PDF
ePub
Citation
Print
Kyung Ah Kang1
, Suk Jung Han1, Shin Jung Kim2, Young Sook Lim3
, Suk Jung Han1, Shin Jung Kim2, Young Sook Lim3
Abstract
Purpose
The purpose of this study was to review studies of Meaning-Centered Intervention (MCI) in advanced or terminal cancer patients using Whittemore and Knafl's integrative review method.
Methods
We conducted a literature search using nine English or Korean electronic databases by using the keywords ‘meaning therapy OR meaning-centered intervention OR psychotherapy’. All studies were original articles about MCI in peer-reviewed journals from inception to August 2017. A risk of bias assessment tool for non-randomized studies was used for quality assessment.
Results
Seventeen studies matched the criteria. Thirteen studies assessed through RoBANS had a low risk of bias in most areas. The most frequently used tools were 8 group intervention sessions around 90 or 120 minutes in length. The outcome variables used in this study were quality of life, anxiety, depression, meaning of life, and spiritual well-being. The purpose of MCI was to improve the spiritual well-being and quality of life for patients by finding meaning in life even when faced with cancer.
Figures and Tables
Table 2
Risk of Bias Assessment of Included Studies in this Study
TGC= Target group comparisons; TGS= Target group selection; DV= Disturbance variables; EM= Exposure measurement; EB= Evaluator's blindness; OE= Outcome evaluation; IOD= Incomplete outcome data; SOR= Selective outcome report; RSG= Random sequence generator; AC= Allocation concealment; BPP= Blinding of participants and personal; BOA= Blinding of outcome assessment; SR= Selective reporting.
Appendix
Appendix 1
1. Breitbart W. Spirituality and meaning in supportive care: spirituality and meaning-centered group psychotherapy interventions in advanced cancer. Support Care Cancer. 2002;10:272-80.
2. Breitbart W, Gibson C, Poppito SR, Berg A. Psychotherapeutic interventions at the end of life: a focus on meaning and spirituality. Can J Psychiatry. 2004;49:366-72.
3. Breitbart W, Rosenfeld B, Gibson C, Pessin H, Poppito S, Nelson C, et al. Meaning-centered group psychotherapy for patients with advanced cancer: a pilot randomized controlled trial. Psychooncology. 2010;19:21-8.
4. Breitbart W, Poppito S, Rosenfeld B, Vickers AJ, Li Y, Abbey J, et al. Pilot randomized controlled trial of individual meaning-centered psychotherapy for patients with advanced cancer. J Clin Oncol. 2012;30:1304-9.
5. Breitbart W, Rosenfeld B, Pessin H, Applebaum A, Kulikowski J, Lichtenthal WG. Meaning-centered group psychotherapy: an effective intervention for improving psychological well-being in patients with advanced cancer. J Clin Oncol. 2015;33:749-54.
6. Greenstein M. The house that's on fire: meaning-centered psychotherapy pilot group for cancer patients. Am J Psychother. 2000;54:501-11.
7. Henry M, Cohen SR, Lee V, Sauthier P, Provencher D, Drouin P, et al. The Meaning-Making intervention (MMi) appears to increase meaning in life in advanced ovarian cancer: a randomized controlled pilot study. Psychooncology. 2010;19:1340-7.
8. Kang KA, Im JI, Kim HS, Kim SJ, Song MK, Sim SY. The effect of logotherapy on the suffering finding meaning, and spiritual well-being of adolescents with terminal cancer. J Korean Acad Child Health Nurs. 2009;15:136-44.
9. Kang KA, Shim JS, Jeon DG, Koh MS. The effects of logotherapy on meaning in life and quality of life of late adolescents with terminal cancer. J Korean Acad Nurs. 2009;39:759-68.
10. Kim SJ, Kang KA, Park SJ, Lee MN, Kim YH. Effects of logotherapy on meaning of life of early adolescents with cancer. Asian Oncol Nurs. 2013;13:49-57.
11. Koo BJ. The development and effect of logotherapy-based resilience promotion program for gynecologic cancer women [dissertation]. Seoul: Korea Univ.; 2007.
12. Lee V, Cohen SR, Edgar L, Laizner AM, Gagnon AJ. Meaning-making and psychological adjustment to cancer: development of an intervention and pilot results. Oncol Nurs Forum. 2006;33:291-302.
13. Lee V, Robin Cohen S, Edgar L, Laizner AM, Gagnon AJ. Meaningmaking intervention during breast or colorectal cancer treatment improves self-esteem, optimism, and self-efficacy. Soc Sci Med. 2006;62:3133-45.
14. Mohabbat-Bahar S, Golzari M, Moradi-Joo M, Akbari ME. Efficacy of group logotherapy on decreasing anxiety in women with breast cancer. Iran J Cancer Prev. 2014;7:165-70.
15. Mok E, Lau KP, Lai T, Ching S. The meaning of life intervention for patients with advanced-stage cancer: development and pilot study. Oncol Nurs Forum. 2012;39:E480-8.
16. van der Spek N, Vos J, van Uden-Kraan CF, Breitbart W, Cuijpers P, Knipscheer-Kuipers K, et al. Effectiveness and cost-effectiveness of meaning-centered group psychotherapy in cancer survivors: protocol of a randomized controlled trial. BMC Psychiatry. 2014;14:22.
17. Zuehlke TE, Watkins JT. Psychotherapy with terminally ill patients. Psychotherapy (Chic). 1977;14:403-10.
References
1. Korea Statistics. Cause of death [Internet]. Accessed September 22, 2017. Available from: http://kostat.go.kr/portal/korea/kor_nw/1/6/1/index.board?bmode=read&aSeq=363268.
