Application of Acceptance and Commitment Therapy (ACT) in Hospice and Palliative Care Settings
Open accessAbstract
Many terminally ill cancer patients grapple with a range of physical, psychological, and social challenges. Therefore, it is critical to offer effective psychological interventions to assist them in managing these issues and enhancing their quality of life. This brief communication provides a concise overview of acceptance and commitment therapy (ACT), along with empirical evidence of its application for patients, caregivers, and healthcare professionals in hospice and palliative care settings and an overview of future directions of ACT interventions in South Korea. ACT, a third-wave type of cognitive behavioral therapy, is a model of psychological flexibility that promotes personal growth and empowerment across all life areas. Currently, there is substantial evidence from overseas supporting the effectiveness of ACT on health-related outcomes among patients with various diseases, caregivers, and healthcare professionals. The necessity and significance of conducting ACT-based empirical research in hospice and palliative care settings in South Korea are discussed.
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ACT has shown significant and lasting results in reducing emotional distress and depressive symptoms, anxiety, fatigue, and sleep, and improving health-related quality of life, acceptance, and psychological flexibility in advanced cancer.
“Ha mostrado resultados significativos y duraderos en reducción del distrés emocional y síntomas depresivos, ansiedad, fatiga y sueño, y en mejora de calidad de vida relacionada con la salud, de la aceptación y de la flexibilidad psicológica (19,47 ,49,66-68)”
From AVANZACT: protocolo e intervención psicoterapéutica en cáncer avanzado basados en Terapia de Aceptación y Compromiso. (2025) · cites this paper as [68]
The sections “ACT for hospice and palliative care patients” and “WHAT IS ACT?” describe ACT as promising for patients with advanced cancer and as intended to enhance psychological flexibility. They do not report significant, lasting improvements across the claimed outcomes; the patient studies discussed chiefly establish feasibility and acceptability, and one reports no significant effects. (LLM, conf=0.85)
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References 25 · Cited by 2
Research works printed but not linked: 3
- [9]Hayes SC Hayes LJ Reese HW Sarbin TR c1993 Varieties of scientific contextualism Context Press Reno, NV 10.1016/j.ijnurstu.2021.103876 · DOI · Paper page
- [12]Luoma JB Hayes SC Walser RD 2017 Learning ACT: an acceptance and commitment therapy skills-training manual for therapists 2nd ed Context Press Oakland, CA 10.1016/j.ijnurstu.2021.103876 · DOI · Paper page
- [15]Harris R 2009 ACT made simple: an easy-to-read primer on acceptance and commitment therapy New Harbinger Publ Oakland, CA 10.1016/j.brat.2005.06.006 · DOI · Paper page
- Authors
- Park, S.-Y.
- Affiliations
- Ewha Womans University (KR)
- Corresponding author
- Park, So-Young
- ORCID
- Park, So-Young
- Venue
- The Journal of Hospice and Palliative Care
- Published
- 2023-09-01
- Volume
- 26
- Issue
- 3
- Pages
- 140-144
- ISSN
- 2765-3072 (ISSN-L)
- 2765-3080
- PMC
- PMC10542994
- OpenAlex
- W4386417910
- Cited by
- 2
- References
- 25
- Citations by year
- 2025: 2
- FWCI
- 0.58
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- The Journal of Hospice and Palliative Care (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Funders
- National Research Foundation
- Ministry of Education
- National Research Foundation of Korea (2021S1A5B5A16076311)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Keywords
- acceptance and commitment therapy, hospice care, palliative care, terminal cancer patients, psychological flexibility, psychological intervention, caregivers, healthcare workers, quality of life, South Korea
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