Abstract

BackgroundThe shared impact of breast cancer for women and their male partners is emerging as an important consideration during the experience of a breast cancer diagnosis, particularly during survivorship. This study aimed to explore the experiences of women and their partners during early survivorship and contributes a range of insights into the lives of those intimately affected by breast cancer.MethodsIn-depth interviews were completed with Australian women survivors of breast cancer (n = 8) and their partners (n = 8), between six months and five years following cessation of treatment. Questions included a focus on the women and their partners’ daily experiences during early survivorship, including the management of ongoing symptoms, engagement in leisure and social interests, returning to work, communicating with each other, maintenance of the current relationship and other important roles and responsibilities. Thematic analysis was employed to determine key themes arising from the dyadic accounts of women and their partners’ experiences during early breast cancer survivorship.ResultsWomen and their partners experienced many changes to their previous roles, responsibilities and relationships during early breast cancer survivorship. Couples also reported a range of communication, intimacy and sexuality concerns which greatly impacted their interactions with each other, adding further demands on the relationship. Three significant themes were determined: (1) a disconnection within the relationship - this was expressed as the woman survivor of breast cancer needing to prioritise her own needs, sometimes at the expense of her partner and the relationship; (2) reformulating the relationship - this reflects the strategies used by couples to negotiate changes within the relationship; and (3) support is needed to negotiate the future of the relationship - couples emphasised the need for additional support and resources to assist them in maintaining their relationship during early survivorship.ConclusionIt can be concluded that the early survivorship period represents a crucial time for both women and their partners and there are currently limited options available to meet their shared needs and preferences for support. Findings indicate that a suitable model of care underpinned by a biopsychosocial framework, access to comprehensive assessment, timely support and the provision of targeted resources are urgently needed to assist women and their partners during this critical time.

Highlights

  • The shared impact of breast cancer for women and their male partners is emerging as an important consideration during the experience of a breast cancer diagnosis, during survivorship

  • The mean time since completion of treatment was two years and two months, with a range of one year to five years. Participant women and their partners spoke openly and in-depth about their experiences and challenges during survivorship, with three distinct themes established following analysis: (1) a disconnection within the relationship - this was expressed as the woman survivor of breast cancer needing to prioritise her own needs, sometimes at the expense of her partner and the relationship; (2) reformulating the relationship - this reflects the strategies used by couples to negotiate changes within the relationship; and (3) support is needed to negotiate the future of the relationship - couples emphasised the need for additional support and resources to assist them in maintaining their relationship during early survivorship

  • This study found the partners of women reported many unmet needs and were unaware of where they could obtain assistance to help them manage the many challenges experienced during survivorship, citing that there was a lack of recognition for the important role they played in supporting their partner during this time

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Summary

Introduction

The shared impact of breast cancer for women and their male partners is emerging as an important consideration during the experience of a breast cancer diagnosis, during survivorship. This study aimed to explore the experiences of women and their partners during early survivorship and contributes a range of insights into the lives of those intimately affected by breast cancer. The period following cessation of treatment, ‘survivorship’, is increasingly being recognised as an important time in the care of women diagnosed with this disease, due, in part, to the many physical, psychological and emotional sequelae of breast cancer [3]. The usual treatment regimes offered to manage breast cancer (e.g. surgery, chemotherapy, radiotherapy, adjuvant hormone therapy or combinations of these methods) can produce significant physical, psychological and emotional consequences for women in the longer term [4, 5]. Some progress has been made to evaluate the benefits of these interventions with promising results [23,24,25,26]

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