Effectiveness and cost-effectiveness of meaning-centered group psychotherapy in cancer survivors: protocol of a randomized controlled trial
Open accessAbstract
BACKGROUND: Meaning-focused coping may be at the core of adequate adjustment to life after cancer. Cancer survivors who experience their life as meaningful are better adjusted, have better quality of life and psychological functioning. Meaning-Centered Group Psychotherapy for Cancer Survivors (MCGP-CS) was designed to help patients to sustain or enhance a sense of meaning and purpose in their lives. The aim of the proposed study is to evaluate the effectiveness and cost-effectiveness of MCGP-CS. METHODS/DESIGN: Survivors diagnosed with cancer in the last 5 years and treated with curative intent, are recruited via several hospitals in the Netherlands. After screening, 168 survivors are randomly assigned to one of the three study arms: 1. Meaning-Centered Group Psychotherapy (MCGP-CS) 2. Supportive group psychotherapy (SGP) 3. Care as usual (CAU). Baseline assessment takes place before randomisation, with follow up assessments post-intervention and at 3, 6 and 12 months follow-up. Primary outcome is meaning making (PMP, PTGI, SPWB). Secondary outcome measures address quality of life (EORTC-30), anxiety and depression (HADS), hopelessness (BHS), optimism (LOT-R), adjustment to cancer (MAC), and costs (TIC-P, EQ-5D, PRODISQ). DISCUSSION: Meaning-focused coping is key to adjustment to life after cancer, however, there is a lack of evidence based psychological interventions in this area. Many cancer survivors experience feelings of loneliness and alienation, and have a need for peer support, therefore a group method in particular, can be beneficial for sustaining or enhancing a sense of meaning. If this MCGP-CS is effective for cancer survivors, it can be implemented in the practice of psycho-oncology care. TRIAL REGISTRATION: Netherlands Trial Register, NTR3571.
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Early randomized controlled trials have shown that a meaning-centered therapy, delivered either in a group or individual format, can help raise meaning and purpose in life among people with cancer.
“Additionally, early randomized controlled trials have shown that a meaning-centered therapy, delivered either in a group or individual format, can help raise meaning and purpose in life among people with cancer (32, 33).”
From Purpose in life and use of preventive health care services (2014) · cites this paper as [33]
The Background reports promising evaluation studies that improved patients’ sense of meaning and cites a pilot randomized trial of meaning-centered group psychotherapy for advanced cancer patients. But it describes that trial’s finding as a potential reduction in emotional and spiritual suffering, not specifically an increase in meaning or purpose. It does not report a randomized trial of the individual format; this paper is itself a protocol, not a completed trial. (LLM, conf=0.84)
Experimental — accuracy not yet measuredAn increasing number of randomized controlled trials show that purpose in life can be raised.
“An increasing number of randomized controlled trials show that purpose in life can be raised.”
From Purpose in life and use of preventive health care services (2014) · cites this paper as [33]
The Background reports that several evaluations of interventions for cancer patients found improved sense of meaning after treatment. It does not say that an increasing number of randomized controlled trials showed gains in purpose in life: the pilot randomized trial it describes concerned emotional and spiritual suffering, and the paper is a protocol rather than a report of trial results. (LLM, conf=0.87)
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Lifetime MDMA use and associations with meaning in life in the context of childhood trauma
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- Authors
- van der Spek, N., Vos, J., van Uden-Kraan, C. F., Breitbart, W., Cuijpers, P., Knipscheer-Kuipers, K., Willemsen, V., Tollenaar, R. A., van Asperen, C. J., & Verdonck-de Leeuw, I. M.
- Affiliations
- Leiden University Medical Center (NL)
- Memorial Sloan Kettering Cancer Center (US)
- Vrije Universiteit Amsterdam (NL)
- Venue
- BMC Psychiatry
- Published
- 2014-01-28
- Volume
- 14
- Issue
- 1
- Pages
- 22-22
- ISSN
- 1471-244X (ISSN-L)
- PMC
- PMC3942178
- OpenAlex
- W1973419281
- Cited by
- 52
- References
- 50
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 3 · 2023: 3 · 2022: 5 · 2021: 3 · 2020: 2 · 2019: 4 · 2018: 7 · 2017: 6 · 2016: 4 · 2015: 7 · 2014: 5
- FWCI
- 3.54
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Psychiatry (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
- Multilingual Matters (Channel View Publications) (publishedVersion, cc-by)
- VU Research Portal (publishedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Leiden Repository (Leiden University) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Funders
- KWF Kankerbestrijding
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Keywords
- cancer survivors, meaning-focused coping, meaning-making, adjustment to cancer, quality of life, anxiety, depression, hopelessness, optimism, cost-effectiveness, psycho-oncology, peer support
- MeSH terms
- Adaptation, Psychological, Anxiety, Cost-Benefit Analysis, Emotions, Humans, Neoplasms, Netherlands, Psychotherapy, Group, Quality of Life, Research Design, Treatment Outcome, Survivors
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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