Grimaldi Alessandro, Veneziani Isabella, Culicetto Laura, Quartarone Angelo, Calabrò Rocco Salvatore, Latella Desirèe
Department of Nervous System and Behavioural Sciences, Psychology Section, University of Pavia, Piazza Botta, 11, 27100 Pavia, Italy.
IRCCS Centro Neurolesi "Bonino-Pulejo", S.S. 113 Via Palermo, C. da Casazza, 98124 Messina, Italy.
Healthcare (Basel). 2025 Jul 27;13(15):1831. doi: 10.3390/healthcare13151831.
Cardiovascular diseases (CVDs) encompass a wide range of heart and vascular conditions and remain the leading cause of death worldwide. Acceptance and Commitment Therapy (ACT) is a psychotherapeutic approach that integrates acceptance, mindfulness, and commitment to value-based actions. This systematic review aims to explore the current evidence on the potential role of ACT interventions in supporting psychological well-being among individuals with CVDs. A systematic review was conducted in accordance with PRISMA guidelines. A search of the literature was conducted through Scopus, PubMed, Web of Science, Cochrane, and PsycINFO databases. Six studies met the inclusion criteria. The reviewed studies suggest that ACT may promote psychological flexibility, emotion regulation, and self-care behaviors in patients with CVDs. Reported outcomes include improved mindfulness, reduced distress, and enhanced quality of life. However, the evidence base is limited in both size and methodological rigor, with included studies varying in design and population. While preliminary findings indicate that ACT shows promise in addressing psychological aspects of CVDs, the current evidence remains insufficient to draw definitive conclusions. Further high-quality, large-scale studies are needed to evaluate the effectiveness and clinical applicability of ACT in cardiovascular populations.
心血管疾病（CVDs）涵盖了广泛的心脏和血管疾病，仍然是全球主要的死亡原因。接纳与承诺疗法（ACT）是一种心理治疗方法，它整合了接纳、正念以及对基于价值观行动的承诺。本系统评价旨在探索当前关于ACT干预在支持心血管疾病患者心理健康方面潜在作用的证据。按照PRISMA指南进行了一项系统评价。通过Scopus、PubMed、科学网、Cochrane和PsycINFO数据库对文献进行了检索。六项研究符合纳入标准。所审查的研究表明，ACT可能促进心血管疾病患者的心理灵活性、情绪调节和自我护理行为。报告的结果包括正念的改善、痛苦的减轻和生活质量的提高。然而，证据基础在规模和方法严谨性方面都很有限，纳入的研究在设计和人群方面存在差异。虽然初步研究结果表明ACT在解决心血管疾病的心理方面显示出前景，但目前的证据仍然不足以得出明确的结论。需要进一步开展高质量、大规模的研究来评估ACT在心血管疾病人群中的有效性和临床适用性。
