Skip to main content

Meaning, Spirituality, and Perceived Growth Across the Cancer Continuum: A Positive Psychology Perspective

  • Chapter
  • First Online:
Psychological Aspects of Cancer

Abstract

Taking a positive psychology perspective on cancer survivorship, this chapter focuses on three interrelated topics: meaning, spirituality, and perceived growth. The meaning-making model (Park, Psychological Bulletin 136:257–301, 2010a; Park, Stress, coping, and meaning. In: Folkman S (ed.), Oxford handbook of stress, health, and coping (pp. 227–41), 2010b) serves as a framework for discussing current research in meaning, spirituality, and perceived growth within psycho-oncology. A brief overview of this meaning-making model is presented, and literature regarding meaning in the context of cancer is reviewed. A description of research on spirituality, an important aspect of meaning in the lives of many survivors, follows. Perceptions of stress-related growth, a product of meaning-making that has been receiving a great deal of attention within psycho-oncology research, is the third positive psychology topic discussed. Clinical implications and future research directions conclude the chapter. Importantly, because cancer survivorship spans a continuum from diagnosis through treatment and far beyond, and because survivors’ experiences of cancer change across this continuum, this chapter attends to the ways that issues of meaning, spirituality, and perceived growth may differ across the survivorship continuum and begins with an overview of this continuum.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 179.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. National Cancer Institute. Cancer survivorship research 2011a. Retrieved on February 28, 2011, from http://dccps.nci.nih.gov/ocs/definitions.html

  2. Twombly R. What’s in a name: who is a cancer survivor? J Natl Cancer Inst. 2004;96:1414–5.

    PubMed  Google Scholar 

  3. Cancer Statistics 2018. Retrieved September 19, 2020, from https://www.cancer.gov/about-cancer/understanding/statistics

  4. Pongthavornkamol K, Lekdamrongkul P, Pinsuntorn P, Molassiotis A. Physical symptoms, unmet needs, and quality of life in Thai cancer survivors after the completion of primary treatment. Asia Pac J Oncol Nurs. 2019;6(4):363. https://doi.org/10.4103/apjon.apjon_26_19.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Mullan F. Seasons of survival: reflections of a physician with cancer. N Engl J Med. 1985;313:270–3.

    CAS  PubMed  Google Scholar 

  6. Anderson MD 2011. http://www.mdanderson.org/patient-and-cancer-information/cancer-information/cancer-topics/survivorship/stages-of-cancer-survivorship/index.html

  7. Remmers H, Holtgräwe M, Pinkert C. Stress and nursing care needs of women with breast cancer during primary treatment: a qualitative study. Eur J Oncol Nurs. 2010;14(1):11–6. https://doi.org/10.1016/j.ejon.2009.07.002.

    Article  PubMed  Google Scholar 

  8. Kang D, Kim I, Choi E, Yoon JH, Lee S, Lee JE, et al. Who are happy survivors? Physical, psychosocial, and spiritual factors associated with happiness of breast cancer survivors during the transition from cancer patient to survivor. Psycho-Oncology. 2017;26(11):1922–8. https://doi.org/10.1002/pon.4408.

    Article  PubMed  Google Scholar 

  9. Stanton AL. What happens now? Psychosocial care for cancer survivors after medical treatment completion. J Clin Oncol. 2012;30(11):1215–20. https://doi.org/10.1200/jco.2011.39.7406.

    Article  PubMed  Google Scholar 

  10. Lebel S, Maheu C, Lefebvre M, et al. Addressing fear of cancer recurrence among women with cancer: a feasibility and preliminary outcome study. J Cancer Surviv. 2014;8:485–96. https://doi.org/10.1007/s11764-014-0357-3.

    Article  PubMed  Google Scholar 

  11. Leclair CS, Lebel S, Westmaas JL. The relationship between fear of cancer recurrence and health behaviors: a nationwide longitudinal study of cancer survivors. Health Psychol. 2019;38(7):596–605. https://doi.org/10.1037/hea0000754.

    Article  Google Scholar 

  12. Heathcote LC, Goldberg DS, Eccleston C, Spunt SL, Simons LE, Sharpe L, Earp BD. Advancing shared decision making for symptom monitoring in people living beyond cancer. Lancet Oncol. 2018;19(10):e556–63. https://doi.org/10.1016/s1470-2045(18)30499-6.

