scholarly journals Moderators of the effects of meaning-centered group psychotherapy in cancer survivors on personal meaning, psychological well-being, and distress

2017 ◽  
Vol 25 (11) ◽  
pp. 3385-3393 ◽  
Author(s):  
Karen Holtmaat ◽  
Nadia van der Spek ◽  
Birgit I. Witte ◽  
William Breitbart ◽  
Pim Cuijpers ◽  
...  
2017 ◽  
Vol 47 (11) ◽  
pp. 1990-2001 ◽  
Author(s):  
N. van der Spek ◽  
J. Vos ◽  
C. F. van Uden-Kraan ◽  
W. Breitbart ◽  
P. Cuijpers ◽  
...  

BackgroundThe aim of this study was to assess the efficacy of meaning-centered group psychotherapy for cancer survivors (MCGP-CS) to improve personal meaning, compared with supportive group psychotherapy (SGP) and care as usual (CAU).MethodA total of 170 cancer survivors were randomly assigned to one of the three study arms: MCGP-CS (n = 57); SGP (n = 56); CAU (n = 57). The primary outcome measure was the Personal Meaning Profile (PMP; total score). Secondary outcome measures were subscales of the PMP, psychological well-being (Scales of Psychological Well-being; SPWB), post-traumatic growth (Posttraumatic Growth Inventory), Mental Adjustment to Cancer (MAC), optimism (Life Orientation Test-Revised), hopelessness (Beck's Hopelessness Scale), psychological distress (anxiety and depression, Hospital Anxiety and Depression Scale; HADS) and quality of life (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire; EORTC QLQ-C30). Outcome measures were assessed before randomization, post-intervention, and after 3 and 6 months of follow-up (FU).ResultsLinear mixed model analyses (intention-to-treat) showed significant differences between MCGP-CS, SGP and CAU on the total PMP score, and on (sub)scales of the PMP, SPWB, MAC and HADS. Post-hoc analyses showed significantly stronger treatment effects of MCGP-CS compared with CAU on personal meaning (d = 0.81), goal-orientedness (d = 1.07), positive relations (d = 0.59), purpose in life (d = 0.69); fighting spirit (d = 0.61) (post-intervention) and helpless/hopeless (d = −0.87) (3 months FU); and distress (d = −0.6) and depression (d = −0.38) (6 months FU). Significantly stronger effects of MCGP-CS compared with SGP were found on personal growth (d = 0.57) (3 months FU) and environmental mastery (d = 0.66) (6 months FU).ConclusionsMCGP-CS is an effective intervention for cancer survivors to improve personal meaning, psychological well-being and mental adjustment to cancer in the short term, and to reduce psychological distress in the long run.


2018 ◽  
Vol 27 (2) ◽  
pp. 443-450
Author(s):  
K. Holtmaat ◽  
N. van der Spek ◽  
B. I. Lissenberg-Witte ◽  
P. Cuijpers ◽  
I. M. Verdonck-de Leeuw

2021 ◽  
pp. 521-527
Author(s):  
Nadia van der Spek ◽  
Wendy G. Lichtenthal ◽  
Karen Holtmaat ◽  
William S. Breitbart ◽  
Irma M. Verdonck-de Leeuw

This chapter gives an overview of the application, content, and scientific evidence of meaning-centered group psychotherapy for cancer survivors (MCGP-CS). Experiencing meaning is strongly related to adjustment and psychological well-being after cancer diagnosis and medical treatment for survivors. MCGP-CS is an eight-session group intervention that aims to help survivors enhance or maintain a sense of meaning, in order to improve their psychological well-being and decrease distress. The chapter describes two adaptations of MCGP for survivors: a US version developed specifically for breast cancer survivors and a Dutch version developed for general cancer survivors. This chapter includes summaries of the content of each session and examples of some of the exercises in the manual. Furthermore, it summarizes the results of two conducted pilot studies, a randomized controlled trial, and a cost-utility analysis, all showing positive effects. Finally, future directions for MCGP for cancer survivors are given.


2014 ◽  
Vol 15 (14) ◽  
pp. 5927-5936 ◽  
Author(s):  
Munir Abu-Helalah ◽  
Motasem Al-Hanaqta ◽  
Hussam Alshraideh ◽  
Nada Abdulbaqi ◽  
Jameel Hijazeen

2016 ◽  
Vol 5 (2) ◽  
pp. 128-134 ◽  
Author(s):  
Diane B. Francis ◽  
Maria Leonora G. Comello ◽  
Laura Heisner Marshall

1992 ◽  
Vol 20 (4) ◽  
pp. 376-388 ◽  
Author(s):  
P. J. Watson ◽  
Ronald J. Morris ◽  
Ralph W. Hood

Current controversies over religious orientation center on issues that appear to be partially nonempirical, normative, and sociological. These issues, in other words, may be ideological. In exploring this possibility, the present study had different religious orientation types evaluate items from the Quest Scale. For a group with an intrinsic commitment, a number of items proved to be antireligious in their implications while one was proreligious. This intrinsic interpretation of Quest also predicted relative mental health, including superior identity formation; and this was especially true for intrinsic subjects themselves. For no other type was the self-definition of Quest as robustly or as discriminatively linked to psychological well-being. The original Quest Scale was tied to poorer self-functioning. Overall, these data demonstrated the importance of measuring not just personal beliefs, but the personal meaning of those beliefs as well.


2020 ◽  
Vol 12 (4) ◽  
pp. 354-363 ◽  
Author(s):  
Mojgan Firouzbakht ◽  
Karimollah Hajian-Tilaki ◽  
Dariush Moslemi

Abstract Background To explore and characterize the inter-relationship between psychological well-being, spirituality, social support, comorbidity, demographic and lifestyle factors and quality of life (QoL). Methods This cross-sectional study was conducted with 305 breast cancer survivors in northern Iran in 2017. The demographic and socio-economic data and physical activity were measured with a standard questionnaire. The standard European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 QoL scale, a system-of-belief inventory questionnaire, the social support scale, the short form of the Hospital Anxiety and Depression Scale and the fatigue severity scale (FSS) were used in data collection. In structural equation modelling analysis, we used the maximum likelihood procedure to estimate the direct and indirect effects of relevant factors on QoL. Results The median age (quartile 1 [Q1], quartile 3 [Q3]) of patients was 50 y (43, 55). The psychological factors designated by anxiety, depression and FSS had a negative significant direct effect on QoL (β=−0.62). Spirituality has a positive direct effect (β=0.089) but a negligible indirect effect (β=0.020) on QoL, while the direct association of social support was almost negligible. Conclusions The findings emphasized the unifying structure of the determinants of QoL and the mediating negative association of psychological factors with QoL. Thus the supportive education efforts should focus on improving psychological well-being along with standard treatment in breast cancer survivors.


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