Evidence map›Paper›PMID 40593163›Full record

SynthesisScientific reports2025

Acceptance and commitment therapy among caregivers of people with cancer: a systematic review and meta-analysis.

Yunfan Gu, Mingyu Duan, Yanyan Huang, Maorong Hu, Mengjie Bao, Fang Yang

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
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.

Yunfan GuJiangxi University of Chinese Medicine, NO.1688 Meiling Avenue, Nanchang, 330006, Jiangxi Province, China.
Mingyu DuanJiangxi University of Chinese Medicine, NO.1688 Meiling Avenue, Nanchang, 330006, Jiangxi Province, China.
Yanyan HuangDepartment of Psychosomatic Medicine, The First Affiliated Hospital of Nanchang University, Nanchang, 330006, Jiangxi Province, China.
Maorong HuDepartment of Psychosomatic Medicine, The First Affiliated Hospital of Nanchang University, Nanchang, 330006, Jiangxi Province, China.
Mengjie BaoJiangxi University of Chinese Medicine, NO.1688 Meiling Avenue, Nanchang, 330006, Jiangxi Province, China.
Fang YangJiangxi University of Chinese Medicine, NO.1688 Meiling Avenue, Nanchang, 330006, Jiangxi Province, China. 34097430@qq.com.

Funding

the National Natural Science Foundation of China 81960261
6 · The paper itself

Abstract

To determine the effect of acceptance and commitment therapy (ACT) on improving the mental health of caregivers of cancer patients and to identify key intervention methods that enhance the efficacy of ACT. A computer search was conducted in PubMed, the Cochrane Library, CINAHL, Embase, Web of Science, CNKI, Wanfang, and Weipu, with the search period from the establishment of the database to July 31, 2024. Two researchers independently screened the literature, extracted the data, and assessed the quality of the included studies via RevMan 5.4 and Stata 14 software for meta-analysis. A total of 8 randomized controlled trials involving 675 caregivers were included. The effect size of ACT in improving mental health after intervention ranged from [SMD = -  0.41, 95% CI (- 0.59, - 0.23)] to [SMD = - 1.22, 95% CI (- 2.28, - 0.15)], and the effect size for mental health at follow-up ranged from [SMD = - 0.49, 95% CI (- 1.18, 0.20)] to [SMD = - 0.80, 95% CI (- 1.52, - 0.07)]. Subgroup analysis based on different outcome indicators revealed that ACT treatment in a hospital setting improved caregivers' anxiety [SMD = - 1.45, 95% CI (- 1.72, - 1.15)], depression [SMD = - 1.07, 95% CI (- 1.89, - 0.25)], and increased psychological flexibility at follow-up [SMD = - 1.42, 95% CI (- 1.80, - 1.05)]. Using face-to-face intervention methods improved patients' negative emotions (anxiety [SMD = - 1.44, 95% CI (- 1.72, - 1.15)], depression [SMD = - 1.07, 95% CI (- 1.89, - 0.25)], and psychological flexibility [SMD = - 1.42, 95% CI (- 1.80, - 1.05)]). Combining ACT with conventional psychological care further enhanced efficacy (anxiety [SMD = - 1.44, 95% CI (- 1.72, - 1.15)], depression [SMD = - 1.07, 95% CI (- 1.89, - 0.25)], and psychological flexibility [SMD = 0.33, 95% CI (0.15, 0.51)]). Additionally, the overall attrition rate for ACT treatment was low (18%), indicating a high acceptance of ACT among caregivers. Acceptance and commitment therapy can improve anxiety and depression in cancer caregivers, alleviate stress symptoms, and enhance their psychological flexibility. Moreover, caregivers show a high level of acceptance for this therapy, making it applicable in the psychological treatment of cancer caregivers.

Indexed as

Acceptance and Commitment TherapyCaregiversNeoplasmsAnxietyDepressionHumansMental HealthRandomized Controlled Trials as TopicAcceptance and commitment therapyCancerCaregiversMeta-analysis

Identifiers

PMID40593163
PMCPMC12216695

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.