    Article  PubMed  Google Scholar 

  13. Park CL, Edmondson D, Fenster JR, Blank TO. Meaning-making and psychological adjustment following cancer: the mediating roles of growth, life meaning, and restored just world beliefs. J Consult Clin Psychol. 2008;76:863–75.

    PubMed  Google Scholar 

  14. Park CL, Zlateva I, Blank TO. Self-identity after cancer: “survivor”, “victim”, “patient”, and “person with cancer”. J Gen Intern Med. 2009;24(Supplement 2):S430–5.

    PubMed  Google Scholar 

  15. Park CL, Folkman S. Meaning in the context of stress and coping. Rev Gen Psychol. 1997;1:115–44.

    Google Scholar 

  16. Dittmann-Kohli F, Westerhof GJ. The personal meaning system in a life span perspective. In: Reker GT, Chamberlain K, editors. Exploring existential meaning: optimizing human development across the lifespan. Thousand Oaks: Sage; 2000. p. 107–23.

    Google Scholar 

  17. Park CL. Making sense of the meaning literature: an integrative review of meaning-making and its effects on adjustment to stressful life events. Psychol Bull. 2010;136:257–301.

    PubMed  Google Scholar 

  18. Park CL. Stress, coping, and meaning. In: Folkman S, editor. Oxford handbook of stress, health, and coping. New York: Oxford University Press; 2010. p. 227–41.

    Google Scholar 

  19. Reker GT, Wong PTP. Aging as an individual process: toward a theory of personal meaning. In: Birren JE, Bengston VL, editors. Emergent theories of aging. New York: Springer; 1988. p. 214–46.

    Google Scholar 

  20. Janoff-Bulman R, Frantz CM. The impact of trauma on meaning: from meaningless world to meaningful life. In: Power M, Brewin C, editors. The transformation of meaning in psychological therapies: integrating theory and practice. Sussex: Wiley; 1997.

    Google Scholar 

  21. Koltko-Rivera ME. The psychology of worldviews. Rev Gen Psychol. 2004;8:1–58.

    Google Scholar 

  22. Karoly P. A goal systems-self-regulatory perspective on personality, psychopathology, and change. Rev Gen Psychol. 1999;3:264–91.

    Google Scholar 

  23. Klinger E. Meaning and void: inner experience and the incentives in people’s lives. Minneapolis: University of Minnesota Press; 1977.

    Google Scholar 

  24. Emmons RA. The psychology of ultimate concerns: motivation and spirituality in personality. New York: Guilford; 1999.

    Google Scholar 

  25. Steger MF. Meaning in life. In: Lopez SJ, editor. Handbook of positive psychology. 2nd ed. Oxford: Oxford University Press; 2009. p. 679–87.

    Google Scholar 

  26. Wrosch C, Scheier MF, Miller GE, Schulz R, Carver CS. Adaptive self-regulation of unattainable goals: goal disengagement, goal reengagement, and subjective well-being. Pers Soc Psychol Bull. 2003;29:1494–508.

    PubMed  Google Scholar 

  27. Park CL, Edmondson D. Religion as a quest for meaning. In: Mikulincer M, Shaver P, editors. The psychology of meaning. Washington, DC: American Psychological Association; 2011.

    Google Scholar 

  28. Lee V, Cohen SR, Edgar L, Laizner AM, Gagnon AJ. Meaning-making intervention during breast or colorectal cancer treatment improves self-esteem, optimism, and self-efficacy. Soc Sci Med. 2006;62:3133–45.

    PubMed  Google Scholar 

  29. Moadel A, Morgan C, Fatone A, Grennan J, Carter J, Laruffa G, Skummy A, Dutcher J. Seeking meaning and hope: self-reported spiritual and existential needs among an ethnically-diverse cancer patient population. Psychooncology. 1999;8:378–285.

    CAS  PubMed  Google Scholar 

  30. Lazarus RS, Folkman S. Stress, appraisal, and coping. New York: Springer; 1984.

    Google Scholar 

  31. Park CL, Riley KE, George L, Gutierrez I, Hale A, Cho D, Braun T. Assessing disruptions in meaning: development of the global meaning violation scale. Cogn Ther Res. 2016;40:831–46.

    Google Scholar 

  32. Greenberg MA. Cognitive processing of traumas: the role of intrusive thoughts and reappraisals. J Appl Soc Psychol. 1995;25:1262–96.

