Acceptance and Commitment Therapy in the Transdiagnostic Treatment of a Breast Cancer Survivor: A Case Study
Acceptance and Commitment Therapy in the Transdiagnostic Treatment of a Breast Cancer Survivor: A Case Study
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DOI：
10.1111/jpr.12422
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发表时间：
2022-06
影响因子：
0.8
通讯作者：
Mie Sakai;M. Kondo;T. Sugiura;T. Akechi
中科院分区：
文献类型：
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作者：
Mie Sakai;M. Kondo;T. Sugiura;T. Akechi
我们描述了一个病例报告接受和承诺治疗（ACT）的乳腺癌幸存者的慢性术后疼痛，癌症复发的恐惧，和抑郁。作为疼痛中心多学科治疗的一部分，我们在大约6个月的时间里进行了17次ACT治疗和2次随访。评估结果测量（慢性疼痛和对癌症复发的恐惧）和过程测量（疼痛接受和有价值的行动）。结果测量，包括疼痛强度、干扰、生活质量和对癌症复发的恐惧，以及ACT过程测量在干预后和随访期间与基线相比有所改善。在治疗过程中，抑郁症状恶化，需要休假数月，在此期间，患者进行了密集的ACT治疗。最终，患者重返工作岗位，恢复了她的爱好，并养成了锻炼的新习惯，她的生活方式也发生了变化。结果支持ACT对多重心理和生理症状患者的疗效。
We describe a case report on acceptance and commitment therapy (ACT) for a breast cancer survivor with chronic postsurgical pain, fear of cancer recurrence, and depression. As part of multidisciplinary therapy at the pain center, 17 sessions of ACT and two follow‐up sessions were provided over approximately 6 months. Outcome measures (chronic pain and fear of cancer recurrence) and process measures (pain acceptance and valued action) were assessed. Outcome measures, including pain intensity, interference, quality of life, and fear of cancer recurrence, and ACT process measures improved after the intervention and at follow‐up sessions compared to baseline. Over the treatment course, depression symptoms worsened, which necessitated a leave of absence from work for several months, during which time the patient engaged in intensive ACT. Ultimately, the patient returned to work, resumed her hobbies, and acquired a new habit of exercising, demonstrating changes to her lifestyle as well. The results support the efficacy of ACT in patients with multiple psychological and physical symptoms.