The present study aimed to investigate the effect of Meaning-Centered Group Psychotherapy (MCGP) on promoting meaning in the lives of individuals with spinal cord injury. This single-blind study was quasi-experimental with pre-test, post-test, follow-up, and experimental and control groups. Forty-three Iranian patients with poor meaning in life were selected by purposive sampling and randomly assigned to experimental and control groups. The experimental group received MCGP, while the control group received no intervention. The data were collected by the Meaning in Life Questionnaire and analyzed by multivariate analysis of covariance. The results revealed significant differences between the post-test and follow-up scores of the experimental and control groups regarding the presence of meaning in life and the search for meaning in life. Also, no significant difference was found between the post-test and follow-up scores of the experimental group, which demonstrated the stability of the treatment effects. In general, MCGP significantly improved the meaning in the lives of patients with spinal cord injury.
BaumeisterR. F. (1991). Meanings in life. Guilford.
2.
BonannoG. A. (2004). Loss, trauma, and human resilience: Have we underestimated the human capacity to thrive after extremely aversive events?American Psychologist, 59(1), 20–28. https://psycnet.apa.org/doi/10.1037/0003-066X.59.1.20
3.
BrassaiL.PikoB. F.StegerM. F. (2011). Meaning in life: Is it a protective factor for adolescents’ psychological health?International Journal of Behavioral Medicine, 18, 44–51. https://doi.org/10.1007/s12529-010-9089-6
4.
BreitbartW.PoppitoS. R. (2014). Meaning-centered group psychotherapy for patients with advanced cancer: A treatment manual. Oxford University Press.
5.
CastroF. F. S.BimbattiK. D. F.CarvalhoA. A. G. D.GonçalvesM. L.LopesF. G.SchuttW. (2020). Satisfaction and meaning in life for individuals with traumatic spinal cord injury. Acta fisiátrica, 27, 213–219. https://doi.org/10.11606/issn.2317-0190.v27i4a177134
6.
CohenK.CairnsD. (2012). Is searching for meaning in life associated with reduced subjective well-being? Confirmation and possible moderators. Journal of Happiness Studies, 13, 313–331. https://doi.org/10.1007/sl0902-011-9265-7
7.
DavisC. G.NovoaD. C. (2013). Meaning-making following spinal cord injury: Individual differences and within-person change. Rehabilitation Psychology, 58(2), 166–177. https://psycnet.apa.org/doi/10.1037/a0031554
8.
DeRoon-CassiniT. A.de St AubinE.ValvanoA.HastingsJ.HornP. (2009). Psychological well-being after spinal cord injury: Perception of loss and meaning making. Rehabilitation Psychology, 54, 306–314. https://doi.org/10.1037/a0016545
9.
DezutterJ.CasalinS.WachholtzA.LuyckxK.HekkingJ.VandewieleW. (2013). Meaning in life: An important factor for the psychological well-being of chronically ill patients?Rehabilitation Psychology, 58(4), 334. https://psycnet.apa.org/doi/10.1037/a0034393
10.
DicksonA.AllanD.O’carrollR. (2008). Biographical disruption and the experience of loss following a spinal cord injury: An interpretative phenomenological analysis. Psychology and Health, 23(4), 407–425. https://doi.org/10.1080/14768320701219136
Fraguell-HernandoC.LimoneroJ. T.GilF. (2020). Psychological intervention in patients with advanced cancer at home through Individual Meaning-Centered Psychotherapy-Palliative Care: A pilot study. Supportive Care in Cancer, 28(10), 4803–4811. https://doi.org/10.1007/s00520-020-05322-2
13.
FranklV. E. (1986). The doctor and the soul: From psychotherapy to logotherapy. Vintage.
14.
FranklV. E. (2012). Logoterapia y análisis existencial [Logotherapy and existential analysis]. Herder.
15.
