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Meaning making and psychological adjustment following cancer: The mediating roles of growth, life meaning, and restored just-world beliefs.
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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“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])”
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“(table continues) 280 PA R K Table 3 (continued ) Study Sample/design Conceptual definition of meaning making Operational definition of meaning making Conceptual definition of meanings made Operational definition of meanings made Findings Updegraff et al. (2008) 931 adults from a national probability sample after 9/11…”
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Metadata
- Authors
- Park, C. L., Edmondson, D., Fenster, J. R., & Blank, T. O.
- Affiliations
- University of Connecticut (US)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2008-10
- Volume
- 76
- Issue
- 5
- Pages
- 863-875
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- 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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