Loss Of Meaning In Life Research Articles

Existential Humanistic Perspective on Depression and Anxiety: A Literature Study

This research aims to describe the Humanistic Existential Perspective on depression and anxiety. The literature study on this perspective highlights the complexity of human experience in dealing with mental challenges. Being in the World is a key concept in existential humanism that highlights the interaction between humans and their environment. Humans are not only physically in the world, but also actively involved in cultural, social, and environmental influences. In their existence, humans experience a wide range of experiences, including joy, suffering, anxiety, and the search for the meaning of life. This approach emphasizes the importance of existence, meaning of life, self-awareness, responsibility, freedom of choice, openness, and individual involvement in overcoming depression and anxiety. Depression is seen as related to feelings of loss of meaning in life and dissatisfaction with existence, while anxiety often arises from fear and uncertainty. The results of this study provide valuable insights into how an existential humanistic approach can assist individuals in dealing with the mental challenges of depression and anxiety.

Individualization, Collectivity, Dialogue

The article examines the processes of individualization in relation to the emergence and existence of various forms of collectivity. It analyzes the complexities of this process, which, while a necessary characteristic of modern society, can lead to atomization, frustration, and loss of meaning in life. Particular attention is paid to the nature of individualization: on one hand, it presupposes the uniqueness of each individual; on the other, it is inextricably linked to an individual’s association with certain collectives and the internalization of supra-individual values. The article asserts that new forms of collectivity are emerging in the modern era that, rather than suppressing individuality, foster creative self-realization. The research explores issues of depersonalization and pseudo-collectivity, as well as the interplay between freedom and responsibility in the context of global digitalization. The author elucidates the dangers associated with the virtualization of personality, the erosion of boundaries between private and public spheres, and the potential for total control over individuals. Contemporary forms of virtual individualization, while creating an illusion of freedom, may in fact lead to a loss of personal individuality. The article further explores the impact of digital technologies on the transformation and evolution of both individual and collective memory, as well as their role in shaping identity. It underscores that digitalization not only offers new opportunities but also poses significant anthropological challenges. Dialogue is examined as a means of resolving conflicts and facilitating both individual and collective self-realization. The author contrasts M.M. Bakhtin’s dialogical approach with J.-P. Sartre’s existentialist interpretation of the relationship between the Self and the Other. It is emphasized that genuine dialogue requires mutual recognition and respect among participants, a shared space for communication, and a willingness to reconsider one’s own position. In conclusion, the study posits that addressing many of the problems generated by modern processes of individualization and collectivization in the age of global digitalization necessitates the creation of conditions conducive to interpersonal, intergroup, and intercultural dialogue.

노화불안의 척도 개발 및 타당화

This study aimed to analyze the actual contents of elderly people's anxiety about aging, develop a tool to measure aging anxiety based on this analysis, and validate it. Based on the factors of aging anxiety obtained through the analysis of existing scales for aging anxiety, the analysis of literature related to aging and aging anxiety, and in-depth interviews with 15 elderly participants in the "Senior Culture Leisure Total Service Program," 45 preliminary items consisting of 5 domains and 11 factors were selected. As a result of conducting face-to-face and online surveys targeting 50 to 59-year-old pre-elderly individuals and 216 elderly individuals aged 60 and older living in D, G, and I cities, the final sample of 200 respondents was selected. To validate the obtained data, a series of exploratory factor analyses, confirmatory factor analyses, and a concurrent validity analysis were conducted. As a result of the analyses, 10 aging anxiety factors corresponding to physical, psychological, social, environmental, and existential domains were identified, including health loss, attractiveness loss, cognitive function loss, emotional changes, material loss, relationship loss, role loss, loss of meaning in life, death anxiety, and contextual maladjustment. Furthermore, these aging anxiety factors showed relatively high positive correlations with the factors of "life stress" selected as criteria for concurrent validity verification. It is expected that the aging anxiety assessment developed and validated in this study will help to diagnose the factors of psychological anxiety in the elderly more precisely and contribute to providing adaptive counseling support for the elderly.

Geriatric Nursing: Relationship Among Death Attitude, Meaning in Life, and Career Choice Motivation.

