{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T21:03:47Z","timestamp":1792530227947,"version":"4.5.0"},"reference-count":65,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,4,6]],"date-time":"2022-04-06T00:00:00Z","timestamp":1649203200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000048","name":"American Cancer Society","doi-asserted-by":"publisher","award":["134607-RSG-029-01-CPPB"],"award-info":[{"award-number":["134607-RSG-029-01-CPPB"]}],"id":[{"id":"10.13039\/100000048","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["P30 CA006927"],"award-info":[{"award-number":["P30 CA006927"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec><jats:title>Objective:<\/jats:title><jats:p>Prior research examining sexual and intimacy concerns among metastatic breast cancer (MBC) patients and their intimate partners is limited. In this qualitative study, we explored MBC patients\u2019 and partners\u2019 experiences of sexual and intimacy-related changes and concerns, coping efforts, and information needs and intervention preferences, with a focus on identifying how the context of MBC shapes these experiences.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p>We conducted 3 focus groups with partnered patients with MBC [<jats:italic>N<\/jats:italic>\u2009=\u200912; M age\u2009=\u200950.2; 92% White; 8% Black] and 6 interviews with intimate partners [<jats:italic>M<\/jats:italic> age\u2009=\u200947.3; 83% White; 17% Black]. Participants were recruited through the Fox Chase Cancer Center Tumor Registry and the Cancer Support Community. Qualitative data were analyzed using the Framework Method and Dedoose software.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p>Qualitative analyses revealed several key themes reflecting ways in which MBC shapes experiences of sex\/intimacy: (1) the heavy disease\/treatment burden leads to significant, long-term sexual concerns (e.g., loss of interest and vaginal dryness\/discomfort) and consequent heightened emotional distress for both patients (e.g., guilt around not being able to engage in intercourse) and partners (e.g., guilt around pressuring the patient to engage in sexual activity despite pain\/discomfort); (2) viewing the relationship as having \u201can expiration date\u201d (due to expected earlier mortality) influences patients\u2019 and partners\u2019 concerns related to sex\/intimacy and complicates coping efforts; and (3) information needs extend beyond managing sexual side effects to include emotional aspects of intimacy and the added strain of the life-limiting nature of the disease on the relationship. The heightened severity of sexual concerns faced by patients with MBC, compounded by the terminal nature of the disease, may place patients and partners at risk for significant adverse emotional and interpersonal consequences.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p>Findings suggest unique ways in which sex and intimate relationships change after a diagnosis of metastatic breast cancer from both patients\u2019 and partners\u2019 perspectives. Consideration of the substantial physical and emotional burden of MBC and the broader context of the relationship and intimacy overall is important when developing a sexuality-focused intervention in this population. Addressing sexual concerns is a critical part of cancer care with important implications for patients\u2019 health and quality of life.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyg.2022.864893","type":"journal-article","created":{"date-parts":[[2022,4,6]],"date-time":"2022-04-06T04:35:37Z","timestamp":1649219737000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":27,"title":["Coping With Changes to Sex and Intimacy After a Diagnosis of Metastatic Breast Cancer: Results From a Qualitative Investigation With Patients and Partners"],"prefix":"10.3389","volume":"13","author":[{"given":"Jennifer Barsky","family":"Reese","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren A.","family":"Zimmaro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"McIlhenny","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen","family":"Sorice","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura S.","family":"Porter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra K.","family":"Zaleta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary B.","family":"Daly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beth","family":"Cribb","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica R.","family":"Gorman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,4,6]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1898","DOI":"10.1111\/j.1743-6109.2008.00893.x","article-title":"Sexual dysfunction after premenopausal stage I and II breast cancer: do androgens play a role?","volume":"5","author":"Alder","year":"2008","journal-title":"J. Sex. Med."