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AVANZACT: protocolo e intervención psicoterapéutica en cáncer avanzado basados en Terapia de Aceptación y Compromiso.

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Title: AVANZACT: protocolo e intervención psicoterapéutica en cáncer avanzado basados en Terapia de Aceptación y Compromiso.
Alternate Title: AVANZACT: protocol and psychotherapeutic intervention in advanced cancer based on Acceptance and Commitment Therapy.
Authors: Placer García, Luis Daniel1,2 ldgplacer@gmail.com, Torrijos Zarcero, Marta2 marta.torrijos@salud.madrid.org, Rocamora González, Cristina3 cris.rocamora.glez@gmail.com, Muñoz San José, Ainoa2 ainoa.munoz@salud.madrid.org, Palao Tarrero, Ángela Isidora2 angela.palao@salud.madrid.org
Source: Psicooncologia. jul-dic2025, Vol. 22 Issue 2, p259-273. 15p.
Subjects: TUMOR treatment, ANXIETY treatment, INSOMNIA treatment, CANCER pain treatment, MEDICAL protocols, FAMILY psychotherapy, PSYCHOLOGICAL distress, MEDICAL care, MINDFULNESS, GROUP psychotherapy, INTERNET, CANCER patients, PSYCHOLOGICAL adaptation, DIGNITY therapy, ACCEPTANCE & commitment therapy, CANCER fatigue, COUNSELING, COGNITIVE therapy, MENTAL depression
Abstract (English): Objective: Individuals with advanced cancer present a higher risk of mental health problems such as anxiety, depression, and insomnia, which negatively impact their quality of life. Although psychotherapy has proven to be effective in addressing these issues, its application in this population presents challenges such as their low representation in studies, access barriers due to the particularities of their condition, and the lack of homogeneity in the psychotherapeutic procedures studied. It is essential to investigate psychotherapy specifically in the context of advanced cancer and to develop interventions that are replicable. Method: A narrative review of the literature on psychotherapeutic interventions in advanced cancer was conducted, with special attention to interventions based on contextual therapies. Based on this review, the AVANZACT intervention protocol is proposed, a psychotherapeutic program designed to be implemented in a group and online format. Results: The literature review highlights Acceptance and Commitment Therapy as a promising approach due to its emphasis on the acceptance of suffering and on personal values, helping individuals to improve adjustment to illness through active coping focused on meaningful life areas. The AVANZACT protocol, described in detail for its implementation, can be carried out in a replicable way and allows for the evaluation of its applicability and efficacy. Conclusions: The implementation of AVANZACT in the field of Palliative Care could reduce barriers to accessing psychotherapy, providing a group experience that fosters mutual support and the empowerment of individuals with advanced cancer. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Objetivo: Las personas con cáncer avanzado presentan mayor riesgo de problemas de salud mental como ansiedad, depresión e insomnio, que repercuten negativamente en su calidad de vida. Aunque la psicoterapia ha demostrado ser eficaz para abordar estos problemas, su aplicación en esta población presenta desafíos como su escasa representación en los estudios, barreras de acceso debido a las particularidades de su situación y la falta de homogeneidad en los procedimientos psicoterapéuticos estudiados. Es fundamental investigar la psicoterapia específicamente en el contexto del cáncer avanzado y desarrollar intervenciones que sean replicables. Método: revisión narrativa de la literatura sobre intervenciones psicoterapéuticas en cáncer avanzado, con especial atención a intervenciones basadas en terapias contextuales. En base a esta revisión, se propone el protocolo de intervención AVANZACT, un programa psicoterapéutico diseñado para implementarse de manera grupal y online. Resultados: la revisión de la literatura destaca la Terapia de Aceptación y Compromiso como un enfoque prometedor por su énfasis en la aceptación del sufrimiento y en los valores personales, ayudando a las personas a mejorar el ajuste a la enfermedad mediante un afrontamiento activo y centrado en áreas vitales significativas. El protocolo AVANZACT, descrito de forma pormenorizada para su implementación, puede realizarse de manera replicable y permitiendo evaluar su aplicabilidad y eficacia. Conclusiones: La implementación de AVANZACT en el ámbito de los Cuidados Paliativos podría reducir las barreras de acceso a la psicoterapia, proporcionando una experiencia grupal que fomente el apoyo mutuo y el empoderamiento de las personas con cáncer avanzado. [ABSTRACT FROM AUTHOR]
Copyright of Psicooncologia is the property of Universidad Complutense de Madrid and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
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  Data: AVANZACT: protocolo e intervención psicoterapéutica en cáncer avanzado basados en Terapia de Aceptación y Compromiso.
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  Data: AVANZACT: protocol and psychotherapeutic intervention in advanced cancer based on Acceptance and Commitment Therapy.
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  Data: <searchLink fieldCode="AR" term="%22Placer+García%2C+Luis+Daniel%22">Placer García, Luis Daniel</searchLink><relatesTo>1,2</relatesTo><i> ldgplacer@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Torrijos+Zarcero%2C+Marta%22">Torrijos Zarcero, Marta</searchLink><relatesTo>2</relatesTo><i> marta.torrijos@salud.madrid.org</i><br /><searchLink fieldCode="AR" term="%22Rocamora+González%2C+Cristina%22">Rocamora González, Cristina</searchLink><relatesTo>3</relatesTo><i> cris.rocamora.glez@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Muñoz+San+José%2C+Ainoa%22">Muñoz San José, Ainoa</searchLink><relatesTo>2</relatesTo><i> ainoa.munoz@salud.madrid.org</i><br /><searchLink fieldCode="AR" term="%22Palao+Tarrero%2C+Ángela+Isidora%22">Palao Tarrero, Ángela Isidora</searchLink><relatesTo>2</relatesTo><i> angela.palao@salud.madrid.org</i>
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  Data: <searchLink fieldCode="JN" term="%22Psicooncologia%22">Psicooncologia</searchLink>. jul-dic2025, Vol. 22 Issue 2, p259-273. 15p.
