Psychiatry Investig.
2025 Mar;22(3):258-266. 10.30773/pi.2024.0236.
Development of the Korean Version of the Meaning in Life Scale for Cancer Patients
- Affiliations
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- 1Department of Psychology, Korea University, Seoul, Republic of Korea
- 2Research and Business Foundation, The Cyber University of Korea, Seoul, Republic of Korea
- 3Division of Cancer Control & Policy, National Cancer Center, Goyang, Republic of Korea
- 4Department of Psychiatry, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea
- 5Department of Psychiatry and Behavioral Science, National Cancer Center, Goyang, Republic of Korea
- 6Department of Psychiatry, College of Medicine Chung-Ang University, Seoul, Republic of Korea
- 7Department of Counseling Psychology, The Cyber University of Korea, Seoul, Republic of Korea
- KMID: 2565731
- DOI: http://doi.org/10.30773/pi.2024.0236
Abstract
Objective
This study aims to understand the structure of meaning in life among patients with cancer through the validation of the Meaning in Life Scale among Korean patients (K-MiLS) with cancer.
Methods
From August 2021 to November 2022, participants were recruited from multiple sites in South Korea. Participants completed related questionnaires, including the MiLS, on the web or mobile. Test-retest reliability was assessed between 2 and 4 weeks after the initial assessment. Exploratory and confirmatory factor analyses and Pearson’s correlations were used to evaluate the reliability and validity of the MiLS. A multiple regression analysis was conducted to examine the sociodemographic and disease-related variables correlated with the MiLS. Regarding concurrent validity, a hierarchical regression analysis was performed.
Results
The results (n=345) indicated that the K-MiLS has a four-factor structure: Harmony and Peace; Life Perspective, Purpose, and Goals; Confusion and Lessened Meaning; and Benefits of Spirituality. Regarding convergent and discriminant validity, K-MiLS was negatively correlated with Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, and Fear of Cancer Recurrence Inventory while showing a significantly positive correlation with the Posttraumatic Growth Inventory, Self-Compassion Scale, Functional Assessment of Cancer Therapy-General, and Functional Social Support Questionnaire. Hierarchical regression analysis revealed that the demographic variable influencing MiLS was religious affiliation.
Conclusion
The K-MiLS had a multidimensional four-factor structure similar to that of the original version. It is also a reliable and valid measure for assessing cancer survivors’ meaning in life after a cancer diagnosis.
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