Meaning-reconstruction factors and well-being in cancer survivor–caregiver dyads: Daily associations and mechanisms.

Abstract

Objective: The study aimed to expand the existing research on the meaning-making processes in cancer by examining (a) the relationship between daily meaning making and meanings made versus the emotional and social well-being in survivor–caregiver dyads, (b) whether meanings made moderated or mediated the meaning-making–well-being associations at the within- and between-dyad level, and (c) whether meaning factors varied across or within persons. Methods: Two hundred dyads completed measures of meaning making, meanings made, positive and negative affect, and loneliness for 28 consecutive posthospitalization days following hematopoietic cell transplantation. Computations were based on the actor–partner interdependence model and its extensions, using multilevel structural equation modeling. Results: Positive emotional effects of meanings made and mixed effects of meaning making were found. Meanings made mediated, but not moderated, the association between meaning making and affect. Meaning factors varied substantially between- but less so within-person. Conclusions: Further research on the meaning-making process and practical actions will require a greater focus on the level of the analysis, the role in the dyad, and interpersonal aspects.

The effect of an online acceptance and commitment intervention on the meaning-making process in cancer patients following hematopoietic cell transplantation: study protocol for a randomized controlled trial enhanced with single-case experimental design

“…A review of the narratives shows that HCT recipients who were able to find meaning in their experience were better able to cope with physical symptoms and were less likely to report unfavorable psychological outcomes after transplant than those who had difficulty finding meaning [ 6 ]. Meanings made was also an essential link connecting meaning-making and well-being in HCT recipients in a daily diary study lasting 28 days after hospital discharge [ 11 ]. The direct effect of average meaning-making coping was unfavorable but positive when mediated by meanings made.…”