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1.
Pers Soc Psychol Rev ; : 10888683241259902, 2024 Jul 28.
Artigo em Inglês | MEDLINE | ID: mdl-39068536

RESUMO

ACADEMIC ABSTRACT: We articulate an intergenerational model of positive psychosocial development that centers storytelling in an ecological framework and is motivated by an orientation toward social justice. We bring together diverse literature (e.g., racial-ethnic socialization, family storytelling, narrative psychology) to argue that the intergenerational transmission of stories about one's group is equally important for elders and youth, and especially important for groups who are marginalized, because stories provide a developmental resource for resistance and resilience in the face of injustice. We describe how storytelling activities can support positive psychosocial development in culturally dynamic contexts and illustrate our model with a case study involving LGBTQ+ communities, arguing that intergenerational storytelling is uniquely important for this group given issues of access to stories. We argue that harnessing the power of intergenerational storytelling could provide a culturally safe and sustaining practice for fostering psychosocial development among LGBTQ+ people and other equity-seeking populations. PUBLIC ABSTRACT: Understanding one's identity as part of a group with shared history and culture that has existed through time is important for positive psychological functioning. This is especially true for marginalized communities for whom identity-relevant knowledge is often erased, silenced, or distorted in mainstream public discourses (e.g., school curricula, news media, television, and film). To compensate for these limitations around access, one channel for the transmission of this knowledge is through oral storytelling between generations of elders and youth. Contemporary psychological science has often assumed that such storytelling occurs within families, but when families cannot or would not share such knowledge, youth suffer. We present a model of intergenerational storytelling that expands our ideas around who counts as "family" and how knowledge can be transmitted through alternative channels, using LGBTQ+ communities as a case example.

2.
J Pers ; 2024 Apr 12.
Artigo em Inglês | MEDLINE | ID: mdl-38606602

RESUMO

OBJECTIVE: This study explores how middle-aged Black Americans talk about race, without prompting, while telling their life stories. METHOD: Drawing upon a dataset of lengthy Life Story Interviews (N = 70), we first employed a keyword search to identify race-relevant interview scenes for each participant. Next, we conducted a thematic analysis of these scenes to identify salient racial narrative themes. Finally, we coded race-relevant scenes to examine the psychological correlates of racial narrative themes. RESULTS: We identified 460 total racially themed Life Story Interview scenes, with the number of racially themed scenes ranging from 1 to 17 across participants' interviews. Racial narrative themes included Community of Care, Black Cultural Identity, Multiculturalism, Activism, Encounter with Racism, Systemic Racism, and Racial Reckoning. Quantitative analyses highlight a relationship between racial narrative themes and psychological measures of wisdom and generativity. CONCLUSION: This study offers insight into the ways that race manifests in the life stories of Black Americans and highlights the importance of considering race in the study of narrative identity, and personality, more broadly.

3.
Int J Aging Hum Dev ; 99(1): 25-46, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38291615

RESUMO

Using a sample of middle-aged and older adults, this research explores associations between generativity and two key risk factors for suicide: thwarted belonging (T.B.) and perceived burdensomeness (P.B.). These variables are typically studied as predictors of suicide; the current study is unique in examining their psychosocial correlates. Erikson described, generativity as a psychosocial construct that characterizes adult well-being in mid-life, conceptualized as the sense one has successfully guided and contributed to the younger generation through mentoring. Using the Midlife in the United States Survey (MIDUS), the current analyses indicate that generativity is associated with lower levels of P.B. and T.B., even after accounting for measures of hopelessness, depressive symptoms, financial stability, perceived neighborhood quality, chronic health conditions, and respondent's demographic characteristics including gender and age. Results are discussed in terms of applications for suicide-risk prevention, and with regard to the promotion of positive psychosocial development across the lifespan.


