Evidence map›Paper›PMID 41787365›Full record

Trial reportBMC palliative care2026

Acceptance and commitment therapy improves the quality of life of breast cancer patients by reducing helplessness: a randomized controlled trial.

Wenjun Song, Nurul Izzah Shari, Mohammad Farris Iman Leong Bin Abdullah, Hasmah Binti Hussin, Ruiling Zhang, Nor Shuhada Mansor

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC palliative care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05327153 (The Efficacy of Acceptance and Commitment Therapy), which is not on this 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

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.

NCT05327153 naunknown statusnot on this map

The Efficacy of Acceptance and Commitment Therapy (ACT) on Disease Acceptance and Quality of Life in Breast Cancer Patients: A Randomized Controlled Trial

TypeinterventionalSponsorUniversiti Sains MalaysiaRan2022 to 2024Enrolled90ConditionsBreast Cancer FemaleArmsAcceptance and Commitment Therapy
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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.

Wenjun SongThe Second Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, People's Republic of China.
Nurul Izzah ShariFaculty Science Social and Humanities, School of Human Resource Development and Psychology, Universiti Teknologi Malaysia, Johor Bahru, Malaysia.
Mohammad Farris Iman Leong Bin AbdullahDepartment of Psychiatry and Mental Health, Faculty of Medicine, Universiti Sultan Zainal Abidin, Kuala Terengganu, Malaysia.
Hasmah Binti HussinPusat Kanser Tun Abdullah Ahmad Badawi, Universiti Sains Malaysia, Kepala Batas, Penang, 13200, Malaysia.
Ruiling ZhangThe Second Affiliated Hospital of Xinxiang Medical University, Henan, People's Republic of China.
Nor Shuhada MansorPusat Kanser Tun Abdullah Ahmad Badawi, Universiti Sains Malaysia, Kepala Batas, Penang, 13200, Malaysia. shuhada.mansor@usm.my.

Funding

Universiti Sains Malaysia through the Top-down Research University Grant Scheme 1001/CIPPT/8070033
6 · The paper itself

Abstract

backgroundBreast cancer imposes substantial psychosocial challenges, with helplessness being a key determinant of reduced quality of life (QoL). Acceptance and Commitment Therapy (ACT) has shown promise in improving psychological flexibility, but its role in targeting helplessness and enhancing QoL in breast cancer patients has not been fully established. This randomized controlled trial (RCT) examined the effects of ACT on helplessness, QoL, and their domains.

methodsThis two-arm, parallel, single-blind RCT recruited 80 breast cancer patients from a tertiary care center and randomly assigned them to either ACT (n = 40) or treatment-as-usual (TAU, n = 40). Participants completed the Malay Illness Cognition Questionnaire (ICQ-M) and the Functional Assessment of Cancer Therapy (General and Breast Cancer modules) at baseline (T1), post-intervention at 4 weeks (T2), and follow-up at 12 weeks (T3). ACT was delivered in four weekly sessions between T1 and T2. Data were analyzed using repeated-measures analysis of variance (ANOVA).

resultsSixty-six participants completed all assessments (ACT, n = 32; TAU, n = 34). Compared with TAU, ACT significantly reduced helplessness and improved overall QoL and all QoL domains across time points (all p < 0.05). Effects were maintained at 12-week follow-up.

conclusionACT is an effective psychosocial intervention for breast cancer patients, producing sustained improvements in QoL partly by reducing helplessness. Integrating ACT into supportive and palliative care may address critical psychological mechanisms affecting patient well-being.

trial registrationClinicalTrials.gov, NCT05327153. Registered on April 6, 2022.

Indexed as

Acceptance and Commitment TherapyBreast NeoplasmsQuality of LifeAdultAgedFemaleHumansMalaysiaMiddle AgedPsychometricsSingle-Blind MethodSurveys and QuestionnairesAcceptance and commitment therapyBreast cancerHelplessnessQuality of lifeRandomized controlled trial

Identifiers

PMID41787365
PMCPMC13001182

What OpenQuestion holds

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LicenceCC BY
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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.