Examining the effects of prior Acceptance and Commitment Therapy (ACT) treatment among anxious cancer survivors during the COVID-19 pandemic: Evidence from a randomized controlled trial

Fishbein, Joel N.; Arch, Joanna J.

doi:10.1016/j.jcbs.2022.03.006

Cited by 3 publications

(4 citation statements)

References 27 publications

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“…The medication adherence trial did not target the mental health variables assessed currently and the anxiety‐focused intervention occurred on average several years prior to the current data collection, and the benefits were shown to no longer endure during the current data collection period. 18 See Arch 19 and Arch et al. 20 for further details of each RCT.…”

Section: Methodsmentioning

confidence: 99%

“…The medication adherence trial did not target the mental health variables assessed currently and the anxiety-focused intervention occurred on average several years prior to the current data collection, and the benefits were shown to no longer endure during the current data collection period. 18 See Arch 19 and Arch et al 20 for further details of each RCT. To be eligible for the RCTs, participants had to be age 21 or older, report English fluency, have completed primary cancer treatment, and either screened positive for elevated anxiety symptoms or reported at least one risk factor for antihormonal medication nonadherence.…”

Section: Participantsmentioning

confidence: 99%

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Cancer survivors' cancellations of healthcare appointments during the COVID‐19 pandemic: Associations with anxiety and depression

et al. 2022

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Objective: Though it is well-documented that cancer survivors experienced healthcare delays during the COVID-19 pandemic, who initiated those delays has not been examined. This longitudinal study distinguishes rates of patient-from provider-cancelled healthcare appointments at three timepoints during the pandemic, and examines psychosocial factors associated with patient-cancelled appointments.Methods: Cancer survivors (N = 147) in the United States completed psychosocial and health behavior measures three times between May and December 2020. We examined rates of patient-and provider-cancelled healthcare appointments, including cancer screening appointments, at each timepoint and change between timepoints. Logistic regression was used to determine if anxiety symptoms, depression symptoms, and COVID-19 fears were associated with self-cancelled healthcare appointments. Results:In May 2020, one third (33.79%) of participants reported one or more selfcancelled appointments within the prior 2 months and nearly half (45.89%) reported one or more provider-cancelled appointments. Rates of provider-cancelled appointments decreased to 35.71% in June/July 2020 and to 9.24% in November/ December 2020 (both reflected p < 0.05 reductions compared to the previous timepoint). Rates of self-cancelled appointments, however, remained more stable (ps > 0.144). In June/July and November/December 2020, higher depression and anxiety symptoms, but not COVID-19 fears, were associated with greater likelihood of self-cancelled appointments.Conclusions: Cancer survivors cancelled their healthcare appointments at a stable rate even as provider-cancelled appointments declined. Depression and anxiety symptoms, but not COVID-19 concerns, were associated with patient cancellations.Interventions that address anxiety and depression symptoms may help to promote adherence to cancer survivorship care during the pandemic.

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Section: Methodsmentioning

confidence: 99%

Section: Participantsmentioning

confidence: 99%

Cancer survivors' cancellations of healthcare appointments during the COVID‐19 pandemic: Associations with anxiety and depression

et al. 2022

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“…The increase in EAC was in turn associated with decreases in depressive symptoms. Fishbein and Arch (2022) found that Acceptance and commitment therapy (ACT) significantly increased levels of EAC among anxious cancer survivors compared to survivors who received minimally enhanced usual care.…”

Section: Implications and Conclusionmentioning

confidence: 99%

The utility of coping through emotional approach: A meta-analysis.