Assuntos
Suicídio , Humanos , Feminino , Masculino , Pessoa de Meia-Idade , Idoso , Estados Unidos , Fatores de Risco , Suicídio/psicologia , Depressão/psicologia , Envelhecimento/psicologia
4.
Int J Aging Hum Dev ; : 914150241268051, 2024 Aug 06.
Artigo em Inglês | MEDLINE | ID: mdl-39105288

RESUMO

This study examined the effect of nostalgia proneness on the level of achievement of developmental tasks during the later stages of adulthood (generativity and ego integrity) and the indirect effect of nostalgia on ego integrity. The level of nostalgia proneness changes with age and contributes to subjective well-being in old age. We assumed that nostalgia proneness affects generativity and ego integrity. To confirm the causal relationship between nostalgia proneness and achievement of developmental tasks, a longitudinal study was conducted. We conducted an Internet survey twice with 600 Japanese adults (aged 20-87). The first and second surveys (T1 and T2) were conducted in March 2021 and March 2022, respectively. The questionnaire comprised the Inventory of Psychosocial Balance scale, positive/negative nostalgia proneness scale, and state functions of the nostalgia scale. An autoregressive path model indicated that high and low levels of positive and negative proneness, respectively, predicted ego integrity. The results of the mediation analysis suggested that social connections have an indirect effect on ego integrity and that people who tend to feel positive emotions are less likely to feel negative emotions when they remember nostalgic memories, which leads to a sense of social connection and the acquisition of ego integrity. The findings provide an understanding of the processes through which developmental tasks are facilitated in later adulthood and elucidate the efficacy of psychosocial interventions in older adults.

5.
Int J Aging Hum Dev ; : 914150241231183, 2024 Feb 06.
Artigo em Inglês | MEDLINE | ID: mdl-38321715

RESUMO

Background: The Cultivating Health and Aging Researchers by Integrating Science, Medicine, and Aging (CHARISMA) program at the University of Chicago (UC), is an NIA-funded longitudinal clinical research training program for undergraduate students from groups underrepresented in the sciences and medicine. CHARISMA students participate in an aging-focused: 1) realistic research career experience, 2) didactic curriculum, and 3) multi-tiered mentorship program. This manuscript describes CHARISMA and early quantitative data demonstrating its success. Methods: Students apply for and are accepted into CHARISMA in year-long intervals, with programming lasting from June to May. Short-term outcomes are measured using student surveys, including an adapted 23-question version of the critical research appraisal inventory (CRAI), the Geriatrics Attitude Scale for Primary Care Residents, and questions rating the overall program, mentor, importance of aging research, and career interests. Results: Twenty-two students have completed CHARISMA. After completing CHARISMA, student aggregate CRAI scores increased (6.8 to 7.5, p = 0.04). Additionally, the substantial majority of students completing CHARISMA were definitely, very or somewhat Additionally, 87% (19/22), 73% (16/22), and 82% (18/22) of students were definitely, very, or somewhat interested in pursuing a career in medicine that serves older adults, pursuing a career in clinical research, or pursuing a career focused on aging-related research. Conclusion: Early data demonstrates that CHARISMA increases undergraduate student knowledge of and interest in aging-related clinical research.

6.
J Cross Cult Gerontol ; 39(2): 107-123, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38441785

RESUMO

Predominantly Western-based biomedical models of successful aging have been used to research, understand, and explain successful aging among diverse populations. With an increasingly heterogeneous older adult population nationwide, scholars have been exploring Indigenous understandings of successful aging. To add to the accumulation of knowledge of diverse Alaska Native populations, this study involved semi-structured qualitative interviews with 20 Unangan Elders from the Aleutian and Pribilof Islands. This community-based participatory research study explores the aging experiences and conceptualization of successful aging of these Elders from this remote and culturally distinct region of Alaska. Thematic analysis was employed to identify themes related to successful aging within this specific region, which supported our previous four themes, or characteristics, of Alaska Native successful aging: physical health, social support and emotional well-being, generativity as a traditional way of life, and community engagement and Inidgenous cultural generativity. Each of these themes or characteristics of Eldership is intertwined and together support successful aging within two remote communities in the Bering Sea. The findings of this study illuminate how Alaska Native Elders can live in geographically diverse regions of the State, yet the values and teachings they possess on successful aging possess the same cultural values and teachings. This study highlighted two new emerging constructs that influence Alaska Native Elders' successful aging based on geographical location. Findings contribute to the thematic saturation of the four main successful aging domains while outlining the importance of future research to conduct deeper investigations into the role of environment and history on Elders' perceptions and understanding of aging.