García-AlandeteJ.Soucase LozanoB.Sellés NohalesP.Rosa MartínezE. M. (2013). Predictive role of meaning in life on psychological well-being and gender-specific differences. Acta Colombiana de Psicología, 16(1), 17–24.
16.
GoraczkoA.ZurekG.LachowiczM.ZurekA. (2021). Purpose in life of elite athletes after spinal cord injury. International Journal of Environmental Research and Public Health, 18(11), 5563. https://doi.org/10.3390/ijerph-18115563
17.
HoltmaatK.van der SpekN.Lissenberg-WitteB.BreitbartW.CuijpersP.Ver donck-de LeeuwI. (2020). Long-term efficacy of meaning-centered group psychotherapy for cancer survivors: 2-year follow-up results of a randomized controlled trial. Psycho-Oncology, 29(4), 711–718. https://doi.org/10.1002/pon.5323
18.
International Spinal Cord Society. (2013). International perspectives on spinal cord injury. World Health Organization.
19.
JeyathevanG.CameronJ. I.CravenB. C.MunceS. E.JaglalS. B. (2019). Re-building relationships after a spinal cord injury: Experiences of family caregivers and care recipients. BMC Neurology, 19(1), Article 117. https://doi.org/10.1186/s12883-019-1347-x
20.
KingL. A.HicksJ. A.KrullJ. L.Del GaisoA. K. (2006). Positive affect and the experience of meaning in life. Journal of Personality and Social Psychology, 90, 179–196. https://doi.org/10.1037/0022-3514.90.1.179
21.
KrakowskaN.SzmelcerB. P.ZabornaD.FortunaA.WszelakiP.FlorczakA.. . . Kędziora-KornatowskaK. (2019). Rehabilitation of patients with paraplegia: A review of the diversity of forms. Journal of Education, Health and Sport, 9(5), 534–546. https://doi.org/10.5281/zenodo.3235989
22.
LeeT. T.GreenB. A. (2002). Advances in the management of acute spinal cord injury. Orthopedic Clinics of North America, 33(2), 311–315. https://doi.org/10.1016/S0030-5898(02)00004-4
23.
LittooijE.WiddershovenG. A.Stolwijk-SwüsteJ. M.DoodemanS.LegetC. J.DekkerJ. (2016). Global meaning in people with spinal cord injury: Content and changes. The Journal of Spinal Cord Medicine, 39(2), 197–205. https://doi.org/10.1179/2045772314Y.0000000290
24.
MagenukaN. S. (2006). The personal and embodied experience of people living with a spinal cord injury in the OR Tambo District Municipality in the Eastern Cape [Master’s thesis, University of South Africa].
25.
MascaroN.RosenD. H. (2005). Existential meaning’s role in the enhancement of hope and prevention of depressive symptoms. Journal of Personality, 73, 985–1014. https://doi.org/10.111l/j.l467-6494.2005.00336.x
26.
MesrabadiJ.JafariyanS.OstovarN. (2013). Discriminative and construct validity of meaning in life questionnaire for Iranian students. International Journal of Behavioral Sciences, 7(1), 83–90.
27.
MiglirioniC. E.ElfsromM. L.TongeB. J. (2008). Translation and Australian validation of the spinal cord lesion-related coping strategies and emotional well-being. Spinal Cord, 46, 690–695. https://doi.org/10.1038/sc.2008.22
ParkC. L.EdmondsonD.EensterJ. R.BlankT. O. (2008). Meaning making and psychological adjustment following cancer: The mediating roles of growth, life meaning, and restored just-world beliefs. Journal of Consulting and Clinical Psychology, 76, 863–875. https://doi.org/10.1037/a0013348
PostM. (2014). Definitions of quality of life: What has happened and how to move on. Topics in Spinal Cord Injury Rehabilitation, 20(3), 167–180. https://doi.org/10.1310/sci2003-167
ShermanA. C.SimontonS. (2012). Effects of personal meaning among patients in primary and specialized care: Associations with psychosocial and physical outcomes. Psychology & Health, 27, 475–490. https://doi.org/10.1080/08870446.2011.592983
34.
