Perspectives of husbands of women with breast cancer: Impact and response

Margaret I. Fitch, Marc Allard

Abstract


When breast cancer is diagnosed, it has the potential to have an impact on a woman’s partner and influence how the male partner can support the woman. This qualitative study was undertaken to explore the impact on male partners of having a wife who has been diagnosed with breast cancer. In-depth interviews with 15 husbands provided a rich sense of the nature of the impact and how these men responded to it. Analysis revealed two overarching themes: 1) the diagnosis was shocking and unexpected, and 2) the impact of breast cancer on the male partner is wide-ranging. The respondents described a wide range of changes that had occurred in their lives since the unexpected, shocking diagnosis. They shared vivid accounts of personal emotional reactions, changes in daily work life and household responsibilities, worries about children, and changes in their relationships with their wives. They experienced ongoing struggles to balance the demands within their lives. Two significant challenges these men described were coping with work-related demands and sorting out how to be supportive to their wives. Clearly, the breast cancer diagnosis had an impact on these men and created personal tension for them. Cancer nurses need to be aware of this impact, acknowledge the sense of vulnerability it can create in male partners, and work to find effective ways to support them.


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References


Baider, L., & De-Nour, A.K. (1984). Couples’ reactions and

adjustment to mastectomy: A preliminary report. Journal

Psychiatry in Medicine, 14, 265-76.

Ervin, J. (1973). Psychological adjustment to mastectomy. Medical

Aspects of Human Sex, 7, 42-65.

Fitch, M.I., Gray, R.E., & Franssen, E. (2001). Perspectives on living

with ovarian cancer: Older women’s views. Oncology Nursing

Forum, 28(7), 1433-1442.

Gray, R.E., Fitch, M., Greenberg, M., Hampson, A., Doherty, M., &

Lebrecque, M. (1998). The information needs of well, longer-term

survivors of breast cancer. Patient Education and Counselling,

, 245-255.

Hilton, B.A., Crawford, J.A., & Tarko, M.A. (2000). Men’s

perspectives on individual and family coping with their wives’

breast cancer and chemotherapy. Western Journal of Nursing

Research, 22(4), 438-59.

Jenkins, V., Fallowfield, L., & Saul, J. (2001). Information needs of

patients with cancer: Results from a large study in U.K. cancer

centres. British Journal of Cancer, 84, 48-51.

Kent, S. (1975). Coping with sexual identity crises after mastectomy.

Geriatrics, 30, 145-6.

Lethborg, C.E., Kissane, D., & Burns, W.I. (2003). It’s not the easy

part: The experience of significant others of women with early

stage breast cancer, at treatment completion. Social Work in

Health Care, 37(1), 63-85.

Lewis, F. (2004, August). The impact of cancer on the family.

Robert Tiffany Lectureship, 13th International Conference of

Cancer Nursing, Sydney, Australia.

Lewis, F.M., & Hammond, M.A. (1996). The father’s, mother’s and

adolescent’s adjustment to a mother’s breast cancer. Family

Relations, 45, 456-65.

Lewis, F.M., Hammond, M.A., & Woods, N.F. (1993). The family’s

functioning with newly diagnosed breast cancer in the mother: The

development of an exploratory model. Journal Behavioral

Medicine, 16, 351-370.

Lewis, F.M., Woods, N.F., Hough, E.E., & Bensley, L.S. (1989).

The family’s functioning with chronic illness in the mother:

The spouse’s perspective. Social Science Medicine, 29, 1261-

Luker, K.A., Beaver, K., Leinster, S.J., & Owens, R.G. (1996).

Information needs and sources of information of women with

breast cancer: A follow-up study. Journal of Advanced Nursing,

, 487-95.

McGuire, P. (1981). The repercussions of mastectomy on the

family. International Journal of Family Psychiatry, 1, 485-

Moyer, A., & Salovay, P. (1996). Psychosocial sequelae of breast

cancer and its treatment. Annals of Behavioral Medicine, 18(2),

-125.

Northouse, L. (1988). Social support in patients’ and husbands’

adjustment to breast cancer. Nursing Research, 37, 91-5.

Northouse, L., & Swain, M.A. (1987). Adjustment of patients and

husbands to the initial impact of breast cancer. Nursing Research,

, 221-5.

Oberst, M.T., & James, R.H. (1985). Going home: Patient and spouse

adjustment following cancer surgery. Topics in Clinical Nursing,

, 41-57.

Raupach, J.C., & Hiller, J.E. (2002). Information and support for

women following the primary treatment of breast cancer. Health

Expectations, 5(4), 289-301.

Rees, C.E., & Bath, P.A. (2000). The information needs and source

preferences of women with breast cancer and their family

members: A review of the literature published between 1988 and

Journal of Advanced Nursing, 31(4), 833-41.

Rees, C.E., Bath, P.A., & Lloyd-Williams, M. (1998). The

information concerns of spouses of women with breast cancer:

Patients’ and spouses’ perspectives. Journal of Advanced

Nursing, 28, 1249-1258.

Samms, M.C. (1999). The husband’s untold account of his wife’s

breast cancer: A chronologic analysis. Oncology Nursing Forum,

(8), 1351-8.

Silverman, D. (2000). Doing qualitative research: A practical

guide. London: Sage.

Wellisch, D.K., Jamieson, K.R., & Pasnau, R.O. (1978). Psychosocial

aspects of mastectomy II: The man’s perspective. American

Journal Psychiatry, 135, 543-546.

Woods, N.F., & Lewis, F.M. (1995). Living with chronic illness:

Women’s perspectives on their families’ adaptation. Health Care

Women International, 16, 135-48.

Yates, P. (1999). Family coping: Issues and challenges for Cancer

Nursing. Cancer Nursing, 22(1), 63-71.


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