    Google Scholar 

  33. Janoff-Bulman R. Shattered assumptions: towards a new psychology of trauma. New York: Free Press; 1992.

    Google Scholar 

  34. Joseph S, Linley PA. Positive adjustment to threatening events: an organismic valuing theory of growth through adversity. Rev Gen Psychol. 2005;9:262–80.

    Google Scholar 

  35. Manne S, Ostroff J, Fox K, Grana G, Winkel G. Cognitive and social processes predicting partner psychological adaptation to early stage breast cancer. Br J Health Psychol. 2009;14:49–68.

    PubMed  Google Scholar 

  36. Aldwin CM. Stress, coping, and development: an integrative approach. 2nd ed. New York: Guilford; 2007.

    Google Scholar 

  37. Moos RH, Holahan CJ. Adaptive tasks and methods of coping with illness and disability. In: Martz E, Livneh H, editors. Coping with chronic illness and disability: theoretical, empirical, and clinical aspects. New York: Springer; 2007. p. 107–26.

    Google Scholar 

  38. Park CL, Armeli S, Tennen H. Appraisal-coping goodness of fit: a daily internet study. Pers Soc Psychol Bull. 2004;30:558–69.

    PubMed  Google Scholar 

  39. Park CL, Folkman S, Bostrom A. Appraisals of controllability and coping in caregivers and HIV+ men: testing the goodness-of-fit hypothesis. J Consult Clin Psychol. 2001;69:481–8.

    CAS  PubMed  Google Scholar 

  40. Wrosch C. Self-regulation of unattainable goals and pathways to quality of life. In: Folkman S, editor. Oxford handbook of stress, health, and coping. New York: Oxford University Press; 2010. p. 319–33.

    Google Scholar 

  41. Collie KK, Long BC. Considering ‘meaning’ in the context of breast cancer. J Health Psychol. 2005;10:843–53.

    PubMed  Google Scholar 

  42. Skaggs BG, Barron CR. Searching for meaning in negative events: concept analysis. J Adv Nurs. 2006;53:559–70.

    PubMed  Google Scholar 

  43. Segerstrom SC, Stanton AL, Alden LE, Shortridge BE. A multidimensional structure for repetitive thought: what’s on your mind, and how, and how much? J Pers Soc Psychol. 2003;85:909–21.

    PubMed  Google Scholar 

  44. Davis CG, Nolen-Hoeksema S, Larson J. Making sense of loss and benefiting from the experience: two construals of meaning. J Pers Soc Psychol. 1998;75:561–74.

    CAS  PubMed  Google Scholar 

  45. Pakenham KI. Making sense of multiple sclerosis. Rehabil Psychol. 2007;52:380–9.

    Google Scholar 

  46. Gillies J, Neimeyer RA. Loss, grief, and the search for significance: toward a model of meaning reconstruction in bereavement. J Constr Psychol. 2006;19:31–65.

    Google Scholar 

  47. Park CL. Religion and meaning. In: Paloutzian RF, Park CL, editors. Handbook of the psychology of religion and spirituality. New York: Guilford; 2005. p. 295–314.

    Google Scholar 

  48. Thompson SC, Janigian AS. Life schemes: a framework for understanding the search for meaning. J Soc Clin Psychol. 1988;7:260–80.

    Google Scholar 

  49. Kaler ME, Frazier PA, Anders SL, Tashiro T, Tomich P, Tennen H, Park CL. Assessing the psychometric properties of the World Assumptions Scale. J Trauma Stress. 2008;21:1–7.

    Google Scholar 

  50. Maliski SL, Heilemann MV, McCorkle R. From “Death Sentence” to “Good Cancer”: couples’ transformation of a prostate cancer diagnosis. Nurs Res. 2002;51:391–7.

    PubMed  Google Scholar 

  51. Leventhal H, Weinman J, Leventhal EA, Phillips LA. Health psychology: the search for pathways between behavior and health. Annu Rev Psychol. 2008;59:477–505.

    PubMed  Google Scholar 

  52. Orom H, Biddle C, Underwood W 3rd, Nelson CJ, Homish DL. What is a “good” treatment decision? Decisional control, knowledge, treatment decision making, and quality of life in men with clinically localized prostate cancer. Med Decis Mak. 2016;36(6):714–25. https://doi.org/10.1177/0272989X16635633.

    Article  Google Scholar 

  53. Sharif SP, Khanekharab J. External locus of control and quality of life among Malaysian breast cancer patients: the mediating role of coping strategies. J Psychosoc Oncol. 2017;35(6):706–25. https://doi.org/10.1080/07347332.2017.1308984.