Assuntos
Envelhecimento , Nativos do Alasca , Envelhecimento Saudável , Apoio Social , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Envelhecimento/psicologia , Envelhecimento/etnologia , Alaska , Nativos do Alasca/psicologia , Pesquisa Participativa Baseada na Comunidade , Nível de Saúde , Envelhecimento Saudável/psicologia , Entrevistas como Assunto , Pesquisa Qualitativa
7.
J Gerontol Soc Work ; 67(1): 35-54, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-37183428

RESUMO

Generativity has been increasingly recognized as an important component of healthy aging. Although the desire to be generative is influenced by societal and cultural expectations, the relative influence of its driving factors by retirement status, a significant life-course transition, is underexplored. This study examined how later-life generativity is driven by the interplay between retirement status and financial, human and social capital. An online survey targeting Hong Kong adults aged 45+ was conducted. Linear regression models were stratified by retirement status (working and retired) to examine the effects of financial (income, assets, and financial satisfaction), human (education and health-related measures), and social capitals (productive and social engagement) on generativity. Among those working, higher generativity was associated with financial, human, and social capitals that facilitated material provision. Among those retired, human and social capitals that supported the transmission of knowledge and experience were more important for generativity. For both groups, support from close social networks was the strongest predictor. Different cultural demands, dictated by retirement status, play a crucial role in determining how older adults feel like they can contribute to subsequent generations. These findings can inform policies and programs that seek to support healthy transitions into retirement.


Assuntos
Aposentadoria , Capital Social , Humanos , Idoso , Renda , Hong Kong
8.
Proc Biol Sci ; 290(1997): 20222418, 2023 04 26.
Artigo em Inglês | MEDLINE | ID: mdl-37122258

RESUMO

Are human cultures distinctively cumulative because they are uniquely compositional? We addressed this question using a summative learning paradigm where participants saw different models build different tower elements, consisting of discrete actions and objects: stacking cubes (tower base) and linking squares (tower apex). These elements could be combined to form a tower that was optimal in terms of height and structural soundness. In addition to measuring copying fidelity, we explored whether children and adults (i) extended the knowledge demonstrated to additional tower elements and (ii) productively combined them. Results showed that children and adults copied observed demonstrations and applied them to novel exemplars. However, only adults in the imitation condition combined the two newly derived base and apex, relative to adults in a control group. Nonetheless, there were remarkable similarities between children's and adults' performance across measures. Composite measures capturing errors and overall generativity in children's and adults' performance produced few population by condition interactions. Results suggest that early in development, humans possess a suite of cognitive skills-compositionality and generativity-that transforms phylogenetically widespread social learning competencies into something that may be unique to our species, cultural learning; allowing human cultures to evolve towards greater complexity.


Assuntos
Evolução Cultural , Aprendizado Social , Humanos , Criança , Adulto , Aprendizagem
9.
J Pers ; 91(5): 1110-1122, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-36256457

RESUMO

INTRODUCTION: Guided by Erikson's theory of psychosocial development, the present study investigated whether themes of trust, identity, intimacy, and generativity are represented in older adults' most important autobiographical memories. Furthermore, we tested whether these themes are associated with certain life periods and whether having important memories (i.e., life story) that reflect developmental themes and are evaluated as positive is associated with life satisfaction. METHODS: One hundred and twelve (59.8% female) older adults (61-92 years, M = 70.96, SD = 6.81) reported up to 15 important autobiographical memories. Participants rated each memory according to the themes of trust/mistrust, identity/confusion, intimacy/isolation, and generativity/stagnation. RESULTS: Using multilevel multinomial logistic regression, we found childhood memories to be associated with trust, memories from participants' youth with identity and intimacy, and adulthood memories with intimacy and generativity. Moreover, participants who rated their autobiographical memories (i.e., life story) as high in reflecting themes and, at the same time, perceived their memories as more positive showed higher levels of life satisfaction. CONCLUSION: Important autobiographical memories reflect how an individual became the person of today. They refer to age-related themes of psychosocial development and are associated with a person's life satisfaction if they are also considered as emotionally more positive.