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  Data: <searchLink fieldCode="DE" term="%22TUMOR+treatment%22">TUMOR treatment</searchLink><br /><searchLink fieldCode="DE" term="%22ANXIETY+treatment%22">ANXIETY treatment</searchLink><br /><searchLink fieldCode="DE" term="%22INSOMNIA+treatment%22">INSOMNIA treatment</searchLink><br /><searchLink fieldCode="DE" term="%22CANCER+pain+treatment%22">CANCER pain treatment</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+protocols%22">MEDICAL protocols</searchLink><br /><searchLink fieldCode="DE" term="%22FAMILY+psychotherapy%22">FAMILY psychotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22PSYCHOLOGICAL+distress%22">PSYCHOLOGICAL distress</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+care%22">MEDICAL care</searchLink><br /><searchLink fieldCode="DE" term="%22MINDFULNESS%22">MINDFULNESS</searchLink><br /><searchLink fieldCode="DE" term="%22GROUP+psychotherapy%22">GROUP psychotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22INTERNET%22">INTERNET</searchLink><br /><searchLink fieldCode="DE" term="%22CANCER+patients%22">CANCER patients</searchLink><br /><searchLink fieldCode="DE" term="%22PSYCHOLOGICAL+adaptation%22">PSYCHOLOGICAL adaptation</searchLink><br /><searchLink fieldCode="DE" term="%22DIGNITY+therapy%22">DIGNITY therapy</searchLink><br /><searchLink fieldCode="DE" term="%22ACCEPTANCE+%26+commitment+therapy%22">ACCEPTANCE & commitment therapy</searchLink><br /><searchLink fieldCode="DE" term="%22CANCER+fatigue%22">CANCER fatigue</searchLink><br /><searchLink fieldCode="DE" term="%22COUNSELING%22">COUNSELING</searchLink><br /><searchLink fieldCode="DE" term="%22COGNITIVE+therapy%22">COGNITIVE therapy</searchLink><br /><searchLink fieldCode="DE" term="%22MENTAL+depression%22">MENTAL depression</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Objective: Individuals with advanced cancer present a higher risk of mental health problems such as anxiety, depression, and insomnia, which negatively impact their quality of life. Although psychotherapy has proven to be effective in addressing these issues, its application in this population presents challenges such as their low representation in studies, access barriers due to the particularities of their condition, and the lack of homogeneity in the psychotherapeutic procedures studied. It is essential to investigate psychotherapy specifically in the context of advanced cancer and to develop interventions that are replicable. Method: A narrative review of the literature on psychotherapeutic interventions in advanced cancer was conducted, with special attention to interventions based on contextual therapies. Based on this review, the AVANZACT intervention protocol is proposed, a psychotherapeutic program designed to be implemented in a group and online format. Results: The literature review highlights Acceptance and Commitment Therapy as a promising approach due to its emphasis on the acceptance of suffering and on personal values, helping individuals to improve adjustment to illness through active coping focused on meaningful life areas. The AVANZACT protocol, described in detail for its implementation, can be carried out in a replicable way and allows for the evaluation of its applicability and efficacy. Conclusions: The implementation of AVANZACT in the field of Palliative Care could reduce barriers to accessing psychotherapy, providing a group experience that fosters mutual support and the empowerment of individuals with advanced cancer. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Objetivo: Las personas con cáncer avanzado presentan mayor riesgo de problemas de salud mental como ansiedad, depresión e insomnio, que repercuten negativamente en su calidad de vida. Aunque la psicoterapia ha demostrado ser eficaz para abordar estos problemas, su aplicación en esta población presenta desafíos como su escasa representación en los estudios, barreras de acceso debido a las particularidades de su situación y la falta de homogeneidad en los procedimientos psicoterapéuticos estudiados. Es fundamental investigar la psicoterapia específicamente en el contexto del cáncer avanzado y desarrollar intervenciones que sean replicables. Método: revisión narrativa de la literatura sobre intervenciones psicoterapéuticas en cáncer avanzado, con especial atención a intervenciones basadas en terapias contextuales. En base a esta revisión, se propone el protocolo de intervención AVANZACT, un programa psicoterapéutico diseñado para implementarse de manera grupal y online. Resultados: la revisión de la literatura destaca la Terapia de Aceptación y Compromiso como un enfoque prometedor por su énfasis en la aceptación del sufrimiento y en los valores personales, ayudando a las personas a mejorar el ajuste a la enfermedad mediante un afrontamiento activo y centrado en áreas vitales significativas. El protocolo AVANZACT, descrito de forma pormenorizada para su implementación, puede realizarse de manera replicable y permitiendo evaluar su aplicabilidad y eficacia. Conclusiones: La implementación de AVANZACT en el ámbito de los Cuidados Paliativos podría reducir las barreras de acceso a la psicoterapia, proporcionando una experiencia grupal que fomente el apoyo mutuo y el empoderamiento de las personas con cáncer avanzado. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psicooncologia is the property of Universidad Complutense de Madrid and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=lth&AN=191308135
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    Identifiers:
      – Type: doi
        Value: 10.5209/psic.102233
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      – Code: spa
        Text: Spanish
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      – SubjectFull: TUMOR treatment
        Type: general
      – SubjectFull: ANXIETY treatment
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      – SubjectFull: INSOMNIA treatment
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      – SubjectFull: CANCER pain treatment
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      – SubjectFull: MEDICAL care
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      – SubjectFull: PSYCHOLOGICAL adaptation
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              Text: jul-dic2025
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