title: Existential anxiety and growth: an exploration of computerized drawings and perspectives of children and adolescents with cancer.
abstract: BACKGROUND
  Until now, most existentially focused cancer research has been conducted within adult populations. Only a handful of qualitative investigations have captured the experiences of children with cancer relative to themes such as existential fear and finitude, meaning/meaninglessness, uncertainty, authenticity, and inauthenticity.
  
  
  OBJECTIVE
  This article aimed to provide a deeper understanding of the existential challenges faced by children living with cancer.
  
  
  METHODS
  An interpretive, descriptive qualitative research approach was used. Thirteen children (8-17 years) undergoing treatment for cancer participated. Children participated in individual open-ended interviews and also had the opportunity to journal their experiences in a computerized drawing tool.
  
  
  RESULTS
  The 4 main themes that emerged in relation to the existential challenges experienced by children with cancer included (1) existential worry, (2) existential vacuum, (3) existential longing, and (4) existential growth. The drawing tool within the computer diary was found to be particularly beneficial in assisting children to express the existential challenges that they had previously been unable to articulate in words.
  
  
  CONCLUSIONS
  Children moved between existential anxiety and existential growth within the cancer world. The expressive means of drawing pictures gave children a therapeutic space to explore and work at understanding the existential challenges experienced.
  
  
  CONCLUSIONS
  This research provides evidence that the active engagement of children's imaginations through the use of a computer-drawing tool may have significant therapeutic value for children with cancer. As well, the findings support the importance of nurses "being there" for young patients with cancer in their time of despair.
authors.affiliation: Author Affiliations: Faculty of Nursing, University of Manitoba, Winnipeg, Manitoba (Dr Woodgate and Mr Tailor); and Mr Faculty of Health and Community Studies, Mount Royal University, Calgary, Canada (Dr West).
authors.forename: Roberta L
authors.initials: RL
authors.lastname: Woodgate
authors.forename: Christina H
authors.initials: CH
authors.lastname: West
authors.forename: Ketan
authors.initials: K
authors.lastname: Tailor
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D001007:Anxiety / Q000451:nursing; D001155:Art Therapy / Q000379:methods; D002648:Child; D005086:Existentialism; D005239:Fear; D005260:Female; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000451:nursing* / Q000523:psychology / Q000628:therapy; D015399:Nursing Research; D036301:Qualitative Research; D012984:Software