ArticlePsycho-oncology2017
Symptom experiences in metastatic breast cancer patients: relationships to activity engagement, value-based living, and psychological inflexibility.
Article in Psycho-oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Psychometric properties of the acceptance and action questionnaire (AAQ II) Malay version in cancer patients.PloS one · 2019Trial
- Article
- Linking stigma to social isolation among colorectal cancer survivors with permanent stomas: the chain mediating roles of stoma acceptance and valuable actions.Journal of cancer survivorship : research and practice · 2025Article
- Engage: Protocol of a randomized controlled trial of a telehealth-delivered psychosocial intervention to decrease symptom interference in patients with advanced cancer.Contemporary clinical trials · 2025Article
- Cultural Adaption, Translation, Preliminary Reliability and Validity of Key Psychological and Behavioural Measures for 18 to 25 Year-Olds Living with HIV in Uganda: A Multi-Stage Approach.AIDS and behavior · 2024Article
- Preliminary validation of the Cognitive Affective Mindfulness Scale-Revised in cancer populations.Psycho-oncology · 2024Article
- Acceptance and Commitment Therapy (ACT) for people with advanced progressive illness, their caregivers and staff involved in their care: A scoping review.Palliative medicine · 2023Article
- Global research on cancer and sleep: A bibliometric and visual analysis of the last two decades.Frontiers in neurology · 2023Review
- Symptom experiences in advanced cancer: Relationships to acceptance and commitment therapy constructs.Psycho-oncology · 2021Article
- Symptom experiences in post-treatment cancer survivors: associations with acceptance and commitment therapy constructs.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Article
- Protocol of a randomized trial of acceptance and commitment therapy for fatigue interference in metastatic breast cancer.Contemporary clinical trials · 2020Article
- Effect of Psychological Inflexibility on Depressive Symptoms and Sleep Disturbance among Japanese Young Women with Chronic Pain.International journal of environmental research and public health · 2020Article
Corrections and comments
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Authors and funding
13 authors.
Funding
Abstract
objectiveThis study examined symptom-based subgroups of metastatic breast cancer (MBC) patients and the extent to which they differed across key constructs of acceptance and commitment therapy (ACT).
methodsEighty women with MBC completed self-report surveys assessing 10 common symptoms and several ACT variables (ie, activity engagement, psychological inflexibility, value obstruction, and value progress) during a single time point.
resultsA cluster analysis yielded 3 patient subgroups: low symptoms, low-moderate symptoms, and moderate-high symptoms. Relative to the subgroup with low symptoms, the other subgroups reported less activity engagement. In addition, compared with patients with low symptoms, the subgroup with moderate-high symptoms reported greater psychological inflexibility (ie, avoidance of unwanted internal experiences) and greater difficulty living consistently with their values.
conclusionsWomen with MBC show heterogeneity in their symptom profiles, and those with higher symptom burden are more likely to disengage from valued activities and avoid unwanted experiences (eg, thoughts, feelings, and bodily sensations). Findings are largely consistent with the ACT model and provide strong justification for testing ACT to address symptom interference in MBC patients.
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