TY - JOUR

T1 - Meaning making in cancer survivors

T2 - a focus group study

AU - van der Spek, Nadine

AU - Vos, Joël

AU - van Uden-Kraan, Cornelia F.

AU - Breitbart, William

AU - Tollenaar, Rob A. E. M.

AU - Cuijpers, Pim

AU - Verdonck-de Leeuw, Irma M.

PY - 2013/9/26

Y1 - 2013/9/26

N2 - BACKGROUND:Confrontation with a life-threatening disease like cancer can evoke existential distress, which can trigger a search for meaning in people after having survived this disease.METHODS:In an effort to gain more insight in the meaning making process, we conducted four focus groups with 23 cancer survivors on this topic. Participants responded to questions about experienced meaning making, perceived changes in meaning making after cancer and the perceived need for help in this area.RESULTS:Most frequently mentioned meaning making themes were relationships and experiences. We found that, in general, cancer survivors experienced enhanced meaning after cancer through relationships, experiences, resilience, goal-orientation and leaving a legacy. Some participants, however, also said to have (also) experienced a loss of meaning in their lives through experiences, social roles, relationships and uncertainties about the future.CONCLUSIONS:The results indicated that there is a group of cancer survivors that has succeeded in meaning making efforts, and experienced sometimes even more meaning in life than before diagnosis, while there is also a considerable group of survivors that struggled with meaning making and has an unmet need for help with that. The results of this study contribute to develop a meaning centered intervention for cancer survivors.

AB - BACKGROUND:Confrontation with a life-threatening disease like cancer can evoke existential distress, which can trigger a search for meaning in people after having survived this disease.METHODS:In an effort to gain more insight in the meaning making process, we conducted four focus groups with 23 cancer survivors on this topic. Participants responded to questions about experienced meaning making, perceived changes in meaning making after cancer and the perceived need for help in this area.RESULTS:Most frequently mentioned meaning making themes were relationships and experiences. We found that, in general, cancer survivors experienced enhanced meaning after cancer through relationships, experiences, resilience, goal-orientation and leaving a legacy. Some participants, however, also said to have (also) experienced a loss of meaning in their lives through experiences, social roles, relationships and uncertainties about the future.CONCLUSIONS:The results indicated that there is a group of cancer survivors that has succeeded in meaning making efforts, and experienced sometimes even more meaning in life than before diagnosis, while there is also a considerable group of survivors that struggled with meaning making and has an unmet need for help with that. The results of this study contribute to develop a meaning centered intervention for cancer survivors.

KW - Health sciences

KW - Psychology

UR - https://www.mendeley.com/catalogue/47c5f3e5-7989-3add-82fe-a1181480235f/

U2 - 10.1371/journal.pone.0076089

DO - 10.1371/journal.pone.0076089

M3 - Journal articles

C2 - 24086695

VL - 8

JO - PLoS ONE

JF - PLoS ONE

SN - 1932-6203

IS - 9

M1 - e76089

ER -