Searching for and making meaning after breast cancer: Prevalence, patterns, and negative affect
This study describes the prevalence and patterns of searching for meaning in the aftermath of breast cancer and asks how the search relates to made meaning and emotional adjustment. Women (n=72) reported their level of searching for meaning, made meaning and negative affect at multiple time points i...
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| Veröffentlicht in: | Social science & medicine (1982) 2009-03, Vol.68 (6), p.1176-1182 |
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| container_title | Social science & medicine (1982) |
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| creator | Kernan, William David Lepore, Stephen J. |
| description | This study describes the prevalence and patterns of searching for meaning in the aftermath of breast cancer and asks how the search relates to made meaning and emotional adjustment. Women (n=72) reported their level of searching for meaning, made meaning and negative affect at multiple time points in the first 18 months after breast cancer treatment. Over time, four search for meaning patterns emerged: continuous (44%), exiguous (28%), delayed (15%) and resolved (13%). Just over half of the participants reported having made meaning at early and late time points. A higher level of searching for meaning was unrelated to made meaning, but was associated with a higher level of negative affect in longitudinal analyses controlling for baseline levels. Women who engaged in an ongoing, unresolved search for meaning from baseline to follow-up also had a significantly higher level of negative affect at follow-up than women who infrequently or never engaged in a search for meaning over time. These analyses reveal that: a) there is great variability in the prevalence and pattern of searching for meaning in the aftermath of breast cancer, and b) searching for meaning may be both futile and distressing. |
| doi_str_mv | 10.1016/j.socscimed.2008.12.038 |
| format | Article |
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Women (n=72) reported their level of searching for meaning, made meaning and negative affect at multiple time points in the first 18 months after breast cancer treatment. Over time, four search for meaning patterns emerged: continuous (44%), exiguous (28%), delayed (15%) and resolved (13%). Just over half of the participants reported having made meaning at early and late time points. A higher level of searching for meaning was unrelated to made meaning, but was associated with a higher level of negative affect in longitudinal analyses controlling for baseline levels. Women who engaged in an ongoing, unresolved search for meaning from baseline to follow-up also had a significantly higher level of negative affect at follow-up than women who infrequently or never engaged in a search for meaning over time. These analyses reveal that: a) there is great variability in the prevalence and pattern of searching for meaning in the aftermath of breast cancer, and b) searching for meaning may be both futile and distressing.</description><identifier>ISSN: 0277-9536</identifier><identifier>EISSN: 1873-5347</identifier><identifier>DOI: 10.1016/j.socscimed.2008.12.038</identifier><identifier>PMID: 19157667</identifier><identifier>CODEN: SSMDEP</identifier><language>eng</language><publisher>Kidlington: Elsevier Ltd</publisher><subject>Adaptation, Psychological ; Affect ; Biological and medical sciences ; Body ; Breast Cancer ; Breast Neoplasms - epidemiology ; Breast Neoplasms - psychology ; Cancer ; Coping ; Emotional adjustment ; Emotions ; Epistemology ; Female ; Females ; Gynecology. Andrology. 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Women (n=72) reported their level of searching for meaning, made meaning and negative affect at multiple time points in the first 18 months after breast cancer treatment. Over time, four search for meaning patterns emerged: continuous (44%), exiguous (28%), delayed (15%) and resolved (13%). Just over half of the participants reported having made meaning at early and late time points. A higher level of searching for meaning was unrelated to made meaning, but was associated with a higher level of negative affect in longitudinal analyses controlling for baseline levels. Women who engaged in an ongoing, unresolved search for meaning from baseline to follow-up also had a significantly higher level of negative affect at follow-up than women who infrequently or never engaged in a search for meaning over time. These analyses reveal that: a) there is great variability in the prevalence and pattern of searching for meaning in the aftermath of breast cancer, and b) searching for meaning may be both futile and distressing.</description><subject>Adaptation, Psychological</subject><subject>Affect</subject><subject>Biological and medical sciences</subject><subject>Body</subject><subject>Breast Cancer</subject><subject>Breast Neoplasms - epidemiology</subject><subject>Breast Neoplasms - psychology</subject><subject>Cancer</subject><subject>Coping</subject><subject>Emotional adjustment</subject><subject>Emotions</subject><subject>Epistemology</subject><subject>Female</subject><subject>Females</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Heuristics</subject><subject>Humans</subject><subject>Mammary gland diseases</subject><subject>Meaning</subject><subject>Medical sciences</subject><subject>Mental health</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Oncology</subject><subject>Oncology Meaning Affect Emotional adjustment USA Breast cancer</subject><subject>Ontology</subject><subject>Prevalence</subject><subject>Psychological aspects</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Self Concept</subject><subject>Semiology</subject><subject>Socioeconomic Factors</subject><subject>Studies</subject><subject>Time Factors</subject><subject>Tumors</subject><subject>U.S.A</subject><subject>USA</subject><issn>0277-9536</issn><issn>1873-5347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>X2L</sourceid><sourceid>BHHNA</sourceid><recordid>eNqNkk2LFDEQhhtR3NnVv6CNoKftNh-dL2_L4qowoKCeQzqp7PbYH2PSM7D_3mpnmIOX8VApEp63qNRbRfGakpoSKt9v6jz57LsBQs0I0TVlNeH6SbGiWvFK8EY9LVaEKVUZweVFcZnzhhBCiebPiwtqqFBSqlVhv4NL_qEb78s4pdKNoRzcr-U6gBuX7OIMqWwTuDyX3o0e0ofyW4K96wEv1-XWzUiM-fqveoR7N3d7QF0EP78onkXXZ3h5zFfFz7uPP24_V-uvn77c3qwrL7SeK22051EG3njpnWe-VaIRgjvZMiWoap1uvZFSm1YEElQbGx9FDIZxYUII_Kp4d6i7TdPvHeTZDl320PduhGmXrVSEN5Ly8yBVhhth_gPk0igtz4JcUa0bRRF88w-4mXZpxLFYxkmjtNZLf-oA-TTlnCDabeoGlx4tJXbx3m7syXu7eG8ps-g9KtcHZYIt-JMMAJBf4L3FeWo8HjFQaTB1yxvGFoNSJS2lmtmHecByr47d7tpFfWrjuDsIvD0CLnvXx4S70eUTx3DYmtNlPjcHDtD_fQfJYvPL6oQu4YbYMHVn__YHMz7qCA</recordid><startdate>20090301</startdate><enddate>20090301</enddate><creator>Kernan, William David</creator><creator>Lepore, Stephen J.</creator><general>Elsevier Ltd</general><general>Elsevier</general><general>Pergamon Press Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>DKI</scope><scope>X2L</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U3</scope><scope>7U4</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>DWI</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>WZK</scope><scope>7X8</scope></search><sort><creationdate>20090301</creationdate><title>Searching for and making meaning after breast cancer: Prevalence, patterns, and negative affect</title><author>Kernan, William David ; Lepore, Stephen J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c588t-898c3f6d34c6cac2cb754553a6b27517ba8bc96689b5d0d7bf4cf5fd92359ddd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adaptation, Psychological</topic><topic>Affect</topic><topic>Biological and medical sciences</topic><topic>Body</topic><topic>Breast Cancer</topic><topic>Breast Neoplasms - epidemiology</topic><topic>Breast Neoplasms - psychology</topic><topic>Cancer</topic><topic>Coping</topic><topic>Emotional adjustment</topic><topic>Emotions</topic><topic>Epistemology</topic><topic>Female</topic><topic>Females</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Heuristics</topic><topic>Humans</topic><topic>Mammary gland diseases</topic><topic>Meaning</topic><topic>Medical sciences</topic><topic>Mental health</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Oncology</topic><topic>Oncology Meaning Affect Emotional adjustment USA Breast cancer</topic><topic>Ontology</topic><topic>Prevalence</topic><topic>Psychological aspects</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Self Concept</topic><topic>Semiology</topic><topic>Socioeconomic Factors</topic><topic>Studies</topic><topic>Time Factors</topic><topic>Tumors</topic><topic>U.S.A</topic><topic>USA</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kernan, William David</creatorcontrib><creatorcontrib>Lepore, Stephen J.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>RePEc IDEAS</collection><collection>RePEc</collection><collection>CrossRef</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><jtitle>Social science & medicine (1982)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kernan, William David</au><au>Lepore, Stephen J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Searching for and making meaning after breast cancer: Prevalence, patterns, and negative affect</atitle><jtitle>Social science & medicine (1982)</jtitle><addtitle>Soc Sci Med</addtitle><date>2009-03-01</date><risdate>2009</risdate><volume>68</volume><issue>6</issue><spage>1176</spage><epage>1182</epage><pages>1176-1182</pages><issn>0277-9536</issn><eissn>1873-5347</eissn><coden>SSMDEP</coden><abstract>This study describes the prevalence and patterns of searching for meaning in the aftermath of breast cancer and asks how the search relates to made meaning and emotional adjustment. Women (n=72) reported their level of searching for meaning, made meaning and negative affect at multiple time points in the first 18 months after breast cancer treatment. Over time, four search for meaning patterns emerged: continuous (44%), exiguous (28%), delayed (15%) and resolved (13%). Just over half of the participants reported having made meaning at early and late time points. A higher level of searching for meaning was unrelated to made meaning, but was associated with a higher level of negative affect in longitudinal analyses controlling for baseline levels. Women who engaged in an ongoing, unresolved search for meaning from baseline to follow-up also had a significantly higher level of negative affect at follow-up than women who infrequently or never engaged in a search for meaning over time. These analyses reveal that: a) there is great variability in the prevalence and pattern of searching for meaning in the aftermath of breast cancer, and b) searching for meaning may be both futile and distressing.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>19157667</pmid><doi>10.1016/j.socscimed.2008.12.038</doi><tpages>7</tpages></addata></record> |
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| source | MEDLINE; RePEc; Elsevier ScienceDirect Journals; Sociological Abstracts |
| subjects | Adaptation, Psychological Affect Biological and medical sciences Body Breast Cancer Breast Neoplasms - epidemiology Breast Neoplasms - psychology Cancer Coping Emotional adjustment Emotions Epistemology Female Females Gynecology. Andrology. Obstetrics Heuristics Humans Mammary gland diseases Meaning Medical sciences Mental health Middle Aged Miscellaneous Oncology Oncology Meaning Affect Emotional adjustment USA Breast cancer Ontology Prevalence Psychological aspects Public health. Hygiene Public health. Hygiene-occupational medicine Self Concept Semiology Socioeconomic Factors Studies Time Factors Tumors U.S.A USA |
| title | Searching for and making meaning after breast cancer: Prevalence, patterns, and negative affect |
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