Effectiveness of Acceptance and Commitment Therapy on Psychological Hardiness, Social Isolation and Loneliness of Women with Breast Cancer

Background and objectives: There are alternative and complementary approaches for general health issues and palliative care for women with breast cancer. This study aimed at evaluating the effectiveness of acceptance and commitment therapy (ACT) on psychological hardiness, social isolation, and loneliness of women with breast cancer. Methods: This was a quasi-experimental study with a pretest-posttest design. The study population consisted of all women with breast cancer who had been referred to the oncology ward of Shohada Tajrish Hospital in Tehran (Iran) in 2020. Thirty subjects were enrolled via purposive sampling and then assigned to an experimental group (n=15) and a control group (n=15). The experimental group received eight sessions of ACT interventions (90 minutes a session), and the control group did not receive any intervention. The subjects were followed-up for eight weeks after the last ACT session. Data were collected using the Lang and Goulet Psychological Hardiness Scale, Social Isolation Questionnaire, and the UCLA Loneliness Scale. The collected data were analyzed using repeated measures ANOVA. Results: The mean age of subjects and mean duration of marriage were 34.23±6.12 years and 8.46±5.14 years, respectively. Based on the findings, the mean scores of psychological hardiness (p=0.005), social isolation (p=0.001), and loneliness (p=0.001) differed significantly between the study groups in the posttest stage. Conclusion: According to the results, it seems that ACT is effective in increasing psychological hardiness and reducing social isolation and loneliness of women with breast cancer.

[1]  M. Elovainio,et al.  Living alone as a risk factor for cancer incidence, case-fatality and all-cause mortality: A nationwide registry study , 2021, SSM - population health.

[2]  Timothy B. Smith,et al.  Effects of psychosocial support interventions on survival in inpatient and outpatient healthcare settings: A meta-analysis of 106 randomized controlled trials , 2021, PLoS medicine.

[3]  T. Tolmunen,et al.  Loneliness and social isolation increase cancer incidence in a cohort of Finnish middle-aged men. A longitudinal study , 2021, Psychiatry Research.

[4]  A. Omidi,et al.  Efficacy of acceptance and commitment therapy (ACT) on depression, pain acceptance, and psychological flexibility in married women with breast cancer: a pre- and post-test clinical trial , 2021, Trends in psychiatry and psychotherapy.

[5]  V. McCormack,et al.  Breast cancer survival and survival gap apportionment in sub-Saharan Africa (ABC-DO): a prospective cohort study. , 2020, The Lancet. Global health.

[6]  G. Caty,et al.  Effects of exercise therapy in cancer patients undergoing radiotherapy treatment: a narrative review , 2020, SAGE open medicine.

[7]  S. Zeinali,et al.  Effect of Acceptance and Commitment Therapy On Pain-Related Anxiety and Cognitive Emotion Regulation in Breast Cancer Patients: A Clinical Trail , 2020, Journal of Arak University of Medical Sciences.

[8]  Mansoureh Hajhosseini,et al.  Effectiveness of intensive short-term psychodynamic psychotherapy on reduced death anxiety, depression and feeling of loneliness among women with breast cancer , 2020 .

[9]  L. Ghasemi,et al.  Effect of Acceptance and Commitment Therapy on Sexual Desire in Women with Breast Cancer after Mastectomy , 2019, Iranian Quarterly Journal of Breast Disease.

[10]  به سارافرحبخش,et al.  Structural Model of Quality of Life in Patients with Breast Cancer: The Role of Psychological Hardiness, Religious Orientation, Perceived Social Protection and Self-Efficacy with Mediation of Resilience and Death Anxiety , 2019, The Neuroscience Journal of Shefaye Khatam.

[11]  M. Nader,et al.  Effectiveness of Short-term Group Logo-therapy on Life Expectancy and Resilience of Women With Breast Cancer , 2019 .

[12]  M. Rahimi,et al.  The Relationship Between Psychological Hardiness and Social Support in Women With Breast Cancer , 2019 .

[13]  M. Moosazadeh,et al.  Stress Management in Patients with Breast Cancer Using a Supportive Approach: A systematic Review , 2019, Archives of Breast Cancer.

