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Seeking and experiencing meaning: Exploring the role of meaning in promoting mental adjustment and eudaimonic well-being in cancer patients

Published online by Cambridge University Press:  14 May 2014

Marta Scrignaro ,
Elisabetta Bianchi ,
Cinzia Brunelli ,
Guido Miccinesi ,
Carla Ida Ripamonti ,
Maria Elena Magrin  and
Claudia Borreani
Marta Scrignaro
Affiliation:
Department of Psychology, University of Milano–Bicocca, Milano, Italy
Elisabetta Bianchi*
Affiliation:
Clinical Psychology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy
Cinzia Brunelli
Affiliation:
Clinical Psychology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy
Guido Miccinesi
Affiliation:
Clinical and Descriptive Epidemiology Unit, Institute for the Study and Prevention of Cancer, Florence, Italy
Carla Ida Ripamonti
Affiliation:
Supportive Care in Cancer Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy
Maria Elena Magrin
Affiliation:
Department of Psychology, University of Milano–Bicocca, Milano, Italy
Claudia Borreani
Affiliation:
Clinical Psychology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy
*
Address correspondence and reprint requests to: Elisabetta Bianchi, Clinical Psychology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Via Venezian 1, 20133 Milano, Italy. E-mail: [email protected]
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Abstract

Objective:

The present study is the result of theory-driven research investigating the role of the search for and presence of meaning in enhancing both mental adjustment and eudaimonic well-being in cancer patients.

Method:

A cross-sectional study involved 266 cancer patients currently in the treatment and management phase of their illness. Data were collected by a written questionnaire. The search for meaning was assessed with the Seeking of Noetic Goals Test, and the presence of meaning was assessed using the Purpose in Life Test. Mental adjustment to a cancer diagnosis was assessed by two subscales of the Italian version of the Mini-Mental Adjustment to Cancer Scale, and eudaimonic well-being was assessed with the Psychological Well-Being Scale. Correlation and mediation analyses based on five thousand bootstrapping samples were performed.

Results:

The mediation analyses showed that the presence of meaning totally or partially mediated the effect of the search for meaning on both mental adjustment and eudaimonic well-being. Further correlation analyses showed a high negative correlation between eudaimonic well-being and hopelessness.

Significance of results:

Our results appear relevant from both the theoretical and clinical points of view. They support a deeper understanding of the combined contribution of the search for and presence of meaning in promoting well-being in cancer patients. Simultaneously, they are consistent with suggestions from recent studies on the clinical psychology of posttraumatic growth and emphasize the relevance of eudaimonic well-being as a protective factor for hopelessness.

Keywords

CancerMeaning makingMeaning madeEudaimonic well-beingAdjustment
Type
Original Articles
Information
Palliative & Supportive Care , Volume 13 , Issue 3 , June 2015 , pp. 673 - 681
Copyright
Copyright © Cambridge University Press 2014 