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"70","DOI":"10.1097\/PPO.0b013e318198c742","article-title":"In sickness and in health: maintaining intimacy after breast cancer recurrence","volume":"15","author":"Andersen","year":"2009","journal-title":"Cancer J."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"3151","DOI":"10.1200\/jco.2006.09.6958","article-title":"Sexual well-being among partnered women with breast cancer recurrence","volume":"25","author":"Andersen","year":"2007","journal-title":"J. Clin. Oncol."},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1331","DOI":"10.1080\/10410236.2020.1751383","article-title":"\u201cnobody will tell you. You\u2019ve got to ask!\u201d: an examination of patient-provider communication needs and preferences among black and white women with early-stage breast cancer","volume":"36","author":"Anderson","year":"2021","journal-title":"Health Commun."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"169","DOI":"10.1037\/a0018165","article-title":"Dyadic coping in metastatic breast cancer","volume":"29","author":"Badr","year":"2010","journal-title":"Health Psychol."},{"key":"ref6","doi-asserted-by":"publisher","first-page":"176","DOI":"10.1002\/cncr.30976","article-title":"Improvement in sexual function after ovarian cancer: effects of sexual therapy and rehabilitation after treatment for ovarian cancer","volume":"124","author":"Bober","year":"2018","journal-title":"Cancer"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1097\/spc.0000000000000186","article-title":"How to ask and what to do: a guide for clinical inquiry and intervention regarding female sexual health after cancer","volume":"10","author":"Bober","year":"2016","journal-title":"Curr. Opin. Support. Palliat. Care"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"3712","DOI":"10.1200\/jco.2012.41.7915","article-title":"Sexuality in adult cancer survivors: challenges and intervention","volume":"30","author":"Bober","year":"2012","journal-title":"J. Clin. Oncol."},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1758","DOI":"10.1111\/j.1475-6773.2006.00684.x","article-title":"Qualitative data analysis for health services research: developing taxonomy, themes, and theory","volume":"42","author":"Bradley","year":"2007","journal-title":"Health Serv. Res."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"841","DOI":"10.1002\/pon.1789","article-title":"Prevalence and associated factors of sexual problems after early-stage breast cancer treatment: results of a French exploratory survey","volume":"20","author":"Bredart","year":"2011","journal-title":"Psycho-Oncology"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"2815","DOI":"10.1200\/jco.2005.04.2499","article-title":"Sexual problems in younger women After breast cancer surgery","volume":"24","author":"Burwell","year":"2006","journal-title":"J. Clin. Oncol."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"CD005540","DOI":"10.1002\/14651858.CD005540.pub3","article-title":"Interventions for sexual dysfunction following treatments for cancer in women","volume":"2","author":"Candy","year":"2016","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"492","DOI":"10.1200\/jco.2017.75.8995","article-title":"Interventions to address sexual problems in people With cancer: American society of clinical oncology clinical practice guideline adaptation of Cancer Care Ontario guideline","volume":"36","author":"Carter","year":"2017","journal-title":"J. Clin. Oncol."