Aging populations require higher quality care. However, few undergraduate nursing students choose careers in aged care. Negative death attitudes and loss of meaning in life may reduce motivation to choose geriatric nursing (GN) as a career. The relationships among these variables have yet to be clarified in the literature. The purpose of this study was to investigate the relationships among death attitude, meaning in life, and motivation to choose a career in GN among undergraduate nursing students in China. This cross-sectional study was conducted using an online survey. Five hundred ninety-five final-year undergraduate nursing students in four nursing schools completed the Career Choice Motivation Questionnaire for Geriatric Nursing, Death Attitude Profile-Revised, and Meaning in Life Questionnaire. A t test, analysis of variance, Pearson's correlation, and multiple linear regression model were used to analyze the data using SPSS Version 22.0. The mean Career Choice Motivation Questionnaire for Geriatric Nursing item score was 3.15 ( SD = 0.49; 1-5 points), indicating the participants were moderately motivated to choose GN as a career. The multiple linear regression revealed statistically significant associations among death attitude, meaning in life, and motivation to care for older adults, explaining 14.5% of the total variance ( R2 = .15, F = 9.01, p < .001). Perceiving meaning in life, having escape acceptance, and having approach acceptance were each shown to be positively associated with choosing a career in GN. Conversely, fear of death and death avoidance were found to be negatively associated with choosing this career path. Death attitude and perceptions regarding the meaning of life are associated with the motivation of nursing students to care for older adults.

The Application of Euthanasia in the Lonely Elderly Population and the Corresponding Moral Dilemma

Euthanasia is a highly controversial topic. In some cultures, such as the Netherlands, euthanasia is legalized. Euthanasia is regarded as a means to protect fundamental human rights, But in some cultures, such as East Asia, euthanasia is considered against the value of life and social ethics. This paper mainly discusses the application of euthanasia in lonely older adults and the related controversies. As we'll see, aging is often associated with words like loneliness and abandonment. Loneliness further diminishes the quality of life for older people. In the most severe cases, older people cannot care for themselves or suffer from depression and a loss of meaning in life. Then, of course, there are the more traditional afflictions of the elderly by severe illness. This review will look at the expected negative consequences of loneliness, including behavioral, physical, and psychological consequences. Secondly, we will discuss the definition of euthanasia and deontology’s and utilitarianism’s views on euthanasia and analyze the influence of different cultures on attitudes towards euthanasia.

A futures study of life satisfaction among Iranian students

Both anecdotal and empirical evidence strongly suggest that the current circumstances are leaving the younger generation in Iran dissatisfied. In light of that, this article embarks on a comprehensive exploration of this predicament through a mixed methods design. The focal point of this investigation rests on a selected cohort of graduate students from the University of Tehran. The administered questionnaire survey, encompassing a sample of 237 students, revealed a significant deficit in both their present and future life satisfaction measures. To delve deeper into the origins of this issue, a series of 32 in-depth interviews were conducted, providing invaluable insights. This qualitative phase was accompanied by a Thematic Analysis and the application of the Causal Layered Analysis methodology. The research findings uncovered an intricate web of factors contributing to youth discontentment. While systemic factors like injustice, corruption, and lack of civil liberties play a significant role, there are deeper layers at play. These include ideological conflicts between the younger generation and the government, the pervasive escalation of social comparison bias, and the spread of loss of meaning in life among the youth. Moreover, this study sheds light on their deepest level of perception and illuminates how they are unable to nurture a positive perspective on their life and society.

