Skip to main content
Top
Published in: Supportive Care in Cancer 3/2009

01-03-2009 | Original Article

Life goals and purpose in life in cancer patients

Authors: Martin Pinquart, Rainer K. Silbereisen, Cornelia Fröhlich

Published in: Supportive Care in Cancer | Issue 3/2009

Login to get access

Abstract

Goal of work

The purpose of the study was to analyze associations between life goals and purpose in life in cancer patients.

Patients and methods

A sample of 153 cancer patients was assessed before the start of chemotherapy and about 9 months later. Purpose in life was measured with a German version of Crumbaugh and Maholick’s purpose in life test, and the perceived importance of social, psychological, materialistic, and health-related goals was assessed with Likert scales.

Main results

High importance of social, psychological, and health-related goals was related to higher purpose in life. In addition, having high levels of social goals at the first time of measurement predicted an increase in purpose of life over time. However, higher importance of material goals was associated with lower purpose in life at the second time of measurement and with a decline of purpose in life over time.

Conclusions

There is continuity and change in the sources of purpose in life during cancer therapy, and a lack of fit between goals and changed living conditions is a risk factor for a decline in purpose in life.
Literature
1.
go back to reference Alferi SM, Carver CS, Antoni MH, Weiss S, Duran RE (2001) An exploratory study of social support, distress, and life disruption among low-income Hispanic women under treatment for early stage breast cancer. Health Psychol 20:41–46PubMedCrossRef Alferi SM, Carver CS, Antoni MH, Weiss S, Duran RE (2001) An exploratory study of social support, distress, and life disruption among low-income Hispanic women under treatment for early stage breast cancer. Health Psychol 20:41–46PubMedCrossRef
2.
go back to reference Andrykowski MA, Brady MJ, Hunt JW (1993) Positive psychosocial adjustment in potential bone marrow transplant recipients: cancer as a psychosocial transition. Psycho-Oncol 2:261–276CrossRef Andrykowski MA, Brady MJ, Hunt JW (1993) Positive psychosocial adjustment in potential bone marrow transplant recipients: cancer as a psychosocial transition. Psycho-Oncol 2:261–276CrossRef
3.
go back to reference Bauer-Wu S, Farran CJ (2005) Meaning of life and psycho-spiritual functioning: a comparison of breast cancer survivors and healthy women. J Holist Nurs 23(2):172–190PubMedCrossRef Bauer-Wu S, Farran CJ (2005) Meaning of life and psycho-spiritual functioning: a comparison of breast cancer survivors and healthy women. J Holist Nurs 23(2):172–190PubMedCrossRef
4.
go back to reference Brandtstädter J, Baltes-Götz B (1988) Personal control over development and quality of life perspectives in adulthood. Institut für Psychologie, Trier Brandtstädter J, Baltes-Götz B (1988) Personal control over development and quality of life perspectives in adulthood. Institut für Psychologie, Trier
5.
go back to reference Breitbart W (2005) Spirituality and meaning in cancer. Revue Francophone de Psycho-Oncol 4:237–240CrossRef Breitbart W (2005) Spirituality and meaning in cancer. Revue Francophone de Psycho-Oncol 4:237–240CrossRef
6.
go back to reference Carstensen L, Fung H, Charles ST (2003) Socioemotional selectivity theory and the regulation of emotion in the second half of life. Motiv Emot 27:103–123CrossRef Carstensen L, Fung H, Charles ST (2003) Socioemotional selectivity theory and the regulation of emotion in the second half of life. Motiv Emot 27:103–123CrossRef
7.
go back to reference Cimprich B, Ronis DL, Martinez-Ramos G (2002) Age at diagnosis and quality of life in breast cancer survivors. Cancer Pract 10:85–93PubMedCrossRef Cimprich B, Ronis DL, Martinez-Ramos G (2002) Age at diagnosis and quality of life in breast cancer survivors. Cancer Pract 10:85–93PubMedCrossRef
9.