[14]  Kassandra I. Alcaraz,et al.  Social Isolation and Mortality in US Black and White Men and Women , 2018, American journal of epidemiology.

[15]  O. Amani,et al.  The Efficacy of Acceptance and Commitment Therapy (ACT) on Hope and Psychological Well-being in Women with Breast Cancer under Chemotherapy , 2018 .

[16]  C. Burdsal,et al.  The Self-as-Context Scale: Development and preliminary psychometric properties , 2018, Journal of Contextual Behavioral Science.

[17]  P. Astikainen,et al.  A brief Acceptance and Commitment Therapy intervention for depression: A randomized controlled trial with 3-year follow-up for the intervention group , 2018, Journal of Contextual Behavioral Science.

[18]  Michael C. Mullarkey,et al.  Self-Compassion: A Potential Path to Adolescent Resilience and Positive Exploration , 2018, Journal of Child and Family Studies.

[19]  P. Emmelkamp,et al.  A Randomized Controlled Trial in Routine Clinical Practice Comparing Acceptance and Commitment Therapy with Cognitive Behavioral Therapy for the Treatment of Major Depressive Disorder , 2018, Psychotherapy and Psychosomatics.

[20]  S. Mohamadirizi,et al.  Hardiness and Optimism in Women with Breast Cancer , 2018, Iranian journal of nursing and midwifery research.

[21]  S. Chambers,et al.  “Prostate cancer is far more hidden…”: Perceptions of stigma, social isolation and help‐seeking among men with prostate cancer , 2018, European journal of cancer care.

[22]  K. Bland,et al.  Etiology and management of benign breast disease , 2018 .

[23]  M. Aghili,et al.  Prediction of Hope of Life Based on Spiritual Well-being and Psychological Hardiness in Women With Breast Cancer , 2017 .

[24]  Bernadette C Hohl,et al.  Relationships between social isolation, neighborhood poverty, and cancer mortality in a population-based study of US adults , 2017, PloS one.

[25]  Malahat Khalili,et al.  Dietary Patterns and Risk of Breast Cancer in Women in Guilan Province, Iran. , 2016, Asian Pacific journal of cancer prevention : APJCP.

[26]  Z. Bozorgi,et al.  The Relationship between Resilience, Psychological Hardiness, Spiritual Intelligence, and Development of the Moral Judgement of the Female Students , 2016 .

[27]  S. Mazlom,et al.  The Relationship between Psychological Hardiness and Coping Strategies during Pregnancy , 2015 .

[28]  Nancy L. Kocovski,et al.  Mindfulness and acceptance-based group therapy and traditional cognitive behavioral group therapy for social anxiety disorder: Mechanisms of change. , 2015, Behaviour research and therapy.

[29]  M. Doustkam,et al.  Investigating the effectiveness of Acceptance and Commitment Therapy (ACT) on marital compatibility and life expectancy in infertile women , 2014 .

[30]  Michael E. Levin,et al.  Acceptance and Commitment Therapy as a Unified Model of Behavior ChangeΨ , 2012 .

[31]  A. Borjali,et al.  DEVELOPMENT AND VALIDATION OF THE LONELINESS SCALE AMONG THE UNIVERSITY STUDENTS , 2008 .

[32]  A. Thatcher,et al.  Development and Psychometric Properties of the Problematic Internet use Questionnaire , 2005 .

[33]  Z. Segal,et al.  Mindfulness-Based Cognitive Therapy: Theoretical Rationale and Empirical Status. , 2004 .

[34]  A. Lang,et al.  LANG AND GOULET HARDINESS SCALE: DEVELOPMENT AND TESTING ON BEREAVED PARENTS FOLLOWING THE DEATH OF THEIR FETUS/INFANT , 2003, Death studies.

[35]  Kimberly Young,et al.  Internet Addiction: The Emergence of a New Clinical Disorder , 1998, Cyberpsychology Behav. Soc. Netw..

[36]  Marsha M. Linehan,et al.  Skills Training Manual for Treating Borderline Personality Disorder , 1993 .

[37]  D. Russell,et al.  The revised UCLA Loneliness Scale: concurrent and discriminant validity evidence. , 1980, Journal of personality and social psychology.