2. Kim HJ, Go SJ. Understanding the needs of patients in palliative care. Korean J Christ Couns. 2014; 25:93–112.
3. Kim GH. Hospice for terminal cancer patients, institutionalization of human rights problems in the research. J Welf Hum Rights. 2011; 10:109–150.
4. Kang KA, Kim SJ, Lyu CJ, You YG, Song MK. Development of a CD program applied logotherapy for promoting quality of life of adolescents with terminal cancer. J Korean Acad Child Health Nurs. 2007; 13:495–505.
5. Yang ES, Lee DH. A phenomenological study of experience about family caregivers' caring for their terminal cancer patient. J Korea Contents Assoc. 2017; 17:667–685.
6. Kim SN, Kim HJ, Choi SO. Effects of a hospice and palliative care education program including meaning in life on attitudes toward end-oflife care and meaning in life among nursing college students. J Korean Acad Soc Nurs Educ. 2011; 17:454–463.
7. Frankl VE. Man's search for meaning. New York, NY: Washington Square Press;1963.
8. Frankl VE. The will to meaning: foundations and applications of logotherapy, expanded edition. . New York, NY: Penguin;1988.
9. Brallier LW. The suffering of terminal illness: cancer. In : Starck PL, Mc-Govern JP, editors. The hidden dimension of illness: human suffering. New York, NY: National League for Nursing Press;1992.
10. Cassell EJ. The nature of suffering: physical, psychological, social and spiritual aspects. In : Starck PL, McGovern JP, editors. The hidden dimension of illness: human suffering. New York, NY: National League for Nursing Press;1992.
11. Breitbart W, Poppito S, Rosenfeld B, Vickers AJ, Li Y, Abbey J, et al. Pilot randomized controlled trial of individual meaning-centered psychotherapy for patients with advanced cancer. J Clin Oncol. 2012; 30:1304–1309.
12. Breitbart W, Rosenfeld B, Pessin H, Applebaum A, Kulikowski J, Lichtenthal WG. Meaning-centered group psychotherapy: an effective intervention for improving psychological well-being in patients with advanced cancer. J Clin Oncol. 2015; 33:749–754.
13. Henry M, Cohen SR, Lee V, Sauthier P, Provencher D, Drouin P, et al. The Meaning-Making intervention (MMi) appears to increase meaning in life in advanced ovarian cancer: a randomized controlled pilot study. Psychooncology. 2010; 19:1340–1347.
14. Kim SJ, Kang KA, Park SJ, Lee MN, Kim YH. The effects of logotherapy on meaning of life of early adolescents with cancer. Asian Oncol Nurs. 2013; 13:49–57.
15. Mohabbat-Bahar S, Golzari M, Moradi-Joo M, Akbari ME. Efficacy of group logotherapy on decreasing anxiety in women with breast cancer. Iran J Cancer Prev. 2014; 7:165–170.
16. Dezelic MS. Meaning-centered therapy workbook. . San Rafael, CA: Dezelic & Associates, Inc.;2014.
17. Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs. 2005; 52:546–553.
18. Breitbart W. Spirituality and meaning in supportive care: spirituality and meaning-centered group psychotherapy interventions in advanced cancer. Support Care Cancer. 2002; 10:272–280.
19. Breitbart W, Gibson C, Poppito SR, Berg A. Psychotherapeutic interventions at the end of life: a focus on meaning and spirituality. Can J Psychiatry. 2004; 49:366–372.
20. Breitbart W, Rosenfeld B, Gibson C, Pessin H, Poppito S, Nelson C, et al. Meaning-centered group psychotherapy for patients with advanced cancer: a pilot randomized controlled trial. Psychooncology. 2010; 19:21–28.
21. Lee V, Cohen SR, Edgar L, Laizner AM, Gagnon AJ. Meaning-making and psychological adjustment to cancer: development of an intervention and pilot results. Oncol Nurs Forum. 2006; 33:291–302.
22. Lee V, Robin Cohen S, Edgar L, Laizner AM, Gagnon AJ. Meaningmaking intervention during breast or colorectal cancer treatment improves self-esteem, optimism, and self-efficacy. Soc Sci Med. 2006; 62:3133–3145.
23. Kang KA, Im JI, Kim HS, Kim SJ, Song MK, Sim S. The effect of logotherapy on the suffering finding meaning, and spiritual well-being of adolescents with terminal cancer. J Korean Acad Child Health Nurs. 2009; 15:136–144.
24. Kang KA, Shim JS, Jeon DG, Koh MS. The effects of logotherapy on meaning in life and quality of life of late adolescents with terminal cancer. J Korean Acad Nurs. 2009; 39:759–768.
25. Zuehlke TE, Watkins JT. Psychotherapy with terminally ill patients. Psychotherapy (Chic). 1977; 14:403–410.
26. Greenstein M. The house that's on fire: meaning-centered psychotherapy pilot group for cancer patients. Am J Psychother. 2000; 54:501–511.
27. van der Spek N, Vos J, van Uden-Kraan CF, Breitbart W, Cuijpers P, Knipscheer-Kuipers K, et al. Effectiveness and cost-effectiveness of meaning-centered group psychotherapy in cancer survivors: protocol of a randomized controlled trial. BMC Psychiatry. 2014; 14:22.
28. Kang KA, Lee WH. Hospice and logotherapy. Korean J Hosp Palliat Care. 2004; 7:143–152.
29. Kang MH, Moon YS, Lee YJ, Kang YS, Kim HG, Lee GW, et al. Physical symptoms and psychiatric, social, spiritual and economical care needs of patients under home-based cancer service. Korean J Hosp Palliat Care. 2014; 17:216–222.
XML Download