Adapting Meaning-Centered Psychotherapy in Advanced Cancer for the Chinese Immigrant Population

Leng, Jennifer; Lui, Florence; Chen, Angela; Huang, Xiaoxiao; Breitbart, William; Gany, Francesca

doi:10.1007/s10903-017-0591-7

Cited by 12 publications

(7 citation statements)

References 33 publications

(45 reference statements)

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“…In conformity to others studies, as in ours, it was easy for participants to provide examples for “experiential SoM” when asked to list three ways in which they connect with life, namely through the sources of love and beauty (van der Spek et al, 2013; Fraguell et al, 2017; Leng et al, 2018). In the dimension “love,” the theme of religion came up as participants reported their relationship with God — this can be explained by the Portuguese catholic culture (Table 2).…”

Section: Discussionsupporting

confidence: 65%

“…Creative SoM established a pattern between its dimension “courage” and the category “MwM,” given that most examples of moments of life with particular meaning were moments of courage. The other finding was in the dimension “responsibility,” where participants felt responsible for themselves and their disease, in accordance with the westernized model of patient autonomy (Leng et al, 2018).…”

Section: Discussionsupporting

confidence: 62%

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Process of therapeutic changes in Meaning-Centered Group Psychotherapy adapted to the Portuguese language: A narrative analysis

et al. 2020

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AbstractObjectiveThe aim was to understand the processes of therapeutic changes in Meaning-Centered Group Psychotherapy (MCGP) in a Portuguese sample.MethodAdult cancer patients with distress motivated to participate in MCGP were identified; descriptive and narrative analyses were performed on the session content.ResultsThe sample had 24 participants (mean age: 63.43 years); the majority were females (75%), with a median academic degree (54%). Breast cancer was most frequent (67%) at the localized stage (71%). The narrative analysis defined seven categories according to the MCGP themes. In “Moments with Meaning (MwM),” the most relevant dimensions were related to interpersonal relations, the moment of diagnosis, and personal achievements. This category established relations with almost all other categories, as did the category “historical sources of meaning (SoM).” The category “identity before and after cancer diagnosis” was only related to “attitudinal SoM” and “transitions.” Historical SoM had two dimensions, “past” and “present and future” legacies, in which prominent topics related to family, childhood, achieved goals, and values to pass to others explored. Attitudinal SoM established relations only with the category “creative SoM,” in which “courage” and “responsibility” were the main dimensions, which were also related to “MwM,” “historical,” and “attitudinal SoM.” Experiential SoM, with the main dimension “love,” was related to “MwM” and “historical SoM.” Transitions only established relations with “historical SoM” and “identity before and after cancer.”Significance of resultsThe findings that “MwM” and “historical SoM” were the categories which established a solid pattern of relations suggest that these are the main psychotherapy topics that can have more influence for the participants; one explanation is that these categories imply a concrete way of thinking, which is easier to understand. This process of therapeutic changes must be integrated in a cultural context, as it is well known to have an impact upon the “meaning” of life.

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Section: Discussionsupporting

confidence: 65%

Section: Discussionsupporting

confidence: 62%

Process of therapeutic changes in Meaning-Centered Group Psychotherapy adapted to the Portuguese language: A narrative analysis

et al. 2020

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“…Family involvement can be a source of great comfort to participants, enabling them to feel better and empowered during times of illness. This is consistent with Leng et al’s (2018) study which showed that Chinese immigrants in the United States with advanced cancer gained or drew strength to live from their family members’ encouragement and support. The family’s central role in Chinese society may be one of the main reasons why people from Chinese backgrounds rely on family support and rarely access the support provided by social groups.…”

Section: Discussionsupporting

confidence: 91%

The Perceptions of Spirituality and Spiritual Care Among People From Chinese Backgrounds Living in England: A Grounded Theory Method

2020

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Introduction: There has been a growing number of people from Chinese backgrounds entering England and their perceptions of spirituality and spiritual care need to be addressed when their cultural context changes. Methodology: A Straussian grounded theory method was used. Twenty-five participants were recruited, after which point data saturation was reached. Results: Four themes emerged showing participants’ perceptions of the terms: holistic; family involvement; religious care; abstract and sensitive. Discussion: Participants held holistic and culturally sensitive perspectives of spirituality, which demonstrates that patient-centered care is important. Also, health care professionals need to consider methods to involve family member and use religious or cultural values to support their spiritual needs. Particularly, when implementing spiritual care, they need to be aware that people from Chinese backgrounds blend Confucianism, Buddhism, and Daoism together in their understanding of the terms and may provide contradictory information about their religious belief.

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“…Caring for elderly parents is a key definition in Chinese filial piety. 26 Therefore, it is not surprising to observe this preference among family members.…”

Section: Discussionmentioning

confidence: 99%

Differences in Lung Cancer Treatment Preferences Among Oncologists, Patients and Family Members: A Semi-Structured Qualitative Study in China

He¹,

Zhang²,

Wu³

et al. 2021

PPA

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Background Cancer treatment decision-making often needs to balance benefits, harms, and costs. This study sought to identify the differences in cancer treatment preference among oncologists, patients and their family members in China. Methods A semi-structured face-to-face qualitative interview was conducted among oncologists, patients and their family members recruited in four tertiary hospitals in China. The interview guide was developed based on literature review and expert consultation. Participants were asked to indicate their preferences when making lung cancer treatment decisions. All interviews were audio-taped, transcribed verbatim, and thematic analyzed. The preferences were compared among three groups of participants. Results A total of 17 participants (5 oncologists, 6 dyads of patients and family members) were interviewed between June and July 2019. Five themes, namely, survival benefit, adverse effect/symptom, treatment process, treatment cost, and the impact on daily life were identified. The oncologists and family members gave highest priority on survival benefit, while the patients are concerned most about treatment cost and quality of life. Conclusion This study reveals different preferences for cancer treatment among oncologists, patients and their family members in China. Education is needed to empower patients and family members and promote share decision-making in this country.

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Adapting Meaning-Centered Psychotherapy in Advanced Cancer for the Chinese Immigrant Population

Cited by 12 publications

References 33 publications

Process of therapeutic changes in Meaning-Centered Group Psychotherapy adapted to the Portuguese language: A narrative analysis

Process of therapeutic changes in Meaning-Centered Group Psychotherapy adapted to the Portuguese language: A narrative analysis

The Perceptions of Spirituality and Spiritual Care Among People From Chinese Backgrounds Living in England: A Grounded Theory Method

Differences in Lung Cancer Treatment Preferences Among Oncologists, Patients and Family Members: A Semi-Structured Qualitative Study in China

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