Evidence map›Paper›PMID 31430830›Full record

Trial reportPsycho-oncology2019

A single-session acceptance and commitment therapy intervention among women undergoing surgery for breast cancer: A randomized pilot trial to reduce persistent postsurgical pain.

Katherine Hadlandsmyth, Lilian N Dindo, Roohina Wajid, Sonia L Sugg, M Bridget Zimmerman, Barbara A Rakel

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psycho-oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06332963 (Interoceptive Mechanisms of Body Image Disturbance in Anorexia Nervosa), which is not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
4.0field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06332963 narecruitingnot on this mapstarted 2024, after this paper: background citation

Interoceptive Mechanisms of Body Image Disturbance in Anorexia Nervosa

TypeinterventionalSponsorLaureate Institute for Brain Research, Inc.Ran2024 to 2028Enrolled102ConditionsAnorexia Nervosa, Body Image Disturbance, InteroceptionArmsFloatation-REST, IFT, EFT
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 43 citations in OpenAlex.

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  12. Breast cancer: pathogenesis and treatments.Signal transduction and targeted therapy · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Katherine HadlandsmythDepartment of Anesthesia, Carver College of Medicine, University of Iowa, Iowa City, Iowa.ORCID 0000-0003-0513-4609
Lilian N DindoMenninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas.
Roohina WajidCollege of Nursing, University of Iowa, Iowa City, Iowa.
Sonia L SuggDepartment of Surgery, Carver College of Medicine, University of Iowa, Iowa City, Iowa.
M Bridget ZimmermanCollege of Public Health, University of Iowa, Iowa City, Iowa.
Barbara A RakelCollege of Nursing, University of Iowa, Iowa City, Iowa.
University of Iowa · USMichael E. DeBakey VA Medical Center · US

Funding

University of Iowa Institute for Clinical and Translational ScienceU54TR001013 · NCATS · UNIVERSITY OF IOWA · PI ROSENTHAL, GARY E · 2014 to 2014
$4.2M
Interdisciplinary Training Program in Pain ResearchT32NS045549 · NINDS · UNIVERSITY OF IOWA · PI KATHLEEN A SLUKA, Yuriy M Usachev · 2004 to 2026
$3.7M
NCATS NIH HHS U54 TR001013NIH HHS 54TR001013NINDS NIH HHS T32 NS045549
6 · The paper itself

Abstract

objectiveOncologic breast surgeries carry a risk for persistent postsurgical pain. This study was a randomized pilot and feasibility study of a single-session Acceptance and Commitment Therapy (ACT) intervention compared with treatment as usual among women undergoing surgery for breast cancer or ductal carcinoma in situ.

methodsParticipants were recruited via letter of invitation and follow-up phone call from a single site in the United States from 2015 to 2017. Participants were at risk for persistent postsurgical pain, based on young age (<50), a preexisting chronic pain condition, or elevated anxiety, depression, or pain catastrophizing.

resultsThe 54 participants were female with a mean age of 52.91 years (SD=11.80). At 3-month postsurgery, 11% of the sample reported moderate-severe pain (>3 on a 0-10 numeric rating scale) in the operative breast or with arm movement. Written qualitative responses indicated that the majority of participants who received the intervention understood the concepts presented and reported continued practice of exercises learned in the session. The between group effect sizes for moderate-severe pain and elevated anxiety at 3-month post-surgery were small (Phi=0.08 and 0.16, respectively). The between group effect sizes for depression, pain acceptance, and pain catastrophizing at 3-month postsurgery were minimal.

conclusionsThis study found small positive effects on postsurgical pain and anxiety for a single-session ACT intervention among women with breast cancer. This study supports the use of ACT with this population.

Indexed as

Acceptance and Commitment TherapyAdaptation, PsychologicalAdultAnxietyBreast NeoplasmsCatastrophizationDepressionFemaleHumansMiddle AgedPilot ProjectsPlastic Surgery ProceduresPostoperative Painacceptance and commitment therapybreast cancerpersistent postsurgical painpreventionpsychology

Identifiers

PMID31430830
PMCPMC8908355
OpenAlexW2969471105

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.