Ideology and its Influence on Suspense Psychology

From the philosophical point of view, all existing ideologies in the world deserve special attention, because they can be put into practice at any time, which means a total transformation of both individual and social existence. Therefore, the purpose of our article is to analyze the leading ideological trends in the modern world. The human mind is always focused on the search for meaningful ideas, values and guidelines. Society does not agree with primitive existence and continues to seek respectable higher significant foundations of human existence. That is, they create different ideologies. An ideology is a set of interconnected ideas, ideas and beliefs designed to unite people for the sake of living together and acting together. Today we can distinguish both humane and inhumane ideologies. Timely understanding and separation of humane from antihuman destructive social projects is important. After all, the public consciousness often has every chance to master various inhumane terrorist, extremist and marginal ideologies. Thus, every citizen should know that if the proposed ideology requires people to sacrifice their own lives, health, freedom, personal relationships, family or property, it means that from a legal and moral point of view, such an ideology, which would it did not set attractive goals for society, it is completely unacceptable, inhumane. At the same time, when confronted with humane ideologies, we will immediately be able to see that the proposed system of values and the associated changes will not pose any dangerous material or spiritual threat. In essence, the requirements of humane ideologies can only lead to a variety of ideological, intellectual, organizational and other positive changes. A striking example in this aspect is the ideology of the Enlightenment, which aimed to establish equal rights and freedoms of all people, their comprehensive intellectual and spiritual development through quality basic education and upbringing. One of the modern ideologies is the ideology of mass consumption society. It is this utilitarian system of views and values that has led to the premature depletion of resources and the general deterioration of the environment. The ideology of mass consumption society can negatively affect not only the biosphere but also the spiritual sphere of public life. Thus, such spiritual problems as the loss of meaning in life, the general deterioration of social mood, the widespread spread of pessimistic and depressed dark worldviews, social indifference, aggression, etc. have recently become noticeable. Therefore, in order to successfully solve the above complex problems, humanity must find spiritual strength, wisdom and consolidate. Now is the time to look for and find new positive worldview values. Another current ideological trend is the advancement of a new ideology of virtualization of human life, even after the pandemic is eventually successfully overcome and the objective need for restrictive quarantine measures simply disappears. There is ideological pluralism in modern democracies, but this cannot preclude the adoption of some of the most important values and norms without which no democratic society can exist. Such norms also include some axioms of ethics of communication, which provide the possibility of civilized ideological discourse.

War, mental health and philosophy as intellectual therapy

The war in Ukraine can cause and causes anxiety, depression, post-traumatic stress disorder, suspiciousness, despair, fear of uncertainty, identity crisis and ultimately the loss of meaning in life, which is one of the most dangerous “non-protocol” situations. In this case, a person needs not only psychopharmacological and psychotherapeutic help, but also, most importantly, the creation of new meanings. Nowadays, despite a fairly wide range of treatment options, humanity still cannot get out of the trap of constant threats to mental health; their number is constantly increasing, which should lead to the expansion of the spectrum of treatment options in the context of a broader understanding of the phenomenon of a human being. And this is where philosophy comes to the rescue; philosophy that has enormous potential allowing us to look at our life and our future from a different angle. It is philosophy that contributes to a deep understanding of the problems and answers fundamental human questions, creates meanings that are absolutely necessary for our mental health. In fact, we create our own reality. And philosophy largely determines this reality. Effective interaction with reality, no matter how difficult and terrible this reality is, will protect and restore mental and, accordingly, physical health of the Ukrainians and bring victory closer. The paper aims to explore the relationship between mental health and philosophy in the context of war-related traumatic events.

Gangguan Bermain Game Selama Pandemi Covid-19: Sebuah Tinjauan Pustaka Sistematis

The COVID-19 pandemic has had a broad global impact, including fear of disease and the lockdown situation. This situation has led to a significant increase in interest in various forms of digital entertainment, especially online games. The high number of online game users provides many benefits, but it also creates the problem of gaming interruption. This study aims to comprehensively explain the factors that influence gaming disorder and the impact it causes using a systematic literature review method of 60 research journal articles indexed by Scopus. From the results of this study, it was found that several factors influence gaming disorder, including feelings of loneliness, boredom, feelings of loss of meaning in life, low self-compassion, stress, increased playing time, and psychological comorbidities. Meanwhile, gaming disorder also has a physical impact, which causes a decrease in the quality of life of individuals, such as the emergence of sleep disturbances and insomnia, affecting individual basic needs such as eating and personal hygiene, obsessive characteristic psychological disorders, and even reducing empathy. In addition, changes in the education system where schools are held online give students a lot of free time, resulting in increased aggressive behavior among them. Early detection of factors that influence gaming disorder requires family support and supervision. This has implications for prevention and early intervention for policymakers and game developers.

Emotional burnout syndrome influence on the functional state of the teacher

Nowadays, the role of psychosocial work-related factors is increasing both in the production and non-production areas, which are predisposing to the development of psycho-emotional overstrain, professional stress and burnout. Emotional burnout is associated with psychological discomfort of events, tension, anxiety, loss of life meaning and a tendency to suicide. It manifests itself in the deformation of professional development, personality destruction, in a decrease in the duration and quality of life and the productivity of professional activity. As it is known, professional activity, including the professional environment, affects the state and emotions of the worker, causing a change in the assessment of the situation and in the actions of a person in accordance with the requirements of the activity and their capabilities. Socio-economic changes, taking place in society, cause new requirements for specialists in almost all professions, including teachers. Teachers should possess not only professional knowledge, skills, and abilities, moreover they should have special abilities and personality characteristics that provide flexibility and dynamism of professional behavior. High levels of neuropsychic and emotional stress are related to teachers' occupations, and as a result, health problems develop. The issue of teachers developing emotional burnout syndrome is addressed in this article. Teachers who are gradually losing energy show signs of emotional debilitation, personal dispassion, physical fatigue, and a decrease of job satisfaction. The paper also presents a theoretical and practical research of emotional burnout syndrome among teachers, the peculiarities of the presentation and factors of emotional burnout are indicated.

