Therapy for Demoralization Syndrome and Cancer-related Trauma: A Randomized Clinical Trial Study

The Comparison of the Effectiveness of Acceptance and Commitment Therapy and Spirituality Therapy in Reducing Anxiety in Women with Breast Cancer

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