癌症幸存者的意义建构：一项焦点小组研究。
Meaning making in cancer survivors: a focus group study.
机构信息
VU University, Department of Clinical Psychology, Amsterdam, The Netherlands.
出版信息
PLoS One. 2013 Sep 26;8(9):e76089. doi: 10.1371/journal.pone.0076089. eCollection 2013.
BACKGROUND
Confrontation with a life-threatening disease like cancer can evoke existential distress, which can trigger a search for meaning in people after having survived this disease.
METHODS
In an effort to gain more insight in the meaning making process, we conducted four focus groups with 23 cancer survivors on this topic. Participants responded to questions about experienced meaning making, perceived changes in meaning making after cancer and the perceived need for help in this area.
RESULTS
Most frequently mentioned meaning making themes were relationships and experiences. We found that, in general, cancer survivors experienced enhanced meaning after cancer through relationships, experiences, resilience, goal-orientation and leaving a legacy. Some participants, however, also said to have (also) experienced a loss of meaning in their lives through experiences, social roles, relationships and uncertainties about the future.
CONCLUSIONS
The results indicated that there is a group of cancer survivors that has succeeded in meaning making efforts, and experienced sometimes even more meaning in life than before diagnosis, while there is also a considerable group of survivors that struggled with meaning making and has an unmet need for help with that. The results of this study contribute to develop a meaning centered intervention for cancer survivors.
背景
面对癌症等危及生命的疾病，可能会引发存在主义困扰，这可能会促使人们在战胜癌症后寻找生命的意义。
方法
为了更深入地了解意义构建过程，我们就这一主题对 23 名癌症幸存者进行了四次焦点小组讨论。参与者回答了有关经历的意义构建、癌症后意义构建的变化感知以及对这方面帮助的需求的问题。
结果
最常提到的意义构建主题是人际关系和经历。我们发现，一般来说，癌症幸存者通过人际关系、经历、韧性、目标导向和留下遗产，在癌症后体验到了增强的意义。然而，一些参与者也表示，他们的生活经历、社会角色、人际关系和对未来的不确定性导致了意义的丧失。
结论
研究结果表明，有一群癌症幸存者成功地进行了意义构建，并体验到了比诊断前更多的生活意义，而另一群幸存者则在意义构建方面苦苦挣扎，有未满足的需求。这项研究的结果有助于为癌症幸存者开发以意义为中心的干预措施。
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