Exploring the Psychological Impact of Logotherapy on Hope, Meaning, and Perceived Life Expectancy in Women with Breast Cancer: A Qualitative Study

Abstract

Background: Breast cancer not only poses significant physical challenges but also deeply affects the psychological and emotional well-being of patients. Logotherapy, a meaning-centered psychotherapeutic approach, has shown potential in enhancing psychological adjustment, emotional resilience, and hope in individuals facing life-threatening illnesses. Objectives: The present qualitative study explores the psychological impact of logotherapy on hope, perceived emotional well-being, and meaning-making in women diagnosed with breast cancer. Methods: Using a qualitative content analysis approach, in-depth semi-structured interviews were conducted with 15 women diagnosed with breast cancer, 3 months after completing 4 sessions of logotherapy. Additionally, interviews were held with 10 healthcare professionals (nurses, gynecologists, psychologists) and 6 family members to gain broader perspectives. Participants were selected through purposive sampling until data saturation was achieved. Results: Three central themes emerged: (1) Internal transformation through meaning-making and acceptance; (2) enhanced emotional coping and psychological adjustment; and (3) strengthened social relationships and support. Participants reported increased hope, improved emotional processing, and a renewed sense of personal meaning following the intervention. However, the study also highlights the importance of ongoing psychosocial support to sustain these benefits over time. Conclusions: Logotherapy appears to positively influence psychological resilience and emotional well-being in women with breast cancer by promoting hope and a sense of meaning. To ensure long-term benefits, integrated and continuous psychosocial interventions are recommended as a complement to medical care.