Developing an outcome measurement for meaning-making intervention with Chinese cancer patients

Psychooncology. 2007 Sep;16(9):843-50. doi: 10.1002/pon.1134.


Psychosocial programs designed for cancer patients often facilitate the search for meaning as one of the therapeutic components. This study aimed to develop a self-report instrument, namely Chinese Cancer Coherence Scale (CCCS), which measures the patients' meaning-making process with reference to the concept of coherence. A panel of eight veteran social workers and psychologists generated statements pertaining to the cancer experience. Results from a two-phase study involving 390 breast cancer patients revealed a two-factor structure of the CCCS, namely incoherent-embittered and coherent-enlightened. The use of the CCCS by practitioners and researchers is recommended in order to understand how Chinese cancer patients make sense of their cancer experience.

Publication types

  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Adult
  • Asian Continental Ancestry Group*
  • Attitude to Health*
  • China
  • Factor Analysis, Statistical
  • Female
  • Humans
  • Neoplasms / ethnology
  • Neoplasms / psychology*
  • Neoplasms / therapy*
  • Outcome Assessment, Health Care*
  • Self Concept
  • Social Facilitation*
  • Surveys and Questionnaires*
  • Treatment Outcome