Effectiveness of acceptance and commitment therapy on psychological flexibility, fatigue, sleep disturbance, and quality of life of patients with cancer: A meta‐analysis of randomized controlled trials.
Background: Current studies have revealed that acceptance and commitment therapy (ACT) can alleviate the adverse effects of cancer; however, its effectiveness on the psychological flexibility, fatigue, sleep disturbance, and quality of life of patients with cancer remains unclear. Aims: The aims of...
| Publicado en: | Worldviews on Evidence-Based Nursing (John Wiley & Sons, Inc.) Vol. 20; no. 6; pp. 582 - 593 |
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| Autores principales: | , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
John Wiley & Sons, Inc.
Dec2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=174345034&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 174345034 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17416787 NRNX jtl: Worldviews on Evidence-Based Nursing (John Wiley & Sons, Inc.) issn: 17416787 maglogo: N pubinfo: dt: Dec2023 vid: 20 iid: 6 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 174345034 174345034 174345034 10.1111/wvn.12652 174345034 ppf: 582 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Effectiveness of acceptance and commitment therapy on psychological flexibility, fatigue, sleep disturbance, and quality of life of patients with cancer: A meta‐analysis of randomized controlled trials. aug: au: Zhang, Yalin Ding, Yuxin Chen, Xiaoli Li, Yunhuan Li, Juejin Hu, Xiaolin affil: Department of Nursing, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China sug: subj: Neoplasms Therapy Acceptance and Commitment Therapy Methods Adaptation, Psychological Evaluation Fatigue Therapy Sleep Disorders Therapy Quality of Life Evaluation Cancer Patients Psychosocial Factors Treatment Outcomes Human Male Female Adult Middle Age Aged Systematic Review Meta Analysis PubMed Embase Psycinfo CINAHL Database Confidence Intervals Quality Assessment Data Analysis Software Descriptive Statistics Funding Source Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Current studies have revealed that acceptance and commitment therapy (ACT) can alleviate the adverse effects of cancer; however, its effectiveness on the psychological flexibility, fatigue, sleep disturbance, and quality of life of patients with cancer remains unclear. Aims: The aims of this study were to identify the effectiveness of ACT on psychological flexibility, fatigue, sleep disturbance, and quality of life of patients with cancer, and to explore moderators. Methods: PubMed, Embase, Web of Science, CENTRAL, PsycINFO, CINAHL, CNKI, VIP, and Wanfang electronic databases were searched from inception to September 29, 2022. The Cochrane Collaboration's risk‐of‐bias assessment tool II and the Grading of Recommendations Assessment, Development, and Evaluation approach were used to evaluate evidence certainty. The data were analyzed using R Studio. The study protocol was registered with PROSPERO (CRD42022361185). Results: The study included 19 relevant studies (1643 patients) published between 2012 and 2022. The pooled results showed that ACT significantly improved psychological flexibility (mean difference [MD] = −4.22, 95% CI [−7.86, −0.58], p =.02) and quality of life (Hedges' g = 0.94, 95% CI [0.59, 1.29], Z = 5.31, p <.01) but did not significantly improve fatigue (Hedges' g = −0.03, 95% CI [−0.24, 0.18], p =.75) or sleep disturbance (Hedges' g = −0.26, 95% CI [−0.82, 0.30], p =.37) in patients with cancer. Additional analyses revealed a 3‐month sustainable effect on psychological flexibility (MD = −4.36, 95% CI [−8.67, −0.05], p <.05), and moderation analysis showed that intervention duration (β = −1.39, p <.01) and age (β = 0.15, p =.04) moderated the effects of ACT on psychological flexibility and sleep disturbance, respectively. Linking Evidence to Action: Acceptance and commitment therapy demonstrates effectiveness for psychological flexibility and quality of life of patients with cancer, but there is a lack of evidence regarding its effects on fatigue and sleep disturbance. In clinical practice, ACT should be designed in more detail and rounded to achieve better results. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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