Caregiver Experience from the Perspective of Men and Women: An Integrative Review

Introduction: The need for care has increased exponentially in recent years, along with chronic noncommunicable diseases. Caregivers have been predominantly women, although in recent years there has been an increase in the number of men assuming this role. Each of them approaches caregiving differently, shaping their caregiving experience differently from one another. Objective: To identify, through scientific evidence, the meaning of being a caregiver for men and women who assume this role. Methodology: This is an integrative literature review of articles published from 2012 to 2023, following Whittemore and Knafl’s proposal. Keywords in Spanish, English, and Portuguese were used. The databases searched were Scopus, CINAHL, Web of Science, Ovid, and PubMed. Twenty-four articles that met the inclusion criteria were analyzed. Results: The following themes emerged: “Losses and limitations due to the caregiver’s role,” “Feelings experienced by the caregiver,” “Caregiving as an act of love,” and “Transcendence of care: between spirituality and religiosity.” Conclusions: It was found that men focus their care on the person’s comfort, cleanliness, and medication, while women provide care focused on continuous emotional support, assuming this commitment at all times and places, building an experience of care aimed at “always being aware.” In both genders, the onset of stress, loss of meaning in life, and negative feelings are highlighted.

Introducing the integrated model of co-occurring chronic pain and posttraumatic stress disorder: Adding meaning-making and existential concepts to current theory.

Making meaning out of the experience of chronic pain and posttraumatic stress disorder (PTSD) is a core process of recovery and symptom management of the comorbidity and a key active ingredient in the treatment for these conditions. Managing the effects of chronic pain and PTSD symptoms often evokes anxieties that could be considered existential (e.g., loss of meaning in life and concerns about one's identity). However, current theoretical models of co-occurring chronic pain and PTSD do not capture core meaning-making processes involved in either condition, resulting in the potential to overlook their centrality. The objective of the current work is to integrate current theoretical models of co-occurring chronic pain and PTSD with theory and science related to meaning-making and existential anxiety. A targeted literature review was used to develop a novel model of co-occurring chronic pain and PTSD. The present work introduces the integrated model of co-occurring chronic pain and PTSD, which is a first attempt at integrating current theoretical perspectives of co-occurring chronic pain and PTSD with the literature on meaning-making and closely related existential perspectives. We outline model-specific hypotheses and describe model implications and future directions. The model provides clinicians and researchers with a more thorough conceptualization of how chronic pain and PTSD interact, which symptoms to target, and which outcomes may be important for individuals who have both chronic pain and PTSD. As a result, the model has the potential to improve pain and PTSD outcomes, and perhaps health outcomes more broadly, within this population. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

The Application of Islamic Counseling to Overcome Post-Suicide Attemption in Female Adolescent with Minor Depression

&lt;p&gt;Suicide is an act of recklessness to end one's life so that someone dies. The main cause of suicide is depression, a condition of psychiatric pressure characterized by disappointment, anxiety, hopelessness, loss of meaning in life and thoughts of suicide. This study aims to analyze the application of Islamic counseling to overcome post-suicide attempts in young women who experience minor depression. The research used a qualitative-descriptive approach with a focus on case studies on 3 young girls who had attempted suicide. Sampling technique with purposive sampling. Retrieval of data using interviews, observations and documentation records. Data analysis using a thematic approach. The results of the study show that the application of Islamic counseling is effective in dealing with post-suicide attempts in female adolescents who experience minor depression. In general, before attending counseling, adolescents experience depression and suicidal thoughts, but after attending counseling, adolescents feel relieved, happy, repent and return to the right path according to religious teachings. The application of Islamic counseling is able to provide positive changes from the spiritual, cognitive, affective and conative dimensions, so that the counselee has a psychological and spiritual health condition (mental health and spiritual health).&lt;/p&gt;

Социальный остракизм и антисоциальное поведение несовершеннолетних

&lt;p style="text-align: justify;"&gt;Social ostracism (ignoring, exclusion, rejection) is a powerful psychological phenomenon. The palette of reactions to ostracism is very rich, ranging from social mimicry, affiliative attempts to restore inclusive status to the manifestation of aggression suppression of aggression and loss of life meaning. The article presents the empirical study results of the impact of long-term social ostracism on such parameters as individual and typological characteristics of personality, the tendency to deviant behavior, coping strategies, and socio-psychological adaptation of minors. The purpose of the research is a comprehensive study of the social ostracism influence on the formation of antisocial behavior patterns in minors. The study was conducted in 5 family education assistance centers, 1 university, and 1 organization of secondary vocational education (the Russian Federation). Total sample &amp;mdash; 271 minors (123 males; 148 females; Mage=15.29). The study recorded a high correlation between aggressive and autodestructive behavior in antisocial minors who have experienced long-term ostracism. Extremely low psychological resource capacity was also found in this group.&lt;/p&gt;

Artificial Intelligence: First Do the Long Overdue Doable.

Release of ChatGPT-4, an internet-based computer program that simulates conversation with human users using Artificial Intelligence (AI) on March 14, 2023 set off a flurry of debates regarding the role and impact of AI on human life. Influential leaders and thinkers from diverse fields have chimed in to offer their views, admonitions, and or recommendations. There seems to be a great diversity in viewpoints and visions regarding how AI would affect human destiny-right from confident optimism to stark doomsaying and all in between. However, not much attention is being paid to the insidious long-term effects on human societies, many of them being unintended consequences, that AI has the potential to create over a short period of time. Perhaps the greatest threat of AI is the potential for loss of meaning in life and human-technology-created enfeeblement in a large section of humanity. All the other threats including that of the current AI are mere epiphenomena of this basic threat. In view of the fact that the genie of AI is out of the bottle and that it cannot be put back in, the first order of business for technologists, policy makers, and the governments is to allocate resources and attention to address the problem of meaning in life and mitigation of the sentiment of overwhelming and universal helplessness. Lastly, not to be optimistic about AI while being cautious and pragmatic is not an option.

Poczucie sensu życia kobiet w wieku średnim w sytuacji pandemii COVID-19. Studium przypadku

The sense of meaning in life is a basic human need, manifested in human aspirations and motivations. It is the result of a person’s development, resulting from the realisation of certain activities, values and life goals. Confronting difficult events, realising certain activities and making certain choices, a person discovers the meaning of his or her own life. The COVID-19 pandemic caused fear, a sense of isolation and economic insecurity. The hitherto normal life of many societies has been drastically and unexpectedly changed. The pandemic situation has contributed to a deterioration in physical and mental well-being. Loss of normality and grief over the difficulties of certain plans or intentions can contribute to a sense of emptiness, loss of meaning in life. The period of middle adulthood is a time of increased autonomy, detachment, self-analysis, and religious commitments. In middle adulthood, the question of the meaning of life and the hierarchy of values becomes particularly important. The midlife crisis and the first life balances can contribute to an increase in existential problems (related to the meaning of life, goals or life values). The aim of the article is to show the sources of a sense of meaning in life in middle-aged women in the COVID-19 pandemic situation. This case study shows the importance of three basic sources of a sense of meaning, which include creativity (realised activities), experiences (feeling connected to others) and attitude (deepening religious practices, finding deeper meaning in them, a different quality of relationship with God).

Ambiguous loss in family caregivers of loved ones with cancer, a synthesis of qualitative studies.

The purpose of this synthesis of qualitative studies is to explore manifestations of ambiguous loss within the lived experiences of family caregivers (FCG) of loved ones with cancer. Grief and loss are familiar companions to the family caregivers of loved ones with cancer. Anticipatory loss, pre-loss grief, complicated grief, and bereavement loss have been studied in this caregiver population. It is unknown if family caregivers also experience ambiguous loss while caring for their loved ones along the uncertain landscape of the cancer illness and survivorship trajectory. We conducted a four-step qualitative meta-synthesis of primary qualitative literature published in three databases between 2008 and 2021. Fourteen manuscripts were analyzed using a qualitative appraisal tool and interpreted through thematic synthesis and reciprocal translation. Five themes were derived, revealing FCGs appreciate change in their primary relationship with their loved ones with cancer, uncertainty reconciling losses, an existence that is static in time, living with paradox, and disenfranchised grief. The results of this synthesis of qualitative studies complement the descriptors of ambiguous loss presented in previous research. The results of this synthesis of qualitative studies complement the descriptors of ambiguous loss presented in previous theoretical and clinical research. By understanding ambiguous loss as a complex and normal human experience of cancer FCGs, oncology and palliative care healthcare providers can introduce interventions and therapeutics to facilitate caring-healing and resiliency. Untreated ambiguous loss can result in a decrease in wellbeing, loss of hope, and loss of meaning in life. It is imperative that cancer FCGs experiencing ambiguous loss are recognized and supported so that they may live well in the family disease of cancer.

Religious Counseling Dzikir untuk Mengatasi Kecemasan tentang Kematian Pasca Kecelakaan

The anxious feelings suffered by the individual stem from the loss of meaning in life. The problem with this research is how to overcome anxiety about death after an accident. The purpose of this study was to determine the anxiety of death after an accident with religious counseling using remembrance. This study uses a qualitative research method that uses a case study approach with the subject of one accident victim aged 21 years. The instrument in this study was observation, interviews and client related data. The results of this mini research study state that religious counseling using remembrance can change anxiety about death after an accident.

Religious Counseling: Dzikir untuk Mengatasi Kecemasan tentang Kematian Pasca Kecelakaan

Every individual must have experienced anxiety, both originating from within the individual and from outside the individual self. If anxiety is excessive, it is very bad for an individual's body, especially after an accident. Nowadays there are phenomena that occur in him that cause anxiety. Anxiety is a condition where a person experiences feelings of anxiety or anxiety and the activity of the autonomic nervous system in responding to an unclear and unspecified threat, and also indicates a state of apprehension or state of worry that complains that something bad is imminent. This can be fatal because the anxious feelings suffered by the individual stem from the loss of meaning in life. So, to overcome the anxiety of death experienced by these individuals, religious counseling is carried out using remembrance. Religious counseling is a help given to a person or a client who has a religious nuance, in order to understand oneself, namely to know oneself, to implement the goals and meaning of life, to form values that hold onto life and to develop as optimal potential as possible. Remembrance is a heart and verbal worship that knows no time limit. Therefore, it needs to be instilled in him to be patient in dealing with it, try to be sincere, carry out worship to the Almighty God so that the anxiety of death will recover. The problem with this research is how to overcome anxiety about death after an accident. The purpose of this study was to determine the anxiety of death after an accident with religious counseling using remembrance. This study uses a qualitative research method that uses a case study approach with the subject of one accident victim aged 21 years. The instrument in this study was observation, interviews and client related data. The results of this mini research study state that religious counseling using remembrance can change anxiety about death after an accident.

Demoralisation and its link with depression, psychological adjustment and suicidality among cancer patients: A network psychometrics approach.

BackgroundDemoralisation is a clinically significant problem among cancer patients with a prevalence of 13%–18%. It is defined by difficulty in adjusting to a stressor, wherein the person feels trapped in their predicament and experiences helplessness, hopelessness, loss of confidence and loss of meaning in life. Demoralisation has a strong link with the desire for hastened death and suicidal ideation among the medically ill. This study explored whether a group of symptoms could be identified, distinct from depression, but consistent with adjustment difficulties with demoralisation and linked to ideation of death and suicide.MethodsExploratory Graph Analysis, a network psychometrics technique, was conducted on a large German study of 1529 cancer patients. Demoralisation was measured with the Demoralisation Scale II and depressive symptoms with the PHQ‐9.ResultsA network of symptoms, with four stable communities, was identified: 1. Loss of hope and meaning; 2. Non‐specific emotionality; 3. Entrapment; 4. Depressive symptoms. The first three communities were clearly distinct from the PHQ‐9 depressive symptoms, except for suicidality and fear of failure. Community 1, Loss of hope and meaning, had the strongest association with thoughts of death and suicide. Hopelessness, loss of role in life, tiredness, pointlessness and feeling trapped were the most central symptoms in the network.ConclusionsCommunities 1 to 3 are consistent with poor coping without anhedonia and other classic depression symptoms, but linked to suicidal ideation. For people facing the existential threat of cancer, this may indicate poor psychological adjustment to the stressors of their illness.