This study evaluated a three‐session acceptance‐based cognitive behavioral ‐acceptance and commitment therapy (CBT‐ACT) intervention targeting a common symptom cluster in advanced cancer—worry‐insomnia‐depression‐fatigue. Twenty‐eigh...
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https://www.riss.kr/link?id=O119876536
2019년
-
1057-9249
1099-1611
SSCI;SCIE;SCOPUS
학술저널
76-84 [※수록면이 p5 이하이면, Review, Columns, Editor's Note, Abstract 등일 경우가 있습니다.]
0
상세조회0
다운로드다국어 초록 (Multilingual Abstract)
This study evaluated a three‐session acceptance‐based cognitive behavioral ‐acceptance and commitment therapy (CBT‐ACT) intervention targeting a common symptom cluster in advanced cancer—worry‐insomnia‐depression‐fatigue. Twenty‐eigh...
This study evaluated a three‐session acceptance‐based cognitive behavioral ‐acceptance and commitment therapy (CBT‐ACT) intervention targeting a common symptom cluster in advanced cancer—worry‐insomnia‐depression‐fatigue.
Twenty‐eight patients with advanced cancer were randomly assigned to the CBT‐ACT intervention or waitlist. At preintervention, participants completed a psychodiagnostic interview, standardized questionnaires, and a sleep diary. Intervention and waitlist groups were reassessed after 6 weeks, at which point the waitlist group completed the intervention.
Participants receiving the intervention demonstrated improved sleep efficiency (P = 0.0062, d = 1.08), sleep latency (P = 0.028, d = −0.86), insomnia severity (P = 0.0047, d = −1.18), and worry (P = 0.026, d = −0.89) compared with waitlist controls. They also demonstrated a 7‐point reduction on depression (P = 0.03, d = −0.88), reduced hyperarousal (P = 0.005, d = −1.51), and a decrease in distress (P = 0.032, d = −0.83). Effects were maintained for the whole sample in sensitivity analyses. Effects on uncertainty intolerance approached significance (P = 0.058). No effect was found on fatigue.
The CBT‐ACT group performed significantly better than the waitlist control group. CBT‐ACT yielded strong effects for worry, sleep, depression, emotional distress, total distress, and hyperarousal. Future studies will enhance the fatigue and uncertainty tolerance components of the intervention.
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