Journal of Angiotherapy
Angiogenesis, Inflammation & Therapeutics | Online ISSN  2207-872X
  1. You are here:
  2. Home
  3. Journals
  4. Biological Sciences
REVIEWS   (Open Access)
Contents Vol 8 (8)

Acceptance and Commitment Therapy and Therapeutic Relationships to Mitigate Post Traumatic Stress Disorder in Surgical Patients: A Systematic Review

Wahidin 1,2*, Faridah Mohd Said 2, Musheer Abdulwahid Aljaberi 2

+ Author Affiliations

Journal of Angiotherapy 8 (8) 1-5 https://doi.org/10.25163/angiotherapy.889845

Submitted: 01 July 2024 Revised: 04 August 2024  Published: 06 August 2024 

Abstract

Background: Although trauma significantly affects surgical patients, limited research exists on effective therapeutic strategies, particularly the use of acceptance and commitment therapy (ACT) and therapeutic relationships in mitigating Post-traumatic stress disorder (PTSD) symptoms. This study aims to evaluate the potential benefits of ACT and therapeutic relationships for managing PTSD in surgical patients. Methods: A systematic literature review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Databases such as PubMed, ScienceDirect, EBSCO, Springer, Google, and Google Scholar were searched for articles published between 2000 and 2022 in English and Bahasa. The search focused on keywords related to ACT, therapeutic relationships, and PTSD in surgical patients. The study selection process resulted in the identification of seven relevant articles that met the inclusion criteria. Results: The literature review identified PTSD as a significant issue for postoperative patients, adversely affecting various health outcomes, including rehospitalization rates, daily functioning, and overall recovery. ACT, a mindfulness-based therapeutic approach, emerged as a promising intervention for reducing PTSD symptoms by fostering acceptance of thoughts and feelings and enhancing patients' psychological flexibility. In addition, fostering therapeutic relationships between healthcare providers and patients showed potential for improving clinical outcomes. Although studies on the combined use of ACT and therapeutic relationships remain limited, initial evidence suggests that integrating these approaches may accelerate recovery and improve psychological outcomes for postoperative patients. Conclusion: This review underscores the potential of combining ACT and therapeutic relationships to mitigate PTSD symptoms in postoperative patients. Integrating these approaches into perioperative care could enhance psychological outcomes, foster patient engagement, and expedite recovery.

Keywords: PTSD, Acceptance and Commitment Therapy (ACT), Surgical Patients, Therapeutic Relationships, Perioperative Care

References

Cojocaru, C., Suciu, B.-A., Popa, C. O., Szasz, S., Margineanu, R., Suciu, N., et al. (2021). Acceptance and commitment therapy for anxiety and depressive symptoms co-occurring with chronic postsurgical pain and fibromyalgia. Health, Sports & Rehabilitation Medicine, 22(3), 188–195. https://doi.org/10.26659/pm3.2021.22.3.188

Deatrich, K. G., & Boyer, B. A. (2016). Post-traumatic stress disorder related to surgery: Prevalence and risk factors. In Comprehensive Guide to Post-Traumatic Stress Disorders (pp. 351–366). Springer International Publishing. https://doi.org/10.1007/978-3-319-08359-9_42

Diamond, P. R., Airdrie, J. N., Hiller, R., Fraser, A., Hiscox, L. V., Hamilton-Giachritsis, C., et al. (2022). Change in prevalence of post-traumatic stress disorder in the two years following trauma: A meta-analytic study. European Journal of Psychotraumatology, 13(1), 2066456. https://pubmed.ncbi.nlm.nih.gov/35646293

Dobson, G. P. (2020). Trauma of major surgery: A global problem that is not going away. International Journal of Surgery, 81, 47–54. https://pubmed.ncbi.nlm.nih.gov/32738546

El-Gabalawy, R., Sommer, J. L., Pietrzak, R., Edmondson, D., Sareen, J., & Avidan, M. S., et al. (2019). Post-traumatic stress in the postoperative period: Current status and future directions. Canadian Journal of Anesthesia/Journal canadien d'anesthésie, 66(11), 1385–1395. https://doi.org/10.1007/s12630-019-01418-4

Finnerty, C. C., Mabvuure, N. T., Ali, A., Kozar, R. A., & Herndon, D. N. (2013). The surgically induced stress response. JPEN Journal of Parenteral and Enteral Nutrition, 37(5 Suppl), 21S-29S. https://pubmed.ncbi.nlm.nih.gov/24009246