},{"key":"ref14","doi-asserted-by":"publisher","first-page":"167","DOI":"10.1016\/j.breast.2016.10.022","article-title":"Is it time to address survivorship in advanced breast cancer? A review article","volume":"31","author":"Di Lascio","year":"2017","journal-title":"Breast"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"818","DOI":"10.1097\/PRS.0b013e3181ccdaa4","article-title":"Patient satisfaction following nipple-sparing mastectomy and immediate breast reconstruction: an 8-year outcome study","volume":"125","author":"Djohan","year":"2010","journal-title":"Plast. Reconstr. Surg."},{"key":"ref16","doi-asserted-by":"publisher","first-page":"1044","DOI":"10.1080\/07399332.2021.1876063","article-title":"Quality of life of women living with metastatic breast cancer and receiving palliative care: a systematic review","volume":"42","author":"Drageset","year":"2021","journal-title":"Health Care Women Int."},{"key":"ref17","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1097\/PPO.0b013e31819587bb","article-title":"Concerns about sexuality after breast cancer","volume":"15","author":"Fobair","year":"2009","journal-title":"Cancer J."},{"key":"ref18","doi-asserted-by":"publisher","first-page":"579","DOI":"10.1002\/Pon.991","article-title":"Body image and sexual problems in young women with breast cancer","volume":"15","author":"Fobair","year":"2006","journal-title":"Psycho-Oncology"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"667","DOI":"10.1002\/pon.1477","article-title":"Quantifying the recruitment challenges with couple-based interventions for cancer: applications to early-stage breast cancer","volume":"18","author":"Fredman","year":"2009","journal-title":"Psycho-Oncology"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1186\/1471-2288-13-117","article-title":"Using the framework method for the analysis of qualitative data in multi-disciplinary health research","volume":"13","author":"Gale","year":"2013","journal-title":"BMC Med. Res. Methodol."},{"key":"ref21","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1186\/s13012-014-0106-z","article-title":"Patients-people-place: developing a framework for researching organizational culture during health service redesign and change","volume":"9","author":"Gale","year":"2014","journal-title":"Implement. Sci."},{"key":"ref22","doi-asserted-by":"publisher","first-page":"510","DOI":"10.1007\/s12020-017-1470-7","article-title":"Sexual function and sex hormones in breast cancer patients","volume":"60","author":"Gambardella","year":"2018","journal-title":"Endocrine"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1093\/jnci\/94.1.39","article-title":"Quality of life in long-term, disease-free survivors of breast cancer: a follow-up study","volume":"94","author":"Ganz","year":"2002","journal-title":"J. Natl. Cancer Inst."},{"key":"ref24","doi-asserted-by":"publisher","first-page":"251","DOI":"10.1037\/0893-3200.14.2.251","article-title":"Quality of couples\u2019 relationship and adjustment to metastatic breast cancer","volume":"14","author":"Giese-Davis","year":"2000","journal-title":"J. Fam. Psychol."},{"key":"ref25","doi-asserted-by":"publisher","first-page":"397","DOI":"10.1016\/j.maturitas.2010.03.027","article-title":"Sexuality after breast cancer: a review","volume":"66","author":"Gilbert","year":"2010","journal-title":"Maturitas"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"5429","DOI":"10.1007\/s00520-020-05396-y","article-title":"Navigating sexual health in cancer survivorship: a dyadic perspective","volume":"28","author":"Gorman","year":"2020","journal-title":"Support. 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Med."},{"key":"ref31","doi-asserted-by":"publisher","first-page":"426","DOI":"10.1037\/hea0000195","article-title":"Renegotiating sexual intimacy in the context of altered embodiment: the experiences of women with breast cancer and their male partners following mastectomy and reconstruction","volume":"34","author":"Loaring","year":"2015","journal-title":"Health Psychol."},{"key":"ref32","doi-asserted-by":"publisher","first-page":"1753","DOI":"10.1177\/1049732315617444","article-title":"Sample size in qualitative interview studies: guided by information power","volume":"26","author":"Malterud","year":"2016","journal-title":"Qual. Health Res."},{"key":"ref33","doi-asserted-by":"publisher","first-page":"414","DOI":"10.1080\/14681994.2015.1093615","article-title":"\u201cI wish I\u2019d known\u201d: patients\u2019 suggestions for supporting sexual quality of life after diagnosis with metastatic breast cancer","volume":"31","author":"McClelland","year":"2016","journal-title":"Sex. Relatsh. Ther."