Evidence map›Paper›PMID 41209056›Full record

ArticleFrontiers in surgery2025

Acceptance and commitment therapy combined with usual care improves psychosocial outcomes and reduces complications in patients with permanent colostomies after colorectal cancer surgery: a retrospective cohort study.

Yali Shi, Hongwei Yu, Lihui Wang, Haiqiang Zhang

Abstract read
In one paragraph

Article in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Yali ShiThe Second Hospital of Hebei Medical University, Infection Control Office, Shijiazhuang, China.
Hongwei YuNursing Department, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Lihui WangMedical Imaging Department, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Haiqiang ZhangGastrointestinal Surgery, Hernia and Abdominal Wall Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Permanent colostomies after colorectal cancer surgery can seriously affect patients' quality of life (QoL) and psychosocial adjustment. Research on the benefits of Acceptance and Commitment Therapy (ACT) for this group is still limited. Objective: To examine whether adding ACT to standard stoma care improves self-efficacy, resilience, QoL, and stoma-related complication rates compared with standard care alone. Methods: This single-center retrospective cohort study (2022-2024) included 120 patients with permanent colostomies. After 1:1 propensity score matching (60 patients per group, caliper = 0.2 SD), one group received an 8-session ACT program over 6 weeks alongside usual care, while the control group received usual care only. Outcomes were measured at 3 months (T1) and 6 months (T2) post-surgery. Primary outcomes were self-efficacy (C-SSES), resilience (CD-RISC), and stoma-related QoL (Stoma-QOL). Secondary outcomes included stoma complications. Linear mixed-effects models and conditional logistic regression were applied for analysis. Results: Significant improvements over time were observed in the ACT group compared with controls (all Conclusion: Adding ACT to routine stoma care improves self-efficacy, resilience, and quality of life, while also lowering complication rates in patients with permanent colostomies. These findings suggest ACT is a valuable supportive therapy in stoma care.

Indexed as

acceptance and commitment therapy (act)colorectal cancer surgerypermanent colostomyquality of lifestoma-relatedcomplications

Identifiers

PMID41209056
PMCPMC12592184

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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.