Assuntos
Memória Episódica , Adolescente , Humanos , Feminino , Idoso , Masculino , Confiança , Personalidade , Parceiros Sexuais , Satisfação Pessoal , Rememoração Mental
10.
Aging Ment Health ; 27(7): 1233-1245, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36417922

RESUMO

OBJECTIVES: Older adults contribute vast amounts of care to society, yet it remains unclear how unpaid productive activities relate to loneliness. The objective of this systematic review is to synthesise the evidence for associations between midlife and older people's unpaid productive activities (i.e., spousal and grandparental caregiving, volunteering) and loneliness. METHODS: Peer-reviewed observational articles that investigated the association between loneliness and caregiving or volunteering in later life (>50 years) were searched on electronic databases (Ovid MEDLINE, Embase, PsychInfo and Global Health) from inception until July 2021. Studies were analysed using narrative synthesis and assessed for methodological quality applying the Newcastle Ottawa Scale. RESULTS: A total of 28 articles from 21 countries with 191,652 participants were included (52.5% women). Results were separately discussed for the type of unpaid productive activity, namely, general caregiving (N = 10), spousal caregiving (N = 7), grandparental caregiving (N = 7), and volunteering (N = 6). Risk of bias assessments revealed a moderate to high quality of included studies. Loneliness was positively associated with spousal caregiving but negatively associated with caregiving to grandchildren and volunteering. CONCLUSIONS: Grandparental caregiving and volunteering may be promising avenues for reducing loneliness in older age. Future studies will need to distinguish between different types of caregiving and volunteering and explore more complex longitudinal designs with diverse samples to investigate causal relationships with loneliness.


Spousal caregiving is associated with more lonelinessGrandparental caregiving and volunteering are associated with less lonelinessThere is a lack of longitudinal evidence from lower- and middle-income countries.

11.
Int J Aging Hum Dev ; : 914150231219007, 2023 Dec 10.
Artigo em Inglês | MEDLINE | ID: mdl-38073231

RESUMO

Cognitive function is a vital component of healthy aging. However, whether a persistently high optimism benefits late-life cognitive function is debatable. The current study examined associations between high optimism status, perceived generativity, and cognitive functions across adulthood. Data were from waves 2 and 3 (2004-14) of the Midlife in the United States study. We used structural equation modeling to examine whether participants' (N = 2,205; Mage = 65 ± 11) persistent high optimism predicts better cognitive functions over time, compared to high optimism at only one time-point or not at all while controlling for covariates; we also examined whether individuals' perceived generativity mediates the above association. The findings revealed that persistent high optimism was significantly associated with better episodic memory and executive function. Further, perceived generativity positively mediated the association between persistent high optimism and episodic memory. Future research should examine mechanisms for potential aspects of high optimism and perceived generativity on late-life cognitive performances.

12.
Int J Aging Hum Dev ; 96(3): 335-349, 2023 04.
Artigo em Inglês | MEDLINE | ID: mdl-35404172

RESUMO

Erikson's theory of psychosocial development defines generativity as the drive to benefit future generations and leave a legacy. Generativity has been shown to predict life satisfaction, but generative concern and action can be impacted by factors such as perceived respect from younger generations. This study utilized caregiving grandparents aged 40 and older to assess the extent to which perceived respect mediated the relation between generativity and life satisfaction. Perceived respect from a grandchild mediated the relation between generative concern expressed by caregiving grandparents and life satisfaction after controlling for demographic variables that have been shown to influence heterogeneity and overall well-being in caregiving grandparent samples. These findings suggest that the relation between life satisfaction and generativity in grandparents may depend, in part, on perceived respect from grandchildren, intimating that the implications of generativity may be influenced by the perceived appreciation of its recipients.


Assuntos
Avós , Humanos , Adulto , Pessoa de Meia-Idade , Idoso , Avós/psicologia , Respeito , Família/psicologia , Personalidade , Satisfação Pessoal , Relação entre Gerações
13.
Int J Aging Hum Dev ; 97(2): 249-262, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-36475899

RESUMO

Generativity refers to the desire to pass on one's skills, knowledge, and wisdom to future generations; this may be a clear indicator of the likelihood of older adults investing time and effort in engagement with their grandchildren. This cross-sectional study examines the relationship between generative beliefs and an index of multiple potential grandparenting activities. The data come from a convenience sample of 79 grandparents (aged 55+) living in Sri Lanka, a society experiencing rapid growth in its population of older adults. Regression analyses demonstrate that more endorsement of generative beliefs among older adults is associated with increased engagement in various grandparenting activities, with the strongest associations with reading, singing songs, and helping grandchildren with schoolwork or teaching them. Our findings suggest that generativity may be important for understanding the relationship between grandparenting and improved well-being for older adults.


