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Psychological aspects of meaning-centered group psychotherapy: Spanish experience

Published online by Cambridge University Press:  08 May 2017

Clara Fraguell ,
Joaquín T. Limonero  and
Francisco Gil
Clara Fraguell
Affiliation:
Stress and Health Research Group, Faculty of Psychology, Universitat Autònoma de Barcelona, Spain
Joaquín T. Limonero*
Affiliation:
Stress and Health Research Group, Faculty of Psychology, Universitat Autònoma de Barcelona, Spain
Francisco Gil
Affiliation:
Stress and Health Research Group, Faculty of Psychology, Universitat Autònoma de Barcelona, Spain Psycho-Oncology Unit, Hospital Duran i Reynals, Institut Català d'Oncologia, l'Hospitalet de Llobregat, Barcelona, Spain
*
Address correspondence and reprint requests to Dr. Joaquín T. Limonero, Stress and Health Research Group, Faculty of Psychology, Universitat Autónoma de Barcelona, Campus de la UAB, 08193 Bellaterra (Cerdanyola del Vallés), Barcelona, Spain. E-Mail: joaquin.limonero@uab.cat.
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Abstract

Objective:

Our aim was to identify the themes that arise when applying adapted meaning-centered group psychotherapy (MCGP) in Spanish-speaking advanced cancer patients.

Method:

A mixed qualitative–quantitative analysis was performed on the transcripts of interviews with 22 advanced cancer patients who had been assigned to three MCGP subgroups.

Results:

We found six new emergent themes in addition to the originally constructed themes of MCGP. Threat and uncertainty were the two most frequent emergent issues for our Spanish patients.

Significance of results:

The implementation of MCGP in Spanish patients validated the themes proposed by Breitbart and colleagues' foundational work on MCGP and also suggested new issues relevant to patient well-being (classified as “emergent themes”). Taking our findings into account, we propose that these new themes be considered in the Spanish adaptation of MCGP as well as in future adaptations of this form of psychotherapy in treating Latin American patients.

Keywords

Group therapyAdvanced cancerMeaningPsychotherapy
Type
Original Article
Information
Palliative & Supportive Care , Volume 16 , Issue 3 , June 2018 , pp. 317 - 324
Copyright
Copyright © Cambridge University Press 2017 

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References

REFERENCES

Applebaum, A., Lichtenthal, W., Pessin, H., et al. (2012). Factors associated with attrition from a randomized controlled trial of meaning-centered group psychotherapy for patients with advanced cancer. Psycho-Oncology, 21(11), 1195–1204. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3827859/.CrossRefGoogle ScholarPubMed
Applebaum, A., Kulikowski, J.R. & Breitbart, W. (2015). Meaning-centered psychotherapy for cancer caregivers (MCP–C): Rationale and overview. Palliative & Supportive Care, 13(6), 1631–1641. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5084443/.CrossRefGoogle ScholarPubMed
Breitbart, W. & Poppito, S. (2014). Meaning-Centered Group Psychotherapy for Patients with Cancer: A Treatment Manual. New York: Oxford University Press.Google Scholar
Breitbart, W., Bruera, E., Chochinov, H., et al. (1995). Neuropsychiatric syndromes and psychological symptoms in patients with advanced cancer. Journal of Pain and Symptom Management, 10(2), 131–141.CrossRefGoogle ScholarPubMed
Breitbart, W., Rosenfeld, B., Gibson, C., et al. (2010). Meaning-centered group psychotherapy for patients with advanced cancer: A pilot randomized controlled trial. Psycho-Oncology, 19(1), 21–28. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3648880/.CrossRefGoogle Scholar
Breitbart, W., Poppito, S., Rosenfeld, B., et al. (2012). Pilot randomized controlled trial of individual meaning-centered psychotherapy for patients with advanced cancer. Journal of Clinical Oncology, 30(12), 1304–1309. Epub ahead of print Feb 27. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3646315/.CrossRefGoogle ScholarPubMed
Breitbart, W., Ronsenfeld, B., Pessin, H., et al. (2015). Meaning-centered group psychotherapy: An effective intervention for improving psychological well-being in patients with advanced cancer. Journal of Clinical Oncology, 33(7), 749–754. Epub ahead of print Feb 2. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4334778/.CrossRefGoogle ScholarPubMed
Charmaz, K. (2006). Constructing Grounded Theory: A Practical Guide Through Qualitative Analysis. London: Sage Publications.Google Scholar
Chochinov, H.M., Kristjanson, L.J., Breitbart, W., et al. (2011). The effect of dignity therapy on distress and end-of-life experience in terminally ill patients: A randomised controlled trial. The Lancet. Oncology, 12(8), 753–762. Epub ahead of print Jul 6. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3185066/.CrossRefGoogle ScholarPubMed
Coward, D.D. (2003). Facilitation of self-transcendence in a breast cancer support group, II. Oncology Nursing Forum, 30(2), 291–300.CrossRefGoogle Scholar
Frankl, V. (2005). L'Homme a la Recerca de Sentit [Man's Search for Meaning] [in German]. Boston: Beacon Press.Google Scholar
Gil, F. & Breitbart, W. (2013). Psicoterapia centrada en el sentido: “Vivir con sentido.” Estudio piloto [in Spanish]. Psicooncología, 10(2–3), 233–245. Available from http://pendientedemigracion.ucm.es/info/apsom/revistapsicooncologia/contenidovol10(23)/articulo2.pdf.Google Scholar
Gil, F., Costa, G., Pérez, X., et al. (2008). Adaptación psicológica y prevalencia de trastornos mentales en cáncer [in Spanish]. Medicina Clínica, 130(3), 90–92.Google Scholar
Gil, F., Costa, G. & Pérez, J. (2010). Does chemotherapy reduce stress? Palliative & Supportive Care, 8(4), 455–460. Epub ahead of print Sep 28.CrossRefGoogle ScholarPubMed
Gil, F., Costa, G., Hilker, I., et al. (2012). First anxiety, afterwards depression: Psychological distress in cancer patients at the diagnosis and after the medical treatment. Stress and Health, 28(5), 362–367. Epub ahead of print Sep 13.CrossRefGoogle Scholar
Gómez-Batiste, X., Pascual, A., Espinosa, J., et al. (2010). Diseño, implementación y evaluación de programas públicos de cuidados paliativos [Design, implementation and evaluation of palliative care public health programs] [in Spanish]. Medicina Clínica, 135(4), 179–185. Epub ahead of print Jun 19.CrossRefGoogle Scholar
Henoch, I. & Danielson, E. (2009). Existential concerns among patients with cancer and interventions to meet them: An integrative literature preview. Psycho-Oncology, 18(3), 225–236.CrossRefGoogle Scholar
Irving, G. & Lloyd-Williams, M. (2010). Depression in advanced cancer. European Journal of Oncology Nursing, 14(5), 395–399. Epub ahead of print Mar 17.CrossRefGoogle ScholarPubMed
Kim, J., Han, J.Y., Shaw, B., et al. (2010). The roles of social support and coping strategies in predicting breast cancer patients' emotional well-being testing mediation and moderation models. Journal of Health Psychology, 15(4), 543–552. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3145334/.CrossRefGoogle ScholarPubMed
Kissane, D., Grabsch, B., Clarke, D., et al. (2007). Supportive-expressive group therapy for women with metastatic breast cancer: Survival and psychosocial outcome from a randomized controlled trial. Psycho-Oncology, 16(4), 277–286.CrossRefGoogle ScholarPubMed
Krikorian, A. & Limonero, J.T. (2012). An integrated view of suffering. Journal of Palliative Care, 28(1), 41–49.CrossRefGoogle ScholarPubMed
Lee, V., Cohen, S.R., Edgar, L., et al. (2004). Clarifying “meaning” in the context of cancer research: A systematic literature review. Palliative & Supportive Care, 2(3), 291–303.CrossRefGoogle ScholarPubMed
Limonero, J.T., Tomás-Sábado, J., Gómez-Romero, M.J., et al. (2014). Evidence for validity of the Brief Resilient Coping Scale in a young Spanish sample. The Spanish Journal of Psychology, 17, E34.CrossRefGoogle Scholar
Mateo-Ortega, D., Gómez-Batiste, X., Limonero, J.T., et al. (2013). Efectividad de la intervención psicosocial en pacientes con efermedad avanzada y final de vida [in Spanish]. Psicooncología, 10(2–3), 299–316. Available from http://revistas.ucm.es/index.php/PSIC/article/viewFile/43451/41100.Google Scholar
Pelletier, S.J., Raymond, D.P. & Crabtree, T.D. (2002). Outcome analysis of intraabdominal infection with resistant Gram-positive organisms. Surgical Infections, 3(1), 11–19.CrossRefGoogle ScholarPubMed
Pope, C., Ziebland, S. & Mays, N. (2000). Qualitative research in health care: Analysing qualitative data. BMJ, 329(7227), 114–116. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1117368/.CrossRefGoogle Scholar
Ryff, C.D. & Singer, B.H. (1996). Psychological well-being: Meaning, measurement, and implications for psychotherapy research. Psychotherapy and Psychosomatics, 65(1). 14–23.CrossRefGoogle ScholarPubMed
Ryff, C.D. & Singer, B.H. (1998). The contours of positive human health. Psychological Inquiry, 9(1), 1–28.CrossRefGoogle Scholar
Scheffold, K., Mehnert, A., Müller, V., et al. (2014). Sources of meaning in cancer patients: Influences on global meaning, anxiety and depression in a longitudinal study. European Journal of Cancer Care, 23(4), 472–480.CrossRefGoogle ScholarPubMed
Sociedad Española de Oncología Médica (2014). El Cáncer en España 2014. Barcelona: Sociedad Española de Oncología Médica. Available from http://www.seom.org/.Google Scholar
Stedeford, A. (1984). Psychotherapy of the dying patient. The British Journal of Psychiatry, 135, 7–14.CrossRefGoogle Scholar
Tedeschi, R.G. & Calhoun, L.G. (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry, 15(1), 1–18.CrossRefGoogle Scholar
Thornton, A.A. (2002). Perceiving benefits in the cancer experience. Journal of Clinical Psychology in Medical Settings, 9(2), 153–165.CrossRefGoogle Scholar
van der Spek, N., Vos, J., van Uden-Kraan, C.F., et al. (2013). Meaning making in cancer survivors: A focus group study. PLoS One, 8(9), e76089.CrossRefGoogle ScholarPubMed
van der Spek, N., Vos, J., van Uden-Kraan, C.F., et al. (2014). Effectiveness and cost-effectiveness of meaning-centered group psychotherapy in cancer survivors: Protocol of a randomized controlled trial. BMC Psychiatry, 14, 22. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3942178/.CrossRefGoogle ScholarPubMed
Watson, M., Haviland, J.S., Greer, S., et al. (1999). Influence of psychological response on survival in breast cancer: A population-based cohort study. Lancet, 354(9187), 1331–1336.CrossRefGoogle ScholarPubMed
Young, W.C., Nadarajah, S.R., Skeath, P.R., et al. (2014). Spirituality in the context of life-threatening illness and life-transforming change. Palliative & Supportive Care, 13(3), 653–660. Epub ahead of print Apr 28. Available from https://clinicalcenter.nih.gov/palliativecare/pdf/spirituality_context_life.pdf.CrossRefGoogle ScholarPubMed