Gergov, V., Marttunen, M., Lindberg, N., Lipsanen, J., & Lahti, J. (2021). Therapeutic alliance: A comparison study between adolescent patients and their therapists. International Journal of Environmental Research and Public Health, 18(21), 11238. https://pubmed.ncbi.nlm.nih.gov/34769766

Inigo, A., Lestari, H., Masloman, N., & Lolombulan, J. (2015). Melatonin level and sleep disorders in adolescents. Paediatrica Indonesiana, 55(4), 215–218. https://doi.org/10.14238/pi55.4.2015.07

Joseph, N. M., Benedick, A., Flanagan, C. D., Breslin, M. A., Simpson, M., Ragone, C., et al. (2020). Prevalence of posttraumatic stress disorder in acute trauma patients. OTA International Open Access Journal of Orthopaedic Trauma, 3(1), e056. https://pubmed.ncbi.nlm.nih.gov/33937681

Korman, M. B., Goldberg, L., Klein, C., Khanjani, M., Cox, G., Fila, E., et al. (2019). Code orange: A systematic review of psychosocial disaster response. Prehospital and Disaster Medicine, 34(S1), S69–S70. https://doi.org/10.1017/s1049023x19001511

LaRose, M., Cunningham, D., Paniagua, A., & Gage, M. J. (2022). Long-term post-traumatic stress disorder after orthopedic injury: Prevalence and risk factors. Journal of Orthopaedic Trauma, 36(4), e122–e128. https://doi.org/10.1097/bot.0000000000002250

Miciak, M., Mayan, M., Brown, C., Joyce, A. S., & Gross, D. P. (2018). The necessary conditions of engagement for the therapeutic relationship in physiotherapy: An interpretive description study. Archives of Physiotherapy, 8, 3. https://pubmed.ncbi.nlm.nih.gov/29468089

Paolucci, T., Bernetti, A., Paoloni, M., Capobianco, S. V., Bai, A. V., Lai, C., et al. (2019). Therapeutic alliance in a single versus group rehabilitative setting after breast cancer surgery: Psychological profile and performance rehabilitation. Biores Open Access, 8(1), 101–110. https://pubmed.ncbi.nlm.nih.gov/31275735

Rawashdeh, R., Al Qadire, M., Alshraideh, J., & Al Omari, O. (2021). Prevalence of post-traumatic stress disorder and its predictors following coronary artery bypass graft surgery. British Journal of Nursing, 30(13), 794–800. https://doi.org/10.12968/bjon.2021.30.13.794

Tamah, Z. G., Muliyadi, M., & Yulia, S. (2019). Hubungan pemenuhan informasi pasien pre operasi dengan tingkat kecemasan di Rumah Sakit XX Palembang. Jurnal Ber Ilmu Keperawatan, 12(1), 31–36. https://doi.org/10.23917/bik.v12i1.4488

Turgoose, D. P., Kerr, S., De Coppi, P., Blackburn, S., Wilkinson, S., Rooney, N., et al. (2021). Prevalence of traumatic psychological stress reactions in children and parents following pediatric surgery: A systematic review and meta-analysis. BMJ Paediatrics Open, 5(1), e001147. https://pubmed.ncbi.nlm.nih.gov/34337164

Vitomskyi, V., Balazh, M., Vitomska, M., Martseniuk, I., & Lazarieva, O. (2021). Assessment of the relationship between therapeutic alliance and pulmonary function recovery in cardiac surgery patients undergoing physical therapy. Sport Mont, 19(S2), 165–169. https://doi.org/10.26773/smj.210928

Weineland, S., Arvidsson, D., Kakoulidis, T. P., & Dahl, J. (2012). Acceptance and commitment therapy for bariatric surgery patients, a pilot RCT. Obesity Research & Clinical Practice, 6(1), e21–e30. https://doi.org/10.1016/j.orcp.2011.04.004

Whitlock, E. L., Rodebaugh, T. L., Hassett, A. L., Shanks, A. M., Kolarik, E., Houghtby, J., et al. (2015). Psychological sequelae of surgery in a prospective cohort of patients from three intraoperative awareness prevention trials. Anesthesia & Analgesia, 120(1), 87–95. https://pubmed.ncbi.nlm.nih.gov/25383719

Zhong, J., Li, Y., Fang, L., Han, D., Gong, C., Hu, S., et al. (2022). Effects of sevoflurane and propofol on posttraumatic stress disorder after emergency trauma: A double-blind randomized controlled trial. Frontiers in Psychiatry, 13, 853795. https://pubmed.ncbi.nlm.nih.gov/35280171

PDF
Abstract
Export Citation

View Dimensions


View Plumx


View Altmetric




Save
0
Citation
346
View

Share