Meaning-Centered Psychotherapy: A Form of Psychotherapy for Patients With Cancer

Thomas, Lori P. Montross; Meier, Emily A.; Irwin, Scott A.

doi:10.1007/s11920-014-0488-2

Cited by 51 publications

(31 citation statements)

References 13 publications

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“…It is possible that for male survivors, losing work, physical health, social status, and masculinity due to cancer may trigger depressive symptoms [ 32 ]. An intervention focusing on finding the sources of meaning that they still have may be particularly suitable to help males alleviate depressive symptoms [ 6 ]. However, this finding only occurred on depressive symptoms, suggesting that both sexes responded in a comparable manner in the other outcomes (i.e., personal meaning, goal-orientedness, positive relations with others, purpose in life, and distress).…”

Section: Discussionmentioning

confidence: 99%

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

Holtmaat

Spek

Witte

et al. 2017

Support Care Cancer

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PurposeThere is evidence to support that meaning-centered group psychotherapy for cancer survivors (MCGP-CS) is an effective intervention for improving personal meaning and psychological well-being, as well as reducing psychological distress. In order to investigate which subpopulations MCGP-CS specifically benefits, this explorative study aims to analyze potential sociodemographic, clinical, and psychosocial factors that may moderate the effects.MethodsCancer survivors (N = 114) were randomly assigned to MCGP-CS, or care as usual (CAU). Potential moderators included age, sex, relationship, education, employment, religion, cancer type, tumor stage, cancer treatment, time since treatment, anxiety, depression, other negative life events, and previous psychological treatment. Outcome measures were the Personal Meaning Profile (PMP), Scales of Psychological Well-Being (SPWB), and the Hospital Anxiety and Depression Scale (HADS). Assessment took place at baseline, post-intervention (short-term), and 3- and 6-month follow-ups (long-term). For each moderator, separate short-term and long-term linear mixed models were built.ResultsShort-term effect of MCGP-CS was moderated by (male) sex (on HADS-D; F(1,98) = 6.1, p = .015) and (a high level of) depressive symptoms at baseline (on SPWB; F(1,93) = 5.7, p = .019). Long-term effect of MCGP-CS was moderated by (not having received) previous psychological treatment (on HADS-total; F(3253) = 3.4, p = .017).ConclusionsMost sociodemographic and clinical characteristics do not appear to moderate the positive effect of MCGP-CS on personal meaning. However, MCGP-CS appears to reduce depressive symptoms, particularly in males, and to improve purpose in life of survivors with depressive symptoms. In the long-term, MCGP-CS appears to reduce psychological distress in survivors who had not received psychological treatment in the past year.Trial registration: NTR3571

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Section: Discussionmentioning

confidence: 99%

“…A meaning-focused coping strategy may be helpful to adjustment in the aftermath of cancer [ 4 ]. Meaning-centered group psychotherapy (MCGP) has been developed to sustain or enhance a sense of meaning in cancer patients’ lives in order to cope with the consequences of cancer and improve their well-being [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

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

Holtmaat

Spek

Witte

et al. 2017

Support Care Cancer

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“…Dignity Therapy is based on strengthening the sense of dignity at the end of life and is primarily intended for patients near or proximate to death 12 13. Meaning-centred individual psychotherapy seeks to improve spiritual well-being and the sense of meaning and purpose 14 15. Its modules are delivered in a standardised format and sequence and involve a combination of didactics, experiential exercises and psychotherapeutic techniques to promote exploration of meaning and its uses in coping with advanced disease.…”

Section: Introductionmentioning

confidence: 99%

Managing Cancer And Living Meaningfully (CALM): randomised feasibility trial in patients with advanced cancer

Hales

Chiu

et al. 2016

BMJ Support Palliat Care

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How to cite TSpace itemsAlways cite the published version, so the author(s) will receive recognition through services that track citation counts, e.g. Scopus. If you need to cite the page number of the author manuscript from TSpace because you cannot access the published version, then cite the TSpace version in addition to the published version using the permanent URI (handle) found on the record page.This article was made openly accessible by U of T Faculty. Please tell us how this access benefits you. Your story matters. In an intervention-only phase 2a trial, CALM showed promising results, leading to the present 2b study, which introduces procedures for randomization and improved rigor in preparation for a phase 3 randomized controlled trial (RCT). Aims:To test trial methodology and assess feasibility of a confirmatory RCT.Design: A parallel-arm RCT (intervention vs. usual care) with 3 and 6 month follow-ups. Assessment of feasibility included rates of consent, randomization, attrition, intervention non-compliance and usual care contamination. Primary outcome: depressive symptoms (Patient Health Questionnaire-9; PHQ-9). Secondary outcomes: major depressive disorder (MDD), generalized anxiety, death anxiety, spiritual wellbeing, attachment anxiety and avoidance, self-esteem, experiential avoidance, quality of life and posttraumatic growth. Bayesian conjugate analysis was used in this low-powered setting.Setting/participants: Sixty adult patients with advanced cancer from the Princess Margaret Cancer Centre.Results: Rate of consent was 32%, randomization 78%, attrition 25%, non-compliance 37% and contamination 17%. There was support for potential treatment effects on: PHQ-9, Odds Ratio (OR) = Conclusions:A phase 3 CALM RCT is feasible and should aim to detect effect sizes of d = 0.40, with greater attention to issues of compliance and contamination. Registration: ClinicalTrials.gov NCT02353546.

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“…The social support is shown as an important component, when considered by the woman, either as family, friends or others. In this case, an important resource will be therapeutic groups, which allow the exchange of experiences between people who have similar characteristics, offering social support and information (35,36) .…”

Section: Discussionmentioning

confidence: 99%

Rumination and social support as predictors of posttraumatic growth in women with breast cancer: a systematic review

Quiroga

Binfaré

Rudnicki

et al. 2018

PSIC

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Objective: Posttraumatic Growth (PTG) is a perceived positive change after a stressful situation. Studies describe different predictors of PTG. The purpose of this study was to (1) review the evidence that rumination and social support are predictors of PTG; (2) analyze the results of the screened studies. Method: A systematic review was conducted by searching for articles with quantitative or mixed methods that evaluated PTG using the Posttraumatic Growth Inventory, rumination and/or social support in women with breast cancer. Results: Were identified twelve articles that corresponded to the inclusion criteria. All of them reported some degree of PTG in their samples. Rumination was evaluated in three studies, social support was evaluated in ten, and both were considered to have a positive correlation with PTG. Conclusions: This review concludes that rumination and social support are predictors of PTG in women with breast cancer. These results contribute to the development of new interventions in mental health.[es] Ruminación y apoyo social como predictores del crecimiento postraumático en mujeres con cáncer de mama: una revisión sistemática Resumen: Objetivo: el crecimiento postraumático (CPT) es un cambio positivo percibido después de una situación estresante. Los estudios describen diferentes predictores de CPT. El propósito de este estudio fue (1) revisar la evidencia de que la rumiación y el apoyo social son predictores del CPT;(2) analizar los resultados de los estudios seleccionados. Método: Se realizó una revisión sistemática mediante la búsqueda de artículos con métodos cuantitativos o mixtos que evaluaron CPT por médio del Inventario de Crecimiento Postraumático, rumiación y/o apoyo social en mujeres con cáncer de mama. Reesultados: Se identificaron doce artículos concernientes a los criterios de inclusión. Todos informaron algún grado de CPT en sus muestras. La rumiación se evaluó en tres estudios, el apoyo 1 Carolina Villanova Quiroga -Pontifícia Universidade Católica do Rio Grande do Sul.

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Meaning-Centered Psychotherapy: A Form of Psychotherapy for Patients With Cancer

Cited by 51 publications

References 13 publications

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

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

Managing Cancer And Living Meaningfully (CALM): randomised feasibility trial in patients with advanced cancer

Rumination and social support as predictors of posttraumatic growth in women with breast cancer: a systematic review

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