Evaluating the Effect of Acceptance and Commitment Therapy on Anxiety and Quality of Life in Stomach Cancer Patients
Effect of ACT on anxiety and quality of life in stomach cancer
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Background: Stomach cancer is one of the most common cancers and can cause psychological problems and negatively impact patients' lives. The present research evaluated the effect of acceptance and commitment therapy (ACT) on anxiety and quality of life (QOL) in stomach cancer patients.
Methods: The present semi-experimental study was conducted with a pretest-posttest design and a control group. The statistical population consisted of 738 stomach cancer patients who visited Hiwa Cancer Hospital in Sulaymaniyah, Iraq, in 2022. Using simple random sampling, 150 people were selected and divided into two experimental and control groups (75 each). The Beck Anxiety Inventory (BAI; Beck et al., 1988) and SF-36 Quality of Life Questionnaire (Ware & Sherbourne, 1992) were used to collect data. The collected data were analyzed using the independent t-test, chi-square test, and analysis of covariance (ANCOVA) in SPSS software. The significance level was considered to be less than 0.05.
Results: The study findings showed that ACT had a significant effect on decreasing anxiety (F = 130.91; P < 0.001), and increasing QOL (F = 110.01; P < 0.001) in stomach cancer patients.
Conclusion: The results indicated that ACT affects the level of anxiety and the QOL of patients with gastric cancer and while reducing anxiety, it increases their QOL. Consequently, it is recommended that treatment personnel consider ACT as an effective psychological intervention in these patients.
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Abow FH, Razak TA, Abulkassim R, Adnan M, Rahi AFA, Fadhil AM. Comparing the effectiveness of acceptance and commitment therapy and hope therapy on pain anxiety and self-acceptance in patients with leukemia: effectiveness of ACT and hope therapy in patients with leukemia. Int J Body Mind Cult. 2022;10(1):99-108. doi: 10.22122/ijbmc.v10i1.425 [doi].
Akbarinejhad H, Faroughi P. Comparison of the effectiveness of acceptance and commitment therapy and logotherapy on the psychological well-being and death anxiety of women with AIDS. Qom Univ Med Sci J. 2021;14(11):48-60
Angiola JE, Bowen AM. Quality of life in advanced cancer: An acceptance and commitment therapy view. Couns. Psychol. 2013;41(2):313-35. doi: 10.1177/0011000012461955 [doi].
Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol. 1988;56(6):893-7. doi:10.1037//0022-006x.56.6.893 [doi]. Retrieved from PM:3204199
Burns MF, Secinti E, Johns SA, Wu W, Helft PR, Turk AA, et al. Impact of acceptance and commitment therapy on physical and psychological symptoms in advanced gastrointestinal cancer patients and caregivers: Secondary results of a pilot randomized trial. J Contextual Behav Sci. 2023;27:107-15. doi:10.1016/j.jcbs.2023.01.001 [doi]. Retrieved from PM:37064761
Feros DL, Lane L, Ciarrochi J, Blackledge JT. Acceptance and commitment therapy (ACT) for improving the lives of cancer patients: a preliminary study. Psychooncology. 2013;22(2):459-64. doi:10.1002/pon.2083 [doi]. Retrieved from PM:23382134
Galvez-Sanchez CM, Montoro CI, Moreno-Padilla M, Reyes Del Paso GA, de la Coba P. Effectiveness of acceptance and commitment therapy in central pain sensitization syndromes: A systematic review. J Clin Med. 2021;10(12). doi:jcm10122706 [pii];jcm-10-02706 [pii];10.3390/jcm10122706 [doi]. Retrieved from PM:34205244
Ghiglieri C, Dempster M, Wright S, Graham-Wisener L. Psychosocial functioning in individuals with advanced oesophago-gastric cancer: a mixed methods systematic review. Research Square 2022 [Preprint]. doi: 10.21203/rs.3.rs-2032873/v1 [doi].
Gueserse M, Zali A, Hassanzadeh S, Hatami M, Ahadi M. A comparative study of the effectiveness of acceptance and commitment therapy and transcranial direct current stimulation on anxiety, depression, and physical symptoms of individuals suffering from chronic pain. Int J Body Mind Cult. 2022;9(1):11-21. doi: 10.22122/ijbmc.v9i1.336 [doi]. Retrieved from https://ijbmc.org/index.php/ijbmc/article/view/336
Hagell P, Westergren A, Arestedt K. Beware of the origin of numbers: Standard scoring of the SF-12 and SF-36 summary measures distorts measurement and score interpretations. Res Nurs Health. 2017;40(4):378-86. doi:10.1002/nur.21806 [doi]. Retrieved from PM:28732149
Hajatnia B, Tajeri B, Haji-Alizadeh K. Comparing the effectiveness of spirituality therapy and acceptance and commitment therapy on sleep quality, resilience, and death anxiety in the elderly: Spirituality therapy and ACT in the elderly. Int J Body Mind Cult. 2023;10(2):207-15. doi: 10.22122/ijbmc.v10i2.327 [doi].
He Y, Jian H, Yan M, Zhu J, Li G, Lou VWQ, et al. Coping, mood and health-related quality of life: A cross-sectional study in Chinese patients with advanced lung cancer. BMJ Open. 2019;9(5):e023672. doi:bmjopen-2018-023672 [pii];10.1136/bmjopen-2018-023672 [doi]. Retrieved from PM:31061015
Hulbert-Williams NJ, Storey L, Wilson KG. Psychological interventions for patients with cancer: Psychological flexibility and the potential utility of acceptance and commitment therapy. Eur J Cancer Care (Engl ). 2015;24(1):15-27. doi:10.1111/ecc.12223 [doi]. Retrieved from PM:25100576
Ito M, Muto T. Effectiveness of acceptance and commitment therapy for irritable bowel syndrome non-patients: A pilot randomized waiting list controlled trial. Journal of Contextual Behavioral Science. 2020;15:85-91. doi: 10.1016/j.jcbs.2019.11.009 [doi].
Jawad MA, Abulkassim R, Mohameed DAA-H, Razak TA, Al-Baghdady HFA. The effectiveness of acceptance and commitment therapy on physical health and quality of life in patients with gastric (Stomach) cancer. Int J Body Mind Cult. 2023;9(sp):120-8. doi: 10.22122/ijbmc.v9isp.419 [doi].
Karimi M, Aghaei A. The effectiveness of group application of acceptance and commitment therapy on anxiety, depression, and stress among high school female students. International Journal of Educational and Psychological Researches. 2018;4(2):71-7. doi: 10.4103/jepr.jepr_24_16[doi].
Kolahdouzan SA, Kajbaf MB, Oraizi HR, Abedi MR, Mokarian F. The effect of a death anxiety therapeutic package based on acceptance and commitment therapy on death avoidance, mental health and quality of life of cancer patients. Iran J Psychiatry Clin Psychol. 2020;26(1):16-31. doi: 10.32598/ijpcp.26.1.3044.2 [doi].
Maathz P, McCracken LM, Eriksson V, Sade F, Aneblom G, Rikner A, et al. A feasibility trial of online acceptance and commitment therapy for women with provoked vestibulodynia. Scand J Pain. 2023;23(3):476-82. doi:sjpain-2022-0146 [pii];10.1515/sjpain-2022-0146 [doi]. Retrieved from PM:37401654
Malmir T, Jafari H, Ramezanalzadeh Z, Heydari J. Determining the effectiveness of acceptance and commitment therapy (ACT) on life expectancy and anxiety among bereaved patients. Mater Sociomed. 2017;29(4):242-6. doi:MSM-29-242 [pii];10.5455/msm.2017.29. 242-246 [doi]. Retrieved from PM:29284992
McKinnon SA. The effects of acceptance and commitment therapy on cognitive fusion and psychological well-being among disressed newly diagnosed breast cancer patients [MSc Thesis]. San Diego, CA: San Diego State University; 2017.
Mirsharifa SM, Mirzaian B, Dousti Y. The efficacy of acceptance and commitment therapy (ACT) matrix on depression and psychological capital of the patients with irritable bowel syndrome. Open Access Maced J Med Sci. 2019;7(3):421-7. doi:OAMJMS-7-421 [pii];10.3889/oamjms.2019.076 [doi]. Retrieved from PM:30834014
Mosher CE, Secinti E, Kroenke K, Helft PR, Turk AA, Loehrer PJ, Sr., et al. Acceptance and commitment therapy for fatigue interference in advanced gastrointestinal cancer and caregiver burden: protocol of a pilot randomized controlled trial. Pilot Feasibility Stud. 2021;7(1):99. doi:10.1186/s40814-021-00837-9 [pii];837 [pii];10.1186/s40814-021-00837-9 [doi]. Retrieved from PM:33879253
Mosher CE, Secinti E, Wu W, Kashy DA, Kroenke K, Bricker JB, et al. Acceptance and commitment therapy for patient fatigue interference and caregiver burden in advanced gastrointestinal cancer: Results of a pilot randomized trial. Palliat Med. 2022;36(7):1104-17. doi:10.1177/02692163221099610 [doi]. Retrieved from PM:35637615
Osborn RL, Demoncada AC, Feuerstein M. Psychosocial interventions for depression, anxiety, and quality of life in cancer survivors: meta-analyses. Int J Psychiatry Med. 2006;36(1):13-34. doi:10.2190/EUFN-RV1K-Y3TR-FK0L [doi]. Retrieved from PM:16927576
Pujiastuti L, Herwina ER. Influence of Acceptance Commitment Therapy (ACT) on Quality of Life of Cancer Patients: Literature Review. KESANS: International Journal of Health and Science. 2022;1(11):994-1001. doi: 10.54543/kesans.v1i11.105 [doi].
Ruiz FJ. A review of acceptance and commitment therapy (ACT) empirical evidence: Correlational, experimental psychopathology, component and outcome studies. International Journal of Psychology & Psychological Therapy. 2010;10(1):125-62.
Twohig MP. Acceptance and commitment therapy for treatment-resistant posttraumatic stress disorder: A case study. Cognitive and Behavioral Practice. 2009;16(3):243-52. doi: 10.1016/j.cbpra.2008.10.002 [doi].
Vowles KE, Witkiewitz K, Sowden G, Ashworth J. Acceptance and commitment therapy for chronic pain: evidence of mediation and clinically significant change following an abbreviated interdisciplinary program of rehabilitation. J Pain. 2014;15(1):101-13. doi:S1526-5900(13)01297-2 [pii];10.1016/j.jpain.2013.10.002 [doi]. Retrieved from PM:24373572
Ware JE, Jr., Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30(6):473-83. Retrieved from PM:1593914
Weineland S, Arvidsson D, Kakoulidis TP, Dahl J. Acceptance and commitment therapy for bariatric surgery patients, a pilot RCT. Obes Res Clin Pract. 2012;6(1):e1-e90. doi:S1871-403X(11)00024-X [pii];10.1016/j.orcp.2011.04.004 [doi]. Retrieved from PM:24331170
Wicksell RK, Olsson GL, Hayes SC. Mediators of change in acceptance and commitment therapy for pediatric chronic pain. Pain. 2011;152(12):2792-801. doi:00006396-201112000-00019 [pii];10.1016/j.pain.2011.09.003 [doi]. Retrieved from PM:21995881
Zhao C, Lai L, Zhang L, Cai Z, Ren Z, Shi C, et al. The effects of acceptance and commitment therapy on the psychological and physical outcomes among cancer patients: A meta-analysis with trial sequential analysis. J Psychosom Res. 2021;140:110304. doi:S0022-3999(20)30866-7 [pii];10.1016/j.jpsychores.2020.110304 [doi]. Retrieved from PM:33248396
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