Meanings of happiness among two ethnic groups living with advanced cancer in south London: a qualitative study
Article first published online: 28 MAY 2012
Copyright © 2012 John Wiley & Sons, Ltd.
Volume 22, Issue 5, pages 1096–1103, May 2013
How to Cite
Koffman, J., Morgan, M., Edmonds, P., Speck, P., Siegert, R. and Higginson, I. J. (2013), Meanings of happiness among two ethnic groups living with advanced cancer in south London: a qualitative study. Psycho-Oncology, 22: 1096–1103. doi: 10.1002/pon.3108
- Issue published online: 6 MAY 2013
- Article first published online: 28 MAY 2012
- Manuscript Accepted: 24 APR 2012
- Manuscript Revised: 24 FEB 2012
- Manuscript Received: 30 SEP 2011
- palliative care;
Happiness is a central component in quality of life but little is known about its meanings among people living with an advanced disease and those from diverse communities. This study explores and compares, for the first time, the centrality and interpretations of happiness across two cultural groups living with advanced cancer.
Semi-structured interviews among 26 Black Caribbean and 19 White British cancer patients were conducted in hospital and home settings.
Thirty eight participants volunteered views on happiness, which were related to four main themes: empty lives, a theme associated with lives devoid of contentment; happiness and the physical form principally, associated with the absence of distressing symptoms; ‘love and affection’ associated with family and friends; and ‘realising personal meaning in life’, most common among the Black Caribbean participants and related to God, prayer and the sacred world. The presence of cancer pain even when refractory did not preclude manifestations of happiness in this domain.
We identified that happiness was central to many patients' quality of life during advanced cancer. Moreover, happiness was multidimensional and at times culturally patterned. We recommend that health and social care professionals increase their awareness and skills-set in relation to exploring happiness. Further, we recommend greater efforts are invested in cultural relativism to service the physical, psychological, social and spiritual issues that contribute towards moments of happiness among diverse communities. Copyright © 2012 John Wiley & Sons, Ltd.