    Article  PubMed  Google Scholar 

  54. Bickell NA, Weidmann J, Fei K, Lin JJ, Leventhal H. Underuse of breast cancer adjuvant treatment: patient knowledge, beliefs, and medical mistrust. J Clin Oncol. 2009;27:5160–7.

    PubMed  PubMed Central  Google Scholar 

  55. Sumpio C, Jeon S, Northouse LL, Knobf MT. Optimism, symptom distress, illness appraisal, and coping in patients with advanced-stage cancer diagnoses undergoing chemotherapy treatment. Oncol Nurs Forum. 2017;44(3):384–92. https://doi.org/10.1188/17.ONF.384-392. PMID: 28635986.

    Article  PubMed  Google Scholar 

  56. Ellis KR, Janevic MR, Kershaw T, Caldwell CH, Janz NK, Northouse L. The influence of dyadic symptom distress on threat appraisals and self-efficacy in advanced cancer and caregiving. Support Care Cancer. 2017;25(1):185–94. https://doi.org/10.1007/s00520-016-3385-x.

    Article  PubMed  Google Scholar 

  57. Lipowski ZJ. Physical illness, the individual and the coping process. Psychiatr Med. 1970;1:91–102.

    CAS  Google Scholar 

  58. Degner L, Hack T, O’Neil J, Kristjanson LJ. A new approach to eliciting meaning in the context of breast cancer. Cancer Nurs. 2003;26:169–78.

    PubMed  Google Scholar 

  59. Gilbert É, Savard J, Gagnon P, Savard M-H, Ivers H, Foldes-Busque G. To be or not to be positive: development of a tool to assess the relationship of negative, positive, and realistic thinking with psychological distress in breast cancer. J Health Psychol. 2018;23(5):731–42. https://doi.org/10.1177/1359105316681062.

    Article  PubMed  Google Scholar 

  60. Kuswanto CN, Stafford L, Sharp J, Schofield P. Psychological distress, role, and identity changes in mothers following a diagnosis of cancer: a systematic review. Psycho-Oncology. 2018;27:2700–8.

    PubMed  Google Scholar 

  61. Soler-Vilá H, Dubrow R, Franco VI, Saathoff AK, Kasl SV, Jones BA. Cancer-specific beliefs and survival in nonmetastatic colorectal cancer patients. Cancer. 2009;115:4270–82.

    PubMed  Google Scholar 

  62. Soler-Vilá H, Dubrow R, Franco VI, Kasl SV, Jones BA. The prognostic role of cancer-specific beliefs among prostate cancer survivors. Cancer Causes Control. 2010;22:251–60.

    PubMed  Google Scholar 

  63. Ferrucci LM, Cartmel B, Turkman YE, Murphy ME, Smith T, Stein KD, McCorkle R. Causal attribution among cancer survivors of the 10 most common cancers. J Psychosoc Oncol. 2011;29:121–40.

    PubMed  PubMed Central  Google Scholar 

  64. Costanzo ES, Lutgendorf SK, Bradley SL, Rose SL, Anderson B. Cancer attributions, distress, and health practices among gynecologic cancer survivors. Psychosom Med. 2005;67:972–80.

    PubMed  Google Scholar 

  65. Gan Y, Zheng L, Wang Y, Li W. An extension of the meaning making model using data from Chinese cancer patients: the moderating effect of resilience. Psychol Trauma Theory Res Pract Policy. 2018;10(5):594–601. https://doi.org/10.1037/tra0000325.

    Article  Google Scholar 

  66. Lepore SJ. A social-cognitive processing model of emotional adjustment to cancer. In: Baum A, Anderson B, editors. Psychosocial interventions for cancer. Washington, DC: American Psychological Association; 2001. p. 99–118.

    Google Scholar 

  67. Maliski SL, Husain M, Connor SE, et al. Alliance of support for low-income Latino men with prostate cancer: god, doctor, and self. J Relig Health. 2012;51:752–62.

    PubMed  Google Scholar 

  68. Pama MR, Janse M, Sprangers MAG, Fleer J, Ranchor AV. Reducing discrepancies of personal goals in the context of cancer: a longitudinal study on the relation with well-being, psychological characteristics, and goal progress. Br J Health Psychol. 2018;23:128–47. https://doi.org/10.1111/bjhp.12278.