Assuntos
Avós , Humanos , Idoso , Sri Lanka , Estudos Transversais , Família , Relação entre Gerações
14.
Palliat Support Care ; 21(1): 127-145, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-35509204

RESUMO

OBJECTIVES: Palliative care guidelines recommend an interdisciplinary approach to address patients' awareness of mortality and need for end-of-life preparation. An ethical will is a nonlegal way to address mortality by communicating a lasting and intangible legacy of values to others. The aim of this scoping review is to clarify the operationalization of ethical wills across disciplines and map the purposes and outcomes of creating an ethical will. METHODS: We followed the Joanna Briggs Institute methodology for scoping reviews. We searched 14 databases in November 2019 and January 2021 without filtering publication date or type. Two reviewers independently screened 1,948 publications. We extracted frequently used terms describing content, audience, format, purpose, and outcomes identified in ethical will creation. RESULTS: Fifty-one publications met inclusion criteria. Six (11.7%) were research articles. Twenty-four (47.1%) were lay literature published within law, estate, and financial planning. Collectively, our included studies defined an ethical will as a nonlegal way to express values, beliefs, life lessons and experiences, wisdom, love, history, hope for the future, blessings, apology, or forgiveness using any format (e.g., text, audio, video) that is meant to be shared with family, friends, or community. The most common purposes were to be remembered, address mortality, clarify life's meaning, and communicate what matters most. Creation provided opportunity to learn about self, served as a gift to both writer and recipient, and fostered generativity and sense of symbolic immortality. SIGNIFICANCE OF RESULTS: Our findings highlight interdisciplinary utilization and a lack of research of ethical wills. This review provides supportive evidence for ethical wills as a way for patients to address mortality, renew intergenerational connections, solidify self, and promote transcendence before their final days. Ethical wills have potential to be incorporated into interdisciplinary palliative care in the future to address psychological symptoms for patients anticipating the end of life.


Assuntos
Testamentos Quanto à Vida , Cuidados Paliativos , Humanos , Morte
15.
Entropy (Basel) ; 25(5)2023 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-37238558

RESUMO

In regards to the nature of time, it has become commonplace to hear physicists state that time does not exist and that the perception of time passing and of events occurring in time is an illusion. In this paper, I argue that physics is actually agnostic on the question of the nature of time. The standard arguments against its existence all suffer from implicit biases and hidden assumptions, rendering many of them circular in nature. An alternative viewpoint to that of Newtonian materialism is the process view of Whitehead. I will show that the process perspective supports the reality of becoming, of happening, and of change. At the fundamental level, time is an expression of the action of process generating the elements of reality. Metrical space-time is an emergent aspect of relations between process-generated entities. Such a view is compatible with existing physics. The situation of time in physics is reminiscent of that of the continuum hypothesis in mathematical logic. It may be an independent assumption, not provable within physics proper (though it may someday be amenable to experimental exploration).

16.
Gerontol Geriatr Educ ; 44(4): 588-601, 2023 10 02.
Artigo em Inglês | MEDLINE | ID: mdl-36073602

RESUMO

This exploratory study examined how twenty-two undergraduate students and fifty-six older adults experienced discussing dying, death, and the COVID-19 pandemic with one another, using the book Tuesdays with Morrie as a conversational guide. The timing of these conversations is significant as discussions took place in March 2021, one year into the COVID-19 pandemic. Thematic analysis of students' and older adult's reflections on the discussion was employed and three themes were identified: the inevitability of death, gaining and giving perspective, and the importance of relationships. The pandemic was especially influential within two of the three themes. The findings highlight the benefits of bringing previously unknown people together to engage in conversations about dying and death during the pandemic using contemporary literature. This study also presents a pedagogical technique for educators to use to help students engage in discussions about death and dying.


Assuntos
COVID-19 , Geriatria , Humanos , Idoso , Pandemias , Geriatria/educação , Comunicação , Estudantes
17.
J Aging Soc Policy ; : 1-25, 2023 Dec 27.
Artigo em Inglês | MEDLINE | ID: mdl-38149690

RESUMO

Studies have shown how generativity, the concern for establishing and guiding the next generation and safeguarding its wellbeing, functions as an intergenerational conduit, bridging the developmental stages of older individuals with those younger. Yet, applications of generativity, as a means to bridge generational gaps within rapid social change, remain underexplored in the intergenerational field. Using Singapore as a case study, and through focus group discussions with 103 older persons, this paper examines how older Singaporeans express their generative concern and internalize their generative capacities across different social settings and rapid socioeconomic transformation. Mismatch between older Singaporeans' generative concern and capacity contributes to ambivalence - mixed feelings about guiding younger generations - which emerges out of older Singaporeans' struggles with cultural change prompted by economic progress, as well as concerns about their place and value in a technologically advanced global city-state. The concept of generative ambivalence can add value to policy perspectives on intergenerational cohesion, as it considers people's attempts to forge commonalities and mutual reciprocity despite differences (e.g. gender, age, race, skills), as well as highlights intergenerational complexities beyond superficial binaries. Policies aimed at bringing generations together must be intentional in creating opportunity structures that go beyond categorical differences, where multiple generations can thrive interdependently.