go back to reference Cordova MJ, Cunningham LL, Carlson CR, Andrykowski MA (2001) Posttraumatic growth following breast cancer: a controlled comparison study. Health Psych 20:176–185CrossRef Cordova MJ, Cunningham LL, Carlson CR, Andrykowski MA (2001) Posttraumatic growth following breast cancer: a controlled comparison study. Health Psych 20:176–185CrossRef
10.
go back to reference Crumbaugh JC, Maholick LT (1981) Manual and instructions for the Purpose in life Test. Psychometric Affiliates, Munster Crumbaugh JC, Maholick LT (1981) Manual and instructions for the Purpose in life Test. Psychometric Affiliates, Munster
11.
go back to reference DeVries MJ, Schilder J, Mulder CL, Vrancken AM, Remie ME, Garssen B (1997) Phase II study of psychotherapeutic intervention in advanced cancer. Psycho-Oncol 6:129–137CrossRef DeVries MJ, Schilder J, Mulder CL, Vrancken AM, Remie ME, Garssen B (1997) Phase II study of psychotherapeutic intervention in advanced cancer. Psycho-Oncol 6:129–137CrossRef
12.
go back to reference Dow KH, Ferrell BR, Leigh S, Ly J, Gulasekaram P (1996) An evaluation of quality of life among long-term survivors of breast cancer. Breast Cancer Res Treat 39:261–273PubMedCrossRef Dow KH, Ferrell BR, Leigh S, Ly J, Gulasekaram P (1996) An evaluation of quality of life among long-term survivors of breast cancer. Breast Cancer Res Treat 39:261–273PubMedCrossRef
13.
go back to reference Emmons RA, Colby PM, Kaiser HA (1998) When losses lead to gains: Personal goals and the recovery of meaning. In: Wong PT, Fry PS (eds) The human quest for meaning. Erlbaum, Mahwah NJ, pp 163–178 Emmons RA, Colby PM, Kaiser HA (1998) When losses lead to gains: Personal goals and the recovery of meaning. In: Wong PT, Fry PS (eds) The human quest for meaning. Erlbaum, Mahwah NJ, pp 163–178
14.
go back to reference Ferrell RB, Dow KH, Leigh S, Ly J, Gulasekaram P (1995) An evaluation of the quality of life in long-term cancer survivors. Oncol Nurs Forum 22:915–922PubMed Ferrell RB, Dow KH, Leigh S, Ly J, Gulasekaram P (1995) An evaluation of the quality of life in long-term cancer survivors. Oncol Nurs Forum 22:915–922PubMed
15.
go back to reference Folkman S, Greer S (2000) Promoting psychological well-being in the face of serious illness: when theory, research, and practice inform each other. Psycho-Oncol 9:11–19CrossRef Folkman S, Greer S (2000) Promoting psychological well-being in the face of serious illness: when theory, research, and practice inform each other. Psycho-Oncol 9:11–19CrossRef
16.
go back to reference Frankl VE (1981) Die Sinnfrage in der Psychotherapie [The question on meaning in psychotherapy]. Pieper, München Frankl VE (1981) Die Sinnfrage in der Psychotherapie [The question on meaning in psychotherapy]. Pieper, München
17.
go back to reference Fromm K, Andrykowski MA, Hunt J (1996) Positive and negative psychosocial sequelae of bone marrow transplantation: implications for quality of life assessment. J Behav Med 19:221–240PubMedCrossRef Fromm K, Andrykowski MA, Hunt J (1996) Positive and negative psychosocial sequelae of bone marrow transplantation: implications for quality of life assessment. J Behav Med 19:221–240PubMedCrossRef
18.
go back to reference Greenstein W, Breitbart W (2000) Cancer and the experience of meaning: a group psychotherapy program for people with cancer. Am J Psychother 54:486–500PubMed Greenstein W, Breitbart W (2000) Cancer and the experience of meaning: a group psychotherapy program for people with cancer. Am J Psychother 54:486–500PubMed
19.
go back to reference Gritz ER, Wellisch DK, Siau J, Wang H (1990) Long-term effects of testicular cancer on marital relationships. Psychosomatics 31:301–312PubMed Gritz ER, Wellisch DK, Siau J, Wang H (1990) Long-term effects of testicular cancer on marital relationships. Psychosomatics 31:301–312PubMed
20.
go back to reference Heidrich SM, Forsthoff CA, Ward SA (1994) Psychological adjustment in adults with cancer: the self as mediator. Health Psych 13:346–353CrossRef Heidrich SM, Forsthoff CA, Ward SA (1994) Psychological adjustment in adults with cancer: the self as mediator. Health Psych 13:346–353CrossRef