    Article  PubMed  Google Scholar 

  69. McBride CM, Clipp E, Peterson BL, Lipkus IM, Demark-Wahnefried W. Psychological impact of diagnosis and risk reduction among cancer survivors. Psychooncology. 2000;9:418–27.

    CAS  PubMed  Google Scholar 

  70. Henselmans I, Sanderman R, Baas PC, Smink A, Ranchor AV. Personal control after a breast cancer diagnosis: stability and adaptive value. Psychooncology. 2009;18:104–8.

    PubMed  Google Scholar 

  71. Ching SS, Martinson IM, Wong TK. Meaning making. Qual Health Res. 2011;22(2):250–62. https://doi.org/10.1177/1049732311421679.

    Article  PubMed  Google Scholar 

  72. Zebrack BJ, Ganz PA, Bernaards CA, Petersen L, Abraham L. Assessing the impact of cancer: development of a new instrument for long- term survivors. Psycho-Oncology. 2006;15:407–21.

    PubMed  PubMed Central  Google Scholar 

  73. Spek NV, Vos J, Uden-Kraan CF, Breitbart W, Tollenaar RA, Cuijpers P, Leeuw IM. Meaning making in cancer survivors: a focus group study. PLoS One. 2013;8(9):e76089. https://doi.org/10.1371/journal.pone.0076089.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  74. Tomich PL, Helgeson VS. Five years later: a cross-sectional comparison of breast cancer survivors with healthy women. Psychooncology. 2002;11:154–69.

    PubMed  Google Scholar 

  75. Bellizzi KM, Blank TO. Cancer-related identity and positive affect in survivors of prostate cancer. J Cancer Surviv. 2007;1:44–8.

    PubMed  Google Scholar 

  76. Carolan C, Smith A, Davies G, Forbat L. Seeking, accepting and declining help for emotional distress in cancer: a systematic review and thematic synthesis of qualitative evidence. Eur J Cancer Care. 2017;27(2):e12720. https://doi.org/10.1111/ecc.12720.

    Article  Google Scholar 

  77. Knapp S, Marziliano A, Moyer A. Identity threat and stigma in cancer patients. Health Psychol Open. 2014;1(1) https://doi.org/10.1177/2055102914552281.

  78. Roberts KJ, Lepore SJ, Helgeson V. Social-cognitive correlates of adjustment to prostate cancer. Psychooncology. 2006;15:183–92.

    PubMed  PubMed Central  Google Scholar 

  79. Martino ML, Lemmo D, Gargiulo A, Barberio D, Abate V, Avino F, Tortoriello R. Underfifty women and breast cancer: narrative markers of meaning-making in traumatic experience. Front Psychol. 2019;10:618. https://doi.org/10.3389/fpsyg.2019.00618.

    Article  PubMed  PubMed Central  Google Scholar 

  80. Chan MWC, Ho SMY, Tedeschi RG, Leung CWL. The valence of attentional bias and cancer-related rumination in posttraumatic stress and posttraumatic growth among women with breast cancer. Psychooncology. 2011;20:544–52.

    PubMed  Google Scholar 

  81. Kernan W, Lepore S. Searching for and making meaning after breast cancer: prevalence, patterns, and negative affect. Soc Sci Med. 2009;68:1176–82.

    PubMed  Google Scholar 

  82. Kruizinga R, Scherer-Rath M, Schilderman JB, Hartog ID, Loos JP, Kotzé HP, Laarhoven HW. An assisted structured reflection on life events and life goals in advanced cancer patients: outcomes of a randomized controlled trial (Life InSight Application (LISA) study). Palliat Med. 2018;33(2):221–31. https://doi.org/10.1177/0269216318816005.

    Article  PubMed  PubMed Central  Google Scholar 

  83. Winger JG, Adams RN, Mosher CE. Relations of meaning in life and sense of coherence to distress in cancer patients: a meta-analysis. Psycho-Oncology. 2016;25:2–10. https://doi.org/10.1002/pon.3798.

    Article  PubMed  Google Scholar 

  84. Peuker AC, Armiliato MJ, Souza LV, Castro EK. Causal attribution among women with breast cancer. Psicologia. 2016;29(1) https://doi.org/10.1186/s41155-016-0007-y.

  85. Bovero A, Sedghi NA, Opezzo M, Botto R, Pinto M, Ieraci V, Torta R. Dignity-related existential distress in end-of-life cancer patients: prevalence, underlying factors, and associated coping strategies. Psycho-Oncology. 2018;27(11):2631–7. https://doi.org/10.1002/pon.4884.