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References

REFERENCES

Baumeister, R.F. (1991). Meanings of life. New York: The Guilford Press.Google Scholar
Bonanno, G.A. & Kaltman, S. (1999). Toward an integrative perspective on bereavement. Psychological Bulletin, 125, 760–776.Google Scholar
Breitbart, W. (2002). Spirituality and meaning in supportive care: Spirituality- and meaning-centered group psychotherapy interventions in advanced cancer. Supportive Care in Cancer, 10(4), 272–280.Google Scholar
Brunelli, C., Bianchi, E., Murru, L., et al. (2012). Italian validation of the purpose in life (PIL) test and the seeking of noetic goals (SONG) test in a population of cancer patients. Supportive Care in Cancer, 20(11), 2775–2783.Google Scholar
Cordova, M. (2008). Facilitating posttraumatic growth following cancer. In Trauma, recovery and growth: Positive psychological perspectives on posttraumatic stress. Joseph, S. & Linley, P. A. (eds.), pp. 185–206. New York: John Wiley & Sons.Google Scholar
Costanzo, E.S., Ryff, C.D. & Singer, B.H. (2009). Psychosocial adjustment among cancer survivors: Findings from a national survey of health and well-being. Health Psychology, 28(2), 147–156.Google Scholar
Crumbaugh, J.C. (1968). Cross-validation of purpose-in-life test based on Frankl's concepts. Journal of Individual Psychology, 24(1), 74–81.Google Scholar
Crumbaugh, J.C. (1977). The seeking of noetic goals test (SONG): A complementary scale to the purpose in life test (PIL). Journal of Clinical Psychology, 33(3), 900–907.Google Scholar
Crumbauch, J. & Maholick, L.T. (1969). Manual of instructions for the purpose in life test. Munster, IN: Psychometric Affiliates.Google Scholar
Davis, C.G., Wortman, C.B., Lehman, D.R., et al. (2000). Searching for meaning in loss: Are clinical assumptions correct? Death Studies, 24(6), 497–540.Google Scholar
Frankl, V.E. (1959 a). Man's search for meaning: An introduction to logotherapy. Boston: Beacon Press.Google Scholar
Frankl, V.E. (1959 b). The spiritual dimension in existential analysis and logotherapy. Journal of Individual Psychology, 15(1959), 157–165.Google Scholar
Gotay, C.C. (1985). Why me? Attributions and adjustment by cancer patients and their mates at two stages in the disease process. Social Science & Medicine, 20(8), 825–831.Google Scholar
Grassi, L., Buda, P., Cavana, L., et al. (2005). Styles of coping with cancer: The Italian version of the Mini-Mental Adjustment to Cancer (Mini–MAC) Scale. Psycho-Oncology, 14(2), 115–124.Google Scholar
Janoff-Bulman, R. (1992). Shattered assumptions. New York: The Free Press.Google Scholar
Joseph, S. (2011). What doesn't kill us: The new psychology of post-traumatic growth. New York: Basic Books.Google Scholar
Joseph, S. & Linley, P.A. (2005). Positive adjustment to threatening events: An organismic valuing theory of growth through adversity. Review of General Psychology, 9(3), 262–280.Google Scholar
Joseph, S. & Wood, A. (2010). Assessment of positive functioning in clinical psychology: Theoretical and practical issues. Clinical Psychology Review, 30(7), 830–838.Google Scholar
Kangas, M., Henry, J.L. & Bryant, R.A. (2002). Posttraumatic stress disorder following cancer: A conceptual and empirical review. Clinical Psychology Review, 22(4), 499–524.Google Scholar
Kernan, W.D. & Lepore, S.J. (2009). Searching for and making meaning after breast cancer: Prevalence, patterns, and negative affect. Social Science & Medicine, 68(6), 1176–1182.Google Scholar
King, L.A., Hicks, J.A., Krull, J.L., et al. (2006). Positive affect and the experience of meaning in life. Journal of Personality and Social Psychology, 90(1), 179.Google Scholar
Klinger, E. (1998). The search for meaning in evolutionary perspective and its clinical implications. In The human quest for meaning: A handbook of psychological research and clinical applications. Wong, P.T.P. & Fry, P.S. (eds.), pp. 27–50. Mahwah, NJ: Lawrence Erlbaum Associates.Google Scholar
Lee, V. (2008). The existential plight of cancer: Meaning making as a concrete approach to the intangible search for meaning. Supportive Care in Cancer, 16(7), 779–785.Google Scholar
Lee, V., Cohen, S.R., Edgar, L., et al. (2004). Clarifying “meaning” in the context of cancer research: A systematic literature review. Palliative & Supportive Care, 2(3), 291–303.Google Scholar
Lepore, S.J. & Helgeson, V.S. (1998). Social constraints, intrusive thoughts, and mental health after prostate cancer. Journal of Social and Clinical Psychology, 17(1), 89–106.Google Scholar
Linley, P.A. & Joseph, S. (2011). Meaning in life and posttraumatic growth. Journal of Loss and Trauma, 16(2), 150–159.Google Scholar
MacKinnon, D.P., Lockwood, C.M. & Williams, J. (2004). Confidence limits for the indirect effect: Distribution of the product and resampling methods. Multivariate Behavioral Research, 39(1), 99.Google Scholar