18.
J Gerontol Soc Work ; 66(7): 844-863, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-37702990

RESUMO

This study examined the moderating mechanisms of generative concerns (perception of making contributions to others) between generative civic activities and mental health among middle-aged and older adults. A total of 1,109 community-dwelling adults aged over 45 were recruited through an online survey. Generative civic activities (political participation and volunteering), generative concerns (the Loyola Generativity Scale), and two outcomes of mental health (depressive symptoms and mental wellbeing) were measured. Linear regression models and simple slope analyses were used to probe the moderating effects of generative concerns, stratified by age (45-64 years and 65+). Generative activities, but not concerns, were associated with lower depressive symptoms among middle-aged and older adults. Generative concerns and activities were related to better mental wellbeing among middle-aged adults. Generative concerns moderated the associations between civic activities and depressive symptoms. Those with higher generative concerns but lower civic activities had higher depression scores. Conversely, a stronger reduction in depressive symptoms by engaging in civic activities was found only when individuals had greater concerns. No moderating effect was found on mental wellbeing. The positive effect of civic engagement on reducing depressive symptoms depends on generative concerns, particularly among older people and those with greater concerns. Bridging the gap between perceived generative concerns and actual civic actions may improve later-life mental health.


Assuntos
Vida Independente , Saúde Mental , Humanos , Pessoa de Meia-Idade , Idoso , Modelos Lineares , Voluntários
19.
Twin Res Hum Genet ; 25(1): 1-9, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-35466909

RESUMO

Erikson asked what makes some people care for the future of the species and others not, calling this 'generativity vs. stagnation'. In three studies, we addressed structure of this trait and its heritability. Study 1 (N = 1570), using structural models of the Loyola Generativity Scale , revealed three correlated factors consisting of (1) Establishing and aiding the next generation; (2) Maintaining the world; and (3) Symbolic immortality through a positive legacy. Study 2 (N = 311) successfully replicated this structure in an independent UK sample. Study 3 tested genetic and environmental influences on generativity. All three factors showed significant and substantial heritable influence. A general factor was required, which was also heritable. In resolving previous uncertainty over the transmission of generativity across generations, shared environmental transmission models fit poorly. Substantial unique environmental effects suggest strong cultural impacts on concern for the species. Generativity researchers may usefully adopt this three-factor scoring system, allowing research on the predictive power of each component of generativity as well as molecular genetic or biological studies.

20.
Palliat Support Care ; : 1-8, 2022 Dec 23.
Artigo em Inglês | MEDLINE | ID: mdl-36562276

RESUMO

OBJECTIVES: To examine the thematic features of dignity therapy generativity documents of advanced cancer patients receiving chemotherapy in mainland China from the perspective of meaning-making during dignity therapy. METHODS: This is a qualitative descriptive study. Content analysis was used to analyze 24 dignity therapy generativity documents derived from a quasi-experimental trial of dignity therapy for advanced cancer patients receiving chemotherapy in a daycare center at a cancer hospital in northern China. RESULTS: Among the 24 advanced cancer patients whose generativity documents were analyzed, 14 were male and ranged in age from 26 to 78 years (average = 50.3). Two dimensions emerged from the data: (1) the sources of meaning in life, which consisted of social relationships, things and circumstances providing meaning in life, and (2) the ultimate meaning in life, referring to finding one's real self and realizing the purpose in life, including personal life goals, dignity and autonomy, and morality of patients. SIGNIFICANCE OF RESULTS: The multidimensional constructs of meaning in life with distinctive traditional Chinese cultural characteristics could provide insights into dignity-conserving care for advanced cancer patients with Chinese culture and provide evidence for refining the implementation protocol of DT through intentionally addressing the ultimate meaning of patients in the therapeutic session.

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