Acceptance and commitment therapy in the context of palliative care: narrative review

Authors

DOI:

https://doi.org/10.17058/psiunisc.v7i2.18215

Keywords:

Palliative care, Caregivers, Health professionals, Acceptance and commitment therapy

Abstract

Acceptance and Commitment Therapy (ACT) and palliative care (CP) seem coherent in their principles for promoting quality of life despite suffering, focusing on accepting death or diseases that cannot be “cured” and extending for both the clinical and healthy population. Patients, caregivers and health professionals are affected by discomforts from the context of CP. The objective of the present narrative review study of literature was to explore scientific production and understand the state of the art about the use of ACT's interventions model in patients, its informal caregivers and health professionals in the context of CP. The narrative review method and the terms “Palliative Care” and "Psychological Flexibility" or "accepta and commitment therapy were used in Medline, Embase and PsycInfo without time criterion. The survey was done in July 2022 and 35 articles were found. Studies have shown that the process of acceptance and values can benefit patients with diseases that threaten life to live with quality until the moment of death. Dying with quality can impact informal caregivers, who still need to deal with mourning. Connection with values can also help health professionals deal with ethical dilemmas and moral decisions in the context of CP. This review does not aim to exhaust the theme between the application of ACT in the context of CP.

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Author Biographies

Franciele Peloso, Universidade do Vale do Rio dos Sinos - UNISINOS

Psicóloga (UNISINOS), especialista em Terapias Comportamentais Contextuais baseada em Processos (CEFI) e mestranda em Psicologia Clínica (UNISINOS). Membra da Association for Contextual Behavioral Science (ACBS mundial e Brasil). Interesse em temáticas que envolvam terapias comportamentais contextuais, análise comportamental clínica, terapia de aceitação e compromisso em contexto de saúde (dor crônica e cuidados paliativos), valores, mindfulness, regulação emocional

Priscila Goergen Brust-Renck, Universidade do Vale do Rio dos Sinos

Possui graduação em Psicologia (2007) e mestrado em Psicologia com concentração em Cognição Humana (2010) pela PUCRS. Doutorado em Psicologia do Desenvolvimento (2015) na Cornell University nos Estados Unidos, por onde também possui mestrado (2011). Realizou pós-doutorado na área de decisão médica (2015-2017) vinculado ao Núcleo Interinstitucional de Bioética (UFRGS, HCPA, PUCRS, UniRitter) e na área de análise do processo decisório em saúde (2017-2020) no Programa de Pós-Graduação em Engenharia de Produção da UFRGS. Atualmente é professora assistente do Curso de Psicologia e do Curso de Medicina da Unisinos. Integra o Programa de Pós-Graduação em Psicologia da mesma Universidade, onde coordena o Laboratório de Pesquisa em Cognição e Saúde - LAPECS. É pesquisadora colaboradora do Laboratory for Rational Decision Making da Cornell University e do Laboratório de Pesquisa e Intervenção Cognitivo-Comportamental da USP. É membro da Society for Judgment and Decision Making, da Society for Medical Decision Making, da Psychonomic Society, e da American Psychological Association. Tem experiência de colaboração interdisciplinar e atua nas áreas de Psicologia da Saúde, Psicologia Cognitiva Experimental, Psicologia do Desenvolvimento, Pesquisa Translacional, Metodologia de Pesquisa e Estatística

Murilo Ricardo Zibetti, Universidade do Vale do Rio dos Sinos

Graduado (2010), Mestre (2013) e Doutor (2017) em Psicologia na Universidade Federal do Rio Grande do Sul (UFRGS). Docente do Programa de Pós Graduação em Psicologia, do Mestrado Acadêmico em Nutrição e Alimentos, bem como, do cursos de graduação de psicologia e de medicina da Universidade do Vale do Rio dos Sinos (UNISINOS). Atua prioritariamente em pesquisas que envolvem avaliação cognitiva, avaliação psicológica (adaptação e validação de instrumentos), reabilitação neuropsicológica e a interlocução com a fisiologia. Também tem atuado em avaliação a quadros psiquiátricos sob uma perspectiva dimensional e transdiagnóstica. É especialista em Neuropsicologia (Conselho Federal de Psicologia) e possui formação em reabilitação neuropsicológica realizada pelo Centro Paulista de Neuropsicologia ligado a Universidade Federal do Estado de São Paulo (CPN-UNIFESP). Possui experiência de ensino na graduação e em programas de pós graduação em Avaliação Psicológica, Neuropsicológica e Reabilitação Cognitiva. Além disso, tem atuação clínica nas áreas de avaliação e reabilitação neuropsicológica.

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Published

2023-07-26

How to Cite

Peloso, F., Brust-Renck, P. G., & Zibetti, M. R. (2023). Acceptance and commitment therapy in the context of palliative care: narrative review. PSI UNISC, 7(2), 212-229. https://doi.org/10.17058/psiunisc.v7i2.18215

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Vol. 7 No. 2 (2023)

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