Maddi, S.R. (1970). The search for meaning. In Nebraska symposium on motivation. Page, M. (ed.), pp. 137–186. Lincoln: University of Nebraska Press.Google Scholar
Mascaro, N. & Rosen, D.H. (2005). Existential meaning's role in the enhancement of hope and prevention of depressive symptoms. Journal of Personality, 73(4), 985–1014.Google Scholar
Melton, A.M.A. & Schulenberg, S.E. (2008). On the measurement of meaning: Logotherapy's empirical contributions to humanistic psychology. The Humanistic Psychologist, 36(1), 31–44.Google Scholar
Neimeyer, R.A. (2001). Meaning reconstruction and the experience of loss. Washington, DC: American Psychological Association.Google Scholar
Park, C.L. (2010). Making sense of the meaning literature: An integrative review of meaning making and its effects on adjustment to stressful life events. Psychological Bulletin, 136(2), 257–301.Google Scholar
Park, C.L. & Folkman, S. (1997). Meaning in the context of stress and coping. Review of General Psychology, 1(2), 115–144.Google Scholar
Park, C.L., Edmondson, D., Fenster, J.R. & Blank, T.O. (2008). Meaning making and psychological adjustment following cancer: The mediating roles of growth, life meaning, and restored just-world beliefs. Journal of Consulting and Clinical Psychology, 76(5), 863–875.Google Scholar
Preacher, K.J. & Hayes, A.F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, 36(4), 717–731.Google Scholar
Rajandram, R.K., Jenewein, J., McGrath, C., et al. (2011). Coping processes relevant to posttraumatic growth: An evidence-based review. Supportive Care in Cancer, 19(5), 583–589.Google Scholar
Reker, G.T. & Cousins, J. (1979). Factor structure, construct validity and reliability of the seeking of noetic goals (SONG) and purpose in life (PIL) tests. Journal of Clinical Psychology, 35(1), 85–91.Google Scholar
Reker, G.T. & Wong, P.T.P. (1988). Aging as an individual process: Toward a theory of personal meaning. New York: Springer.Google Scholar
Ryff, C.D. & Keyes, C.L.M. (1995). The structure of psychological well-being revisited. Journal of Personality and Social Psychology, 69, 719–719.Google Scholar
Ryff, C.D. & Singer, B. (1998). The role of purpose in life and personal growth in positive human health. In The human quest for meaning: A handbook of psychological research and clinical applications. Wong, P.T.P. & Fry, P.S. (eds.), pp. 213–235. Mahwah, NJ: Lawrence Erlbaum Associates.Google Scholar
Stefanek, M., McDonald, P.G. & Hess, S.A. (2005). Religion, spirituality and cancer: Current status and methodological challenges. Psycho Oncology, 14(6), 450–463.Google Scholar
Steger, M.F. (2006). An illustration of issues in factor extraction and identification of dimensionality in psychological assessment data. Journal of Personality Assessment, 86(3), 263–272.Google Scholar
Steger, M.F. & Frazier, P. (2005). Meaning in life: One link in the chain from religiousness to well-being. Journal of Counseling Psychology, 52(4), 574.Google Scholar
Steger, M. F., Frazier, P., Oishi, S., et al. (2006). The meaning in life questionnaire: Assessing the presence of and search for meaning in life. Journal of Counseling Psychology, 53(1), 80.Google Scholar
Steger, M.F., Kashdan, T.B., Sullivan, B.A., et al. (2008). Understanding the search for meaning in life: Personality, cognitive style, and the dynamic between seeking and experiencing meaning. Journal of Personality, 76(2), 199–228.Google Scholar
Taylor, E.J. (1992). The search for meaning among persons living with recurrent cancer. Philadelphia: University of Pennsylvania, Penn Libraries.Google Scholar
Taylor, S.E. (1983). Adjustment to threatening events: A theory of cognitive adaptation. American Psychologist, 38(11), 1161.Google Scholar
Tedeschi, R.G. & Calhoun, L.G. (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry, 15(1), 1–18.Google Scholar
Thompson, S.C. & Janigian, A.S. (1988). Life schemes: A framework for understanding the search for meaning. Journal of Social and Clinical Psychology, 7(2–3), 260–280.Google Scholar
Urry, H.L., Nitschke, J.B., Dolski, I., et al. (2004). Making a life worth living neural correlates of well-being. Psychological Science, 15(6), 367–372.Google Scholar
Vehling, S., Lehmann, C., Oechsle, K., et al. (2010). Is advanced cancer associated with demoralization and lower global meaning? The role of tumor stage and physical problems in explaining existential distress in cancer patients. Psycho-Oncology, 21(1), 54–63.Google Scholar
Visser, A., Garssen, B. & Vingerhoets, A. (2010). Spirituality and well-being in cancer patients: A review. Psycho-Oncology, 19(6), 565–572.Google Scholar
White, C.A. (2004). Meaning and its measurement in psychosocial oncology. Psycho-Oncology, 13(7), 468–481.Google Scholar
Wood, A.M. & Joseph, S. (2010). The absence of positive psychological (eudemonic) well-being as a risk factor for depression: A ten-year cohort study. Journal of Affective Disorders, 122(3), 213–217.Google Scholar