Living with metastatic breast cancer: A qualitative analysis of physical, psychological, and social sequelae Journal Article


Authors: Mosher, C. E.; Johnson, C.; Dickler, M.; Norton, L.; Massie, M. J.; Duhamel, K.
Article Title: Living with metastatic breast cancer: A qualitative analysis of physical, psychological, and social sequelae
Abstract: Women with metastatic breast cancer face a wide range of medical, practical, and emotional challenges that impact their quality of life. Research to date, however, has not focused on the quality-of-life concerns of metastatic breast cancer patients with significant distress. The present study examined a range of concerns among distressed metastatic breast cancer patients, including physical and emotional distress, social functioning, and existential issues. Forty-four distressed women with metastatic breast cancer wrote their deepest thoughts and feelings regarding their illness. These essays were thematically analyzed for effects of the illness on quality of life. Three themes were identified in patients' essays. First, metastatic breast cancer and its treatment may result in a number of quality-of-life concerns, including physical symptom burden, emotional distress, body image disturbance, and disrupted daily activities. Second, social constraints on disclosure of cancer-related concerns may exacerbate patients' distress. Third, many women experience a heightened awareness of life's brevity and search for meaning in their cancer experience. Results highlight a range of quality-of-life concerns following a metastatic breast cancer diagnosis and suggest that addressing social constraints on cancer-related disclosure and the search for meaning may improve patients' psychological adjustment. © 2013 Wiley Periodicals, Inc.
Keywords: adult; clinical article; aged; middle aged; cancer radiotherapy; antineoplastic agent; quality of life; breast cancer; breast neoplasms; cancer hormone therapy; partial mastectomy; neoplasm metastasis; distress syndrome; daily life activity; health; breast metastasis; metastatic breast cancer; body image; emotional stress; distress; social interaction; affective symptoms; social constraints
Journal Title: Breast Journal
Volume: 19
Issue: 3
ISSN: 1075-122X
Publisher: Wiley Blackwell  
Date Published: 2013-05-01
Start Page: 285
End Page: 292
Language: English
DOI: 10.1111/tbj.12107
PROVIDER: scopus
PUBMED: 23528206
PMCID: PMC4097181
DOI/URL:
Notes: --- - "Export Date: 3 June 2013" - "CODEN: BRJOF" - "Source: Scopus"
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors
  1. Larry Norton
    758 Norton
  2. Katherine N Duhamel
    99 Duhamel
  3. Maura N Dickler
    262 Dickler
  4. Mary Jane Massie
    80 Massie
  5. Catherine E Mosher
    23 Mosher