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Updated: Apr 9, 2026

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Published on: April 16, 2019
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Acceptance and commitment therapy program for distressed adults with a primary brain tumor: a case series study
Maria Kangas1, Skye McDonald, Janet R Williams
1Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, 2109, Australia, maria.kangas@mq.edu.au.
Summary
A new acceptance and commitment therapy (ACT) program effectively reduced anxiety and depression in most brain tumor (BT) patients. These positive outcomes for brain tumor survivors were sustained at 3-month follow-up.
Area of Science:
- Neuro-oncology
- Clinical Psychology
- Psychiatry
Background:
- Adults with primary brain tumors (BT) frequently experience psychological distress, including anxiety and depression.
- There is a significant lack of evidence-based psychological interventions specifically tested for this patient population.
Observation:
- A manualized Acceptance and Commitment Therapy (ACT)-based program was developed for BT patients experiencing anxiety and/or depression.
- A proof-of-concept study utilized a case series of four adult BT patients to preliminarily assess the program's efficacy.
Findings:
- Three out of four participants no longer met diagnostic criteria for anxiety and/or depressive disorders post-intervention.
- Symptom improvements were maintained at a 3-month follow-up assessment.
- The fourth participant, with a history of psychiatric conditions, showed stabilization of anxiety and depressive symptoms.
Implications:
- These preliminary findings suggest promising clinical utility for ACT-based interventions in distressed BT survivors.
- Further investigation using larger, controlled trials is warranted to confirm the efficacy of these tailored psychological interventions for brain tumor patients.
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