21.
go back to reference Itsami J (2000) A trial psychosomatic treatment for cancer—meaningful life therapy. J Int Soc Life Inf Sci 18:162–166 Itsami J (2000) A trial psychosomatic treatment for cancer—meaningful life therapy. J Int Soc Life Inf Sci 18:162–166
22.
go back to reference Jaarsma TA, Pool G, Ranchor AV, Sanderman R (2007) The concept and measurement of meaning in life in Dutch cancer patients. Psycho-Oncol 16:241–248CrossRef Jaarsma TA, Pool G, Ranchor AV, Sanderman R (2007) The concept and measurement of meaning in life in Dutch cancer patients. Psycho-Oncol 16:241–248CrossRef
23.
go back to reference Jim H, Purnell JQ, Richardson SA, Golden-Kreuz D, Andersen BL (2006) Measuring meaning in life following cancer. Qual Life Res 15:1355–1371PubMedCrossRef Jim H, Purnell JQ, Richardson SA, Golden-Kreuz D, Andersen BL (2006) Measuring meaning in life following cancer. Qual Life Res 15:1355–1371PubMedCrossRef
24.
go back to reference Klinger E (1977) Meaning and void. Inner experience and the incentives in people's lives. University of Minnesota Press, Minneapolis Klinger E (1977) Meaning and void. Inner experience and the incentives in people's lives. University of Minnesota Press, Minneapolis
25.
go back to reference Lapierre S, Bouffard L, Bastin E (1997) Personal goals and subjective well-being in later life. Int J Aging Hum Dev 45:287–303PubMed Lapierre S, Bouffard L, Bastin E (1997) Personal goals and subjective well-being in later life. Int J Aging Hum Dev 45:287–303PubMed
26.
go back to reference Lapierre S, Bouffard L, Bastin E, Dubé L (2001) Aspirations and well-being in old age. In: Schmuck P, Sheldon KM (eds) Towards a positive psychology of human striving. Hogrefe & Huber, Ashland OH, pp 102–115 Lapierre S, Bouffard L, Bastin E, Dubé L (2001) Aspirations and well-being in old age. In: Schmuck P, Sheldon KM (eds) Towards a positive psychology of human striving. Hogrefe & Huber, Ashland OH, pp 102–115
27.
go back to reference Lewis FM (1982) Experienced personal control and quality of life in late-stage cancer patients. Nurs Res 31:113–119PubMedCrossRef Lewis FM (1982) Experienced personal control and quality of life in late-stage cancer patients. Nurs Res 31:113–119PubMedCrossRef
28.
go back to reference Meier P (1992) Sinnsuche und Sinnfindung im Umfeld eines kritischen Lebensereignisses/Searching and finding meaning after a critical life event. Roderer, Regensburg Meier P (1992) Sinnsuche und Sinnfindung im Umfeld eines kritischen Lebensereignisses/Searching and finding meaning after a critical life event. Roderer, Regensburg
29.
go back to reference Peterman AH, Fitchett G, Brady MJ, Hernandez L, Cella D (2002) Measuring spiritual well-being in people with cancer: the functional assessment of chronic illness therapy-spiritual well-being scale. Ann Behav Med 24:49–58PubMedCrossRef Peterman AH, Fitchett G, Brady MJ, Hernandez L, Cella D (2002) Measuring spiritual well-being in people with cancer: the functional assessment of chronic illness therapy-spiritual well-being scale. Ann Behav Med 24:49–58PubMedCrossRef
30.
go back to reference Pinquart M (2002) Creating and maintaining purpose in life in old age: a meta-analysis. Ageing Int 27:90–114CrossRef Pinquart M (2002) Creating and maintaining purpose in life in old age: a meta-analysis. Ageing Int 27:90–114CrossRef
31.
go back to reference Pinquart M, Hänchen-Nixdorf JC, Silbereisen RK (2005) Associations of age and cancer with individual goal commitment. Appl Dev Sci 9:54–66CrossRef Pinquart M, Hänchen-Nixdorf JC, Silbereisen RK (2005) Associations of age and cancer with individual goal commitment. Appl Dev Sci 9:54–66CrossRef
32.
go back to reference Pinquart M, Fröhlich C, Silbereisen RK (2008) Testing models of change in life goals after cancer diagnosis. J Loss Trauma Pinquart M, Fröhlich C, Silbereisen RK (2008) Testing models of change in life goals after cancer diagnosis. J Loss Trauma