    Article  PubMed  Google Scholar 

  86. Cheung SY, Delfabbro P. Are you a cancer survivor? A review on cancer identity. J Cancer Surviv. 2016;10(4):759–71. https://doi.org/10.1007/s11764-016-0521-z.

    Article  PubMed  Google Scholar 

  87. Boutillier CL, Archer S, Barry C, King A, Mansfield L, Urch C. Conceptual framework for living with and beyond cancer: a systematic review and narrative synthesis. Psycho-Oncology. 2019;28(5):948–59. https://doi.org/10.1002/pon.5046.

    Article  PubMed  PubMed Central  Google Scholar 

  88. Deimling G, Kahana B, Schumacher J. Life threatening illness: the transition from victim to survivor. J Aging Ident. 1997;2:165–86.

    Google Scholar 

  89. Pietilä I, Jurva R, Ojala H, Tammela T. Seeking certainty through narrative closure: Men’s stories of prostate cancer treatments in a state of liminality. Sociol Health Illn. 2018;40(4):639–53. https://doi.org/10.1111/1467-9566.12671.

    Article  PubMed  Google Scholar 

  90. Deimling GT, Bowman KF, Wagner LJ. Cancer survivorship and identity among long-term survivors. Cancer Investig. 2007;25:758–65.

    Google Scholar 

  91. Krok D, Brudek P, Steuden S. When meaning matters: coping mediates the relationship of religiosity and illness appraisal with well-being in older cancer patients. Int J Psychol Relig. 2018;29(1):46–60. https://doi.org/10.1080/10508619.2018.1556061.

    Article  Google Scholar 

  92. Yazgan E, Demir A. Factors affecting the tendency of cancer patients for religion and spirituality: a questionnaire-based study. J Relig Health. 2019;58(3):891–907. https://doi.org/10.1007/s10943-017-0468-z.

    Article  PubMed  Google Scholar 

  93. Thuné-Boyle I, Stygall J, Keshtgar M, Newman S. Do religious/spiritual coping strategies affect illness adjustment in patients with cancer? A systematic review of the literature. Soc Sci Med. 2006;63:151–64.

    PubMed  Google Scholar 

  94. Ahmadi F, Erbil P, Ahmadi N, Cetrez ÖA. Religion, culture and meaning-making coping: a study among cancer patients in Turkey. J Relig Health. 2019;58(4):1115–24.

    PubMed  Google Scholar 

  95. Bauereiß N, Obermaier S, Özünal SE, Baumeister H. Effects of existential interventions on spiritual, psychological, and physical well-being in adult patients with cancer: systematic review and meta-analysis of randomized controlled trials. Psycho-Oncology. 2018;27(11):2531–45.

    PubMed  Google Scholar 

  96. Kaliampos A, Roussi P. Religious beliefs, coping, and psychological well-being among Greek cancer patients. J Health Psychol. 2015;22(6):754–64. https://doi.org/10.1177/1359105315614995.

    Article  PubMed  Google Scholar 

  97. Silverman EJ, Hall E, Aten J, Shannonhouse L, Mcmartin J. Christian lay theodicy and the cancer experience. J Anal Theology. 2020;8:344–70. https://doi.org/10.12978/jat.2020-8.1808-65001913.

    Article  Google Scholar 

  98. Hall MEL, Shannonhouse L, Aten J, McMartin J, Silverman E. Theodicy or not? Spiritual struggles of evangelical cancer survivors. J Psychol Theol. 2019;47(4):259–77. https://doi.org/10.1177/0091647118807187.

    Article  Google Scholar 

  99. Carney LM, Park CL. Cancer survivors’ understanding of the cause and cure of their illness: religious and secular appraisals. Psycho-Oncology. 2018;27(6):1553–8.

    PubMed  Google Scholar 

  100. Gall TL, Bilodeau C. The role of relationship with God in couples’ adjustment to the threat of breast cancer. Psychol Relig Spiritual. 2018;10(4):375–85.

    Google Scholar 

  101. Davis LZ, Cuneo M, Thaker PH, Goodheart MJ, Bender D, Lutgendorf SK. Changes in spiritual well-being and psychological outcomes in ovarian cancer survivors. Psycho-Oncology. 2017;27(2):477–83. https://doi.org/10.1002/pon.4485.

    Article  PubMed  PubMed Central  Google Scholar 

  102. Lord BD, Collison EA, Gramling SE, Weisskittle R. Development of a short-form of the RCOPE for use with bereaved college students. J Relig Health. 2015;54(4):1302–18.

    PubMed  Google Scholar 

  103. Krok D, Brudek P, Steuden S. When meaning matters: coping mediates the relationship of religiosity and illness appraisal with well-being in older cancer patients. Int J Psychol Relig. 2019;29(1):46–60.

    Google Scholar 

  104. Ng GC, Mohamed S, Sulaiman AH, Zainal NZ. Anxiety and depression in cancer patients: the association with religiosity and religious coping. J Relig Health. 2017;56(2):575–90.

    PubMed  Google Scholar 

  105. Narayanan S, Milbury K, Wagner R, Cohen L. Religious coping in cancer: a quantitative analysis of expressive writing samples from patients with renal cell carcinoma. J Pain Symptom Manag. 2020;60(4):737–45, e3. https://doi.org/10.1016/j.jpainsymman.2020.04.029.

    Article  Google Scholar 

  106. Gall TL, Bilodeau C. Attachment to god and coping with the diagnosis and treatment of breast cancer: a longitudinal study. Support Care Cancer. 2020;28(6):2779–88. https://doi.org/10.1007/s00520-019-05149-6.

    Article  PubMed  Google Scholar 

  107. Gall TL, Bilodeau C. The role of positive and negative religious/spiritual coping in women’s adjustment to breast cancer: a longitudinal study. J Psychosoc Oncol. 2020;38(1):103–17. https://doi.org/10.1080/07347332.2019.1641581.

    Article  PubMed  Google Scholar 

  108. Bourdon M, Roussiau N, Bonnaud-Antignac A. Spiritual transformations after the diagnosis of melanoma affect life satisfaction through indirect pathways. J Study Spirituality. 2017;7(2):154–66. https://doi.org/10.1080/20440243.2017.1370910.

    Article  Google Scholar 

  109. Cole BS, Hopkins CM, Tisak J, Steel JL, Carr BL. Assessing spiritual growth and spiritual decline following a diagnosis of cancer: reliability and validity of the spiritual transformation scale. Psychooncology. 2008;17:112–21.

    PubMed  Google Scholar 

  110. Marziliano A, Tuman M, Moyer A. The relationship between post-traumatic stress and post-traumatic growth in cancer patients and survivors: a systematic review and meta-analysis. Psycho-Oncology. 2020;29(4):604–16.

    PubMed  Google Scholar 

  111. Casellas-Grau A, Ochoa C, Ruini C. Psychological and clinical correlates of posttraumatic growth in cancer: a systematic and critical review. Psycho-Oncology. 2017;26(12):2007–18. https://doi.org/10.1002/pon.4426.

    Article  PubMed  Google Scholar 

  112. Yi J, Kim MA. Postcancer experiences of childhood cancer survivors: how is posttraumatic stress related to posttraumatic growth? J Trauma Stress. 2014;27(4):461–7. https://doi.org/10.1002/jts.21941.

    Article  PubMed  Google Scholar 

  113. Moye J, Jahn A, Norris-Bell R, Herman LI, Gosian J, Naik AD. Making meaning of cancer: a qualitative analysis of oral-digestive cancer survivors’ reflections. J Health Psychol. 2020;25(9):1222–35. https://doi.org/10.1177/1359105317753717.

    Article  PubMed  Google Scholar 

  114. Joseph S, Maltby J, Wood AM, Stockton H, Hunt N, Regel S. The psychological well-being—post-traumatic changes questionnaire (PWB-PTCQ): reliability and validity. Psychol Trauma Theory Res Pract Policy. 2012;4(4):420–8. https://doi.org/10.1037/a0024740.

    Article  Google Scholar 

  115. Coyne JC, Tennen H. Positive psychology in cancer care: bad science, exaggerated claims, and unproven medicine. Ann Behav Med. 2010;39:16–26.

    PubMed  Google Scholar 

  116. Cho D, Park CL. Growth following trauma: overview and current status. Terapia Psicológica. 2013;31(1):69–79. https://doi.org/10.4067/S0718-48082013000100007.

    Article  Google Scholar 

  117. Ransom S, Sheldon KM, Jacobsen PB. Actual change and inaccurate recall contribute to posttraumatic growth following radiotherapy. J Consult Clin Psychol. 2008;76:811–9.