ShermanA. C.SimontonS.LatifU.BracyL. (2010). Effects of global meaning and illness-specific meaning on health outcomes among breast cancer patients. Journal of Behavioral Medicine, 33, 364–377. https://doi.org/10.1007/s10865-010-9267-7
35.
SimpsonG.JonesK. (2013). How important is resilience among family members supporting relatives with traumatic brain injury or spinal cord injury?Clinical Rehabilitation, 27(4), 367–377. https://doi.org/10.1177%2F0269215512457961
36.
SinghR.DhankarS. S.RohillaR. (2008). Quality of life of people with spinal cord injury in Northern India. International Journal of Rehabilitation Research, 31(3), 247–251. https://doi.org/10.1097/MRR.0b013e3282fb7d25
37.
SmedemaS. M.CatalanoD.EbenerD. J. (2010). The relationship of coping, self-worth, and subjective well-being: A structural equation model. Rehabilitation Counseling Bulletin, 53(3), 131–142. https://doi.org/10.1177/0034355209358272
38.
StegerM. F. (2010). Meaning in life. In LopezS. J. (Ed.), Handbook of positive psychology. Oxford University Press.
39.
StegerM. F. (2012). Experiencing meaning in life: Optimal functioning at the nexus of spirituality, psychopathology, and well-being. In WongP. T. P.FryP. S. (Eds.), The human quest for meaning. Routledge.
40.
StegerM. F.FrazierP.OishiS.KalerM. (2006). The meaning in life questionnaire: Assessing the presence of and search for meaning in life. Journal of Counseling Psychology, 53(1), 80–93. https://psycnet.apa.org/doi/10.1037/0022-0167.53.1.80
41.
StegerM. F.KashdanT. B.SullivanB. A.LorentzD. (2008). Understanding the search for meaning in life: Personality, cognitive style, and the dynamic between seeking and experiencing meaning. Journal of Personality, 76, 199–228. https://doi.org/10.1111/j.1467-6494.2007.00484.x
42.
TallmanB.HoffmanA. (2017). Meaning making concerning acquired disability. In AltmaierE. (Ed.), Reconstructing meaning after trauma (pp. 133–151). Academic Press.
43.
Tedlie MoskowitzJ.WrubelJ. (2005). Coping with HIV as a chronic illness: A longitudinal analysis of illness appraisals. Psychology & Health, 20(4), 509–531. https://doi.org/10.1080/08870440412331337075
44.
van der SpekN.VosJ.van Uden-KraanC. F.BreitbartW.CuijpersP.HoltmaatK.. . . Verdonck-de LeeuwI. M. (2017). Efficacy of meaning-centered group psychotherapy for cancer survivors: A randomized controlled trial. Psychological Medicine, 47(11), 1990–2001. https://doi.org/10.1017/S0033291717000447
WhiteB.DriverS.WarrenA. (2010). Resilience and indicators of adjustment during rehabilitation from a spinal cord injury. Rehabilitation Psychology, 55(1), 23–32. https://psycnet.apa.org/doi/10.1037/a0018451
47.
WilsonC. S.ForchheimerM.HeinemannA. W.WarrenA. M.McCullumsmithC. (2017). Assessment of the relationship of spiritual well-being to depression and quality of life for persons with spinal cord injury. Disability and Rehabilitation, 39(5), 491–496. https://doi.org/10.3109/09638288.2016.1152600
48.
WongP. T. P. (2012). From logotherapy to meaning-centered counseling and therapy. In WongP. T. P. (Ed.), The human quest for meaning: Theories, research, and applications (2nd ed., pp. 619–647). Routledge.
49.
ZhangT.ShiC.HuA.XuH.ZhengM. (2014). Correlation between acceptance of disability and social relational quality in patients with colostomy. International Journal of Nur-sing Sciences, 1, 102–106. https://doi.org/10.1016/j.ijnss.2014.02.019
