Asian Oncol Nurs.  2013 Mar;13(1):49-57. 10.5388/aon.2013.13.1.49.

The Effects of Logotherapy on Meaning of Life of Early Adolescents with Cancer

• Kim SJ
• Kang KA
• Park SJ
• Lee MN
• Kim YH

• KMID: 2269441
• DOI: http://doi.org/10.5388/aon.2013.13.1.49

Abstract

PURPOSE
To evaluate the effects of a logotherapy program entitled 'Finding treasures in my mind' for early adolescents with cancer.
METHODS
A nonequivalent control group, non-synchronized design was conducted with a convenience sample of 22 early adolescents with cancer. The experimental group (n=12) participated in the 'Finding treasures in my mind' program which consisted of five-day sessions for one week. The control group (n=10) received the usual nursing care. The effects were measured using meaning of life (MOL) for early adolescents. The collected data were analyzed using Fisher's exact test, t-test, and content analysis.
RESULTS
There was a significant difference in MOL for early adolescents (t=3.20, p=.005) between the experimental and control groups. The main results of content analysis were having goals and hope, recovering health, returning to school life, and loving relationships with family.
CONCLUSION
Logotherapy is effective in improving the meaning of life of early adolescents with cancer. This education program based on logotherapy can be used as an important nursing intervention in a cancer nursing care setting.

Keyword

Adolescents; Neoplasms; Quality of life

MeSH Terms

Adolescent
Humans
Love
Nursing Care
Psychotherapy
Quality of Life

Reference

1. Korean Oncology Nursing Society. Oncology nursing: Treatment and care. 2012. Seoul: Fornurse.

2. National Cancer Information Center. Statistics on cancer registration in Korea. 2007. Seoul: Author.

3. Zeltzer LK, Recklitis C, Buchbinder D, Zebrack B, Casillas J, Tsao JC, et al. Psychological status in childhood cancer survivors: A report from the childhood cancer survivor study. J Clin Oncol. 2009. 27:2396–2404.

4. Kim HS, Kang KA, Kim SJ, Kim HO, Moon SY, Yang EY, et al. Child health nursing: Care of the child and family. 2012. Seoul: Koonja.

5. Fochtman D. The concept of suffering in children and adolescents with cancer. J Pediatr Oncol Nurs. 2006. 23:92–102.

6. Shin H, Lee JH. A correlation study on the resilience of children with cancer and their mothers. J Korean Oncol Nurs. 2008. 8:24–31.

7. Frankl VE. Man's search for meaning. 1963. NY: Washington Square Press.

8. Frankl VE. The will to meaning: Foundations and applications of logotherapy. 1988. NY: Penguin.

9. Breitbart W, Heller KS. Reframing hope: Meaning-centred care for patients near the end of life. J Palliat Med. 2003. 6:979–988.

10. Kang KA, Im JI, Kim HS, Kim SJ, Song MK, Sim SY. The effect of logotherapy on the suffering, finding meaning, and spiritual well-being of adolescents with terminal cancer. J Korean Acad Child Health Nurs. 2009. 15:136–144.

11. Kang KA, Shim JS, Jeon DG, Koh MS. The effects of logotherapy on meaning in life and quality of life of late adolescents with terminal cancer. J Korean Acad Nurs. 2009. 39:759–768. http://dx.doi.org/10.4040/jkan.2009.39.6.759.

12. Cho HH, Yoon JW. Trends in research on children with cancer and their families in Korea. J Korean Acad Child Health Nurs. 2010. 16:73–83.

13. Kang KA, Kim SJ, Song MK. CD program development applied logotherapy to improve quality of life of older school-age children with terminal cancer. Korean J Hosp Palliat Care. 2008. 11:82–90.

14. Kang KA, Kim SJ, Song MK, Sim SY, Kim SH. Development of an instrument to measure meaning of life (MOL) for higher grade primary school children. J Korean Acad Child Health Nurs. 2007. 13:308–317.

15. Breitbart W. Spirituality and meaning in supportive care: Spirituality and meaning-centered group psychotherapy interventions in advanced cancer. Support Care Cancer. 2002. 10:272–280.

16. Cho HS. The effects of logotherapeutic group counseling on purpose in life, self-concept, self-esteem and spiritual wellbeing of adolescence [dissertation]. 2000. Busan: Kosin Univ.

17. Choi MO. The effects of logotherapy group counseling on the purpose in life and a life of faith of christian teenager [dissertation]. 2000. Daegu: Keimyung Univ.

18. Shim KJ. The effects of logotherapy group counseling in the level of the purpose in life of vocational high school students [dissertation]. 2001. Suncheon: Suncheon Univ..

19. Kim MA, Yi JH. Childhood cancer survivor's services needs for the better quality of life. J Korean Acad Child Health Nurs. 2012. 18:19–28.

20. Bruce M. A systematic and conceptual review of posttraumatic stress in childhood cancer survivors and their parents. Clin Psychol Rev. 2006. 26:233–256.

21. Cohen JA, Mannerino AP, Deblinger E. Treating trauma and traumatic grief in children and adolescents. 2006. NY: Guilford Press.

22. Kwon HJ, Kim YJ, Cha HG. Relationship of self-esteem and social support to depression in child cancer survivors. J Korean Acad Child Health Nurs. 2009. 15:219–227.