A Double-Blind Randomized Controlled Trial on the Effectiveness of Acceptance and Commitment Therapy on Resiliency, Anxiety and Perceived Stress in Women with Breast Cancer
International Journal of Applied Behavioral Sciences,
Vol. 5 No. 4 (2018),
26 Shahrivar 2019
,
Page 29-35
https://doi.org/10.22037/ijabs.v5i4.24088
Abstract
Introduction: Growing evidence shows that mindfulness based on self-help interventions have advantages for physical and psychological health in different populations. The mindfulness based emotional balance is a new program and efficacy of which has not been investigated in self-help format. Methods: This study was a randomized control trial (RCT) with wait-list control. After screening and applying inclusion and exclusion criteria eighty students of Kermanshah University of medical sciences were assigned randomly to the mindfulness-based emotional balance self-help or the wait list control group. Anxiety, depression, stress, and mindfulness were measured prior to the intervention after the intervention, and two-month after end of intervention as follow-up. DASS-21 and MAAS were used. Results: Significant decrease in anxiety, depression, and stress in addition to a significant increase in mindfulness in the experimental group in the posttest. However, there were no significant changes in any of the aforesaid measures in the wait list control group. The resultant benefits were persistent in the two-month follow-up. Conclusion: Based on the results of this study, this type of treatment can be used as an efficient and cost-effective method to improve psychological problems such as stress, depression and anxiety. Declaration of Interest: None
- Acceptance and commitment therapy
- Resiliency
- Anxiety
- Stress
- Breast cancer
How to Cite
References
- Nelson SH, Weiner LS, Natarajan L, Parker BA, Patterson RE, Hartman SJ. Continuous, objective measurement of physical activity during chemotherapy for breast cancer: the Activity in Treatment pilot study. Transl Behav Med. Oxford University Press. 2019 May 29. [PubMed]
- Messoudi W, Elmahi T, Nejjari C, Tachfouti N, Zidouh A, Saadani G, et al. Cervical cancer prevention in Morocco: a model-based costeffectiveness analysis. J Med Econ. 2019 May 28; 1–1. [PubMed]
- Kent IA, Zhang Q, Katiyar A, Li Y, Pathak S, Dickinson RB, et al. Apical cell protrusions cause vertical deformation of the soft cancer nucleus. J Cell Physiol. 2019 Apr 21. [PubMed]
- Cheng KKF, Lim YTE, Koh ZM, Tam WWS. Home-based multidimensional survivorship programmes for breast cancer survivors. Cochrane Database Syst Rev. WileyBlackwell; 2017 Aug 24. [PubMed]
- Carletto S, Porcaro C, Settanta C, Vizzari V, Stanizzo MR, Oliva F, et al. Neurobiological features and response to eye movement desensitization and reprocessing treatment of posttraumatic stress disorder in patients with breast cancer. Eur J Psychotraumatol. 2019 Jan; 10(1):1600832. [PubMed]
- Schell LK, Monsef I, Wöckel A, Skoetz N. Mindfulness-based stress reduction for women diagnosed with breast cancer. Cochrane Database Syst Rev. 2019 Mar 27. [PubMed]
- Carreira H, Williams R, Müller M, Harewood R, Stanway S, Bhaskaran K. Associations Between Breast Cancer Survivorship and Adverse Mental Health Outcomes: A Systematic Review. J Natl Cancer Inst. 2018 Nov 7; 110(12):1311–27. [PubMed]
- Goubert L, Trompetter H. Towards a science and practice of resilience in the face of pain. Eur J Pain [Internet]. Wiley; 2017 Jun 2; 21(8):1301–15. [PubMed]
- Fabio M, Parker LD, Siddharth MB. Building on Resiliencies of Refugee Families. Pediatr Clin North Am. 2019 Jun; 66(3):655–67. [PubMed]
- Kennedy B, Fang F, Valdimarsdóttir U, Udumyan R, Montgomery S, Fall K. Stress resilience and cancer risk: a nationwide cohort study.J Epidemiol Community Health. BMJ; 2017 Aug 8; 71(10):947–53. [PubMed]
- Deshields TL, Heiland MF, Kracen AC, Dua P. Resilience in adults with cancer: development of a conceptual model. PsychoOncology. Wiley; 2015 Mar 18; 25(1):11–8. [PubMed]
- Yi JC, Syrjala KL. Anxiety and Depression in Cancer Survivors. Med Clin North Am. Elsevier BV; 2017 Nov; 101(6):1099–113. [PubMed]
- Chen P-Y, Liu Y-M, Chen M-L. The Effect of Hypnosis on Anxiety in Patients with Cancer: A Meta-Analysis. Worldviews Evid Based Nurs. Wiley; 2017 Mar 7; 14(3):223–36. [PubMed]
- Inhestern L, Beierlein V, Bultmann JC, Möller B, Romer G, Koch U, et al. Anxiety and depression in working-age cancer survivors: a register-based study. BMC Cancer. 2017 May 19; 17(1). [PubMed]
- Wersebe H, Lieb R, Meyer AH, Hofer P, Gloster AT. The link between stress, wellbeing, and psychological flexibility during an Acceptance and Commitment Therapy selfhelp intervention. Int J Clin Health Psychol. Elsevier BV; 2018 Jan; 18(1):60–8. [PubMed]
- Rose MR, Norton S, Vari C, Edwards V, McCracken L, Graham CD, et al. Acceptance and Commitment Therapy for Muscle Disease (ACTMus): protocol for a two-arm randomised controlled trial of a brief guided self-help ACT programme for improving quality of life in people with muscle diseases. BMJ Open. BMJ; 2018 Oct; 8(10):e022083. [PubMed]
- Casey M-B, Smart K, Segurado R, Hearty C, Gopal H, Lowry D, et al. Exercise combined with Acceptance and Commitment Therapy (ExACT) compared to a supervised exercise programme for adults with chronic pain: study protocol for a randomised controlled trial. Trials. Springer Nature; 2018 Mar 22; 19(1). [PubMed]
- Wynne B, McHugh L, Gao W, Keegan D, Byrne K, Rowan C, et al. Acceptance and Commitment Therapy Reduces Psychological Stress in Patients With Inflammatory Bowel Diseases. Gastroenterology. Elsevier BV; 2018 Nov. [PubMed]
- González-Fernández, S., & FernándezRodríguez, C. (2018). Acceptance and Commitment Therapy in cancer: Review of applications and findings. Behavioral Medicine, 1-15. [PubMed]
- Haj Sadeghi Z, Yazdi-Ravandi S, Pirnia B. Compassion-Focused Therapy on Levels of Anxiety and Depression Among Women with Breast Cancer; A Randomized Pilot Trial. IJCM. Kowsar Medical Institute; 2018 Oct 24; (In Press).
- Pirnia B, Pirnia K, Bazyari K, Aslani F, Malekanmehr P. Physical or Psychological Therapy? Cognitive Behavioral Therapy or Acupuncture for Subsyndromal Depression among Methamphetamine Users. Iran J Public Health. Knowledge E; 2019 May 15. [PubMed]
- Pirnia B, Pirnia K, Mohammadpour S, Malekanmehr P, Soleimani A, Mahmoodi Z, et al. The effectiveness of acupuncture on HPA functional in depressed patients under methadone maintenance treatment, a randomized double-blind sham-controlled trial. Asian J Psychiatr. Elsevier BV; 2018 Aug; 36:62–3. [PubMed]
- Ye ZJ, Qiu HZ, Li PF, Chen P, Liang MZ, Liu ML, et al. Validation and application of the Chinese version of the 10-item ConnorDavidson Resilience Scale (CD-RISC-10) among parents of children with cancer diagnosis. Eur J Oncol Nurs. Elsevier BV; 2017 Apr; 27:36–44. [PubMed]
- Jowkar B, Friborg O, Hjemdal O. Crosscultural validation of the Resilience Scale for Adults (RSA) in Iran. Scand J Psychol. Wiley; 2010 Feb. 25- Gholami Booreng F, Mahram B & Kareshki, H. Construction and validation of a scale of research anxiety for students. IJPCP. 2017; 23(1), 78-93.
- Maroufizadeh S, Foroudifard F, Navid B, Ezabadi Z, Sobati B, Omani-Samani R. The Perceived Stress Scale (PSS-10) in women experiencing infertility: A reliability and validity study. Middle East Fertil Soc J. Springer Science and Business Media LLC; 2018 Dec; 23(4):456–9.
- González-Fernández, S., & FernándezRodríguez, C. (2018). Acceptance and Commitment Therapy in cancer: Review of applications and findings. Behavioral Medicine, 1-15. [PubMed]
- González-Fernández, S., FernándezRodríguez, C., Paz-Caballero, M. D., & Pérez-Álvarez, M. (2018). Treating anxiety and depression of cancer survivors: Behavioral activation versus acceptance and commitment therapy. Psicothema, 30(1), 1420. [PubMed]
- Fashler SR, Weinrib AZ, Azam MA, Katz J. The Use of Acceptance and Commitment Therapy in Oncology Settings: A Narrative Review. Psychol Rep. 2017 Aug 24; 121(2):229–52. [PubMed]
- Datta A, Aditya C, Chakraborty A, Das P, Mukhopadhyay A. The Potential Utility of Acceptance and Commitment Therapy (ACT) for Reducing Stress and Improving Wellbeing in Cancer Patients in Kolkata. J Cancer Educ. 2015 Nov 3; 31(4):721–9. [PubMed]
- Low J, Serfaty M, Davis S, Vickerstaff V, Gola A, Omar RZ, et al. Acceptance and commitment therapy for adults with advanced cancer (CanACT): study protocol for a feasibility randomised controlled trial. Trials. 2016 Feb 11; 17(1). [PubMed]
- Li M, Wang L. The Associations of Psychological Stress with Depressive and Anxiety Symptoms among Chinese Bladder and Renal Cancer Patients: The Mediating Role of Resilience. Buchowski M, editor. PLOS ONE. 2016 Apr 29; 11(4):e0154729. [PubMed].
- Abstract Viewed: 133 times
- PDF Downloaded: 222 times