    PubMed  Google Scholar 

  118. Schwarzer R, Luszczynska A, Boehmer S, Taubert S, Knoll N. Changes in finding benefit after cancer surgery and the prediction of well-being one year later. Soc Sci Med. 2006;63:1614–24.

    PubMed  Google Scholar 

  119. Aspinwall LG, Tedeschi RG. The value of positive psychology for health psychology: progress and pitfalls in examining the relation of positive phenomena to health. Ann Behav Med. 2010;39:4–15.

    PubMed  Google Scholar 

  120. Chen J, Zebrack B, Embry L, Freyer DR, Aguilar C, Cole S. Profiles of emotional distress and growth among adolescents and young adults with cancer: a longitudinal study. Health Psychol. 2020;39(5):370–80. https://doi.org/10.1037/hea0000843.

    Article  PubMed  Google Scholar 

  121. Cheng C, Wang G, Ho SM. The relationship between types of posttraumatic growth and prospective psychological adjustment in women with breast cancer: a follow-up study. Psycho-Oncology. 2020;29(3):586–8. https://doi.org/10.1002/pon.5312.

    Article  PubMed  Google Scholar 

  122. Wang L, Chen S, Liu P, Zhu C, Hu M, Li Y, Tao Y, Huang Z, Zhou Y, Xiao T, Zhu X. Posttraumatic growth in patients with malignant bone tumor: relationships with psychological adjustment. Asian Pac J Cancer Prev. 2018;19(10):2831–8. https://doi.org/10.22034/APJCP.2018.19.10.2831.

    Article  PubMed  PubMed Central  Google Scholar 

  123. Park CL, Blank TO. Associations of positive and negative life changes with well-being in young- and middle-aged adult cancer survivors. Psychol Health. 2012;27(4):412–29.

    PubMed  Google Scholar 

  124. Blanckenburg PV, Leppin N. Psychological interventions in palliative care. Curr Opin Psychiatry. 2018;31(5):389–95. https://doi.org/10.1097/yco.0000000000000441.

    Article  Google Scholar 

  125. Park CL, Pustejovsky JE, Trevino K, Sherman AC, Esposito C, Berendsen M, Salsman JM. Effects of psychosocial interventions on meaning and purpose in adults with cancer: a systematic review and meta-analysis. Cancer. 2019;125(14):2383–93.

    PubMed  Google Scholar 

  126. Winger JG, Ramos K, Steinhauser KE, Somers TJ, Porter LS, Kamal AH, Breitbart WS, Keefe FJ. Enhancing meaning in the face of advanced cancer and pain: qualitative evaluation of a meaning-centered psychosocial pain management intervention. Palliat Support Care. 2020;18(3):263–70. https://doi.org/10.1017/S1478951520000115.

    Article  PubMed  PubMed Central  Google Scholar 

  127. Henry M, Cohen SR, Lee V, Sauthier P, Provencher D, Drouin P, Mayo N. 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.

    PubMed  Google Scholar 

  128. Afiyanti Y, Nasution L, Kurniawati W. Effectiveness of spiritual intervention toward coping and spiritual well-being on patients with gynecological cancer. Asia Pac J Oncol Nurs. 2020;7(3):273. https://doi.org/10.4103/apjon.apjon_4_20.

    Article  PubMed  PubMed Central  Google Scholar 

  129. Chan THY, Ho RTH, Chan CLW. Developing an outcome measurement for meaning-making intervention with Chinese cancer patients. Psychooncology. 2007;16:843–50.

    PubMed  Google Scholar 

  130. Roepke AM. Psychosocial interventions and posttraumatic growth: a meta-analysis. J Consult Clin Psychol. 2015;83(1):129–42. https://doi.org/10.1037/a0036872.

    Article  PubMed  Google Scholar 

  131. Riklikienė O, Tomkevičiūtė J, Spirgienė L, Valiulienė Ž, Büssing A. Spiritual needs and their association with indicators of quality of life among non-terminally ill cancer patients: cross-sectional survey. Eur J Oncol Nurs. 2020;44:101681. https://doi.org/10.1016/j.ejon.2019.101681.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Crystal L. Park .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Park, C.L., Hanna, D. (2022). Meaning, Spirituality, and Perceived Growth Across the Cancer Continuum: A Positive Psychology Perspective. In: Steel, J.L., Carr, B.I. (eds) Psychological Aspects of Cancer. Springer, Cham. https://doi.org/10.1007/978-3-030-85702-8_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-85702-8_6

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-85701-1

  • Online ISBN: 978-3-030-85702-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics