Exploring global meaning in Greek breast cancer patients: validation of the Life Attitude Profile--Revised (LAP-R)

Objective: The aim of this study was to examine the factor structure and the psychometric properties of the Life Attitude Profile—Revised (LAP‐R) among a sample of Greek breast cancer patients, and to test the fit of a structural equation model with one latent factor underlying the measured LAP‐R dimensions. Methods: A total of 153 patients with breast cancer completed the LAP‐R. Convergent validity was assessed by examining the correlations between the LAP‐R subscales and measures of perceived stress, intrusiveness, mental health, and coping styles. Known‐groups validity was also assessed. Results: Principal axis factor analysis with promax rotation yielded four factors: purpose–coherence–vacuum, choice, death acceptance, and goal seeking. Internal consistency reliability of the subscales and convergent validity of LAP‐R were satisfactory. LAP‐R was able to detect differences in meaning between different age groups. Confirmatory factor analysis provided support for a single‐factor model including a latent meaning‐variable indicated by the observed subscales. Conclusions: The LAP‐R is a reliable and valid measure of global meaning in life, when administered to breast cancer patients. The use of LAP‐R in evaluating meaning‐centered psychotherapy interventions for patients with cancer is emphasized. Copyright © 2010 John Wiley & Sons, Ltd.