Hoyt,

Llave,

Wang

et al. 2024

Health Psychology

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Objective: A systematic review and meta-analysis was conducted to examine associations between attempts to cope with stressors through the two facets of emotional approach coping (EAC; i.e., processing and expressing stressor-related emotions) and indicators of physical and mental health. Method: EBSCO databases including MEDLINE, PsycINFO, and Cochrane Collections were searched from inception to November 2022. In all, 86 studies were included in a meta-analytic evaluation using a random-effects model and meta-regression analysis. Results: EAC was associated with better overall health (r = .05; p = .04; 95% confidence interval = [.003, .10]). Emotional expression (EE) and emotional processing (EP) also were positively associated with better overall health, although these relationships were not statistically significant. In meta-regressions examining specific health domains, EAC was linked to better health in biological/physiological, physical, and resilience-related psychological adjustment domains, as well as to worse outcomes in the risk-related psychological adjustment and mental/emotional distress domains. Results for EE and EP mirrored this pattern; however, only EP was associated with more engagement in health-promoting behaviors. Conclusions: Coping with stressors through emotional approach appears to be associated with better mental and physical health, with some observed differences for EE and EP. The literature on EAC and health is marked by heterogeneity across study methodologies and measures. Public Significance StatementThis meta-analytic study synthesizes our knowledge of how coping via emotional expression or emotional processing is associated with mental and physical health. Results are useful in establishing and strengthening health psychology interventions across a variety of populations and contexts.

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“…ACT has now demonstrated effectiveness for cancer patients in negative emotions such as fear of cancer recurrence[26], anxiety and depression [27,28].And most of the studies applied to breast cancer patients [29,30].Participants with different cancer stages or treatments may experience different psychological stresses and needs.Therefore, this study aims to form an ACT group psychological intervention program suitable for radiotherapy patients based on the ACT treatment model and to verify its effects on the hope, resilience, psychological exibility, and psychological distress of oncology patients with radiotherapy, to ultimately improve their quality of life.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of acceptance and commitment therapy on psychological rehabilitation in cancer patients treated with proton and heavy ion therapy:a non-randomized controlled trial

Qin,

Zhu,

Wang

et al. 2024

Preprint

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Objective To develop an appropriate intervention utilizing acceptance and commitment therapy (ACT) tailored specifically for cancer patients undergoing radiotherapy, and to investigate its impact on hope, psychological resilience, psychological flexibility, and psychological distress among cancer patients receiving proton and heavy ion therapy. Methods 80 participants were allocated into either an intervention group (n=40) or a control group (n=40) based on their admission time. Both the control and intervention groups underwent a 3-week health education program, with the intervention group additionally participating in a 3-week, 6-session acceptance and commitment therapy (ACT) group psychological intervention. Discrepancies in hope levels, psychological resilience, psychological flexibility, and psychological distress between the two groups were assessed at baseline, post-intervention, and at a 3-month follow-up using linear mixed-effects analysis (LMM). Results LMM analyses revealed that at the end of the intervention, scores for Hope and Psychological Resilience were higher in the intervention group compared to the control group (P=0.025, P=0.003 respectively), while scores for Psychological Flexibility were lower in the control group (P=0.001). Furthermore, at the 3-month follow-up, HHI scores remained higher in the intervention group compared to the control group (P=0.025), while scores for Psychological Flexibility and Psychological Distress were lower in the intervention group (P=0.001, P=0.001 respectively). These differences persisted even after adjusting for baseline values. Conclusion A psychological intervention program based on the ACT model of treatment helps to promote psychological recovery in cancer patients with radiotherapy. Evidence is provided for the effectiveness of positive clinical psychological interventions. Trial registration: ChiCTR2300068349

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Examining the effects of prior Acceptance and Commitment Therapy (ACT) treatment among anxious cancer survivors during the COVID-19 pandemic: Evidence from a randomized controlled trial

Cited by 3 publications

References 27 publications

Cancer survivors' cancellations of healthcare appointments during the COVID‐19 pandemic: Associations with anxiety and depression

Cancer survivors' cancellations of healthcare appointments during the COVID‐19 pandemic: Associations with anxiety and depression

The utility of coping through emotional approach: A meta-analysis.

Efficacy of acceptance and commitment therapy on psychological rehabilitation in cancer patients treated with proton and heavy ion therapy:a non-randomized controlled trial

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