33.
go back to reference Pyszczynski T, Solomon S, Greenberg J (1997) Why do we need what we need? A terror management perspective on the roots of human social motivation. Psychol Inq 8:1–20CrossRef Pyszczynski T, Solomon S, Greenberg J (1997) Why do we need what we need? A terror management perspective on the roots of human social motivation. Psychol Inq 8:1–20CrossRef
34.
go back to reference Quinlan KJ (2007) ‘Defining a new normal': An exploration of psychosocial adjustment in young adult survivors of adolescent cancer. Unpublished dissertation, University of Rhode Island Quinlan KJ (2007) ‘Defining a new normal': An exploration of psychosocial adjustment in young adult survivors of adolescent cancer. Unpublished dissertation, University of Rhode Island
35.
go back to reference Ryff CD, Singer B (1998) The contours of positive human health. Psychol Inq 9:1–28CrossRef Ryff CD, Singer B (1998) The contours of positive human health. Psychol Inq 9:1–28CrossRef
36.
go back to reference Soothill K, Morris SM, Harman J, Francis B, Thomas C, McIllmurray MB (2001) The significant unmet needs of cancer patients: probing psychosocial concerns. Support Care Cancer 9:597–605PubMedCrossRef Soothill K, Morris SM, Harman J, Francis B, Thomas C, McIllmurray MB (2001) The significant unmet needs of cancer patients: probing psychosocial concerns. Support Care Cancer 9:597–605PubMedCrossRef
37.
go back to reference Street H (2003) The psychosocial impact of cancer: exploring relationships between conditional goal setting and depression. Psycho-Oncol 12:580–589CrossRef Street H (2003) The psychosocial impact of cancer: exploring relationships between conditional goal setting and depression. Psycho-Oncol 12:580–589CrossRef
38.
go back to reference Támas M, Gábor S, Sándor R (2006) Psychometric characteristics of the shortened aspiration index in Hungarian sample. Mentálhygiéné és Pszichozomatika 7:171–191 Támas M, Gábor S, Sándor R (2006) Psychometric characteristics of the shortened aspiration index in Hungarian sample. Mentálhygiéné és Pszichozomatika 7:171–191
39.
go back to reference Taylor EJ (1983) Factors associated with meaning in life among people with recurrent cancer. Oncol Nurs Forum 20:1399–1405 Taylor EJ (1983) Factors associated with meaning in life among people with recurrent cancer. Oncol Nurs Forum 20:1399–1405
40.
go back to reference Thompson SC, Pitts J (1993) Factors relating to a person's ability to find meaning after a diagnosis of cancer. J Psychosoc Oncol 11(3):1–21CrossRef Thompson SC, Pitts J (1993) Factors relating to a person's ability to find meaning after a diagnosis of cancer. J Psychosoc Oncol 11(3):1–21CrossRef
41.
go back to reference Tomich PL, Helgeson VS (2002) Five years later: a cross-sectional comparison of breast cancer survivors and healthy women. Psycho-Oncol 11:154–169CrossRef Tomich PL, Helgeson VS (2002) Five years later: a cross-sectional comparison of breast cancer survivors and healthy women. Psycho-Oncol 11:154–169CrossRef
42.
go back to reference Winnubst JA, Ros WJ, Couzijn AL (1987) Social support en kanker: hoofdthema's en theoretische aanknopingspunten [Social support and cancer: the main themes and starting points]. Tijdschrift voor de Psychologie an haar Grensgebieden 42:193–201 Winnubst JA, Ros WJ, Couzijn AL (1987) Social support en kanker: hoofdthema's en theoretische aanknopingspunten [Social support and cancer: the main themes and starting points]. Tijdschrift voor de Psychologie an haar Grensgebieden 42:193–201
Metadata
Title
Life goals and purpose in life in cancer patients
Authors
Martin Pinquart
Rainer K. Silbereisen
Cornelia Fröhlich
Publication date
01-03-2009
Publisher
Springer-Verlag
Published in
Supportive Care in Cancer / Issue 3/2009
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-008-0450-0

Other articles of this Issue 3/2009

Supportive Care in Cancer 3/2009 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine