Meaning making and psychological adjustment following cancer: The mediating roles of growth, life meaning, and restored just-world beliefs.

Park, Crystal L.; Edmondson, Donald; Fenster, Juliane R.; Blank, Thomas O.

doi:10.1037/a0013348

Cited by 376Cancer survivorship and careReligion, Spirituality, and PsychologyChildhood Cancer Survivors' Quality of Life

Meaning making and psychological adjustment following cancer: The mediating roles of growth, life meaning, and restored just-world beliefs.

Park, Crystal L., Edmondson, Donald, Fenster, Juliane R., Blank, Thomas O.·2008·Journal of Consulting and Clinical Psychology

DOI 10.1037/a0013348

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Abstract

Cancer survivors' efforts at meaning making may influence the extent to which they successfully make meaning from their experience (i.e., experience posttraumatic growth, find life meaningful, and restore beliefs in a just world), which may, in turn, influence their psychological adjustment. Previous research regarding both meaning making processes and meanings made as determinants of adjustment has shown inconsistent effects, partly because of the lack of clearly articulated theoretical frameworks and problematic research strategies. In a 1-year longitudinal study, the authors distinguished the meaning making process from the outcomes of that process (meanings made), employing specific measures of both. The authors tested pathways through which meaning making efforts led to 3 different meanings made (growth, life meaning, and restored just-world belief) in a sample of 172 young to middle-age adult cancer survivors, and they explored whether those meanings made mediated the effect of meaning making efforts on psychological adjustment. Cross-sectional and longitudinal path models of the meaning making process indicate that meaning making efforts are related to better adjustment through the successful creation of adaptive meanings made from the cancer experience. The authors conclude with clinical implications and suggestions for future research.

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M-ACT specifies putative mechanisms of change including increasing active acceptance, reducing avoidance of internal experiences, and clarifying values and sources of meaning.
“based on the broader ACT model, M-ACT specifies putative mechanisms of change including increasing active acceptance and reducing avoidance of internal experiences (i.e., difficult thoughts and emotions) and clarifying values and sources of meaning (e.g., [29–31])”
From A randomized controlled trial of a multi-modal palliative care intervention to promote advance care planning and psychological well-being among adults with advanced cancer: study protocol. (2022) · cites this paper as [31]

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Making sense of the meaning literature: An integrative review of meaning making and its effects on adjustment to stressful life events
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Meaning in life in chronic pain patients over time: associations with pain experience and psychological well-being
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Global meaning and meaning-related life attitudes: exploring their role in predicting depression, anxiety, and demoralization in cancer patients
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Meaning in Life Promotes Proactive Coping via Positive Affect: A Daily Diary Study
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Meaning Making in Cancer Survivors: A Focus Group Study
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Life After Facing Cancer: Posttraumatic Growth, Meaning in Life and Life Satisfaction
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HOPE: A Pilot Study of Psilocybin Enhanced Group Psychotherapy in Patients With Cancer
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“It’s Not Fair”
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Meaning making helps cope with COVID-19: A longitudinal study
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Psychosocial Adaptation to Disability Within the Context of Positive Psychology: Findings from the Literature
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Coping with Stressful Events: Use of Cognitive Words in Stressful Narratives and the Meaning-Making Process
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A Social Cognitive Perspective on Coping With Cancer
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Violations of War: Testing the Meaning‐Making Model Among Vietnam Veterans
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Social Support, Self-Regulation, and Resilience in Two Populations: General-Population Adolescents and Adult Cancer Survivors
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Posttraumatic growth in breast cancer survivors: a comparison of volunteers and non‐volunteers
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Assessing Disruptions in Meaning: Development of the Global Meaning Violation Scale
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No evidence that social stress is associated with breast cancer incidence
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Psychometric Properties of the Portuguese Version of the Posttraumatic Growth Inventory Short Form Among Divorced Adults
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Effectiveness and cost-effectiveness of meaning-centered group psychotherapy in cancer survivors: protocol of a randomized controlled trial
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The Use of Meaning Making in Expressive Writing: When Meaning is Beneficial
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Meaning Making
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Patients' perceptions of quality of life during active treatment for locally advanced rectal cancer: the importance of preoperative exercise
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Posttraumatic growth among cancer patients in India
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Does growth require suffering? A systematic review and meta-analysis on genuine posttraumatic and postecstatic growthPreprint
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Effects of global meaning and illness-specific meaning on health outcomes among breast cancer patients
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Posttraumatic spiritual growth: a phenomenological study of cancer survivors
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Meaning-making process related to temporality during breast cancer traumatic experience: The clinical use of narrative to promote a new continuity of life
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Are Specific Emotion Regulation Strategies Differentially Associated with Posttraumatic Growth Versus Stress?
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Underfifty Women and Breast Cancer: Narrative Markers of Meaning-Making in Traumatic Experience
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Cost‐utility analysis of meaning‐centered group psychotherapy for cancer survivors
van der Spek, N., Jansen, F., Holtmaat, K., Vos, J., BREITBART, W. S., van Uden‐Kraan, C. F., Tollenaar, R. A. �. �., Cuijpers, P. J., Coupé, V. M. H., & Leeuw, I. M. V. (2018) · Psycho-Oncology · doi:10.1002/pon.4726 · Cited by 42 · see citing works
Illness centrality, disclosure, and well‐being in younger and middle‐aged adult cancer survivors
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Understanding the lived experience of Latino adolescent and young adult survivors of childhood cancer
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“Why me?” – women’s use of spiritual causal attributions in making sense of breast cancer
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Meaning mediates the association between suffering and well-being
Edwards, M., & Tongeren, D. R. V. (2019) · The Journal of Positive Psychology · doi:10.1080/17439760.2019.1651890 · Cited by 41 · see citing works
Experiencing positive change after a diagnosis of breast cancer: a grounded theory analysis
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Health and Writing
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Meaning Making for Psychological Adjustment and Quality of Life in Older Long-Term Breast Cancer Survivors
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Predictors of Posttraumatic Growth and Posttraumatic Stress Symptom Severity in Undergraduates Reporting Potentially Traumatic Events
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Post-traumatic growth, stressful life events, and relationships with substance use behaviors among alternative high school students: A prospective study
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Dimensions of Posttraumatic Growth in Patients With Cancer
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Siblings in foster care: A relational path to resilience for emancipated foster youth
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Family Resilience From the Perspective of Caregivers of Youth With Sickle Cell Disease
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Psychological Maltreatment, Meaning in Life, Emotions, and Psychological Health in Young Adults: A Multi-Mediation Approach
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Bias Within Because of Threat From Outside
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The protective role of compassion satisfaction for therapists who work with sexual violence survivors: an application of the broaden-and-build theory of positive emotions
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An Exploration of the Existential Experiences of Patients Following Curative Treatment for Cancer: Reflections from a U.K. Sample
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Authors: Park, C. L., Edmondson, D., Fenster, J. R., & Blank, T. O.
Affiliations: University of Connecticut (US)
ORCID: Park, Crystal L.
Edmondson, Donald
Blank, Thomas O.
Venue: Journal of Consulting and Clinical Psychology
Publisher: American Psychological Association (APA)
Published: 2008-10
Volume: 76
Issue: 5
Pages: 863-875
ISSN: 0022-006X (ISSN-L)
1939-2117
DOI: 10.1037/a0013348
OpenAlex: W2075953856
Cited by: 376
References: 108
Citations by year: 2026: 14 · 2025: 17 · 2024: 21 · 2023: 28 · 2022: 32 · 2021: 23 · 2020: 23 · 2019: 26 · 2018: 21 · 2017: 17 · 2016: 22 · 2015: 22 · 2014: 31 · 2013: 21 · 2012: 19
FWCI: 6.79
Type: journal article
Language: en
Open access: closed
Locations: Journal of Consulting and Clinical Psychology (publishedVersion)
PubMed (publishedVersion)
Funders: Lance Armstrong Foundation
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Social Sciences › Health › Religion, Spirituality, and Psychology
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
Keywords: meaning-making, cancer survivors, psychological adjustment, posttraumatic growth, meaning of life, belief in a just world, mediation, cancer experience
MeSH terms: Adaptation, Psychological, Adult, Age Factors, Cross-Sectional Studies, Culture, Female, Humans, Internal-External Control, Longitudinal Studies, Male, Middle Aged, Neoplasms, Surveys and Questionnaires, Sick Role, Survival, Self Efficacy

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Meaning making and psychological adjustment following cancer: The mediating roles of growth, life meaning, and restored just-world beliefs.

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