},{"key":"ref34","doi-asserted-by":"publisher","first-page":"604","DOI":"10.1080\/00224499.2014.928663","article-title":"Vaginal dryness and Beyond: the sexual health needs of women diagnosed with metastatic breast cancer","volume":"52","author":"McClelland","year":"2015","journal-title":"J. Sex Res."},{"key":"ref35","doi-asserted-by":"publisher","first-page":"814","DOI":"10.1002\/pon.3079","article-title":"Sexual problems, communication patterns, and depressive symptoms in couples coping with metastatic breast cancer","volume":"22","author":"Milbury","year":"2012","journal-title":"Psycho-Oncology"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1002\/pon.1873","article-title":"An examination of distress, sleep, and fatigue in metastatic breast cancer patients","volume":"21","author":"Mosher","year":"2012","journal-title":"Psycho-Oncology"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1111\/tbj.12107","article-title":"Living with metastatic breast cancer: a qualitative analysis of physical, psychological, and social Sequelae","volume":"19","author":"Mosher","year":"2013","journal-title":"Breast J."},{"key":"ref38","year":"2021"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"478","DOI":"10.1002\/pon.871","article-title":"Effects of a family intervention on the quality of life of women with recurrent breast cancer and their family caregivers","volume":"14","author":"Northouse","year":"2005","journal-title":"Psychooncology"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"1486","DOI":"10.1111\/j.1743-6109.2011.02220.x","article-title":"Menopausal status in breast cancer patients with past chemotherapy determines long-term hypoactive sexual desire disorder","volume":"8","author":"Ochsenkuhn","year":"2011","journal-title":"J. Sex. Med."},{"key":"ref41","doi-asserted-by":"publisher","first-page":"649","DOI":"10.1097\/00000421-198212000-00014","article-title":"Toxicity and response criteria of the eastern cooperative oncology group","volume":"5","author":"Oken","year":"1982","journal-title":"Am. J. Clin. Oncol."},{"key":"ref42","doi-asserted-by":"publisher","first-page":"574","DOI":"10.1097\/SAP.0b013e3181c01290","article-title":"An outcome evaluation following postmastectomy nipple reconstruction using the C-V flap technique","volume":"64","author":"Otterburn","year":"2010","journal-title":"Ann. Plast. Surg."},{"key":"ref43","doi-asserted-by":"publisher","first-page":"632","DOI":"10.1080\/08870446.2013.879136","article-title":"Prevalence and correlates of sexual morbidity in long-term breast cancer survivors","volume":"29","author":"Raggio","year":"2014","journal-title":"Psychol. Health"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"3199","DOI":"10.1007\/s00520-017-3729-1","article-title":"Effective patient-provider communication about sexual concerns in breast cancer: a qualitative study","volume":"25","author":"Reese","year":"2017","journal-title":"Support. Care Cancer"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"785","DOI":"10.1007\/s00520-010-0819-8","article-title":"Coping with sexual concerns after cancer: the use of flexible coping","volume":"18","author":"Reese","year":"","journal-title":"Support Care Cancer"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"1085","DOI":"10.1037\/hea0000413","article-title":"Adapting a couple-based intimacy enhancement intervention to breast cancer: a developmental study","volume":"35","author":"Reese","year":"2016","journal-title":"Health Psychol."},{"key":"ref47","doi-asserted-by":"publisher","first-page":"402","DOI":"10.1080\/0092623x.2011.606886","article-title":"Pilot feasibility study of a telephone-based couples intervention for physical intimacy and sexual concerns in colorectal cancer","volume":"38","author":"Reese","year":"2012","journal-title":"J. Sex Marital Ther."},{"key":"ref48","doi-asserted-by":"publisher","first-page":"1179","DOI":"10.1007\/s00520-009-0738-8","article-title":"Sexual concerns in cancer patients: a comparison of GI and breast cancer patients","volume":"18","author":"Reese","year":"","journal-title":"Support. Care Cancer"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"242","DOI":"10.1080\/07347332.2018.1510869","article-title":"A randomized pilot trial of a couple-based telephone intervention addressing sexual concerns for breast cancer survivors","volume":"37","author":"Reese","year":"2019","journal-title":"J. Psychosoc. Oncol."},{"key":"ref50","doi-asserted-by":"publisher","first-page":"435","DOI":"10.1093\/tbm\/iby129","article-title":"Why do breast cancer survivors decline a couple-based intimacy enhancement intervention trial?","volume":"10","author":"Reese","year":"2018","journal-title":"Transl. Behav. Med."},{"key":"ref51","doi-asserted-by":"publisher","first-page":"1729","DOI":"10.1016\/j.jsxm.2020.06.004","article-title":"Understanding sexual help-seeking for women with breast cancer: what distinguishes women who seek help from those who do not?","volume":"17","author":"Reese","year":"","journal-title":"J. Sex. Med."},{"key":"ref52","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1186\/s13063-019-3975-2","article-title":"Evaluating a couple-based intervention addressing sexual concerns for breast cancer survivors: study protocol for a randomized controlled trial","volume":"21","author":"Reese","year":"","journal-title":"Trials"},{"key":"ref53","doi-asserted-by":"publisher","first-page":"2639","DOI":"10.1002\/pon.3342","article-title":"Uptake and attrition in couple-based interventions for cancer: perspectives from the literature","volume":"22","author":"Regan","year":"2013","journal-title":"Psychooncology"},{"key":"ref54","doi-asserted-by":"publisher","first-page":"2264","DOI":"10.1002\/cncr.28738","article-title":"Treatment-related amenorrhea and sexual functioning in young breast cancer survivors","volume":"120","author":"Rosenberg","year":"2014","journal-title":"Cancer"},{"key":"ref55","doi-asserted-by":"publisher","first-page":"1389","DOI":"10.6004\/jnccn.2013.0162","article-title":"Efficacy trial of an internet-based intervention for cancer-related female sexual dysfunction","volume":"11","author":"Schover","year":"2013","journal-title":"J. Natl. Compr. Cancer Netw."},{"key":"ref56","doi-asserted-by":"publisher","first-page":"7","DOI":"10.3322\/caac.21590","article-title":"Cancer statistics, 2020","volume":"70","author":"Siegel","year":"2020","journal-title":"Cancer J. Clinic."},{"key":"ref57","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1200\/JCO.2018.36.34_suppl.223","article-title":"Sexual health in young women with metastatic breast cancer: The state of the science","volume":"36","author":"Silverman","year":"2018","journal-title":"J. Clin. Oncol."},{"key":"ref58","doi-asserted-by":"publisher","first-page":"3153","DOI":"10.3390\/cancers13133153","article-title":"Interventions to improve sexual health in women living with and surviving cancer: review and recommendations","volume":"13","author":"Sopfe","year":"2021","journal-title":"Cancers"},{"key":"ref59","doi-asserted-by":"publisher","first-page":"711","DOI":"10.1007\/s10549-011-1722-9","article-title":"Interventions for sexual problems following treatment for breast cancer: a systematic review","volume":"130","author":"Taylor","year":"2011","journal-title":"Breast Cancer Res. Treat."},{"key":"ref60","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","article-title":"Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups","volume":"19","author":"Tong","year":"2007","journal-title":"Int. J. Qual. Health Care"},{"key":"ref61","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18147288","article-title":"Relationship dynamics among couples dealing with breast cancer: a systematic review","volume":"18","author":"Valente","year":"2021","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref62","doi-asserted-by":"publisher","first-page":"249","DOI":"10.1017\/s1478951508000382","article-title":"A qualitative study of the experiences of women with metastatic breast cancer","volume":"6","author":"Vilhauer","year":"2008","journal-title":"Palliat. Support. Care"},{"key":"ref63","doi-asserted-by":"publisher","first-page":"781","DOI":"10.1080\/08870446.2010.496853","article-title":"\u2018Them\u2019 and \u2018us\u2019: the experiences of women with metastatic disease in mixed-stage versus stage-specific breast cancer support groups","volume":"26","author":"Vilhauer","year":"2011","journal-title":"Psychol. 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